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Psychological effects of the COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals.
Open accessAbstract
Starting from China, the coronavirus disease (COVID-19) contagion spread unexpectedly and quickly all over the world, particularly affecting Italy. In the early stages of the epidemic, healthcare professionals have been in the front-line to manage the infection. The current study aimed to analyse the impact of COVID-19 outbreak on healthcare professionals and to detect some risk and protective factors of their distress levels, with regard to socio-demographic variables, direct exposure to COVID-19 and the coping strategies used to deal with stress. The data were collected during the peak of the infection. A total of 595 healthcare professionals enrolled in the study and completed the measures of socio-demographical and professional data, perceived stress (PSS) and coping strategies (COPE- NVI-25). Overall, we found that a positive attitude towards the stressful situation was the main protective factor, while female gender, seeking social support, avoidance strategies and working with COVID-19 patients were risk factors. Economic status, problem solving ability and turning to religion were not associated with stress levels. This study, one of the first on this topic, highlighted the main coping strategies used by healthcare professionals in facing the highly stressful situation caused by the pandemic.
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“Besides, studies concerning the most effective coping strategies to deal with the pandemic are, as described previously, quite variable depending on the context and the group studied (e.g., Babore et al., 2020; Mariani et al., 2020; Rettie and Daniels, 2020; Jarego et al., 2021).”
From Dealing With the Pandemic of COVID-19 in Portugal: On the Important Role of Positivity, Experiential Avoidance, and Coping Strategies (2021) · cites this paper as Babore et al., 2020
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“social support and avoidance predicted distress levels in a sample of healthcare workers in Italy (Babore et al., 2020).”
From Dealing With the Pandemic of COVID-19 in Portugal: On the Important Role of Positivity, Experiential Avoidance, and Coping Strategies (2021) · cites this paper as Babore et al., 2020
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“A study conducted in Italy has found that a positive attitude held by healthcare professionals during COVID‐19 was associated with lower perceived stress, whereas seeking support and avoidance coping were associated with higher perceived stress (Babore et al., 2020).”
From Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID‐19 pandemic. (2025) · cites this paper as Babore et al., 2020
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“A study conducted in Italy has found that a positive attitude held by healthcare professionals during COVID‐19 was associated with lower perceived stress, whereas seeking support and avoidance coping were associated with higher perceived stress (Babore et al., 2020).”
From Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID‐19 pandemic. (2025) · cites this paper as Babore et al., 2020
In the citing paper
“A study conducted in Italy has found that a positive attitude held by healthcare professionals during COVID‐19 was associated with lower perceived stress, whereas seeking support and avoidance coping were associated with higher perceived stress (Babore et al., 2020).”
From Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID‐19 pandemic. (2025) · cites this paper as Babore et al., 2020
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Citations
Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.267 · Cited by 11,507
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.3976 · Cited by 8,015
Folkman, S., & Lazarus, R. S. (1985) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.48.1.150 · Cited by 4,845
(1988) · Cited by 4,111
Physician burnout: contributors, consequences and solutions
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018) · Journal of Internal Medicine · doi:10.1111/joim.12752 · Cited by 2,768
Gender differences in stress and coping styles
Aznar, M. P. M. (2004) · Personality and Individual Differences · doi:10.1016/j.paid.2004.01.010 · Cited by 2,139
Coping as a mediator of emotion
Folkman, S., & Lazarus, R. S. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.3.466 · Cited by 2,103
Religious coping and psychological adjustment to stress: A meta-analysis
Ano, G. G., & Vasconcelles, E. B. (2005) · Journal of Clinical Psychology · doi:10.1002/jclp.20049 · Cited by 1,627
Lee, S. M., Kang, W. S., Cho, A.-R., Kim, T., & Park, J. K. (2018) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2018.10.003 · Cited by 1,112
Liu, X., Kakade, M., Fuller, C. J., Fan, B., Fang, Y., Kong, J., Guan, Z., & Wu, P. (2012) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2011.02.003 · Cited by 868
Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020) · Medical Science Monitor · doi:10.12659/msm.924171 · Cited by 843
Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic
