<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-30T04:09:09Z</responseDate><request verb="GetRecord" identifier="oai:riubu.ubu.es:10259/7608" metadataPrefix="dim">https://riubu.ubu.es/oai/request</request><GetRecord><record><header><identifier>oai:riubu.ubu.es:10259/7608</identifier><datestamp>2023-03-30T00:05:22Z</datestamp><setSpec>com_10259_4141</setSpec><setSpec>com_10259_5086</setSpec><setSpec>com_10259_2604</setSpec><setSpec>col_10259_4142</setSpec></header><metadata><dim:dim xmlns:dim="http://www.dspace.org/xmlns/dspace/dim" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.dspace.org/xmlns/dspace/dim http://www.dspace.org/schema/dim.xsd">
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="636" confidence="600" orcid_id="0000-0002-9072-0364">Soto Cámara, Raúl</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="007a2149-7a1b-46a3-8cfc-56a5937b0b21" confidence="600" orcid_id="">Navalpotro-Pascual, Susana</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="5b16a870-abab-4a94-a206-7db3f7ee77d2" confidence="600" orcid_id="">Jiménez-Alegre, José Julio</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="fe0b958d-5316-440e-9d01-1a3b2e7193bf" confidence="600" orcid_id="">García-Santa-Basilia, Noemí</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="c00d97fe-7db9-4d87-9722-4d24378c8ff4" confidence="600" orcid_id="">Onrubia-Baticón, Henar</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="e72d3aaa-6617-41e0-a26a-cd96b46acee2" confidence="600" orcid_id="">Navalpotro-Pascual, José M.</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="99ed32df-512b-4e39-bfda-44c68f5daa49" confidence="600" orcid_id="">Thuissard, Israel John</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="5449e208-b819-455f-93e4-e5734528bba8" confidence="600" orcid_id="">Fernández-Domínguez, Juan José</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="4c2c7118-3400-46c1-8cf1-673c716db3b0" confidence="600" orcid_id="">Matellán-Hernández, María Paz</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="13b0e3c8-e130-4ba6-86d3-32ba10f35c20" confidence="600" orcid_id="">Pastor-Benito, Elena</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="f4a26039-ecce-4109-85b6-dba9d40535f8" confidence="600" orcid_id="">Polo-Portes, Carlos Eduardo</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="4e7fc9fe-8bba-470a-8948-7c5889927065" confidence="600" orcid_id="">Cárdaba-García, Rosa M.</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="efa4e1fe-64c9-4405-acae-7f7d81ad50b1" confidence="600" orcid_id="">Bejarano-Ramírez, Juan Francisco</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="01e57179-2c53-46aa-a755-467bf62c388a" confidence="600" orcid_id="">Castejón-de-la-Encina, María Elena</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="63b2b7fd-ba35-409e-9ca8-c698df2e70cc" confidence="600" orcid_id="">Miguel-Saldaña, Fernando de</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="cd791533-b56f-494d-884f-b675fc7ae8a4" confidence="600" orcid_id="">Fernán-Pérez, Patricia</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="2aef7810-404d-43bc-9ae3-73a1aee902e4" confidence="600" orcid_id="">Martín-Sánchez, Rafael</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="1ca87835-acc4-44b0-9fa2-1a0186017af8" confidence="600" orcid_id="">Martínez-Caballero, Carmen María</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="8ba54fb3-7c66-4dce-9bcf-46d0d078dc5d" confidence="600" orcid_id="">Merino-Reguera, Beatriz</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="62a0cac2-5d44-428e-a52b-2150e279d90c" confidence="600" orcid_id="">Molina-Oliva, María</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="15f79f3b-c82c-454f-a822-56180d4081de" confidence="600" orcid_id="">Morales-Sánchez, Almudena</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="7fea40d6-37df-4afe-b2e9-0667367c473a" confidence="600" orcid_id="">Moya-Rodríguez-Carretero, Marta</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="d2b6f95c-af39-4674-99f3-7d23a27b6aec" confidence="600" orcid_id="">Raqués-Marugán, Ana María</dim:field>
<dim:field mdschema="dc" element="contributor" qualifier="author" authority="b2916b49-547f-449b-92a7-97428d13870f" confidence="600" orcid_id="">Sánchez-del-Río, Leiticia</dim:field>
<dim:field mdschema="dc" element="date" qualifier="accessioned">2023-03-29T07:49:56Z</dim:field>
<dim:field mdschema="dc" element="date" qualifier="available">2023-03-29T07:49:56Z</dim:field>
<dim:field mdschema="dc" element="date" qualifier="issued">2022-04</dim:field>
<dim:field mdschema="dc" element="identifier" qualifier="uri">http://hdl.handle.net/10259/7608</dim:field>
