COVID-19-associated impact and post-traumatic stress symptoms 39 days after pandemic in a sample of home-quarantined Chinese college students: the mediating effecting of past stressful events, psychological resilience, and social support

Fan-min, Zeng; John, W; Sun, Xiaochuan; Wang, Yarong

doi:10.1186/s12888-023-04906-6

Cited by 7 publications

(4 citation statements)

References 65 publications

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“…Specifically, our findings suggest that social support mediate the relationship between attachment styles and mental health state. This is consistent with previous studies that have shown similar mediation effects in different contexts, such as the association between COVID-19 and post-traumatic stress symptoms ( Zeng et al, 2023 ), attachment avoidance and depressive symptoms in college students ( Zhu et al, 2016 ), and chronic diseases and positive mental health ( Yang and D’Arcy, 2022 ). In the current study, attachment style was chosen to be an independent variable, as it is thought to develop in early life and remain relatively stable ( Fraley, 2019 ).…”

Section: Discussionsupporting

confidence: 92%

Association between adult attachment and mental health states among health care workers: the mediating role of social support

Yang,

Chen,

Liang

et al. 2024

Front. Psychol.

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BackgroundTo determine the relationships between attachment style, social support, and mental health states, as well as the mediation mechanism within this relationship, we conducted a survey among healthcare workers during the coronavirus disease 2019 (COVID-19) epidemic quarantine.MethodsThe survey assessed their mental health states, adult attachment style, social support, and some other relevant information. Mental health states were represented by the overall state of sleep, physical and emotional assessment. A multiple mediator model was used to explain how social support could mediate the relationship between attachment and mental health states during COVID-19 quarantine.ResultsOur findings revealed that 33.3% of the participants experienced emotional issues, 8.5% had sleep problems, and 24.9% reported physical discomfort. The direct effect of adult attachment styles on mental health states during COVID-19 quarantine was significant (c′ = −0.3172; p < 0.01). The total indirect effect also showed statistical significance (ab = −0.1857; p < 0.01). Moreover, the total effect of adult attachment styles on mental health states was −0.5029 (c = −0.5029; p < 0.01). Subjective social support and utilization of social support play mediating roles in the relationship between attachment style and mental health states, respectively (ab1 = −0.1287, 95% CI: −0.9120 to −0.3341, ab2 = 0.0570, 95% CI: −0.4635 to −0.1132).ConclusionThese findings highlight social support played a mediation role between attachment style and mental health states. Thus, offering social support during a crisis might be useful for those individuals with an insecure attachment.

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Section: Discussionsupporting

confidence: 92%

Association between adult attachment and mental health states among health care workers: the mediating role of social support

Yang,

Chen,

Liang

et al. 2024

Front. Psychol.

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“…This may lead to turnover and a lack of senior nurses in the nursing profession ( 11 ). One piece of research on PTSD in nurses during a pandemic suggests that nurses are at a higher risk of developing PTSD and should be given the necessary attention ( 12 ). Therefore, after the full liberalization of the epidemic prevention and control policy, there is a greater need to further validate this effect to inform subsequent interventions.…”

Section: Introductionmentioning

confidence: 99%

Mediating effects of social support and presenteeism on turnover intention and post-traumatic stress disorder among Chinese nurses in the post-pandemic era: a cross-sectional study

Zhang,

Yang,

Zhang

et al. 2024

Front. Public Health

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BackgroundThe shift in national policies for epidemic prevention and control in the post-pandemic era is undoubtedly a challenge for health care professionals. Nurses, as an important part of the health care professional population, have an even greater impact on their mental health and occupational safety. This may expose nurses to post-traumatic stress disorder (PTSD) and presenteeism, and ultimately lead to their turnover.ObjectiveThis study aimed to investigate the relationship between turnover intention and post-traumatic stress disorder among Chinese nurses during post-pandemic era, and the mediating role of social support and presenteeism.MethodsIn this study, a multicentre cross-sectional survey was conducted in April 2023 among nursing staff in several tertiary general hospitals in northern China, with online data collection using the Turnover intention Scale (PTSD), the Impact of Events Scale (IES), the Social Support Scale (SSS), and the Stanford presenteeism Scale (STAS) and the relationship between variables was analyzed using hierarchical multivariate regression, and Structural Equation Modeling (SEM) was used to analyze the relationship between post-traumatic stress disorder and the Turnover intention from the pathway between.ResultsData were collected from 2,513 nurses who met the inclusion criteria, in which general information such as age, department, specific department, Professional title, history of alcohol consumption, form of employment, Years of working, and Average working hours per day were statistically significant with the difference in the turnover intention. The results of the study showed a 32% high turnover intention among nurses in the post-pandemic era, which was lower than the turnover intention during the pandemic. The results of hierarchical multiple regression analysis showed that post-traumatic stress disorder, social support, and presenteeism were significant predictors of turnover intention. The total effect of post-traumatic stress disorder on turnover intention to work was 0.472 [bias modified 95% confidence interval (0.415–0.483), p < 0.001]. Social support and attendance played a partially intermediate role in post-traumatic stress disorder and propensity to leave (an indirect effect of 26% of the total effect).ConclusionTurnover intention and post-traumatic stress disorder levels are high and social support plays an important role in the tendency to leave the job and post-traumatic stress disorder, healthcare institution can be achieved by strengthening social support for nurses in the post-epidemic era and preventing the occurrence of presenteeism.

