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<title>Influence of the Cumulative Incidence of COVID-19 Cases on the Mental Health of the Spanish Out-of-Hospital Professionals</title>
<creator>Soto Cámara, Raúl</creator>
<creator>Navalpotro-Pascual, Susana</creator>
<creator>Jiménez-Alegre, José Julio</creator>
<creator>García-Santa-Basilia, Noemí</creator>
<creator>Onrubia-Baticón, Henar</creator>
<creator>Navalpotro-Pascual, José M.</creator>
<creator>Thuissard, Israel John</creator>
<creator>Fernández-Domínguez, Juan José</creator>
<creator>Matellán-Hernández, María Paz</creator>
<creator>Pastor-Benito, Elena</creator>
<creator>Polo-Portes, Carlos Eduardo</creator>
<creator>Cárdaba-García, Rosa M.</creator>
<creator>Bejarano-Ramírez, Juan Francisco</creator>
<creator>Castejón-de-la-Encina, María Elena</creator>
<creator>Miguel-Saldaña, Fernando de</creator>
<creator>Fernán-Pérez, Patricia</creator>
<creator>Martín-Sánchez, Rafael</creator>
<creator>Martínez-Caballero, Carmen María</creator>
<creator>Merino-Reguera, Beatriz</creator>
<creator>Molina-Oliva, María</creator>
<creator>Morales-Sánchez, Almudena</creator>
<creator>Moya-Rodríguez-Carretero, Marta</creator>
<creator>Raqués-Marugán, Ana María</creator>
<creator>Sánchez-del-Río, Leiticia</creator>
<subject>Coronavirus infections</subject>
<subject>Health personnel</subject>
<subject>Emergency medical services</subject>
<subject>Psychological stress</subject>
<subject>Anxiety</subject>
<subject>Depression</subject>
<subject>Self-efficacy</subject>
<subject>Incidence</subject>
<description>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.</description>
<date>2023-03-29</date>
<date>2023-03-29</date>
<date>2022-04</date>
<type>info:eu-repo/semantics/article</type>
<identifier>http://hdl.handle.net/10259/7608</identifier>
<identifier>10.3390/jcm11082227</identifier>
<identifier>2077-0383</identifier>
<language>eng</language>
<relation>Journal of Clinical Medicine. 2022, V. 11, n. 8, 2227</relation>
<relation>https://doi.org/10.3390/jcm11082227</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>MDPI</publisher>
</thesis></metadata></record></GetRecord></OAI-PMH>