Evidence map›Paper›PMID 42747775›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2026

Changes in positive mental health before and after the COVID-19 pandemic and its associated sociodemographic characteristics and COVID-19-related stressors.

Sajedeh Nejatian, Xiang Wang, Yingying Su, Marie-Josée Fleury, Carl D'Arcy, Muzi Li, Chris Barrington-Leigh, Danielle Maltais, Jean Caron, Rainer Molla and 1 more

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Article in Canadian journal of public health = Revue canadienne de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

11 authors.

Sajedeh NejatianDepartment of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Xiang WangDepartment of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Yingying SuSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Marie-Josée FleuryDepartment of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Carl D'ArcyDepartment of Psychiatry and School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.
Muzi LiDepartment of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Chris Barrington-LeighDepartment of Equity, Ethics, and Policy; and Bieler School of Environment, McGill University, Montreal, QC, Canada.
Danielle MaltaisUniversité du Québec à Chicoutimi, Chicoutimi, QC, Canada.
Jean CaronDepartment of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Rainer MollaDepartment of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Xiangfei MengDepartment of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada. xiangfei.meng@uottawa.ca.ORCID http://orcid.org/0000-0002-0857-1305

Funding

CIHR CTP-79839CIHR PJT-148845Social Sciences and Humanities Research Council 435-2022-0233
6 · The paper itself

Abstract

We aimed to examine the dynamic changes in positive mental health (PMH) over a period of 12 years between 2012 and 2024, and explore their relationships with sociodemographic characteristics, with additional exploratory analyses of COVID-19-related stressors with PMH in 2024. A total of 894 participants from an established longitudinal cohort with complete PMH before and after the outbreak of the pandemic were analyzed. Generalized linear mixed models and multivariate logistic regression were used to investigate the associations of changes in PMH with sociodemographic characteristics and COVID-19-related stressors. Flourishing PMH decreased from 57.9-62.8% to 49.1-52.4% before and after the pandemic. Changes in flourishing PMH were associated with age, marital status, occupation, and the interactions between age and occupation and age and marital status (P < 0.05). Furthermore, flourishing PMH in 2024 was also associated with employment stressors during the pandemic (P < 0.05). These findings demonstrate changes in flourishing PMH before and after the pandemic, and the inequality in PMH across these identified social determinants. This study suggests the need for comprehensive community mental health strategies that integrate individual, social, and contextual factors to cope with public emergencies like the COVID-19 pandemic.

Indexed as

CohortCOVID-19-related stressorsLongitudinalPositive mental healthSociodemographic characteristics

Identifiers

PMID42747775

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