Psychological Distress and Panic during Global Pandemic

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Epidemiology & Public Health".

Deadline for manuscript submissions: closed (20 July 2022) | Viewed by 34582

Special Issue Editors


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Guest Editor
1. Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain
2. Aragon Institute for Health Research (IIS Aragón), Miguel Servet University Hospital, Zaragoza, Aragón, Spain
3. University of Zaragoza, Zaragoza, Spain
Interests: mental stress; depression; burnout; mindfulness

E-Mail Website
Guest Editor
1. Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain
2. Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
3. University of Zaragoza, Zaragoza, Spain
Interests: depression; burnout; psychological distress; digital mental health

Special Issue Information

Dear Colleagues,

The fast and uncontrolled spread of the coronavirus SARS-Cov-2, which causes the disease COVID-19, has led to a global health crisis that has shaken the foundations of the social security and stability that is a feature of many Western countries.

The pandemic has led to the infection of 115 million people and a death toll in excess of 2.5 million people worldwide. The health, economic and social effects on the population are still not fully known.

In particular, many studies now predict significant negative effects on the mental health of the population. Many stressors are associated with the situation of a pandemic: the loss of family and friends, with the inability to accompany them through their illness or even to say goodbye to them; actually suffering from the disease or experiencing the suffering of close family members, together with the associated consequences of this; the imposition of restrictive measures unknown to most of the population until now, limiting freedoms and causing isolation; the threat of job losses and business failures; uncertain diagnoses and long waits to take diagnostic tests; constant exposure to information on the pandemic; and the acceptance of contingency measures.

All these stressors cause great psychological distress in the population. Feelings of insecurity, fear, burnout, confusion, irritability, frustration, boredom, loneliness and stigma have become common as a result of the situation, as have certain mental health problems that may have been caused by or aggravated by these states, such as anxiety disorders, mood disorders, sleep disorders and disorders resulting from substance abuse.

In this Special Issue, we invite submission of original research articles and state-of-the-art reviews focused on the psychological distress and panic suffered by the population during the global pandemic. It is necessary to assess the results of major studies being conducted in different countries in order to collate the most prominent manifestations of psychological distress and panic responses in subjects. A deeper understanding of the mental health consequences of COVID-19 on the population will enable the development and implementation of more effective interventions and the preparation of preventive programmes for the future.

Prof. Dr. Javier García-Campayo
Prof. Dr. Yolanda López del Hoyo
Guest Editors

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Keywords

  • COVID-19
  • pandemic
  • psychological distress
  • panic
  • sadness
  • anxiety
  • fear
  • depression

Published Papers (11 papers)

