IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v386y2025ics0277953625009840.html

Longitudinal network analysis of resilience factors and mental health symptoms among healthcare workers during a public health emergency

Author

Listed:
  • Zainal, Nur Hani
  • Foo, Cheryl Yunn Shee
  • Teo, Irene
  • Sung, Sharon C.

Abstract

Healthcare workers (HCWs) experience various stressors that can adversely weaken mental health and self-perceived resilience, potentially spilling over to compromised patient care. However, the sequela of this phenomenon is not well understood. Therefore, we tested how shifts in resilience factor strength (self-perceived resilience and job dedication) might precede, co-occur, or be a consequence of mental health symptoms among HCWs during a public health emergency.

Suggested Citation

  • Zainal, Nur Hani & Foo, Cheryl Yunn Shee & Teo, Irene & Sung, Sharon C., 2025. "Longitudinal network analysis of resilience factors and mental health symptoms among healthcare workers during a public health emergency," Social Science & Medicine, Elsevier, vol. 386(C).
  • Handle: RePEc:eee:socmed:v:386:y:2025:i:c:s0277953625009840
    DOI: 10.1016/j.socscimed.2025.118653
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953625009840
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2025.118653?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Epskamp, Sacha & Cramer, Angélique O.J. & Waldorp, Lourens J. & Schmittmann, Verena D. & Borsboom, Denny, 2012. "qgraph: Network Visualizations of Relationships in Psychometric Data," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i04).
    2. van der Meulen, Erik & van der Velden, Peter G. & van Aert, Robbie C.M. & van Veldhoven, Marc J.P.M., 2020. "Longitudinal associations of psychological resilience with mental health and functioning among military personnel: A meta-analysis of prospective studies," Social Science & Medicine, Elsevier, vol. 255(C).
    3. Tahia Anan Dhira & Mahir A Rahman & Abdur Razzaque Sarker & Jeenat Mehareen, 2021. "Validity and reliability of the Generalized Anxiety Disorder-7 (GAD-7) among university students of Bangladesh," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-16, December.
    4. Sacha Epskamp, 2020. "Psychometric network models from time-series and panel data," Psychometrika, Springer;The Psychometric Society, vol. 85(1), pages 206-231, March.
    5. Sacha Epskamp & Joost Kruis & Maarten Marsman, 2017. "Estimating psychopathological networks: Be careful what you wish for," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-13, June.
    6. Julia Petersen & Elmar Brähler & Nora Hettich-Damm & Markus Schepers & Jochem König & Karl Lackner & Norbert Pfeiffer & Manfred E Beutel, 2024. "Psychometric evaluation of the Brief Resilient Coping Scale (BRCS) over the course of the pandemic in a large German general population sample," PLOS ONE, Public Library of Science, vol. 19(8), pages 1-14, August.
    7. Elena R. Serrano-Ibáñez & Ariadna M. de la Vega-Castelo & Carmen Varela & M. Mikel Montero-Matellanes & Almudena Gómez-Pulido, 2023. "The Current Mental Health of Healthcare Workers 3 Years After the Start of the Pandemic: The Relationship Between Coping Strategies and Indices of Mental Health," SAGE Open, , vol. 13(4), pages 21582440231, October.
    8. Katherine H Franks & Lisa Bransby & Lachlan Cribb & Rachel Buckley & Nawaf Yassi & Trevor T -J Chong & Michael M Saling & Yen Ying Lim & Matthew P Pase & Alyssa Gamaldo, 2023. "Associations of Perceived Stress and Psychological Resilience With Cognition and a Modifiable Dementia Risk Score in Middle-Aged Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 78(12), pages 1992-2000.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Denny Borsboom, 2022. "Possible Futures for Network Psychometrics," Psychometrika, Springer;The Psychometric Society, vol. 87(1), pages 253-265, March.
    2. Knyspel, Jacob & Plomin, Robert, 2024. "Comparing factor and network models of cognitive abilities using twin data," Intelligence, Elsevier, vol. 104(C).
    3. Marcin Wojtasiński & Silvia Leoni & Przemysław Tużnik & Kamila Tomaka, 2026. "Coping Strategies as a Predictors of Flow State Dimensions – Network Analysis Perspective," Journal of Happiness Studies, Springer, vol. 27(1), pages 1-25, January.
    4. Nadja Bodner & Laura Bringmann & Francis Tuerlinckx & Peter Jonge & Eva Ceulemans, 2022. "ConNEcT: A Novel Network Approach for Investigating the Co-occurrence of Binary Psychopathological Symptoms Over Time," Psychometrika, Springer;The Psychometric Society, vol. 87(1), pages 107-132, March.
