Evidence map›Paper›PMID 40000085›Full record

ArticleBMJ open2025

Demographic, occupational factors and pandemic-related stressors associated with heightened mental health difficulties among UK health and social care workers supported by regional Resilience Hubs during the COVID-19 pandemic.

Filippo Varese, Kate Allsopp, Lesley-Anne Carter, Jack Wilkinson, Gemma E Shields, Aleix Rowlandson, Priscilla Chung, Alysha A Hassan, Hannah White, Sally-Anne Wright and 14 more

Abstract read
In one paragraph

Article in BMJ open, 2025. 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. Patients seeking occupational health advice before and after COVID-19.Occupational medicine (Oxford, England) · 2026
    Article
  2. 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.

Filippo VareseSchool of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK filippo.varese@manchester.ac.uk.ORCID http://orcid.org/0000-0001-7244-598X
Kate AllsoppSchool of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-5093-0404
Lesley-Anne CarterCentre for Biostatistics, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK.
Jack WilkinsonCentre for Biostatistics, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0003-3513-4677
Gemma E ShieldsCentre for Health Economics, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0003-4869-7524
Aleix RowlandsonCentre for Health Economics, University of Manchester, Manchester, UK.
Priscilla ChungLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation Trust, Preston, UK.
Alysha A HassanCheshire & Merseyside Resilience Hub, Mersey Care NHS Foundation Trust, Liverpool, UK.ORCID http://orcid.org/0000-0001-9102-7812
Hannah WhiteComplex Trauma & Resilience Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.ORCID http://orcid.org/0000-0003-3944-4277
Sally-Anne WrightLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation Trust, Preston, UK.
Ellie YoungGreater Manchester Resilience Hub, Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK.
Jess DaveyHumber & North Yorkshire Resilience Hub, Tees Esk and Wear Valleys NHS Foundation Trust, Darlington, UK.
Alan BarrettGreater Manchester Resilience Hub, Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK.
Gita BhutaniComplex Trauma & Resilience Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Daniel HindScHARR, The University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0002-6409-4793
Katherine McGuirkNHS Greater Manchester Health and Social Care Partnership, Manchester, UK.
Fay HuntleyDoctorate of Clinical Psychology, University of Edinburgh, Edinburgh, UK.
May SarsamCheshire & Merseyside Resilience Hub, Mersey Care NHS Foundation Trust, Liverpool, UK.
Holly WalkerHumber & North Yorkshire Resilience Hub, Tees Esk and Wear Valleys NHS Foundation Trust, Darlington, UK.
Joanne JordanHumber & North Yorkshire Resilience Hub, Tees Esk and Wear Valleys NHS Foundation Trust, Darlington, UK.
Hein Ten CateLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation Trust, Preston, UK.
Ruth WatsonGreater Manchester Resilience Hub, Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK.
Jenni WillbournGreater Manchester Resilience Hub, Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK.
Paul FrenchManchester Metropolitan University, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, 40 mental health and well-being hubs were funded in England to support health and social care staff affected by the pandemic.

aimsTo describe the characteristics of staff accessing four hubs for support and identify characteristics associated with clinically significant mental health difficulties and work and social functioning.

methodRoutinely collected screening data were analysed from 1973 individuals across 4 hubs, including mental health, demographic and occupational data and pandemic-related stressors. Factors associated with clinically significant mental health difficulties were identified via logistic regression.

resultsMost hub clients identified as white women who worked for the UK National Health Service; other groups were less well represented. Hub clients reported high levels of clinically significant mental health difficulties: 60% had severe and often co-occurring difficulties (ie, depression, anxiety, post-traumatic stress disorder or alcohol use) and 80% reported significantly impaired functioning. Younger age, disability status, identifying as from a minority ethnic group, and sexual orientations excluding heterosexual were associated with higher likelihood of having clinically significant mental health difficulties. Suffering financial loss during the pandemic, and prepandemic emotional well-being concerns were the most consistent factors associated with higher difficulties.

conclusionsThe hubs supported health and social care staff with significant mental health difficulties. Outreach and engagement with under-represented groups should be undertaken to address potential barriers to service access. The findings add to the knowledge base on the support needs of the health and social care workforce and the planning of support in response to future crises.

Indexed as

COVID-19Health PersonnelMental DisordersSocial WorkersStress, PsychologicalAdultAnxietyEnglandFemaleHumansMaleMental HealthMiddle AgedPandemicsSARS-CoV-2United KingdomCOVID-19MENTAL HEALTHOccupational StressPsychometrics

Identifiers

PMID40000085
PMCPMC12083307

What OpenQuestion holds

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LicenceCC BY
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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.