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Research

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10 pages, 312 KiB  
Article
Associations between Psychological Variables, Knowledge, Attitudes, Risk Perceptions and Health Behaviours towards COVID-19 among Adolescents
by Ángela Asensio-Martínez, Alejandra Aguilar-Latorre, Olga García-Sanz, Bárbara Oliván-Blázquez, Yolanda López-del-Hoyo and Rosa Magallón-Botaya
J. Clin. Med. 2022, 11(16), 4793; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm11164793 - 16 Aug 2022
Viewed by 1543
Abstract
There is currently little scientific evidence available that allows us to understand patterns of knowledge, risk perception, attitudes, and behaviours among adolescents in relation to COVID-19. This study aims to analyse the relationship between knowledge about COVID-19, risk perception, and psychological variables and [...] Read more.
There is currently little scientific evidence available that allows us to understand patterns of knowledge, risk perception, attitudes, and behaviours among adolescents in relation to COVID-19. This study aims to analyse the relationship between knowledge about COVID-19, risk perception, and psychological variables and the adherence to preventive measures among the adolescent population. It is a descriptive cross-sectional study, which included adolescents between the ages of 12 and 18 (n = 354). The questionnaire was sent to several secondary schools chosen by convenience sampling and following a non-probabilistic snowball sampling. Descriptive, univariate, and multivariate analyses were carried out in order to determine whether knowledge about COVID-19, risk perception, tolerance of frustration, planning and decision-making, family functionality, self-efficacy, self-esteem, and social skills are related to preventive measures. The adoption among adolescents of behaviours which protect them against COVID-19 depends on knowledge about the disease, the perception of the risk it poses to them, as well as their tolerance of frustration and planning and decision-making abilities. The relationship between the individual variables among adolescents with the adoption of behaviours which protect them against COVID-19 has been confirmed. The development of intervention and communication strategies that take the psychosocial situation of adolescents into account will help to increase the adoption of protective health behaviours in the context of a pandemic. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
16 pages, 309 KiB  
Article
Mental Health Condition among University Students of Bangladesh during the Critical COVID-19 Period
by Md Mostafizur Rahman, Asikunnaby, Saadmaan Jubayer Khan, Anuva Arony, Zahid Al Mamun, Nawwar Fatima Procheta, Mohammed Sadman Sakib, Komal Raj Aryal, Farzana Rahman and Abu Reza Md. Towfiqul Islam
J. Clin. Med. 2022, 11(15), 4617; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm11154617 - 08 Aug 2022
Cited by 4 | Viewed by 3124
Abstract
Bangladesh’s education sector has been in a state of flux since COVID-19. During the pandemic, all university campuses were closed. There was a mental health issue among the students. This study aims to examine the mental health condition and the determinants that contribute [...] Read more.
Bangladesh’s education sector has been in a state of flux since COVID-19. During the pandemic, all university campuses were closed. There was a mental health issue among the students. This study aims to examine the mental health condition and the determinants that contribute to adverse mental health conditions among university students of Bangladesh. A survey was performed online among university students in Bangladesh, in mid-June 2020 when averaging 3345 affected cases of the population daily. The convenience sampling technique was used and the survey gathered data from 365 university students. The relationship between general information and Depression, Anxiety, and Stress Scale 21 (DASS-21) subscales of university students was determined. The questionnaire was administered to respondents during the pandemic, which ensured fast replies. Linear regression models were used for statistical analysis. University students indicated normal levels of depression (30.41%), anxiety (43.29%), and stress (47.40%). However, a disproportionate number of extremely depressed, anxious, and stressed university students suggested a mental health status of concern. There were significant connections between the individual’s opinion of social satisfaction, mental health concerns, and the present location’s safety with an undesirable mental health condition. Female students were shown to be much more anxious and stressed than male students. Capital Dhaka city students were more depressed and anxious than students outside of Dhaka. Financial and psychological support for students may help mitigate the psychological impact. Authorities should make effective efforts to reduce mental health problems among these students. This research may aid organizations, health care providers, and social workers in their attempts to prepare for and respond to pandemics. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
11 pages, 479 KiB  
Article
Eudaimonic and Hedonic Psychological Well-Being among Parents of Children with Cancer before and during the COVID-19 Pandemic: A Comparative Cross-Sectional Study
by Natalia Ziółkowska, Kamilla Bargiel-Matusiewicz and Ewa Gruszczyńska
J. Clin. Med. 2022, 11(4), 1113; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm11041113 - 19 Feb 2022
Cited by 1 | Viewed by 1860
