Evidence map›Paper›PMID 40376065›Full record

ArticleFrontiers in public health2025

Educational differences in mental health-related quality of life during the COVID-19 pandemic in Germany: the mediating role of pandemic-induced psychosocial stress.

Christina Kersjes, Ibrahim Demirer, Timo-Kolja Pförtner, Florian Beese, Jens Hoebel, Susanne Schnitzer, Elvira Mauz

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
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  3. Observational
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

7 authors.

Christina KersjesDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Ibrahim DemirerCenter for Health Communication and Health Services Research, Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Medical Faculty, University of Bonn, Bonn, Germany.
Timo-Kolja PförtnerDivision of Research Methods, Faculty of Human Sciences, University of Cologne, Cologne, Germany.
Florian BeeseDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Jens HoebelDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Susanne Schnitzer"Institute of Medical Sociology and Rehabilitation Science, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Elvira MauzDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: A large body of evidence shows poorer mental health among lower socioeconomic groups, with chronic stress being an important pathway in this relationship. It was expected that the mental health of people with low socioeconomic status may have been particularly affected by the COVID-19 pandemic. While it has been established that stress also impacted mental health during the pandemic, the aim of this study was to analyze if pandemic-induced psychosocial stress (PIPS) mediated educational differences in mental health-related quality of life (MHRQOL) and which life domains were particularly affected. Methods: The data came from the population-based representative study "Corona Monitoring Nationwide - Wave 2 (RKI-SOEP-2)," from November 2021-February 2022, restricted to the working age population (18-67 years, Results: MHRQOL increased with higher education. Higher education was associated with more PIPS in the domain's family, social life, and leisure time, while lower education was associated with more financial PIPS. PIPS in the life domains family, financial situation, leisure time, and social life significantly mediated educational differences in MHRQOL. No significant mediation effect was found for partnership and work/school PIPS. Conclusion: PIPS contributed to educational differences in MHRQOL, with different educational levels showing more stress in different life domains. Group-targeted and life domain-specific approaches for prevention and intervention should be considered.

Indexed as

COVID-19Educational StatusMental HealthQuality of LifeStress, PsychologicalAdolescentAdultAgedFemaleGermanyHumansMaleMiddle AgedPandemicsSARS-CoV-2Young Adultcausal mediation analysisCOVID-19 pandemicGermanyinequalitypsychosocial stressquality of life

Identifiers

PMID40376065
PMCPMC12078178

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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.