RT info:eu-repo/semantics/article T1 Influence of previous mental state on psychological outcomes of Spanish out-of-hospital professionals during the COVID-19 pandemic A1 Molina Oliva, María A1 Martín Sánchez, Rafael A1 Pastor Benito, Elena A1 Soto Cámara, Raúl A1 Cardaba García, Rosa María A1 Thuissard, Israel John A1 Fernández Domínguez, Juan José A1 Matellán Hernández, María Paz A1 Navalpotro Pascual, Susana A1 Morales Sanchez, Almudena K1 COVID-19 K1 Mental health personnel - Supervision of K1 Public health personnel K1 Personal sanitario K1 Emergency medical services K1 Servicios médicos de urgencia K1 Stress (Psychology) K1 Estrés (Psicología) K1 Anxiety K1 Ansiedad K1 Depression K1 Depresión mental K1 Self-efficacy K1 Autoeficacia K1 Psychotropic drugs K1 Drogas psicotrópicas K1 Psychotherapy K1 Pharmacology K1 Public health - Spain K1 Salud pública - España K1 61 Psicología K1 6103.07 Psicoterapia K1 3209 Farmacología K1 3204.03 Salud Profesional AB This study aimed to describe factors relating to the psychological distress of healthcare workers (HCWs) in Spanish out-of-hospital emergency medical services (EMS), according to the previous or non-use of psychotropic drugs or psychotherapy. A multicentre, cross-sectional descriptive study was designed. The study population were all physicians, nurses, and emergency medical technicians (EMTs) working in any Spanish out-of-hospital EMS between February and April 2021. The main outcomes were the levels of stress, anxiety, depression, and self-efficacy, assessed by DASS-21 and G-SES. Differences in levels of stress, anxiety, depression, and self-efficacy, according to sex, age, previous use of psychotropic drug or psychotherapy, work experience, professional category, type of work, and modification of working conditions were measured using the Student’s t-test for independent samples, one-way ANOVA, Pearson’s correlation, or 2-factor analysis of covariance. A total of 1636 HCWs were included, of whom one in three had severe mental disorders because of the pandemic. The interaction of the previous or non-use of psychotropic drugs or psychotherapy with the rest of the factors considered did not modify the levels of stress, anxiety, depression, and self-efficacy. However, HCWs with a history of psychotropic drug or psychotherapy use had a more intense negative emotional response and lower self-efficacy, regardless of their sex, professional category, type of work, or change in the working conditions. These HCWs are considered particularly vulnerable to the development or recurrence of new disorders or other comorbidities; therefore, the implementation of monitoring and follow-up strategies should be a priority. PB MDPI SN 1660-4601 YR 2023 FD 2023 LK https://uvadoc.uva.es/handle/10324/63630 UL https://uvadoc.uva.es/handle/10324/63630 LA eng NO International Journal of Environmental Research and Public Health, 2023, Vol. 20, Nº. 4, 3574 NO Producción Científica DS UVaDOC RD 27-dic-2024