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oai:repisalud.isciii.es:20.500.12105/270192025-12-18T13:01:58Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19612col_20.500.12105_19618

00925njm 22002777a 4500 dc Arregui-Gallego, Beatriz author Orts-Cortes, Maria Isabel author Moreno-Casbas, Teresa author Abad-Corpa, Eva author Camacho-Bejarano, Rafaela author Cidoncha-Moreno, Mª Ángeles author Feria-Raposo, Isabel author Iruzubieta-Barragán, Javier author Carmona, Montserrat author Cristóbal-Domínguez, Estíbaliz author Bernués-Caudillo, Leticia author Casado-Ramirez, Elvira author Recas-Martin, Alda author Sánchez-López, Dolores author Company-Sancho, M Consuelo author Rascón, Noelia López author Esteban-Sepúlveda, Silvia author Vidal-Thomàs, María Clara author Alonso, Isabel author Muñoz-Jiménez, Daniel author Segura-Heras, José Vicente author Moncho, Joaquín author Rich-Ruiz, Manuel author 2025-06-16 Introduction: The 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). Aim: Analyse the evolution of PTSS among Spanish healthcare workers during the COVID-19 pandemic, and to identify associated factors. Method: A 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. Results: Of 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. Conclusions: This 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. Arregui-Gallego B, Orts-Cortés MI, Moreno-Casbas MT, Abad-Corpa E, Camacho-Bejarano R, Cidoncha-Moreno MÁ, et al. (2025) Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study. PLoS One 20(6): e0323777. https://doi.org/10.1371/journal.pone.0323777 10.1371/journal.pone.0323777 10.1371/journal.pone.0323777.t001 10.1371/journal.pone.0323777.t002 10.1371/journal.pone.0323777.t003 10.1371/journal.pone.0323777.t004 10.1371/journal.pone.0323777.g001 10.1371/journal.pone.0323777.t005 10.1371/journal.pone.0323777.s001 PLoS One 40523034 https://hdl.handle.net/20.500.12105/27019 Factors modulating the impact of the COVID-19 pandemic on posttraumatic stress symptomatology of the Spanish healthcare workers: A cohort study.