Abstract
The main aim of this study was to analyze the eudaimonic and hedonic well-being of parents of children with cancer by considering the role of a global stressor—the COVID-19 pandemic. One group of parents was assessed during the COVID-19 pandemic, and the other [...] Read more.
The main aim of this study was to analyze the eudaimonic and hedonic well-being of parents of children with cancer by considering the role of a global stressor—the COVID-19 pandemic. One group of parents was assessed during the COVID-19 pandemic, and the other was assessed before it occurred. It was hypothesized that there may be a cumulative effect of stress, with parents expressing lower well-being during the pandemic due to the accumulation of stress related to their child’s illness and the pandemic. In total, 310 parents participated in the study. Following propensity score matching, 111 pairs were established. The results of the comparative analyses did not support the hypothesis, as the groups did not differ significantly in their reported levels of either eudaimonic (F (1.93) = 0.11, p = 0.75, ηp2= 0.001) or hedonic well-being (F (1.100) = 0.02, p = 0.89, ηp2 = 0.0001). These findings showed a limited effect of the COVID-19 pandemic on the well-being of parents of children with cancer. The oncological disease of a child is likely to be the central and the strongest factor for the parents, meaning that an additional, global stressor does not cause deeper exacerbation of their well-being. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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15 pages, 556 KiB  
Article
The Assessment of Fear of COVID-19 among the Elderly Population: A Cross-Sectional Study
by Siddarth Agrawal, Mateusz Dróżdż, Sebastian Makuch, Alicja Pietraszek, Małgorzata Sobieszczańska and Grzegorz Mazur
J. Clin. Med. 2021, 10(23), 5537; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10235537 - 26 Nov 2021
Cited by 21 | Viewed by 2697 | Correction
Abstract
The prevailing COVID-19 pandemic has dramatically affected the mental health and well-being of individuals. This cross-sectional study aimed to assess the perceived fear of COVID-19 among older adults in Poland and identify subpopulations with the highest risk of potential mental health disorders. The [...] Read more.
The prevailing COVID-19 pandemic has dramatically affected the mental health and well-being of individuals. This cross-sectional study aimed to assess the perceived fear of COVID-19 among older adults in Poland and identify subpopulations with the highest risk of potential mental health disorders. The study was conducted in November–December 2020 on 500 people aged ≥60 years (mean M = 67.9, standard deviation SD = 4.2). In order to collect information on participants’ characteristics and COVID-19-related information, they were asked to complete a questionnaire based on recorded telephone calls. Perceived fear of COVID-19 was measured using Fear of COVID-19 Scale (FCV-19S), which ranges from 7 to 35. Multiple linear regression was performed to identify factors associated with the perceived fear of COVID-19. Our results showed that the highest level of fear of COVID-19 infection was observed among women (p = 0.025) and patients taking anticoagulants (p = 0.004). Moreover, older adults with higher anxiety levels were more likely to be fearful of COVID-19 (according to the GAS-10 scale; p < 0.001). These findings may help policy makers and healthcare workers to adapt and implement better mental health strategies to help the elderly fight fear and anxiety during the prevailing pandemic. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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13 pages, 510 KiB  
Article
Social Inequities in the Impact of COVID-19 Lockdown Measures on the Mental Health of a Large Sample of the Colombian Population (PSY-COVID Study)
by Juan P. Sanabria-Mazo, Bernardo Useche-Aldana, Pedro P. Ochoa, Diego F. Rojas-Gualdrón, Corel Mateo-Canedo, Meritxell Carmona-Cervelló, Neus Crespo-Puig, Clara Selva-Olid, Anna Muro, Jorge L. Méndez-Ulrich, Albert Feliu-Soler, Juan V. Luciano and Antoni Sanz
J. Clin. Med. 2021, 10(22), 5297; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10225297 - 15 Nov 2021
Cited by 16 | Viewed by 3537
Abstract
The identification of general population groups particularly vulnerable to the impact of COVID-19 lockdown measures on mental health and the development of healthcare policies are priority challenges in the current and future pandemics. This study aimed to identify the personal and social determinants [...] Read more.
The identification of general population groups particularly vulnerable to the impact of COVID-19 lockdown measures on mental health and the development of healthcare policies are priority challenges in the current and future pandemics. This study aimed to identify the personal and social determinants of the impact of COVID-19 lockdown measures on mental health in a large sample of the Colombian population. In this cross-sectional study, an anonymous online survey was answered by 18,061 participants from the general population residing in Colombia during the first wave of the COVID-19 outbreak (from 20 May to 20 June 2020). The risk of depression, anxiety, and somatization disorders were measured using the Patient Health Questionnaire (PHQ-2), Generalized Anxiety Disorder Scale (GAD-2), and Somatic Symptom Questionnaire (SSQ-5), respectively. Overall, 35% of participants showed risk of depression, 29% of anxiety, and 31% of somatization. According to the analysis of social determinants of health, the most affected groups were people with low incomes, students, and young adults (18–29 years). Specifically, low-income young females were the most at-risk population group. These findings show how the lockdown measures affected the general population’s mental health in Colombia and highlight some social risk factors in health. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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22 pages, 6810 KiB  
