ArticleDiscover mental health2026
Differential roles of sense of coherence components in mental health during the COVID-19 pandemic in a nationwide survey of public health center directors in Japan.
Article in Discover mental 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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundPublic health centers (PHCs) played a critical role in managing health crises during the coronavirus disease (COVID-19) pandemic in Japan. Sense of coherence (SOC), comprising comprehensibility, manageability, and meaningfulness-a key framework for stress resilience-is important for mental health, with meaningfulness especially being important. This study examined the associations between SOC components and mental health among PHC directors during the pandemic.
methodsA nationwide cross-sectional questionnaire survey was conducted among all 468 PHC directors in Japan between September and November 2022. Mental health was assessed using the six-item Kessler Psychological Distress Scale (K6), and SOC using the University of Tokyo Health Sociology version of the SOC3 scale (SOC3-UTHS). Information on the maximum number of consecutive working days and average sleep duration during the most demanding pandemic period were obtained. Logistic regression analyses were performed with K6 as the outcome and total SOC3-UTHS or each component as explanatory variables, adjusting for consecutive working days or sleep duration, and the interaction with SOC component.
resultsOverall, 189 valid responses were analyzed. After adjusting for the number of consecutive working days, higher K6 scores were significantly associated with lower total SOC3-UTHS scores (Odds Ratio (OR) = 0.349), comprehensibility (OR = 0.413) and manageability (OR = 0.278), but not meaningfulness. Similar associations were observed after adjusting for average sleep duration. However, the interaction between comprehensibility and consecutive working days suggests the protective association of higher comprehensibility with mental health may be attenuated under prolonged working conditions. Shorter sleep duration also tended to be associated with worse mental health.
conclusionsSOC components may play different roles for leaders operating under crisis conditions, and comprehensibility, manageability, and adequate sleep may warrant attention in this context.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.