Abstract

The COVID-19 pandemic has had an emotional impact on healthcare professionals at different levels of care, and it is important to understand the levels of anxiety of hospital personnel (HP) compared to those of primary care personnel (PCP). The objectives herein were to assess the differences in anxiety levels between these populations and to detect factors that may influence them. The anxiety levels (measured using the Hospital Anxiety and Depression (HAD) scale) of the HP and PCP groups were compared using data collected from a cross-sectional study. The secondary variables included demographic and health data, confinement factors, contact with COVID-19 patients, having suffered from COVID-19, perceptions of protection, caregiver overload, threat, and satisfaction with management. We found anxiety “case” (35.6%) and “at-risk” (21%), with statistically significant differences in the group “at risk”, and higher scores in the PCP group. The factors associated with the perception of threat and protection were significant determinants of an increase in anxiety, with all of them showing statistically significant differences. There were greater symptoms of anxiety in the PCP group than the HP group (32% vs. 18%). The factors associated with the prevalence of anxiety symptoms were the perceptions of threat, protection, management, caregiver overload, and perceived degree of threat associated with COVID-19.

Highlights

  • Due to the different activities performed by the hospital personnel (HP) and primary care personnel (PCP) groups, we considered it of great importance to assess the psychological impact between them after the end of the first period of the State of Alarm due to COVID-19, to plan guidelines and interventions necessary for maintaining the psychological well-being of these professionals

  • We performed a cross-sectional, descriptive, and observational study to compare the HP and PCP groups who had cared for COVID-19 patients, by exploring variables that could be associated with the prevalence of symptoms of anxiety in this population

  • A greater level of anxiety was found in the PCP than in the HP, and we believe it is relevant to consider this variable in future studies directed toward healthcare worker populations

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Summary

Introduction

The coronavirus disease 2019 (COVID-19) pandemic, which is affecting practically the entire world population at present, has affected the psychological health of the entire population in general, with an increase in emotional alterations of varying degrees of intensity and severity [1]. In Spain, from the start to the end of the State of Alarm (from 14 March to 21 June 2020), during which the present study began, the official data indicated that 244,109 individuals had become infected with the disease, and a total of 27,136 individuals had died from it; 124,642 had needed hospitalization, and a total of 11,620 had required an 4.0/).

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