Evidence map›Paper›PMID 40523034›Full record

ArticlePloS one2025

Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study.

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 and 13 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

23 authors.

Beatriz Arregui-GallegoResearch Unit of the Primary Care Assistance Management (GAAP) - Primary Care Biomedical Research and Innovation Foundation (FIIBAP), Madrid, Spain.
María Isabel Orts-CortésNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0002-1504-575X
María Teresa Moreno-CasbasNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.
Eva Abad-CorpaNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.
Rafaela Camacho-BejaranoNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.
Mª Ángeles Cidoncha-MorenoNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0003-1844-9415
Isabel Feria-RaposoNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0002-3119-4149
Javier Iruzubieta-BarragánNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0002-8307-6670
Montserrat CarmonaResearch Network on Chronicity, Primary Health Care and Health Promotion (RICAPPS), Madrid, Spain.
Estíbaliz Cristóbal-DomínguezIIS Bioaraba, Nursing and Healthcare Research Group, Vitoria-Gasteiz, Spain.
Leticia Bernués-CaudilloNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.
Elvira Casado-RamírezNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0002-3077-5670
Alda Recas-MartinMinisterio de Sanidad, Madrid, Spain.
Dolores Sánchez-LópezGerencia Atención Primaria de Burgos, Burgos, Spain.
M Consuelo Company-SanchoNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.
Noelia López RascónHospital General Universitario de Elche, Elche, Alicante, Spain.
Silvia Esteban-SepúlvedaFacultat d'Infermeria, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-0627-0680
María Clara Vidal-ThomàsNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.
Isabel AlonsoOsakidetza Servicio Vasco de Salud, OSI Araba, Vitoria-Gasteiz, Spain.
Daniel Muñoz-JiménezNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0003-4415-141X
José Vicente Segura-HerasInstituto Universitario Centro de Investigación Operativa (CIO), Universidad Miguel Hernández, Elche, Spain.
Joaquín MonchoResearch Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, Alicante Institute for Health and Biomedical Research (ISABIAL. Group 23), Alicante, Spain.
Manuel Rich-RuizNursing and Healthcare Research Unit (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 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).

aimAnalyse the evolution of PTSS among Spanish healthcare workers during the COVID-19 pandemic, and to identify associated factors.

methodA 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.

resultsOf 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.

conclusionsThis 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.

Indexed as

COVID-19Health PersonnelStress Disorders, Post-TraumaticAdaptation, PsychologicalAdultBurnout, ProfessionalFemaleHumansMaleMiddle AgedPandemicsProspective StudiesSARS-CoV-2Spain

Identifiers

PMID40523034
PMCPMC12169526

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.