{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:07:32Z","timestamp":1787580452174,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100021106","name":"Universidad Pontificia Comillas","doi-asserted-by":"publisher","award":["PI2021_01"],"award-info":[{"award-number":["PI2021_01"]}],"id":[{"id":"10.13039\/100021106","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study explores the mediational role of resilience, experiential avoidance and emotion regulation in the levels of anxiety, depression and posttraumatic stress disorder (PTSD) of healthcare workers during the COVID\u201019 pandemic. Additionally, we explored the association of such levels with personal and professional variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Healthcare professionals working in Spain (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009786) were recruited following a snowball approach in November and December 2021. Resilience, emotion regulation, experiential avoidance, depression, anxiety, PTSD and work\u2010related variables were measured. Mean differences and correlations were computed, and a path analysis with latent variables (PALV) model was tested.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 18.8% of the sample scored above the cut\u2010off score for depression, 24.6% for anxiety and 36.4% for PTSD. Higher resilience and lower experiential avoidance and expression suppression were correlated with better mental health. The PALV model explained 42%\u201353% of mental health outcomes. Experiential avoidance showed the greatest explanatory power and mediated the impact that stressors had on mental health. Some work\u2010related variables correlated with greater psychological impact. These factors encompassed being a nurse, feeling that their job remained stressful and had not yet returned to its pre\u2010pandemic state and having interacted with individuals facing economic difficulties due to the pandemic, and those who had lost their lives to COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Healthcare workers showed high levels of psychological impact during the COVID\u201019 pandemic. Such impact was predicted from some work\u2010stress variables and the reliance on maladaptive strategies such as experiential avoidance and expressive suppression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Training healthcare professionals to use coping strategies incompatible with experiential avoidance may improve their mental health. Additionally, better working conditions are fundamental for reducing the impact of critical situations on healthcare workers' mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16122","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T19:47:06Z","timestamp":1708544826000},"page":"4089-4102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Predictors of mental health in healthcare workers during the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic: The role of experiential avoidance, emotion regulation and resilience"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8006-5012","authenticated-orcid":false,"given":"Roc\u00edo","family":"Rodr\u00edguez\u2010Rey","sequence":"first","affiliation":[{"name":"Department of Psychology, School of Human and Social Sciences Universidad Pontificia Comillas  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3632-3957","authenticated-orcid":false,"given":"Marta","family":"Guerra\u00a0Corral","sequence":"additional","affiliation":[{"name":"Department of Psychology, School of Human and Social Sciences Universidad Pontificia Comillas  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0543-1822","authenticated-orcid":false,"given":"Paula","family":"Collazo\u2010Casti\u00f1eira","sequence":"additional","affiliation":[{"name":"Department of Psychology, School of Human and Social Sciences Universidad Pontificia Comillas  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3905-0617","authenticated-orcid":false,"given":"Silvia","family":"Collado","sequence":"additional","affiliation":[{"name":"Department of Psychology and Sociology, School of Social and Human Sciences Universidad de Zaragoza  Teruel Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2233-7635","authenticated-orcid":false,"given":"Raquel","family":"Caro\u2010Carretero","sequence":"additional","affiliation":[{"name":"ICAI School of Engineering Universidad Pontificia Comillas  Madrid Spain"},{"name":"University Institute of Studies on Migration, Chair in Catastrophes Fundaci\u00f3n Aon Espa\u00f1a  Madrid 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