Article
How Do Polish Students Manage Emotional Distress during the COVID-19 Lockdown? A Web-Based Cross-Sectional Study
by Ryszard Sitarz, Alicja Forma, Kaja Karakuła, Dariusz Juchnowicz, Jacek Baj, Jacek Bogucki and Hanna Karakuła-Juchnowicz
J. Clin. Med. 2021, 10(21), 4964; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10214964 - 26 Oct 2021
Cited by 11 | Viewed by 2555
Abstract
Choices regarding coping strategies during the COVID-19 pandemic outbreak may imply the development as well as the severity of emotional disorders. The aim of this web-based cross-sectional study was to: (1) assess the coping strategies for stress in a population of Polish students [...] Read more.
Choices regarding coping strategies during the COVID-19 pandemic outbreak may imply the development as well as the severity of emotional disorders. The aim of this web-based cross-sectional study was to: (1) assess the coping strategies for stress in a population of Polish students and (2) evaluate the impact of those strategies on the severity of depression, stress, and anxiety symptoms during the COVID-19 lockdown. To evaluate emotional distress, we used the DASS-21 scale and coping strategies Brief-COPE Inventory. The study included 2172 respondents (73% female, 27% male) with a mean age of 22.1 ± 2.2. Students more frequently chose stress coping strategies belonging to the ‘approach’ coping strategies (M = 29.60 ± 6.89) compared to ‘avoidant’ coping strategies (M = 22.82 ± 5.78). The intensification of distress in women caused a turn to religion (p = 0.001), while men used substances (p < 0.001) and a sense of humor (p < 0.001). Medical students coped best with emotional distress, which is very encouraging for their future profession. The highest level of DASS total score was associated with the usage of avoidant coping strategies, prior use of psychiatric or psychological support, and loneliness. Planning interventions to prevent emotional disorders in students requires the identification of factors contributing to increased emotional distress. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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13 pages, 533 KiB  
Article
The Association of Cardiometabolic Disease with Psychological Factors in Colombian People during the COVID-19 Pandemic: A Cross-Sectional Study
by Patricia Alexandra García-Garro, Agustín Aibar-Almazán, Yulieth Rivas-Campo, Gloria Cecilia Vega-Ávila, Diego Fernando Afanador-Restrepo, Antonio Martínez-Amat, María Isabel Afanador-Rodríguez, Yolanda Castellote-Caballero and Fidel Hita-Contreras
J. Clin. Med. 2021, 10(21), 4959; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10214959 - 26 Oct 2021
Cited by 5 | Viewed by 2365
Abstract
During the COVID-19 pandemic, psychological disorders have been documented in the population, and their exacerbation in vulnerable populations such as those with Cardiometabolic Diseases (CD) might challenge health systems. This study determined psychological factors associated with CD in Colombian adults during the COVID-19 [...] Read more.
During the COVID-19 pandemic, psychological disorders have been documented in the population, and their exacerbation in vulnerable populations such as those with Cardiometabolic Diseases (CD) might challenge health systems. This study determined psychological factors associated with CD in Colombian adults during the COVID-19 pandemic. For this purpose, 284 persons were evaluated, 142 without CD and 142 with CD. Sociodemographic data were collected, and the International Physical Activity Questionnaire (IPAQ), the SF-12v2, the Pittsburgh Sleep Quality Index (PSQI) and the Zung Self-Rating Depression Scale (ZSDS), which were integrated into an online form, were used. Through a simple and multiple logistic regression model, it was shown that CD was associated with low sleeping quality (LSQ) (OR = 3.51) and with depressive symptoms (DS) (OR = 1.98). In addition, in the group with CD, the presence of DS was related to BMI (OR = 2.45), and LSQ was related to living with persons at risk for COVID-19 (OR = 3.64) and BMI (OR = 5.88). In conclusion, this study showed that people with CD have a higher chance of presenting DS and LSQ. Furthermore, living with people at risk for COVID-19 was related to the presence of LSQ. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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11 pages, 1019 KiB  
Article
Long-Term Impact of Economic Downturn and Loneliness on Psychological Distress: Triple Crises of COVID-19 Pandemic
by Shuyan Liu, Matthias N. Haucke, Stephan Heinzel and Andreas Heinz
J. Clin. Med. 2021, 10(19), 4596; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10194596 - 06 Oct 2021
Cited by 25 | Viewed by 4091
Abstract
Background: The COVID-19 crisis poses global mental health and global economy challenges. However, there is a lack of longitudinal research investigating whether financial instability and social disruption may increase the risk of developing mental health problems over time that may potentially outlast the [...] Read more.
