ArticleBMC nursing2023
Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study.
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 21 citations in OpenAlex.
- Network analysis of social support, resilience, quality of life, and insomnia under pandemic control measures.Frontiers in public health · 2026Article
- Exploring the Role of Professional Burnout and Mental Health Strain in Nurses' Turnover Intentions: A Mediation Study.Journal of nursing management · 2025Article
- Relationship between transition shock, resilience, career calling, and retention intention among new nurses: a moderated mediation model.BMC nursing · 2024Article
- Progress of systematic psychological interventions in elderly patients with femoral fractures: A comprehensive review.World journal of psychiatry · 2024Review
- The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping.BMC public health · 2024Article
- Factors Associated with Impact of Event Scores Among Ontario Education Workers During the COVID-19 Pandemic.International journal of environmental research and public health · 2024Observational
- Article
- Mediating effects of insomnia and resilience on COVID-19-related post-traumatic stress disorder and quality of life in adolescents.Scientific reports · 2024Article
- Article
- An Exploration of Resilience and Positive Affect among Undergraduate Nursing Students: A Longitudinal Observational Study.Nursing reports (Pavia, Italy) · 2024Article
- The mediating role of coping styles in the relationship between fear of COVID-19 and mental health problems: a cross-sectional study among nurses.BMC public health · 2024Article
- PTSD prevalence and factors in intern nursing students after COVID-19 full liberalization in China: a cross-sectional study.Frontiers in public health · 2024Article
- The mediating effect of resilience and COVID-19 anxiety on the relationship between social support and insomnia among healthcare workers: a cross-sectional study.Frontiers in psychiatry · 2024Article
- Article
- Fear of COVID-19, Perceived Stress, and PTSD: The Serial Mediating Role of Sense of Coherence.European journal of investigation in health, psychology and education · 2023Article
- Mental health and cognitive function among medical students after the COVID-19 pandemic in China.Frontiers in public health · 2023Article
- Enhancing Mental Resilience Among Frontline Nurses Post-COVID-19: A Non-Randomized Study of mHealth-Based Group Coping Skills Training.SAGE open nursingArticle
- Post-traumatic Stress Disorder and Resilience in Medical Students: A Multicenter Study from 13 Latin American Countries.Chronic stress (Thousand Oaks, Calif.)Article
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13 authors at 2 institutions in 1 country.
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Abstract
backgroundThe emergency of Omicron variants, spreading in China and worldwide, has sparked a new wave of the coronavirus disease 2019 (COVID-19) pandemic. The high infectivity and persistence of the pandemic may trigger some degrees of post-traumatic stress disorder (PTSD) for nursing students experiencing indirect trauma exposure to the epidemic, which hinders the role transition from students to qualified nurses and exacerbates the health workforce shortage. Thus, it's well worth an exploration to understand PTSD and its underlying mechanism. Specifically, PTSD, social support, resilience, and fear of COVID-19 were selected after widely literature review. This study aimed to investigate the relationship between social support and PTSD among nursing students during COVID-19, to address the mediating role of resilience and fear of COVID-19 between social support and PTSD, and to provide practical guidance for nursing students' psychological intervention.
methodsFrom April 26 to April 30, 2022, 966 nursing students from Wannan Medical College were selected by the multistage sampling method to fill the Primary Care PTSD Screen for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), Brief Resilience Scale, Fear of COVID-19 Scale, and Oslo 3 Items Social Support Scale. Data were analyzed by descriptive statistics, spearman's correlation analysis, regression analysis, and path analysis.
results15.42% of nursing students had PTSD. There were significant correlations between social support, resilience, fear of COVID-19, and PTSD (r =-0.291 ~ 0.353, P <0.001). Social support had a direct negative effect on PTSD (β =-0.216; 95% confidence interval, CI: -0.309~-0.117), accounting for 72.48% of the total effect. Analysis of mediating effects revealed that social support influenced PTSD through three indirect pathways: the mediated effect of resilience was statistically significant (β =-0.053; 95% CI: -0.077~-0.031), accounting for 17.79% of the total effect; the mediated effect of fear of COVID-19 was statistically significant (β =-0.016; 95% CI: -0.031~-0.003), accounting for 5.37% of the total effect; the chain mediating effect of resilience and fear of COVID-19 was statistically significant (β =-0.013; 95% CI: -0.022~-0.006), accounting for 4.36% of the total effect.
conclusionThe social support of nursing students not only directly affects PTSD, but also indirectly affects PTSD through the separate and chain mediating effect of resilience and fear of COVID-19. The compound strategies targeted at boosting perceived social support, fostering resilience, and controlling fear of COVID-19 are warranted for reducing PTSD.
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