<dim:field mdschema="dc" element="identifier" qualifier="doi">10.3390/jcm11082227</dim:field>
<dim:field mdschema="dc" element="identifier" qualifier="essn">2077-0383</dim:field>
<dim:field mdschema="dc" element="description" qualifier="abstract" lang="en">This study aimed to analyze the psychological affectation of health professionals (HPs) of&#xd;
Spanish Emergency Medical Services (EMSs) according to the cumulative incidence (CI) of COVID19 cases in the regions in which they worked. A cross-sectional descriptive study was designed,&#xd;
including all HPs working in any EMS of the Spanish geography between 1 February 2021 and 30 April&#xd;
2021. Their level of stress, anxiety and depression (DASS-21) and the perception of self-efficacy (GSES) were the study’s main results. A 2-factor analysis of covariance was used to determine if the CI&#xd;
regions of COVID-19 cases determined the psychological impact on each of the studied variables. A&#xd;
total of 1710 HPs were included. A third presented psychological impairment classified as severe.&#xd;
The interaction of CI regions with the studied variables did not influence their levels of stress, anxiety,&#xd;
depression or self-efficacy. Women, younger HPs or those with less EMS work experience, emergency&#xd;
medical technicians (EMT), workers who had to modify their working conditions or those who lived&#xd;
with minors or dependents suffered a greater impact from the COVID-19 pandemic in certain regions.&#xd;
These HPs have shown high levels of stress, anxiety, depression and medium levels of self-efficacy,&#xd;
with similar data in the different geographical areas. Psychological support is essential to mitigate&#xd;
their suffering and teach them to react to adverse events.</dim:field>
<dim:field mdschema="dc" element="description" qualifier="sponsorship" lang="en">This research was funded by Fundación ASISA and Sociedad Española de Urgencias y Emergencias (SEMES).</dim:field>
<dim:field mdschema="dc" element="format" qualifier="mimetype">application/pdf</dim:field>
<dim:field mdschema="dc" element="language" qualifier="iso" lang="es">eng</dim:field>
<dim:field mdschema="dc" element="publisher" lang="en">MDPI</dim:field>
<dim:field mdschema="dc" element="relation" qualifier="ispartof" lang="en">Journal of Clinical Medicine. 2022, V. 11, n. 8, 2227</dim:field>
<dim:field mdschema="dc" element="relation" qualifier="publisherversion" lang="es">https://doi.org/10.3390/jcm11082227</dim:field>
<dim:field mdschema="dc" element="rights" lang="*">Atribución 4.0 Internacional</dim:field>
<dim:field mdschema="dc" element="rights" qualifier="uri" lang="*">http://creativecommons.org/licenses/by/4.0/</dim:field>
<dim:field mdschema="dc" element="rights" qualifier="accessRights" lang="es">info:eu-repo/semantics/openAccess</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Coronavirus infections</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Health personnel</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Emergency medical services</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Psychological stress</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Anxiety</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Depression</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Self-efficacy</dim:field>
<dim:field mdschema="dc" element="subject" lang="en">Incidence</dim:field>
<dim:field mdschema="dc" element="subject" qualifier="other" lang="es">Salud</dim:field>
<dim:field mdschema="dc" element="subject" qualifier="other" lang="es">Psicología</dim:field>
<dim:field mdschema="dc" element="subject" qualifier="other" lang="es">Enfermedades infecciosas</dim:field>
<dim:field mdschema="dc" element="subject" qualifier="other" lang="en">Health</dim:field>
<dim:field mdschema="dc" element="subject" qualifier="other" lang="en">Psychology</dim:field>
<dim:field mdschema="dc" element="subject" qualifier="other" lang="en">Communicable diseases</dim:field>
<dim:field mdschema="dc" element="title" lang="en">Influence of the Cumulative Incidence of COVID-19 Cases on the Mental Health of the Spanish Out-of-Hospital Professionals</dim:field>
<dim:field mdschema="dc" element="type" lang="es">info:eu-repo/semantics/article</dim:field>
<dim:field mdschema="dc" element="type" qualifier="hasVersion" lang="es">info:eu-repo/semantics/publishedVersion</dim:field>
<dim:field mdschema="dc" element="journal" qualifier="title" lang="en">Journal of Clinical Medicine</dim:field>
<dim:field mdschema="dc" element="volume" qualifier="number" lang="es">11</dim:field>
<dim:field mdschema="dc" element="issue" qualifier="number" lang="es">8</dim:field>
</dim:dim></metadata></record></GetRecord></OAI-PMH>