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                  <mods:namePart>Aragonès, Enric</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Del Cura, Maria Isabel</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Hernández-Rivas, Lucía</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Polentinos-Castro, Elena</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Fernandez-San-Martin, Maria Isabel</mods:namePart>
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               <mods:name>
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                  <mods:namePart>López-Rodríguez, Juan A.</mods:namePart>
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                  <mods:namePart>Molina-Aragonés, Josep M.</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Amigo, Franco</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Alayo, Itxaso</mods:namePart>
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                  <mods:namePart>Mortier, Philippe</mods:namePart>
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                  <mods:namePart>Ferrer Forés, Maria Montserrat</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Pérez Solà, Víctor</mods:namePart>
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               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Vilagut Saiz, Gemma, 1975-</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Alonso Caballero, Jordi</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>MINDCOVID-19 research group</mods:namePart>
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               <mods:originInfo>
                  <mods:dateIssued encoding="iso8601">2022-09-06T07:18:29Z2022-09-06T07:18:29Z2022</mods:dateIssued>
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               <mods:abstract>Background: The COVID-19 pandemic has had a major impact on the mental health of healthcare workers, yet studies in primary care workers are scarce. Aim: To investigate the prevalence of and associated factors for psychological distress in primary care workers during the first COVID-19 outbreak. Design and setting: This was a multicentre, cross-sectional, web-based survey conducted in primary healthcare workers in Spain, between May and September 2020. Method: Healthcare workers were invited to complete a survey to evaluate sociodemographic and work-related characteristics, COVID-19 infection status, exposure to patients with COVID-19, and resilience (using the Connor-Davidson Resilience Scale), in addition to being screened for common mental disorders (depression, anxiety disorders, post-traumatic stress disorder, panic attacks, and substance use disorder). Positive screening for any of these disorders was analysed globally using the term &amp;apos;any current mental disorder&amp;apos;. Results: A total of 2928 primary care professionals participated in the survey. Of them, 43.7% (95% confidence interval [CI] = 41.9 to 45.4) tested positive for a current mental disorder. Female sex (odds ratio [OR] 1.61, 95% CI = 1.25 to 2.06), having previous mental disorders (OR 2.58, 95% CI = 2.15 to 3.10), greater occupational exposure to patients with COVID-19 (OR 2.63, 95% CI = 1.98 to 3.51), having children or dependents (OR 1.35, 95% CI = 1.04 to 1.76 and OR 1.59, 95% CI = 1.20 to 2.11, respectively), or having an administrative job (OR 2.24, 95% CI = 1.66 to 3.03) were associated with a higher risk of any current mental disorder. Personal resilience was shown to be a protective factor. Conclusion: Almost half of primary care workers showed significant psychological distress. Strategies to support the mental health of primary care workers are necessary, including designing psychological support and resilience-building interventions based on risk factors identified.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">© The Authors. This article is Open Access: CC BY 4.0 licence (http://creativecommons.org/licences/by/4.0/). http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>COVID-19 pandemic</mods:topic>
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               <mods:subject>
                  <mods:topic>Cross-sectional study</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Health personnel</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Mental health</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Primary health care</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Psychological resilience</mods:topic>
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               <mods:titleInfo>
                  <mods:title>Psychological impact of the COVID-19 pandemic on primary care workers: a cross-sectional study</mods:title>
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