Walton, M., Murray, E., & Christian, M. D. (2020) · European Heart Journal: Acute Cardiovascular Care · doi:10.1177/2048872620922795 · Cited by 791
TAM, C. W. C., PANG, E. P. F., LAM, L. C. W., & CHIU, H. F. K. (2004) · Psychological Medicine · doi:10.1017/s0033291704002247 · Cited by 735
Healthcare Workers Emotions, Perceived Stressors and Coping Strategies During a MERS-CoV Outbreak
Khalid, I., Khalid, T. J., Qabajah, M. R., Barnard, A. G., & Qushmaq, I. A. (2016) · Clinical Medicine & Research · doi:10.3121/cmr.2016.1303 · Cited by 725
Evolution of the Stress Concept
McCarty, R. C. (2020) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190697266.003.0003 · Cited by 715
The evolution of the stress concept
Selye, H. (1970) · The American Journal of Cardiology · doi:10.1016/0002-9149(70)90796-4 · Cited by 600
Tan, W., Hao, F., McIntyre, R. S., Jiang, L., Jiang, X., Zhang, L., Zhao, X., Zou, Y., Hu, Y., Luo, X., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.04.055 · Cited by 582
Folkman, S. (2010) · Psycho-Oncology · doi:10.1002/pon.1836 · Cited by 496
Wong, T. W., Yau, J. K. Y., Chan, C. L. W., Kwong, R. S. Y., Ho, S. M. Y., Lau, C. C., Lau, F. L., & Lit, C. H. (2005) · European Journal of Emergency Medicine · doi:10.1097/00063110-200502000-00005 · Cited by 486
Tian, F., Li, H., Tian, S., Yang, J., Shao, J., & Tian, C. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112992 · Cited by 468
Evanoff, B., Strickland, J. R., Dale, A. M., Hayibor, L., Page, E., Duncan, J. G., Kannampallil, T., & Gray, D. L. (2020) · Journal of Medical Internet Research · doi:10.2196/21366 · Cited by 378
Litman, J. A. (2006) · Personality and Individual Differences · doi:10.1016/j.paid.2005.11.032 · Cited by 366
Flesia, L., Monaro, M., Mazza, C., Fietta, V., Colicino, E., Segatto, B., & Roma, P. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9103350 · Cited by 291 · cited 4×
“We did not observe differences in stress levels according to the socio-economic status and this result was not consistent with a recent research (Flesia et al., 2020) that found a negative correlation between stress and income levels in the general population during the current outbreak caused by…”
InfluentialMitigating the psychological effects of COVID-19 on health care workers
Wu, P. E., Styra, R. G., & Gold, W. L. (2020) · Canadian Medical Association Journal · doi:10.1503/cmaj.200519 · Cited by 273
Psychometric evaluation of three versions of the Italian Perceived Stress Scale
Mondo, M., Sechi, C., & Cabras, C. (2019) · Current Psychology · doi:10.1007/s12144-019-0132-8 · Cited by 265
The evolution of the stress concept.
Selye, H. (1973) · PubMed · Cited by 251
Assessing Coronavirus Fear in Indian Population Using the Fear of COVID-19 Scale
Doshi, D., Karunakar, P., Sukhabogi, J. R., Prasanna, J. S., & Mahajan, S. V. (2020) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-020-00332-x · Cited by 246
Umgang mit psychischer Belastung bei Gesundheitsfachkräften im Rahmen der Covid-19-Pandemie
Petzold, M. B., Plag, J., & Ströhle, A. (2020) · Der Nervenarzt · doi:10.1007/s00115-020-00905-0 · Cited by 212
Multivariate Statistical Methods: A First Course
Marcoulides, G. A., & Hershberger, S. L. (1997) · CERN Document Server (European Organization for Nuclear Research) · Cited by 208
Multivariate Statistical Methods: A First Course
Borror, C. M. (1998) · Journal of Quality Technology · doi:10.1080/00224065.1998.11979845 · Cited by 183
Verma, S. K., Mythily, S., Chan, Y., Deslypere, J., Teo, E., & Chong, S. A. (2004) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.verma · Cited by 182
Phua, D. H., Tang, H. K., & Tham, K. Y. (2005) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2005.tb01951.x · Cited by 176
Stress in emergency departments: experiences of nurses and doctors
Healy, S., & Tyrrell, M. (2011) · Emergency Nurse · doi:10.7748/en2011.07.19.4.31.c8611 · Cited by 156
Sica, C., Magni, C., Ghisi, M., Altoè, G., Sighinolfi, C., Chiri, L. R., & Franceschini, S. (2008) · Padua Research Archive (University of Padova) · Cited by 144
Müller, M. P., Hänsel, M., Fichtner, A., Hardt, F., Weber, S., Kirschbaum, C., Rüder, S., Walcher, F., Koch, T., & Eich, C. B. (2009) · Resuscitation · doi:10.1016/j.resuscitation.2009.04.027 · Cited by 139
The importance of coping appraisal in behavioural responses to pandemic flu
Teasdale, E. J., Yardley, L., Schlotz, W., & Michie, S. (2011) · British Journal of Health Psychology · doi:10.1111/j.2044-8287.2011.02017.x · Cited by 136
Profiles of Burnout, Coping Strategies and Depressive Symptomatology
Martínez, J. P., Méndez, I., Ruiz-Esteban, C., Fernández-Sogorb, A., & García-Fernández, J. M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00591 · Cited by 123
Yin, H., Huang, S., & Lv, L. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02395 · Cited by 118
Flesia, L., Monaro, M., Mazza, C., et al. (2020) · doi:10.31234/osf.io/yb2h8 · Cited by 99
Vyas, K. J., Delaney, E. M., Webb-Murphy, J. A., & Johnston, S. L. (2016) · Military Medicine · doi:10.7205/milmed-d-15-00473 · Cited by 80 · cited 1×
“This data is not in agreement with previous studies on epidemic which highlighted that being single was predictive of higher depressive symptoms and higher psychological distress among hospital staff (Liu et al., 2012; Vyas et al., 2016).”
