Evidence map›Paper›PMID 42211709›Full record

ArticleFrontiers in public health2026

Predictor and subgroup analysis of somatic symptoms and emotional exhaustion among university students in Germany during the SARS-CoV-2 pandemic: a longitudinal analysis.

Katharina Wörle, Pavel Dietz, Stephan Letzel, Thomas Rigotti, Lina M Mülder, Jennifer L Reichel

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Katharina WörleInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Pavel DietzInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Stephan LetzelInstitute for Teachers' Health at the Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Thomas RigottiDepartment of Work, Organizational, and Business Psychology, Institute for Psychology, Johannes Gutenberg University, Mainz, Germany.
Lina M MülderDepartment of Psychology, Institute of Mind, Brain, and Behavior, HMU Health and Medical University, Potsdam, Germany.
Jennifer L ReichelCorporate Health Management, Human Resources and Legal Affairs, Technical University of Darmstadt, Darmstadt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The mental and physical health of university students is not just of interest to the students themselves, but to our whole society. While most research has focused on medical students, other disciplines remain underexplored. Therefore, this study aims (1) to assess the prevalence and development of emotional exhaustion and somatic symptoms from 2020 to 2021 in both cross-sectional and longitudinal samples of university students, (2) to examine subgroup differences based on demographics and study fields, and (3) to investigate predictors of symptom changes. Methods: Data were collected from students from a large university in Germany, using two surveys conducted 1 year apart. Independent-samples Results: A total of 3,066 students participated in the 2020 survey, and 1,438 in 2021, with a longitudinal sample of Discussion: These findings highlight considerable mental and physical health impairments not only among medical students but also across diverse study fields, with particular vulnerabilities among women and new students. Moreover, the link between emotional exhaustion and work complexity underscores academic pressure as a key contributor to students' mental health. Thus, universities could set the base for an efficient future workforce with an early health promoting education, preventive measures addressing work complexity and targeted support to vulnerable groups.

Indexed as

COVID-19Emotional ExhaustionMedically Unexplained SymptomsStudentsAdultCross-Sectional StudiesFemaleGermanyHumansLongitudinal StudiesMalePandemicsPrevalenceSurveys and QuestionnairesUniversitiesYoung Adultacademic demandsacademic resourcesCOVID-19resiliencetertiary education

Identifiers

PMID42211709
PMCPMC13212139

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.