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   <dc:title>Psychological impact of the COVID-19 pandemic on primary care workers: a cross-sectional study</dc:title>
   <dc:creator>Aragonès, Enric</dc:creator>
   <dc:creator>Del Cura, Maria Isabel</dc:creator>
   <dc:creator>Hernández-Rivas, Lucía</dc:creator>
   <dc:creator>Polentinos-Castro, Elena</dc:creator>
   <dc:creator>Fernandez-San-Martin, Maria Isabel</dc:creator>
   <dc:creator>López-Rodríguez, Juan A.</dc:creator>
   <dc:creator>Molina-Aragonés, Josep M.</dc:creator>
   <dc:creator>Amigo, Franco</dc:creator>
   <dc:creator>Alayo, Itxaso</dc:creator>
   <dc:creator>Mortier, Philippe</dc:creator>
   <dc:creator>Ferrer Forés, Maria Montserrat</dc:creator>
   <dc:creator>Pérez Solà, Víctor</dc:creator>
   <dc:creator>Vilagut Saiz, Gemma, 1975-</dc:creator>
   <dc:creator>Alonso Caballero, Jordi</dc:creator>
   <dc:creator>MINDCOVID-19 research group</dc:creator>
   <dc:subject>COVID-19 pandemic</dc:subject>
   <dc:subject>Cross-sectional study</dc:subject>
   <dc:subject>Health personnel</dc:subject>
   <dc:subject>Mental health</dc:subject>
   <dc:subject>Primary health care</dc:subject>
   <dc:subject>Psychological resilience</dc:subject>
   <dcterms: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.</dcterms:abstract>
   <dcterms:issued>2022-09-06T07:18:29Z</dcterms:issued>
   <dcterms:issued>2022-09-06T07:18:29Z</dcterms:issued>
   <dcterms:issued>2022</dcterms:issued>
   <dc:type>info:eu-repo/semantics/article</dc:type>
   <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
   <dc:relation>Br J Gen Pract. 2022 Jun 30;72(720):e501-e510</dc:relation>
   <dc:rights>© The Authors. This article is Open Access: CC BY 4.0 licence (http://creativecommons.org/licences/by/4.0/).</dc:rights>
   <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
   <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
   <dc:publisher>Royal College of General Practitioners</dc:publisher>
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