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<field name="value">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.</field>
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<field name="value">This research was funded by Fundación ASISA and Sociedad Española de Urgencias y Emergencias (SEMES).</field>
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<field name="value">Journal of Clinical Medicine. 2022, V. 11, n. 8, 2227</field>
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