Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study.
<h4>Introduction</h4>The COVID-19 pandemic generated a global health crisis that significantly impacted healthcare systems and professionals. Healthcare workers were exposed to high levels of psychological distress, including posttraumatic stress symptomatology (PTSS).<h4>Aim</h...
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Public Library of Science (PLoS)
2025-01-01
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| author | Beatriz Arregui-Gallego María Isabel Orts-Cortés María Teresa Moreno-Casbas Eva Abad-Corpa Rafaela Camacho-Bejarano Mª Ángeles Cidoncha-Moreno Isabel Feria-Raposo Javier Iruzubieta-Barragán Montserrat Carmona Estíbaliz Cristóbal-Domínguez Leticia Bernués-Caudillo Elvira Casado-Ramírez Alda Recas-Martin Dolores Sánchez-López M Consuelo Company-Sancho Noelia López Rascón Silvia Esteban-Sepúlveda María Clara Vidal-Thomàs Isabel Alonso Daniel Muñoz-Jiménez José Vicente Segura-Heras Joaquín Moncho Manuel Rich-Ruiz |
| author_facet | Beatriz Arregui-Gallego María Isabel Orts-Cortés María Teresa Moreno-Casbas Eva Abad-Corpa Rafaela Camacho-Bejarano Mª Ángeles Cidoncha-Moreno Isabel Feria-Raposo Javier Iruzubieta-Barragán Montserrat Carmona Estíbaliz Cristóbal-Domínguez Leticia Bernués-Caudillo Elvira Casado-Ramírez Alda Recas-Martin Dolores Sánchez-López M Consuelo Company-Sancho Noelia López Rascón Silvia Esteban-Sepúlveda María Clara Vidal-Thomàs Isabel Alonso Daniel Muñoz-Jiménez José Vicente Segura-Heras Joaquín Moncho Manuel Rich-Ruiz |
| author_sort | Beatriz Arregui-Gallego |
| collection | DOAJ |
| description | <h4>Introduction</h4>The COVID-19 pandemic generated a global health crisis that significantly impacted healthcare systems and professionals. Healthcare workers were exposed to high levels of psychological distress, including posttraumatic stress symptomatology (PTSS).<h4>Aim</h4>Analyse the evolution of PTSS among Spanish healthcare workers during the COVID-19 pandemic, and to identify associated factors.<h4>Method</h4>A multicenter prospective cohort study with a 12-month follow-up was conducted. PTSS was the primary outcome. Secondary variables included sociodemographic, occupational, psychological, and coping-related factors. Statistical analyses comprised bivariate comparisons and multivariate modelling, such as generalized linear models and linear mixed models.<h4>Results</h4>Of the 428 participants, 180 completed the 12-month follow-up. At baseline, changes in work posts, negative family-work relations, avoidant coping, burnout symptoms, and emotional intelligence were associated with PTSS levels. Linear mixed models showed a significant decrease in PTSS over the 12-month period, regardless of gender, age, household type, occupational role, contract type, job title, level of care or type of service (p < 0.001). The generalised linear model explained 25.5% of the variance in PTSS levels at baseline, highlighting the role of psychological and coping factors over sociodemographic or occupational characteristics.<h4>Conclusions</h4>This study highlights the need for early identification and intervention focused on psychological and coping mechanisms. Promoting emotional regulation, reducing burnout, and addressing maladaptive coping may help mitigate long-term psychological effects among healthcare workers during public health crises. |
| format | Article |
| id | doaj-art-6b915d2cb79f46a6b8d43e27b83a710b |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
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| spelling | doaj-art-6b915d2cb79f46a6b8d43e27b83a710b2025-08-20T02:36:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032377710.1371/journal.pone.0323777Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study.Beatriz Arregui-GallegoMaría Isabel Orts-CortésMaría Teresa Moreno-CasbasEva Abad-CorpaRafaela Camacho-BejaranoMª Ángeles Cidoncha-MorenoIsabel Feria-RaposoJavier Iruzubieta-BarragánMontserrat CarmonaEstíbaliz Cristóbal-DomínguezLeticia Bernués-CaudilloElvira Casado-RamírezAlda Recas-MartinDolores Sánchez-LópezM Consuelo Company-SanchoNoelia López RascónSilvia Esteban-SepúlvedaMaría Clara Vidal-ThomàsIsabel AlonsoDaniel Muñoz-JiménezJosé Vicente Segura-HerasJoaquín MonchoManuel Rich-Ruiz<h4>Introduction</h4>The COVID-19 pandemic generated a global health crisis that significantly impacted healthcare systems and professionals. Healthcare workers were exposed to high levels of psychological distress, including posttraumatic stress symptomatology (PTSS).<h4>Aim</h4>Analyse the evolution of PTSS among Spanish healthcare workers during the COVID-19 pandemic, and to identify associated factors.<h4>Method</h4>A multicenter prospective cohort study with a 12-month follow-up was conducted. PTSS was the primary outcome. Secondary variables included sociodemographic, occupational, psychological, and coping-related factors. Statistical analyses comprised bivariate comparisons and multivariate modelling, such as generalized linear models and linear mixed models.<h4>Results</h4>Of the 428 participants, 180 completed the 12-month follow-up. At baseline, changes in work posts, negative family-work relations, avoidant coping, burnout symptoms, and emotional intelligence were associated with PTSS levels. Linear mixed models showed a significant decrease in PTSS over the 12-month period, regardless of gender, age, household type, occupational role, contract type, job title, level of care or type of service (p < 0.001). The generalised linear model explained 25.5% of the variance in PTSS levels at baseline, highlighting the role of psychological and coping factors over sociodemographic or occupational characteristics.<h4>Conclusions</h4>This study highlights the need for early identification and intervention focused on psychological and coping mechanisms. Promoting emotional regulation, reducing burnout, and addressing maladaptive coping may help mitigate long-term psychological effects among healthcare workers during public health crises.https://doi.org/10.1371/journal.pone.0323777 |
| spellingShingle | Beatriz Arregui-Gallego María Isabel Orts-Cortés María Teresa Moreno-Casbas Eva Abad-Corpa Rafaela Camacho-Bejarano Mª Ángeles Cidoncha-Moreno Isabel Feria-Raposo Javier Iruzubieta-Barragán Montserrat Carmona Estíbaliz Cristóbal-Domínguez Leticia Bernués-Caudillo Elvira Casado-Ramírez Alda Recas-Martin Dolores Sánchez-López M Consuelo Company-Sancho Noelia López Rascón Silvia Esteban-Sepúlveda María Clara Vidal-Thomàs Isabel Alonso Daniel Muñoz-Jiménez José Vicente Segura-Heras Joaquín Moncho Manuel Rich-Ruiz Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study. PLoS ONE |
| title | Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study. |
| title_full | Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study. |
| title_fullStr | Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study. |
| title_full_unstemmed | Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study. |
| title_short | Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study. |
| title_sort | factors modulating the impact of the covid 19 pandemic on posttraumatic stress symptomatology of the spanish healthcare workers a cohort study |
| url | https://doi.org/10.1371/journal.pone.0323777 |
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