Evidence map›Paper›PMID 37531283›Full record

ArticleThe international journal of neuropsychopharmacology2023

Longitudinal Impact of the COVID-19 Pandemic on Stress and Occupational Well-Being of Mental Health Professionals: An International Study.

Cary S Kogan, José A Garcia-Pacheco, Tahilia J Rebello, Madeline I Montoya, Rebeca Robles, Brigitte Khoury, Maya Kulygina, Chihiro Matsumoto, Jingjing Huang, María Elena Medina-Mora and 14 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The international journal of neuropsychopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Beyond capacity limits: can social cohesion offset the impact of service constraints on youth mental health?European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 16 institutions in 11 countries.

Cary S KoganSchool of Psychology, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0001-6598-2779
José A Garcia-PachecoCentro de Investigación y Docencia Económica, Mexico City, Mexico.
Tahilia J RebelloColumbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Madeline I MontoyaSchool of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
Rebeca RoblesCenter for Global Mental Health Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico.
Brigitte KhouryDepartment of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.ORCID 0000-0003-3283-2875
Maya KulyginaTraining and Research Centre, Mental-health clinic No.1 named after N.A. Alekseev, Moscow, Russian Federation.
Chihiro MatsumotoJapanese Society of Psychiatry and Neurology, Tokyo, Japan.
Jingjing HuangShanghai Mental Health Center and Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
María Elena Medina-MoraFaculty of Psychology, National Autonomous University of Mexico and Center for Global Mental Health Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico.
Oye GurejeWHO Collaborating Centre for Research and Training in Mental Health, Neuroscience, Drug and Alcohol Abuse, Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Dan J SteinDepartment of Psychiatry, Neuroscience Institute, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Observatory, South Africa.ORCID 0000-0001-7218-7810
Pratap SharanDepartment of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Wolfgang GaebelDepartment of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.
Shigenobu KanbaKyushu University, Fukuoka and Japan Depression Center, Tokyo, Japan.
Howard F AndrewsDepartments of Biostatistics and Psychiatry, Columbia University and New York State Psychiatric Institute, Columbia University Medical Center, New York, New York, USA.
Michael C RobertsClinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA.
Kathleen M PikeDepartments of Psychiatry and Epidemiology, Columbia University Irving Medical Center, New York, New York, USA.
Min ZhaoShanghai Mental Health Center and Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
José Luis Ayuso-MateosDepartment of Psychiatry, Universidad Autónoma de Madrid, Instituto de Salud Carlos III, Centro de Investigacíon Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Investigacíon Sanitaria La Princesa, Madrid, Spain.
Karolina SadowskaColumbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Karen MaréDepartment of Psychiatry, Neuroscience Institute, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Observatory, South Africa.
Keith DennyDepartment of Sociology and Anthropology, Carleton University, Ottawa, Ontario, Canada.
Geoffrey M ReedDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Columbia University Irving Medical Center · USInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz · MXNew York Psychoanalytic Society and Institute · USShanghai Jiao Tong University · CNUniversity of Cape Town · ZAUniversity of Ottawa · CAAll India Institute of Medical Sciences · INAmerican University of Beirut Medical Center · LBCarleton University · CACentro de Investigación y Docencia Económicas · MXColumbia University · USHeinrich Heine University Düsseldorf · DEInstituto de Salud Carlos III · ESKyushu University · JPUniversity of Ibadan · NGUniversity of Kansas · US

Funding

CIHR VR4-172750
6 · The paper itself

Abstract

backgroundIncreased levels of occupational stress among health professionals during the COVID-19 pandemic have been documented. Few studies have examined the effects of the pandemic on mental health professionals despite the heightened demand for their services.

methodA multilingual, longitudinal, global survey was conducted at 3 time points during the pandemic among members of the World Health Organization's Global Clinical Practice Network. A total of 786 Global Clinical Practice Network members from 86 countries responded to surveys assessing occupational distress, well-being, and posttraumatic stress symptoms.

resultsOn average, respondents' well-being deteriorated across time while their posttraumatic stress symptoms showed a modest improvement. Linear growth models indicated that being female, being younger, providing face-to-face health services to patients with COVID-19, having been a target of COVID-related violence, and living in a low- or middle-income country or a country with a higher COVID-19 death rate conveyed greater risk for poor well-being and higher level of stress symptoms over time. Growth mixed modeling identified trajectories of occupational well-being and stress symptoms. Most mental health professions demonstrated no impact to well-being; maintained moderate, nonclinical levels of stress symptoms; or showed improvements after an initial period of difficulty. However, some participant groups exhibited deteriorating well-being approaching the clinical threshold (25.8%) and persistently high and clinically significant levels of posttraumatic stress symptoms (19.6%) over time.

conclusionsThis study indicates that although most mental health professionals exhibited stable, positive well-being and low stress symptoms during the pandemic, a substantial minority of an already burdened global mental health workforce experienced persistently poor or deteriorating psychological status over the course of the pandemic.

Indexed as

COVID-19DepressionFemaleHumansMaleMental HealthPandemicsSARS-CoV-2COVID-19longitudinal designmental health workforceoccupational well-beingposttraumatic stress symptoms

Identifiers

PMID37531283
PMCPMC10586039
OpenAlexW4385497826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.