{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:47:27Z","timestamp":1784591247367,"version":"3.55.0"},"reference-count":50,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T00:00:00Z","timestamp":1625529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>This study aimed to examine the psychosocial impact and identify risk factors for poor psychosocial outcomes in healthcare professionals during the Coronavirus disease 2019 (COVID\u201019) pandemic in Cyprus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare professionals are in the forefront of the COVID\u201019 pandemic facing an unprecedented global health crisis, which can have consequences on their psychosocial health. There is a need to identify risk factors for poor psychosocial outcomes to inform the design of tailored psychological interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional online study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 1071\u00a0healthcare professionals completed self\u2010report questionnaires. Measures included sociodemographic information, COVID\u201019\u2010related characteristics, quality of life (Brief World Health Organization Quality of Life; WHOQOL\u2010Bref), anxiety (Generalized Anxiety Disorder\u20107; GAD\u20107), depression (Patient Health Questionnaire\u20108; PHQ\u20108), occupational burnout (Copenhagen Burnout Inventory; CBI), and coping (Brief Coping Orientation to Problems Experienced; Brief COPE). This article follows the STROBE reporting guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of moderate to severe anxiety and clinically significant depression was 27.6% and 26.8%, respectively. Significant risk factors for poor psychological outcomes included being female, being a nurse or doctor (vs non\u2010medical professional), working in frontline units (inpatient, intensive care), perceptions of inadequate workplace preparation to deal with the pandemic, and using avoidance coping. Depression and occupational burnout were significant risk factors for poor quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest several individual, psychosocial, and organisational risk factors for the adverse psychological outcomes observed in healthcare professionals during the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>This study highlights the urgent need for screening for anxiety and depression and psychological interventions to combat an imminent mental health crisis in healthcare professionals during the COVID\u201019 pandemic. Pandemic response protocols and public health initiatives aiming to improve and prevent mental health problems in healthcare professionals during the current and future health crises, need to account for the various factors at play.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.15938","type":"journal-article","created":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T01:42:26Z","timestamp":1625622146000},"page":"5234-5248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7509-9880","authenticated-orcid":false,"given":"Theodora","family":"Fteropoulli","sequence":"first","affiliation":[{"name":"Medical School University of Cyprus  Nicosia Cyprus"},{"name":"Health Services Research, City University of London  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theano V.","family":"Kalavana","sequence":"additional","affiliation":[{"name":"MindThreading  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1237-1661","authenticated-orcid":false,"given":"Anneza","family":"Yiallourou","sequence":"additional","affiliation":[{"name":"Medical School University of Cyprus  Nicosia Cyprus"},{"name":"Breast Unit Nicosia General Hospital  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marios","family":"Karaiskakis","sequence":"additional","affiliation":[{"name":"University of Nicosia Medical School  Nicosia Cyprus"},{"name":"General Surgery Ygia Polyclinic  Limassol Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Koliou Mazeri","sequence":"additional","affiliation":[{"name":"Medical School University of Cyprus  Nicosia Cyprus"},{"name":"Pediatric Department Archbishop Makarios Hospital  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3595-9698","authenticated-orcid":false,"given":"Stavros","family":"Vryonides","sequence":"additional","affiliation":[{"name":"Limassol General Hospital  Limassol Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Hadjioannou","sequence":"additional","affiliation":[{"name":"State Health Services Organization  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3307-0246","authenticated-orcid":false,"given":"Georgios K.","family":"Nikolopoulos","sequence":"additional","affiliation":[{"name":"Medical School University of Cyprus  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105320966639"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113366"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2007764"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4020-5779-3_12"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327558ijbm0401_6"},{"key":"e_1_2_10_7_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2020.10.001"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020960192"},{"key":"e_1_2_10_10_1","unstructured":"Epidemiological Surveillance Unit of the Ministry of Health Cyprus. 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