Evidence map›Paper›PMID 38482023›Full record

ArticleNeuropsychiatric disease and treatment2024

Effect of Surgical Masks and N95 Respirators on Anxiety.

Yan Zhang, Qiongyao Yang, Qianru Ma, Yuanxiong Wu, Yue Wang, Chuanchuan Chen, Yitan Yao, Ziqiao Feng, Xiaoping Yuan, Shengya Shi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Risks and benefits of face masks in children.Frontiers in pediatrics · 2026
    Review
  2. Review
  3. Review
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

11 authors at 3 institutions in 1 country.

Yan Zhang *Department of Pneumology, Second People's Hospital of Anhui Province, Hefei, People's Republic of China.
Qiongyao Yang *Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.ORCID 0009-0008-5918-8139
Qianru Ma *Department of Psychiatry, Third People's Hospital of Fuyang, Fuyang, People's Republic of China.
Yuanxiong Wu *Department of Psychiatry, Third People's Hospital of Fuyang, Fuyang, People's Republic of China.
Yue WangDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.
Chuanchuan ChenDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.
Yitan YaoDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.ORCID 0000-0001-7396-8192
Ziqiao FengDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.
Xiaoping YuanDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.
Shengya ShiDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.ORCID 0000-0003-0600-2835
Kai ZhangDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, People's Republic of China.
Anhui Medical University · CNFuyang City People's Hospital · CNXian Yang Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Masks are designed to reduce the spread of airborne pathogens, such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), although wearing a mask has some adverse effects. The primary objective of this study was to explore the effects of surgical masks and N95 respirators on patients diagnosed with anxiety. Methods: Subjects diagnosed with first-episode anxiety disorders were recruited from outpatient departments between February and July, 2023. A self-administered questionnaire was administered at baseline and at follow-up. The questionnaire addressed demographic information, Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D) and Insomnia Severity Index (ISI). Subjects were divided into three groups (n=30 each): control (no mask); surgical mask; and N95 respirator. The Kruskal-Wallis test and repeated measures analysis of variance were used to examine associations between face mask use and emotion. Results: Ninety subjects completed the study, of whom 51 (56.67%) were male and 39 (43.33%) were female. Time and group effects were observed in HAM-A score among the 3 groups. After 4 weeks, mean (± SD) HAM-A score decreased from 32.63±13.37 to 28.07±9.33 in the control group, increased from 33.67±12.47 to 36.80±10.32 in the surgical mask group, and from 32.33±14.73 to 41.13±8.29 in the N95 respirator group, with no sex differences among the 3 groups. HAM-A score was significantly higher in the mask groups than that in the control group at follow-up. Only N95 respirator group exhibited significant time effects on HAM-D and ISI scores, with a decreasing trend in HAM-D score and an opposite trend in ISI score. Conclusion: Prolonged mask use may exacerbate anxiety, especially among those wearing N95 respirator masks. In a post-pandemic environment, governments should improve public health beliefs regarding coronavirus disease 2019 and promote the safety of face mask use, thus reducing the physiological and psychological effects of improper mask use.

Indexed as

anxietyCOVID-19health beliefsmaskN95

Identifiers

PMID38482023
PMCPMC10933521
OpenAlexW4392561246

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.