Evidence map›Paper›PMID 40050789›Full record

ArticleBMC psychiatry2025

Longitudinal cross-lagged association between posttraumatic stress disorder, post-traumatic growth, and deliberate rumination among healthcare staff 2 years after the COVID-19 pandemic in Hubei Province, China.

Jing Wen, Zongju Chen, Li Zou, Yang Fei, Pu Zhang, Zijun Xiong, Yifang Liu, Yu Lu, Jiaxin Tao, Shijiao Yan and 2 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

12 authors.

Jing Wen *School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Zongju Chen *School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Li Zou *Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yang FeiDepartment of Nursing, College of Medicine, Yangtze University, Jingzhou, China.
Pu ZhangDepartment of Cardiology, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Zijun XiongWuhan Disease Control and Prevention Institute, China Railway Wuhan Group Co., Ltd, Wuhan, China.
Yifang LiuDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yu LuSchool of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jiaxin TaoSchool of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Shijiao Yan *School of Public Health, Hainan Medical University, Haikou, China. yanshijiao@hainmc.edu.cn.
Longti Li *Taihe Hospital, Hubei University of Medicine, Shiyan, China. lilongtithh@sina.com.
Wenning Fu *School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. wenningfu@hust.edu.cn.

Funding

the Fundamental Research Funds for the Central Universities 2042022kf1151the National Natural Science Foundation of China 72104082the Natural Science Foundation of Hubei Province 2022CFB721the Program of Excellent Doctoral (Postdoctoral) of Zhongnan Hospital of Wuhan University ZNYB2021003
6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) and post-traumatic growth (PTG) are inspiratory areas of psychological research in which deliberate rumination has important implications. However, these relationships have not yet been assessed in the COVID-19 pandemic using longitudinal designs.

methodsIn this study, measures of PTSD, PTG, and deliberate rumination were collected from 2,292 healthcare staff members at two-time points six months apart in 2022-2023 from two general hospitals in Hubei Province, China. A cross-lagged analysis was used to simultaneously determine the directional relationships between these three variables.

resultsThe results suggest that the relationship between PTG and deliberate behavior is bidirectional and mutually reinforcing (β = 0.133, P < 0.001; β = 0.129, P < 0.001). Significant prospective relations were observed between PTG and PTSD (β = 0.054, P < 0.01), and PTSD prospectively predicted changes in deliberate rumination (β = 0.204, P < 0.001). In addition, significant sex differences were observed in the cross-lagged models.

conclusionThese findings highlighted the noteworthy cross-lagged relationship between PTSD, PTG, and deliberate rumination two years after the COVID-19 pandemic in Hubei Province, China. Therefore, interventions to reduce PTSD, promote PTG, and improve well-being among healthcare staff are important.

Indexed as

COVID-19Health PersonnelPosttraumatic Growth, PsychologicalRumination, CognitiveStress Disorders, Post-TraumaticAdultChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedCOVID-19Cross-lagged modelDeliberate ruminationHealthcare staffPost-traumatic growthPost-traumatic stress disorder

Identifiers

PMID40050789
PMCPMC11887192

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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.