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      Síndrome de burnout, resiliencia y miedo a la COVID-19 en personal sanitario durante la pandemia por SARS-CoV-2 Translated title: Burnout syndrome, resilience and fear of COVID-19 in healthcare professionals during the SARS-CoV-2 pandemic

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          Abstract

          RESUMEN Objetivo: describir la relación entre burnout resiliencia y miedo frente a la COVID-19 del personal de salud que trabaja en la Gerencia de Atención Primaria de Toledo (GAPTO) durante la emergencia sanitaria por la pandemia por SARS-CoV-2. Diseño: estudio descriptivo, observacional y transversal. Emplazamiento: GAPTO, España. Participantes: 96 profesionales de medicina y enfermería de la GAPTO. Mediciones principales: se incluyeron las siguientes variables: características sociodemográficas, condiciones laborales, burnout, resiliencia y miedo a la COVID-19. Resultados: la prevalencia del burnout fue de 36,5%, el riesgo de desarrollar burnout fue de 28,1%. Un 50% de los profesionales tenía alterada la subescala de agotamiento emocional (AE), que puede estar asociada o no con alteraciones de las otras subescalas. Un 42,7% de la población estudiada mostró baja resiliencia. Un 45,8% tenía poco miedo a la COVID-19; un 43,8%, un miedo moderado, y un 10,4% presentaba altos niveles de miedo. Se encontró asociación inversa entre el síndrome de burnout y la resiliencia. También se observó relación entre el miedo a la COVID-19 y el burnout. La resiliencia y el miedo a la COVID-19 tienen una asociación más fuerte que el resto de las variables. Otras variables relacionadas con la presencia de burnout fueron la profesión y el servicio donde trabajan los profesionales. Conclusiones: el síndrome de burnout afectó a una elevada proporción de profesionales de la sanidad de la GAPTO en el marco de la pandemia por COVID-19, siendo el AE la subescala predominantemente afectada, que se encuentra relacionada con los niveles de resiliencia y de miedo a la COVID-19.

          Translated abstract

          ABSTRACT Objective: to report the relationship between Burnout, levels of resilience and fear of COVID-19 in health professionals working in Toledo Primary Care Management (GAPTO) during the health emergency due to the SARS-CoV-2 pandemic. Design: descriptive, observational and cross-sectional study. Location: GAPTO, Spain Participants: 96 GAPTO medical and nursing professionals Main measurements: the variables included were: sociodemographic characteristics, working conditions, burnout, resilience and fear of COVID-19. Results: the prevalence of burnout syndrome was 36.5%, the risk of developing burnout was 28.1%. A total of 50% of professionals underwent an alteration on the emotional exhaustion subscale, which may or may not be associated with alterations on the other subscales. A total of 42.7% of the population shows low resilience; 45.8%, 43.8% and 10.4% have little, moderate and a high fear of COVID-19. An inverse association was detected between burnout syndrome and resilience. A relationship was also found between the fear of COVID-19 and burnout. Resilience and fear of COVID-19 have a stronger association than the rest of the variables. Other variables related to the presence of burnout were the profession and the department where the professionals work. Conclusions: burnout syndrome affects a high proportion of health professionals working in GAPTO, Spain, in the framework of the COVID-19 pandemic. Emotional exhaustion is the predominantly affected subscale, which is related to levels of resilience and fear of COVID-19.

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          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC).

            Resilience may be viewed as a measure of stress coping ability and, as such, could be an important target of treatment in anxiety, depression, and stress reactions. We describe a new rating scale to assess resilience. The Connor-Davidson Resilience scale (CD-RISC) comprises of 25 items, each rated on a 5-point scale (0-4), with higher scores reflecting greater resilience. The scale was administered to subjects in the following groups: community sample, primary care outpatients, general psychiatric outpatients, clinical trial of generalized anxiety disorder, and two clinical trials of PTSD. The reliability, validity, and factor analytic structure of the scale were evaluated, and reference scores for study samples were calculated. Sensitivity to treatment effects was examined in subjects from the PTSD clinical trials. The scale demonstrated good psychometric properties and factor analysis yielded five factors. A repeated measures ANOVA showed that an increase in CD-RISC score was associated with greater improvement during treatment. Improvement in CD-RISC score was noted in proportion to overall clinical global improvement, with greatest increase noted in subjects with the highest global improvement and deterioration in CD-RISC score in those with minimal or no global improvement. The CD-RISC has sound psychometric properties and distinguishes between those with greater and lesser resilience. The scale demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement. Copyright 2003 Wiley-Liss, Inc.
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              The Fear of COVID-19 Scale: Development and Initial Validation

              Background The emergence of the COVID-19 and its consequences has led to fears, worries, and anxiety among individuals worldwide. The present study developed the Fear of COVID-19 Scale (FCV-19S) to complement the clinical efforts in preventing the spread and treating of COVID-19 cases. Methods The sample comprised 717 Iranian participants. The items of the FCV-19S were constructed based on extensive review of existing scales on fears, expert evaluations, and participant interviews. Several psychometric tests were conducted to ascertain its reliability and validity properties. Results After panel review and corrected item-total correlation testing, seven items with acceptable corrected item-total correlation (0.47 to 0.56) were retained and further confirmed by significant and strong factor loadings (0.66 to 0.74). Also, other properties evaluated using both classical test theory and Rasch model were satisfactory on the seven-item scale. More specifically, reliability values such as internal consistency (α = .82) and test–retest reliability (ICC = .72) were acceptable. Concurrent validity was supported by the Hospital Anxiety and Depression Scale (with depression, r = 0.425 and anxiety, r = 0.511) and the Perceived Vulnerability to Disease Scale (with perceived infectability, r = 0.483 and germ aversion, r = 0.459). Conclusion The Fear of COVID-19 Scale, a seven-item scale, has robust psychometric properties. It is reliable and valid in assessing fear of COVID-19 among the general population and will also be useful in allaying COVID-19 fears among individuals.
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                Author and article information

                Journal
                albacete
                Revista Clínica de Medicina de Familia
                Rev Clin Med Fam
                Sociedad Española de Medicina de Familia y Comunitaria (Barcelona, Cataluña, Spain )
                1699-695X
                2386-8201
                2022
                : 15
                : 3
                : 134-142
                Affiliations
                [1] Toledo orgnameGerencia de Atención Primaria de Toledo España
                Article
                S1699-695X2022000300003 S1699-695X(22)01500300003
                2c3bed6b-5695-43ec-86e0-af9e567356ae

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 16 February 2022
                : 19 July 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 35, Pages: 9
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                SciELO Spain

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                pandemia,profesionales de la salud,resiliencia,COVID-19,burnout,Resilience,Pandemic,Health Care Professionals,Burnout

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