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      Anxiety and Coping Strategies among Italian-Speaking Physicians: A Comparative Analysis of the Contractually Obligated and Voluntary Care of COVID-19 Patients.

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          Abstract

          This study aims to explore the differences in the psychological impact of COVID-19 on physicians, specifically those who volunteered or were contractually obligated to provide care for COVID-19 patients. While previous research has predominantly focused on the physical health consequences and risk of exposure for healthcare workers, limited attention has been given to their work conditions. This sample comprised 300 physicians, with 68.0% of them men (mean age = 54.67 years; SD = 12.44; range: 23-73). Participants completed measurements including the State-Trait Anxiety Inventory (STAI), Coping Inventory in Stressful Situations (CISS), and Coronavirus Anxiety Scale (C.A.S.). Pearson's correlations were conducted to examine the relationships between the variables of interest. This study employed multivariate models to test the differences between work conditions: (a) involvement in COVID-19 patient care, (b) volunteering for COVID-19 patient management, (c) contractual obligation to care for COVID-19 patients, and (d) COVID-19 contraction in the workplace. The results of the multivariate analysis revealed that direct exposure to COVID-19 patients and contractual obligation to care for them significantly predicted state anxiety and dysfunctional coping strategies [Wilks' Lambda = 0.917 F = 3.254 p < 0.001]. In contrast, volunteering or being affected by COVID-19 did not emerge as significant predictors for anxiety or dysfunctional coping strategies. The findings emphasize the importance of addressing the psychological well-being of physicians involved in COVID-19 care and highlight the need for targeted interventions to support their mental and occupational health.

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          Author and article information

          Journal
          Healthcare (Basel)
          Healthcare (Basel, Switzerland)
          MDPI AG
          2227-9032
          2227-9032
          Nov 26 2023
          : 11
          : 23
          Affiliations
          [1 ] Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
          [2 ] Department of Cognitive Sciences, Psychological, Educational, and Cultural Studies, University of Messina, 98122 Messina, Italy.
          [3 ] Department of Psychology, Agri Ibrahim Cecen University, Agri 04100, Turkey.
          [4 ] Graduate Studies and Research, Lebanese American University, Beirut 1102-2801, Lebanon.
          [5 ] Special Education Department, College of Education, Salahaddin University-Erbil, Erbil 44002, Iraq.
          [6 ] English Department, College of Education, Bayan University, Erbil 44002, Iraq.
          [7 ] Department of Psychology, Mersin University, Mersin 33110, Turkey.
          [8 ] Department of Clinical Research and Development, LUXMED Group, 02-676 Warsaw, Poland.
          [9 ] Department of Emergency, Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, 20121 Milan, Italy.
          [10 ] Infectious Diseases Unit, University Hospital "G.Martino", 98124 Messina, Italy.
          [11 ] Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez 30050, Morocco.
          [12 ] Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
          [13 ] Health Service Department, Italian State Police, Ministry of the Interior, Centro Sanitario Polifunzionale, 00184 Milan, Italy.
          [14 ] Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON M5G 1V7, Canada.
          Article
          healthcare11233044
          10.3390/healthcare11233044
          10706344
          38063612
          95850bb7-4c89-47cc-8a41-c8e1a7fbf5f8
          History

          COVID-19,work issues,volunteering,physicians,occupational health,healthcare workers

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