Background: The COVID-19 crisis poses global mental health and global economy challenges. However, there is a lack of longitudinal research investigating whether financial instability and social disruption may increase the risk of developing mental health problems over time that may potentially outlast the pandemic. Methods: We conducted an online survey for members of the general population (n = 2703) in Germany during the twelve months spanning from April 2020 to March 2021. We investigated the development of COVID-19 related psychological distress, the number of unemployed people, federal government debt, income distribution, and loneliness over the time period. Results: Over a period of twelve months, 53.6% of respondents in Germany reported experiencing psychological distress, varying from mild levels, 34.2%, to severe levels, 19.4%, of distress. High federal government debt, high incident COVID-19 cases, low incomes, and the prevalence of loneliness were found to be associated with increased long-term mental health problems. Psychological distress scores were most strongly increased in female and young respondents as well as those who reported fewer years of education, low income, and higher loneliness. Conclusions: Our study highlights factors that have a long-term impact on mental health amid the COVID-19 pandemic. We suggest that specific mental-health services could be offered to support high-risk groups experiencing financial fragility and loneliness. For purposes of safeguarding their mental health there is a need to monitor and track such risk factors in real time. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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18 pages, 1941 KiB  
Article
Unpacking the Mental Health of Nurses during COVID-19: Evidence from Pakistan
by Xinxing Xu, Faiza Manzoor, Shaoping Jiang and Ayesha Mumtaz
J. Clin. Med. 2021, 10(16), 3546; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10163546 - 12 Aug 2021
Cited by 10 | Viewed by 3386
Abstract
The prime objective of the present study is to test the effect of COVID-19 fear on the mental condition of nurses in the public health sector of Pakistan. This study seeks to measure the psychological distress, anxiety, and psychological well-being of nurses due [...] Read more.
The prime objective of the present study is to test the effect of COVID-19 fear on the mental condition of nurses in the public health sector of Pakistan. This study seeks to measure the psychological distress, anxiety, and psychological well-being of nurses due to fear of COVID-19 and exposure to COVID-19. This research further reveals the moderating role of “social support” in the link between COVID-19 fear, exposure and mental health. Through a convenient sampling technique, 250 sample contributors were chosen from 12 public hospitals. The results were obtained by applying multiple regression and moderation analysis by SPSS and the Hayes process. The outcomes indicated that fear of exposure to COVID-19 affects the mental health of nurses. The findings also discovered that social support is not very constructive in the pandemic. However, we suggested that social support is the best weapon to encourage nurses to relieve their fear and minimize negative emotions. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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16 pages, 1089 KiB  
Article
Mental Health and Psychological Wellbeing during the COVID-19 Lockdown: A Longitudinal Study in the Balearic Islands (Spain)
by Joana Ripoll, Sara Contreras-Martos, Magdalena Esteva, Aina Soler and Maria Jesús Serrano-Ripoll
J. Clin. Med. 2021, 10(14), 3191; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10143191 - 20 Jul 2021
Cited by 20 | Viewed by 3432
Abstract
Confining the entire population to a lockdown after the outbreak of SARS-CoV-2 was an unprecedented measure designed to protect the health of those living in Spain. The objective of the present study is to assess the evolution of mental health and psychological wellbeing [...] Read more.
Confining the entire population to a lockdown after the outbreak of SARS-CoV-2 was an unprecedented measure designed to protect the health of those living in Spain. The objective of the present study is to assess the evolution of mental health and psychological wellbeing during lockdown. To do this, we carried out a longitudinal study, via an online survey over the eight weeks of lockdown (weekly assessments). Sociodemographic variables were recorded, along with data related to COVID-19, psychological wellbeing (anxiety, depression, psychotropic drugs, consultations made to improve mood or anxiety), life satisfaction, and self-perceived health. A total of 681 individuals participated in the study, 76.8% were women; the mean age was 43 years old (SD = 12.7). Initially, high scores were reported for anxiety, depression, and the number of consultations to improve mood, but these decreased significantly over the study period. The reverse seems to be true for life satisfaction, perceived good health, and intake of psychotropic drugs. We also identified groups whose psychological wellbeing was more susceptible to the effects of lockdown. Women, those worried about their jobs after the pandemic, and those afraid of being infected were the most affected individuals. More generally, after the initial negative effect on psychological wellbeing, various indicators improved over the lockdown period. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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Review