    5. Maarten Marsman & Mijke Rhemtulla, 2022. "Guest Editors’ Introduction to The Special Issue “Network Psychometrics in Action”: Methodological Innovations Inspired by Empirical Problems," Psychometrika, Springer;The Psychometric Society, vol. 87(1), pages 1-11, March.
    6. Zhou, Peiyu & Liu, Yan & Xiao, Meiling & Chen, Huan & Sun, Xu & Xiong, Zhuoling & Zhang, Yuxuan, 2025. "Profiles of family resilience and college adjustment among Chinese Undergraduates: A latent profile and network analysis approach," Children and Youth Services Review, Elsevier, vol. 172(C).
    7. Sacha Epskamp & Adela-Maria Isvoranu & Mike W.-L. Cheung, 2022. "Meta-analytic Gaussian Network Aggregation," Psychometrika, Springer;The Psychometric Society, vol. 87(1), pages 12-46, March.
    8. M. Marsman & K. Huth & L. J. Waldorp & I. Ntzoufras, 2022. "Objective Bayesian Edge Screening and Structure Selection for Ising Networks," Psychometrika, Springer;The Psychometric Society, vol. 87(1), pages 47-82, March.
    9. Georgia Mangion & Melanie Simmonds-Buckley & Stephen Kellett & Peter Taylor & Amy Degnan & Charlotte Humphrey & Kate Freshwater & Marisa Poggioli & Cristina Fiorani, 2022. "Modelling Identity Disturbance: A Network Analysis of the Personality Structure Questionnaire (PSQ)," IJERPH, MDPI, vol. 19(21), pages 1-17, October.
    10. Xiao Yang & Nilam Ram & Scott D. Gest & David M. Lydon-Staley & David E. Conroy & Aaron L. Pincus & Peter C. M. Molenaar, 2018. "Socioemotional Dynamics of Emotion Regulation and Depressive Symptoms: A Person-Specific Network Approach," Complexity, Hindawi, vol. 2018, pages 1-14, November.
    11. Marija Janković & Jelle Sijtsema & Stefan Bogaerts, 2026. "A Network Analysis of Social and Leisure Activities, Resilience, and Mental Health: Differences by Adverse Childhood Experiences," Journal of Happiness Studies, Springer, vol. 27(2), pages 1-26, February.
    12. Hui Zhou & Weilong Xiao & Feng Zhu & Hanyu Liang, 2026. "Bidirectional Relations Between Loneliness and Generalized Anxiety Symptoms in Adolescents: A Cross-Lagged Panel Network Analysis," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 21(2), pages 575-593, April.
    13. Michael J. Brusco & Douglas Steinley & Ashley L. Watts, 2022. "Disentangling relationships in symptom networks using matrix permutation methods," Psychometrika, Springer;The Psychometric Society, vol. 87(1), pages 133-155, March.
    14. Jayawickreme, Nuwan & Mootoo, Candace & Fountain, Christine & Rasmussen, Andrew & Jayawickreme, Eranda & Bertuccio, Rebecca F., 2017. "Post-conflict struggles as networks of problems: A network analysis of trauma, daily stressors and psychological distress among Sri Lankan war survivors," Social Science & Medicine, Elsevier, vol. 190(C), pages 119-132.
    15. Zhou, Jianhua & Zhang, Lulu & Gong, Xue, 2023. "Longitudinal network relations between symptoms of problematic internet game use and internalizing and externalizing problems among Chinese early adolescents," Social Science & Medicine, Elsevier, vol. 333(C).
    16. Hannah M. Schade & Jan Digutsch & Thomas Kleinsorge & Yan Fan, 2021. "Having to Work from Home: Basic Needs, Well-Being, and Motivation," IJERPH, MDPI, vol. 18(10), pages 1-18, May.
    17. repec:osf:osfxxx:ha4cw_v1 is not listed on IDEAS
    18. Mihail Halachev & Viktoria-Eleni Gountouna & Alison Meynert & Gannie Tzoneva & Alan R. Shuldiner & Colin A. Semple & James F. Wilson, 2024. "Regionally enriched rare deleterious exonic variants in the UK and Ireland," Nature Communications, Nature, vol. 15(1), pages 1-14, December.
    19. Yi-Lung Chen & Hsing-Ying Ho & Ray C. Hsiao & Wei-Hsin Lu & Cheng-Fang Yen, 2020. "Correlations between Quality of Life, School Bullying, and Suicide in Adolescents with Attention-Deficit Hyperactivity Disorder," IJERPH, MDPI, vol. 17(9), pages 1-12, May.
    20. Kan, Kees-Jan & van der Maas, Han L.J. & Levine, Stephen Z., 2019. "Extending psychometric network analysis: Empirical evidence against g in favor of mutualism?," Intelligence, Elsevier, vol. 73(C), pages 52-62.
    21. Sacha Epskamp, 2020. "Psychometric network models from time-series and panel data," Psychometrika, Springer;The Psychometric Society, vol. 85(1), pages 206-231, March.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:386:y:2025:i:c:s0277953625009840. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.