ResultLi, X., Yu, H., Bian, G., Hu, Z., Liu, X., Zhou, Q., Yu, C., Wu, X., Yuan, T., & Zhou, D. (2020) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.05.008 · Cited by 79
Role of Religion and Spirituality in Stress Management Among Nurses
Perera, C. K., Pandey, R., & Srivastava, A. K. (2018) · Psychological Studies · doi:10.1007/s12646-018-0454-x · Cited by 74
Stressors and coping strategies of emergency department nurses and doctors: A cross-sectional study
Xu, H. G., Johnston, A. N. B., Greenslade, J. H., Wallis, M. C., Elder, E. G., Abraham, L., Thom, O., Carlström, E., & Crilly, J. L. (2019) · Australasian Emergency Care · doi:10.1016/j.auec.2018.10.005 · Cited by 65
Patterns of Stress, Coping and Health-Related Quality of Life in Doctor of Pharmacy Students
Hirsch, J. D., Nemlekar, P. M., Phuong, P., HOLLENBACH, K. A., Lee, K. C., Adler, D. S., & Morello, C. M. (2020) · American Journal of Pharmaceutical Education · doi:10.5688/ajpe7547 · Cited by 59
Caricati, L., Foà, C., Fruggeri, L., & Tonarelli, A. (2015) · PSICOLOGIA DELLA SALUTE · doi:10.3280/pds2015-002007 · Cited by 54
Blau, G. J., Bentley, M. A., & Eggerichs, J. J. (2012) · Career Development International · doi:10.1108/13620431211283788 · Cited by 49
Exploring physical health perceptions, fatigue and stress among health care professionals
Rice, V., Glass, N., Ogle, R., & Parsian, N. (2014) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s59462 · Cited by 45
Imperatori, C., Bersani, F. S., Massullo, C., Carbone, G. A., Salvati, A., Mazzi, G., Cicerale, G., Carrara, A., & Farina, B. (2020) · Neuroscience Letters · doi:10.1016/j.neulet.2020.134956 · Cited by 31
Research works printed but not linked: 5
- 2020, Ulteriori disposizioni attuative del decreto-legge 23 febbraio 2020, n. 6, recante misure urgenti in materia di contenimento e gestione dell’emergenza epidemiologica da COVID-19,, Applicabili
- 2020, L'epidemiologia per la sanità pubblica, aggiornamenti sul coronavirus, [Epidemiology for public health, updates on coronavirus]
- Petzold, 2020, Dealing with psychological distress by healthcare professionals during the COVID-19 pandemia, Nervenarzt, 1
- 2020, Dipartimento della Protezione Civile, sezione comunicati stampa, [Department of Civil Protection, press releases section]
- Sica, 2008, Coping orientation to the problems experiences-new italian version (COPE-NVI), Psicoterapia Cognitiva e Comportamentale, 14, 27
Cited by
Sorted by citations
Labrague, L. J. (2021) · Journal of Nursing Management · doi:10.1111/jonm.13336 · Cited by 704
Cabarkapa, S., Nadjidai, S. E., Murgier, J., & Ng, C. H. (2020) · Brain, Behavior, & Immunity - Health · doi:10.1016/j.bbih.2020.100144 · Cited by 522
Trumello, C., Bramanti, S. M., Ballarotto, G., Candelori, C., Cerniglia, L., Cimino, S., Crudele, M., Lombardi, L., Pignataro, S., Viceconti, M. L., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17228358 · Cited by 419
Finstad, G. L., Giorgi, G., Lulli, L. G., Pandolfi, C., Foti, G., León-Perez, J. M., Cantero-Sánchez, F. J., & Mucci, N. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18189453 · Cited by 273
COVID-19 is having a destructive impact on health-care workers’ mental well-being
Vanhaecht, K., Seys, D., Bruyneel, L., Cox, B., Kaesemans, G., Cloet, M., den Broeck, K. V., Cools, O., Witte, A. D., Lowet, K., et al. (2020) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzaa158 · Cited by 231
Metadata
- Authors
- Babore, A., Lombardi, L., Viceconti, M. L., Pignataro, S., Marino, V., Crudele, M., Candelori, C., Bramanti, S. M., & Trumello, C.
- Affiliations
- University of Chieti-Pescara (IT)
- Corresponding author
- Trumello, Carmen
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 293
- Pages
- 113366
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC7397939
- OpenAlex
- W3046652265
- Cited by
- 427
- References
- 51
- Citations by year
- 2026: 13 · 2025: 22 · 2024: 47 · 2023: 96 · 2022: 120 · 2021: 118 · 2020: 11
- FWCI
- 34.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- COVID-19 pandemic, healthcare workers, perceived stress, coping strategies, psychological distress, risk and protective factors, social support, avoidance coping, frontline workers, gender differences
- MeSH terms
- Occupational Stress, COVID-19, SARS-CoV-2, Adaptation, Psychological, Adult, Female, Health Personnel, Humans, Italy, Male, Middle Aged, Risk Factors, Social Support, Socioeconomic Factors, Workplace, Young Adult, Pandemics
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