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32 pages, 1829 KiB  
Review
Psychological Impact of the COVID-19 Pandemic on Out-of-Hospital Health Professionals: A Living Systematic Review
by Raúl Soto-Cámara, Noemí García-Santa-Basilia, Henar Onrubia-Baticón, Rosa M. Cárdaba-García, José Julio Jiménez-Alegre, Ana María Reques-Marugán, María Molina-Oliva, Juan José Fernández-Domínguez, María Paz Matellán-Hernández, Almudena Morales-Sanchez and Susana Navalpotro-Pascual
J. Clin. Med. 2021, 10(23), 5578; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm10235578 - 27 Nov 2021
Cited by 14 | Viewed by 4211
Abstract
Health professionals (HPs), especially those working in the front line, have been one of the groups most affected by the COVID-19 pandemic. The objective of this study is to identify the best available scientific evidence on the impact of the COVID-19 pandemic on [...] Read more.
Health professionals (HPs), especially those working in the front line, have been one of the groups most affected by the COVID-19 pandemic. The objective of this study is to identify the best available scientific evidence on the impact of the COVID-19 pandemic on the mental health of out-of-hospital HPs in terms of stress, anxiety, depression, and self-efficacy. A living systematic review of the literature was designed, consulting the electronic online versions of the CINHAL, Cochrane Library, Cuiden, IBECS, JBI, LILACS, Medline PyscoDoc, PsycoINFO, Scopus, and Web of Science databases in November 2021. Original research was selected, published in either English, Spanish, French, Italian, or Portuguese. In total, 2082 publications were identified, of which 16 were included in this review. The mental health of out-of-hospital HPs was affected. Being a woman or having direct contact with patients showing suspicious signs of COVID-19 or confirmed cases were the factors related to a greater risk of developing high levels of stress and anxiety; in the case of depressive symptoms, it was having a clinical history of illnesses that could weaken their defenses against infection. Stopping unpleasant emotions and thoughts was the coping strategy most frequently used by these HPs. Full article
(This article belongs to the Special Issue Psychological Distress and Panic during Global Pandemic)
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