<?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>2026-04-28T17:34:13Z</responseDate><request verb="GetRecord" identifier="oai:riubu.ubu.es:10259/7608" metadataPrefix="oai_dc">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><oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:dc="http://purl.org/dc/elements/1.1/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
<dc:title>Influence of the Cumulative Incidence of COVID-19 Cases on the Mental Health of the Spanish Out-of-Hospital Professionals</dc:title>
<dc:creator>Soto Cámara, Raúl</dc:creator>
<dc:creator>Navalpotro-Pascual, Susana</dc:creator>
<dc:creator>Jiménez-Alegre, José Julio</dc:creator>
<dc:creator>García-Santa-Basilia, Noemí</dc:creator>
<dc:creator>Onrubia-Baticón, Henar</dc:creator>
<dc:creator>Navalpotro-Pascual, José M.</dc:creator>
<dc:creator>Thuissard, Israel John</dc:creator>
<dc:creator>Fernández-Domínguez, Juan José</dc:creator>
<dc:creator>Matellán-Hernández, María Paz</dc:creator>
<dc:creator>Pastor-Benito, Elena</dc:creator>
<dc:creator>Polo-Portes, Carlos Eduardo</dc:creator>
<dc:creator>Cárdaba-García, Rosa M.</dc:creator>
<dc:creator>Bejarano-Ramírez, Juan Francisco</dc:creator>
<dc:creator>Castejón-de-la-Encina, María Elena</dc:creator>
<dc:creator>Miguel-Saldaña, Fernando de</dc:creator>
<dc:creator>Fernán-Pérez, Patricia</dc:creator>
<dc:creator>Martín-Sánchez, Rafael</dc:creator>
<dc:creator>Martínez-Caballero, Carmen María</dc:creator>
<dc:creator>Merino-Reguera, Beatriz</dc:creator>
<dc:creator>Molina-Oliva, María</dc:creator>
<dc:creator>Morales-Sánchez, Almudena</dc:creator>
<dc:creator>Moya-Rodríguez-Carretero, Marta</dc:creator>
<dc:creator>Raqués-Marugán, Ana María</dc:creator>
<dc:creator>Sánchez-del-Río, Leiticia</dc:creator>
<dc:subject>Coronavirus infections</dc:subject>
<dc:subject>Health personnel</dc:subject>
<dc:subject>Emergency medical services</dc:subject>
<dc:subject>Psychological stress</dc:subject>
<dc:subject>Anxiety</dc:subject>
<dc:subject>Depression</dc:subject>
<dc:subject>Self-efficacy</dc:subject>
<dc:subject>Incidence</dc:subject>
<dc:subject>Salud</dc:subject>
<dc:subject>Psicología</dc:subject>
<dc:subject>Enfermedades infecciosas</dc:subject>
<dc:subject>Health</dc:subject>
<dc:subject>Psychology</dc:subject>
<dc:subject>Communicable diseases</dc:subject>
<dc: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.</dc:description>
<dc:description>This research was funded by Fundación ASISA and Sociedad Española de Urgencias y Emergencias (SEMES).</dc:description>
<dc:date>2023-03-29T07:49:56Z</dc:date>
<dc:date>2023-03-29T07:49:56Z</dc:date>
<dc:date>2022-04</dc:date>
<dc:type>info:eu-repo/semantics/article</dc:type>
<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
<dc:identifier>http://hdl.handle.net/10259/7608</dc:identifier>
<dc:identifier>10.3390/jcm11082227</dc:identifier>
<dc:identifier>2077-0383</dc:identifier>
<dc:language>eng</dc:language>
<dc:relation>Journal of Clinical Medicine. 2022, V. 11, n. 8, 2227</dc:relation>
<dc:relation>https://doi.org/10.3390/jcm11082227</dc:relation>
<dc:rights>Atribución 4.0 Internacional</dc:rights>
<dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:format>application/pdf</dc:format>
<dc:publisher>MDPI</dc:publisher>
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