Evidence mapPaperPMID 39809589Full record

ArticleJournal of clinical nursing2025

Psychological and Social Factors Associated With Reporting Post-COVID Symptoms Among German Healthcare Workers: A Cross-Sectional Study.

Valentin Schick, Marietta Lieb, Andrea Borho, Eva Morawa, Franziska Geiser, Petra Beschoner, Lucia Jerg-Bretzke, Christian Albus, Susann Steudte-Schmiedgen, Andreas M Baranowski and 2 more

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

12 authors.

Valentin SchickDepartment of Psychosomatic Medicine and Psychotherapy, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.ORCID 0009-0004-6250-5984
Marietta LiebDepartment of Psychosomatic Medicine and Psychotherapy, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Andrea BorhoDepartment of Psychosomatic Medicine and Psychotherapy, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Eva MorawaDepartment of Psychosomatic Medicine and Psychotherapy, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Franziska GeiserDepartment of Psychosomatic Medicine and Psychotherapy, University of Bonn, Medical Faculty and University Hospital, Bonn, Germany.
Petra BeschonerDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, University Ulm, Ulm, Germany.
Lucia Jerg-BretzkeDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, University Ulm, Ulm, Germany.
Christian AlbusDepartment of Psychosomatics and Psychotherapy, University of Cologne, Medical Faculty and University Hospital, Cologne, Germany.
Susann Steudte-SchmiedgenDepartment of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Andreas M BaranowskiDepartment of Psychosomatic Medicine and Psychotherapy, University of Bonn, Medical Faculty and University Hospital, Bonn, Germany.
Sabine MogwitzDepartment of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Yesim ErimDepartment of Psychosomatic Medicine and Psychotherapy, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.

Funding

Bundesministerium für Bildung und ForschungGerman Federal Ministry for Education and Research (BMBF)
6 · The paper itself

Abstract

backgroundHealth care workers (HCW) with post-COVID condition (PCC) are frequently reported to suffer from mental health impairment. Given HCW above-average risk for mental health, research is necessary and risk factors need to be assessed.

aimTo compare mental health and health of German HCW with and without PCC and to identify associated psychological and social factors.

designCross-sectional study.

methodOverall, 2816 German HCW participated (332 reported PCC). Measures were post-COVID condition symptom sum score (PCSS), symptoms of depression (Patient Health Questionnaire-2), anxiety (Generalised Anxiety Disorder-2) and post-traumatic stress disorder (PTSD) symptoms (Impact of Event Scale-6), work-family conflict (Work-Family Conflict Scale), social support (ENRICHD Social Support Inventory), sense of coherence (Sense Of Coherence-3 Scale) and working conditions. Group differences of HCW with and without PCC were investigated. Multiple linear regression analysis was performed for HCW with PCC. PCSS was the dependent variable. Independent variables were a.m. measures and age, gender, occupational group and migration background.

resultsHCW with PCC exhibited higher values, with medium effect sizes, for symptoms of depression, anxiety and PTSD. Small effect sizes were observed for work-family conflict, social support, sense of coherence and working conditions. Higher PCSS scores were associated with higher depression, anxiety, PTSD and work-family conflict levels, lower social support and sense of coherence and migration background. Being a physician was associated with lower PCSS.

conclusionLower mental health, social factors and resources may play a role in reporting severe post-COVID symptoms. Further research is necessary to investigate these interactions using the biopsychosocial theory. IMPLICATION FOR THE PROFESSION: This study can help to understand PCC in HCW to design adjusted treatments and protect HCW from PCC and minimise their risk of PCC. REPORTING

methodThis study complies with the Journal article reporting standards for quantitative research in psychology: The APA Publications and Communications Board task force report (Data S1). PUBLIC CONTRIBUTION: Caregivers are the sample group.

Indexed as

COVID-19Health PersonnelStress Disorders, Post-TraumaticAdultAnxietyCross-Sectional StudiesDepressionFemaleGermanyHumansMaleMiddle AgedSocial SupportSurveys and QuestionnairesCOVID‐19HCWmental healthpost‐COVIDresourcesSarS‐CoV‐2socioeconomic statusworking condition

Identifiers

PMID39809589
PMCPMC12409199

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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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 Socratic graph.