Psychological affectation of health professionals of the health emergency management of Castilla y León during the Covid-19 pandemic
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Abstract
Objective: To analyze the stress, anxiety and depression levels of the Health Professionals of the Emergency Medical Service (EMS) of Castilla y León during the COVID-19 pandemic, as well as to determine their association with certain factors. Methods: A cross-sectional study was designed. All Health Professionals who were working in the EMS of Castilla y León between 02/01/2021 and 04/30/2021 were included. Their levels of stress, anxiety and depression, assessed using the DASS-21, were the main outcome of the study. Socio-demographic, labor and COVID-19-related variables were also collected and their possible association with the aforementioned psychological variables was studied through univariate and multivariate analysis. Results: EMS Health Professionals obtained a mean score of 19.60 (SD ± 11.14) for stress, 12.30 (SD ± 11.45) for anxiety and 15.14 (SD ± 11.52) for depression. Being a woman was associated with severe and/or extremely severe values of stress (OR 1.861; 95%CI 1.026-3.377), anxiety (OR 3.319; 95%CI 1.696-6.495) and depression (OR 2.334; 95%CI 1.275-4.272); having previously required psychotherapy and/or psychotropic drugs, with severe or extremely severe values of stress (OR 4.762; 95%CI 2.332-9.728) and anxiety (OR 4.059; 95%CI 1.921-8.576); while working as TES, with severe or extremely severe values of anxiety (OR 5.143; 95%CI 2.633-10.049) and depression (OR 2.211; 95%CI 1.220-4.004). Conclusion: EMS Health Professionals of Castilla y León presented medium-high levels of stress, anxiety and depression during the pandemic. There are socio- demographic, labor and COVID-19-related factors that are associated with greater psychological involvement.
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