Evidence map›Paper›PMID 34658322›Full record

ArticlePrimary health care research & development2021

Sources of psychological distress among primary care physicians during the COVID-19 pandemic's first wave in Spain: a cross-sectional study.

Ana Cebrián-Cuenca, José Joaquín Mira, Elena Caride-Miana, Antonio Fernández-Jiménez, Domingo Orozco-Beltrán

Open access · goldAbstract read
In one paragraph

Article in Primary health care research & development, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. The impact of the COVID-19 pandemic on pharmacy personnel in primary care.Primary health care research & development · 2022
    Article
  7. Observational
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Ana Cebrián-CuencaCentro de Salud Cartagena Casco, Cartagena, Murcia, Spain.
José Joaquín MiraHealth Psychology Department, Universidad Miguel Hernández, Alicante, Spain.ORCID 0000-0001-6497-083X
Elena Caride-MianaCentro Salud Almassera de Tonda, Vilajoyosa, Alicante, Spain.
Antonio Fernández-JiménezInstituto de investigación del Hospital Clínico de Valencia (INCLIVA), Valencia, Spain.
Domingo Orozco-BeltránUnidad Investigación, Dpto. San Juan de Alicante, Centro de Salud Cabo Huertas, Alicante, Spain.
Hospital Marina Baixa · ESINCLIVA Health Research Institute · ESServicio Murciano de Salud · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic is affecting people worldwide. In Spain, the first wave was especially severe.

objectivesThis study aimed to identify sources and levels of distress among Spanish primary care physicians (PCPs) during the first wave of the pandemic (April 2020).

methodsA cross-sectional study was conducted using a survey that included sociodemographic data, a description of working conditions related to distress [such as gaps in training in protective measures, cleaning, and hygiene procedures in work setting, unavailability of personal protective equipments (PPEs) and COVID-19 RT-PCR test, and lack of staff due to be infected] and a validated scale, the 'Self-applied Acute Stress Scale' (EASE). The survey was answered by a non-probability sampling of PCPs working in family healthcare centres from different regions of Spain. Analysis of variance and multivariate linear regression analysis were performed.

resultsIn all, out of 518 PCP participants, 123 (23.7%) obtained high psychological distress scores. Only half of them had received information about the appropriate use of PPE. PCP characteristics associated with higher levels of distress include female gender [1.69; 95% confidence interval (CI) 0.54, 2.84]; lack of training in protective measures (1.96; 95% CI 0.94, 2.99); unavailable COVID-19 RT-PCR for health care workers after quarantine or COVID-19 treatment (-0.77 (-1.52, -0.02). Reinforcing disinfection of the work environment (P < 0.05), availability of PPEs (P < 0.05), and no healthcare professional was infected (P < 0.05) were related to the lowest distress score.

conclusionsA better understanding of the sources of distress among PCPs could prevent its effect on future outbreaks.

Indexed as

COVID-19 Drug TreatmentPhysicians, Primary CarePsychological DistressCross-Sectional StudiesFemaleHumansPandemicsSARS-CoV-2SpainCOVID-19infectious diseasesmental healthoccupational/environmental medicineoccupational stressstress

Identifiers

PMID34658322
PMCPMC8527528
OpenAlexW3207935867

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.