Evidence map›Paper›PMID 38982334›Full record

ArticleBMC public health2024

Psychological distress mediates the association between COVID-19-related discrimination and subsequent PTSD symptom severity in healthcare workers: a two-year follow-up study.

Zui Narita, Ryo Okubo, Yohei Sasaki, Kazuyoshi Takeda, Masaki Takao, Hirofumi Komaki, Hideki Oi, Takeshi Miyama, Yoshiharu Kim

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

9 authors.

Zui NaritaDepartment of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashicho, Kodaira, Tokyo, 187-8553, Japan. zuinarita@ncnp.go.jp.
Ryo OkuboClinical Research & Education Promotion Division, National Center of Neurology and Psychiatry Hospital, 4-2-2 Ogawahigashicho, Kodaira, Tokyo, 187-8551, Japan.
Yohei SasakiClinical Research & Education Promotion Division, National Center of Neurology and Psychiatry Hospital, 4-2-2 Ogawahigashicho, Kodaira, Tokyo, 187-8551, Japan.
Kazuyoshi TakedaClinical Research & Education Promotion Division, National Center of Neurology and Psychiatry Hospital, 4-2-2 Ogawahigashicho, Kodaira, Tokyo, 187-8551, Japan.
Masaki TakaoNational Center of Neurology and Psychiatry Hospital, 4-1-1 Ogawahigashicho, Kodaira, Tokyo, 187-8551, Japan.
Hirofumi KomakiClinical Research & Education Promotion Division, National Center of Neurology and Psychiatry Hospital, 4-2-2 Ogawahigashicho, Kodaira, Tokyo, 187-8551, Japan.
Hideki OiClinical Research & Education Promotion Division, National Center of Neurology and Psychiatry Hospital, 4-2-2 Ogawahigashicho, Kodaira, Tokyo, 187-8551, Japan.
Takeshi MiyamaClinical Research & Education Promotion Division, National Center of Neurology and Psychiatry Hospital, 4-2-2 Ogawahigashicho, Kodaira, Tokyo, 187-8551, Japan.
Yoshiharu KimDepartment of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashicho, Kodaira, Tokyo, 187-8553, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPast research has suggested a cross-sectional association between COVID-19-related discrimination and PTSD symptom severity. However, no cohort study has examined the longitudinal association that better supports causal interpretation. Also, even if such an association genuinely exists, the specific pathway remains unclear.

methodsWe conducted a two-year follow-up study, obtaining data from healthcare workers in a hospital setting. We first evaluated how COVID-19-related discrimination in 2021 was associated with subsequent PTSD symptom severity in 2023. Thereafter, we conducted causal mediation analysis to examine how this association was mediated by psychological distress in 2022, accounting for exposure-mediator interaction. Missing data were handled using random forest imputation.

resultsA total of 660 hospital staff were included. The fully adjusted model showed greater PTSD symptom severity in individuals who experienced any COVID-19-related discrimination compared with those without such experiences (β, 0.44; 95% CI, 0.04-0.90). Regarding each type of discrimination, perceived discrimination was associated with greater PTSD symptom severity (β, 0.52; 95% CI, 0.08-0.96), whereas verbal discrimination did not reach statistical significance. Psychological distress mediated 28.1%-38.8% of the observed associations.

conclusionsCOVID-19-related discrimination is associated with subsequent PTSD symptom severity in healthcare workers. Psychological distress may serve as an important mediator, underscoring the potential need for interventions targeting this factor.

Indexed as

COVID-19Health PersonnelPsychological DistressStress Disorders, Post-TraumaticAdultCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedSeverity of Illness IndexPost-Traumatic stress disorderPsychological traumaSARS-CoV-2Social isolationSocial stigma

Identifiers

PMID38982334
PMCPMC11234701

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Registered trials

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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.