<?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>2026-06-30T02:17:33Z</responseDate><request verb="GetRecord" identifier="oai:riubu.ubu.es:10259/7608" metadataPrefix="mods">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><mods:mods xmlns:mods="http://www.loc.gov/mods/v3" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-1.xsd">
<mods:name>
<mods:namePart>Soto Cámara, Raúl</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Navalpotro-Pascual, Susana</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Jiménez-Alegre, José Julio</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>García-Santa-Basilia, Noemí</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Onrubia-Baticón, Henar</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Navalpotro-Pascual, José M.</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Thuissard, Israel John</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Fernández-Domínguez, Juan José</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Matellán-Hernández, María Paz</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Pastor-Benito, Elena</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Polo-Portes, Carlos Eduardo</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Cárdaba-García, Rosa M.</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Bejarano-Ramírez, Juan Francisco</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Castejón-de-la-Encina, María Elena</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Miguel-Saldaña, Fernando de</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Fernán-Pérez, Patricia</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Martín-Sánchez, Rafael</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Martínez-Caballero, Carmen María</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Merino-Reguera, Beatriz</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Molina-Oliva, María</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Morales-Sánchez, Almudena</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Moya-Rodríguez-Carretero, Marta</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Raqués-Marugán, Ana María</mods:namePart>
</mods:name>
<mods:name>
<mods:namePart>Sánchez-del-Río, Leiticia</mods:namePart>
</mods:name>
<mods:extension>
<mods:dateAvailable encoding="iso8601">2023-03-29T07:49:56Z</mods:dateAvailable>
</mods:extension>
<mods:extension>
<mods:dateAccessioned encoding="iso8601">2023-03-29T07:49:56Z</mods:dateAccessioned>
</mods:extension>
<mods:originInfo>
<mods:dateIssued encoding="iso8601">2022-04</mods:dateIssued>
</mods:originInfo>
<mods:identifier type="uri">http://hdl.handle.net/10259/7608</mods:identifier>
<mods:identifier type="doi">10.3390/jcm11082227</mods:identifier>
<mods:identifier type="essn">2077-0383</mods:identifier>
<mods:abstract>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.</mods:abstract>
<mods:language>
<mods:languageTerm>eng</mods:languageTerm>
</mods:language>
<mods:accessCondition type="useAndReproduction">http://creativecommons.org/licenses/by/4.0/</mods:accessCondition>
<mods:accessCondition type="useAndReproduction">info:eu-repo/semantics/openAccess</mods:accessCondition>
<mods:accessCondition type="useAndReproduction">Atribución 4.0 Internacional</mods:accessCondition>
<mods:subject>
<mods:topic>Coronavirus infections</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Health personnel</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Emergency medical services</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Psychological stress</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Anxiety</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Depression</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Self-efficacy</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Incidence</mods:topic>
</mods:subject>
<mods:titleInfo>
<mods:title>Influence of the Cumulative Incidence of COVID-19 Cases on the Mental Health of the Spanish Out-of-Hospital Professionals</mods:title>
</mods:titleInfo>
<mods:genre>info:eu-repo/semantics/article</mods:genre>
</mods:mods></metadata></record></GetRecord></OAI-PMH>