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“…On the other hand, there is evidence of a strong relationship between fatigue and the development of PTSS. Individuals who experience prolonged or severe fatigue, especially in the context of traumatic events such as the COVID-19 pandemic, are at an increased risk of developing PTSS [ 38 ]. This is evident in studies conducted on various populations, including military personnel, first responders, and healthcare workers, where those exposed to extreme fatigue due to long working hours, high stress, and overwhelming demands have shown a higher likelihood of developing PTSS [ 39 – 41 ].…”

Section: Introductionmentioning

confidence: 99%

Moderating effect of work fatigue on the association between resilience and posttraumatic stress symptoms: a cross-sectional multi-country study among pharmacists during the COVID-19 pandemic

Younes,

Hallit,

Mohammed

et al. 2024

BioPsychoSocial Med

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Introduction In the context of the COVID-19 pandemic, pharmacists, despite their vital contributions, have faced significant challenges that have impacted their mental well-being, potentially leading to the development of Post-Traumatic Stress symptoms (PTSS). The aim of this study was to investigate the role of work-related fatigue as a potential moderator in the relationship between pharmacists’ resilience and their likelihood of experiencing PTSS during the COVID-19 pandemic. Methods A cross-sectional survey was conducted online in eight countries from January to December 2021, including Brazil, Lebanon, Nigeria, Pakistan, Poland, Serbia, and Tunisia. The mediation analysis was conducted using PROCESS MACRO (an SPSS add-on) v3.4 model 1, taking work fatigue as a moderator in the association between resilience and PTSS. Results A total of 442 pharmacists were enrolled in this study (mean age = 33.91 ± 10.36 years) with 59.5% of them being females. The results were adjusted over country, gender, working in contact with COVID-19, working patients, working mandatory hours, working voluntary hours, age, household crowding index and number of months engaged in COVID-19. The interactions resilience by physical (Beta = 0.02; p = .029), mental (Beta = 0.02; p = .040) and emotional (Beta = 0.03; p = .008) work fatigue were significantly associated with PTSS; for pharmacists with low to moderate levels of physical (Beta = − 0.33; p < .001 and Beta = − 0.21; p = .001), mental (Beta = − 0.29; p < .001 and Beta = − 0.18; p = .006) and emotional (Beta = − 0.31; p < .001 and Beta = − 0.17; p = .008) work fatigue, higher resilience was significantly related to lower PTSS levels. However, for pharmacists with high levels of physical/mental/emotional work fatigue, the association between resilience and PTSS became non-significant. Conclusion This study highlights the complex relationship between work-related fatigue, resilience, and PTSS in pharmacists. It emphasizes the need to address work-related fatigue for pharmacists’ psychological well-being during crises, offering insights for tailored support and interventions.

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COVID-19-associated impact and post-traumatic stress symptoms 39 days after pandemic in a sample of home-quarantined Chinese college students: the mediating effecting of past stressful events, psychological resilience, and social support

Cited by 7 publications

References 65 publications

Association between adult attachment and mental health states among health care workers: the mediating role of social support

Association between adult attachment and mental health states among health care workers: the mediating role of social support

Mediating effects of social support and presenteeism on turnover intention and post-traumatic stress disorder among Chinese nurses in the post-pandemic era: a cross-sectional study

Moderating effect of work fatigue on the association between resilience and posttraumatic stress symptoms: a cross-sectional multi-country study among pharmacists during the COVID-19 pandemic

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