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Post-traumatic stress disorder (PTSD) is a common postpartum problem and influences maternal bonding with the infant. However, the relationship between this disorder, maternal personality, and the infant's emotional state during feeding is not clear. The aim of the present study was to explore the contribution of neuroticism on the infant's emotional state during feeding, by attending to the mediating role of postpartum PTSD (P-PTSD) symptoms and the moderating role of worries during pregnancy. A prospective design study was developed with 120 women with a low pregnancy risk. They responded to a questionnaire assessing maternal personality (first trimester), worries during pregnancy (third trimester), P-PTSD symptoms, and mother-baby bonding (4 months postpartum). The results showed a positive association among neuroticism, infant irritability during feeding, and P-PTSD symptoms, suggesting the latter plays a mediating role in the relationship between neuroticism and infant irritability (B = 0.102, standard error (SE) = 0.03, 95% coefficient interval (CI) [0.038, 0.176]). Excessive worries, related to coping with infant care, played a moderating role between neuroticism and P-PTSD symptoms (B = 0.413, SE = 0.084, p = 0.006, 95% CI [0.245, 0.581]). This relationship was interfered with by depressive symptoms in the first trimester (covariate) (B = 1.820, SE = 0.420, p = 0.016, ci [2.314, 0.251]). This study contributes to a better understanding of the role of neuroticism as an influential factor in the occurrence of P-PTSD symptoms, and in the impairment of infant bonding during feeding. Paying attention to these factors may favor the development of psychological support programs for mothers, with the aim of strengthening the bond with their child.

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The aim of this research is to analyze the role that children play between fear of contagion and distress in intensive care unit (ICU) nurses during the COVID-19 pandemic, taking into account possible work stressors. Cross-sectional study using an online survey. The selection of the sample was carried out by means of a non-probabilistic sampling for convenience, sending the link to professionals of the Spanish healthcare system who had been in contact with COVID-19 patients. Social networks were also used. Data was collected from May to July 2020. Mothers were selected from among the female nurses for participation in this study. The sample was composed of 283 female nurses working in critical care during the COVID-19 pandemic. Distress levels were significantly lower (F = 2.372, p = .048) in women with children over the age of 16 (M = 8.26, SD = 4.44) than in those without them (M = 10.30;DT = 3.75) (cohabitants). No differences were observed in worries about contagion between nurses with children (either under or over 16 years of age) and without children at home. The regression analysis found significant direct positive contributions of worries about contagion (p = .025) and the presence of children living at home (p = .033) on distress levels. We found a moderating effect of having children over 16 years old living at home in this relationship (ß = 2.198, t = 2.422, p = .016, 95 percentCI = .406-3.992). Our results suggest higher levels of distress in ICU nurses who are working-mothers during COVID-19 pandemic. Living at home with children over 16 years of age has a moderating effect. Our study results point to the need to create action protocols that prepare the health system for outbreaks including early care actions with special emphasis on higher risk groups.

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Objetivo: conocer la predisposición del personal sanitario a la vacunación contra el SARS-CoV-2 y sus razones para ello. Método: estudio transversal mediante encuesta online realizada entre diciembre de 2020 y febrero de 2021. Profesionales del sistema sanitario español pertenecientes a cualquier categoría que hubieran trabajado atendiendo a pacientes con COVID-19 desde marzo de 2020, tanto en el ámbito hospitalario como extrahospitalario, incluyendo Atención Primaria. Muestreo no probabilístico. Cuestionario ad hoc: características de la muestra, preocupación por el contagio y predisposición a la vacunación frente al COVID-19. Análisis descriptivo. Resultados: participaron 834 profesionales sanitarios. La predisposición para la vacunación frente al SARS-CoV-2 fue elevada (92% de los encuestados se administrarían la vacuna). Las principales razones fueron la preocupación por el contagio de familiares y por el contagio propio, seguido por la necesidad de finalizar con la pandemia actual lo antes posible. La decisión de administrarse o no la vacuna solo se ve estadísticamente influenciada por la categoría profesional y el sexo, siendo enfermeras y médicos los porcentajes más altos que han afirmado que sí se administrarían la vacuna, así como los hombres. Conclusiones: a través de este estudio se evidencia la predisposición positiva del personal sanitario hacia las vacunas actuales frente al SARS-CoV-2. Además, casi la totalidad de los profesionales sanitarios encuestados tienen una elevada preocupación por la posibilidad de contagiar la enfermedad a un familiar, o ante la probabilidad del contagio propio. No influye en la decisión de administrarse la vacuna si en el momento actual dichos profesionales estaban trabajando con pacientes COVID-19 positivos.(AU)

Objective: to understand the disposition among healthcare staff to be vaccinated against SARS-CoV-2 and their reasons for it. Method: a cross-sectional study through online survey conducted between December 2020 and February 2021. The study included professionals from the Spanish Health System belonging to any category who had managed COVID-19 patients from March 2020, both in the hospital and the community settings, including Primary Care. Non-probabilistic sampling, and ad hoc questionnaire: sample characteristics, concern about contagion, and willingness to be vaccinated against COVID-19. Descriptive analysis. Results: the study included 834 healthcare professionals. There was a high disposition to be vaccinated against SARS-CoV-2 (92% of the participants would receive the vaccine). The main reasons were concern about getting infected and infecting their relatives, followed by the need to end up the current pandemics as soon as possible. The decision of receiving the vaccine or not was only statistically influenced by professional category and gender, with nurses and doctors as well as men presenting the highest rates claiming that they would receive the vaccine. Conclusions: this study showed the positive disposition of the healthcare staff towards current vaccines against SARS-CoV-2. Moreover, almost all healthcare professionals involved showed high concern for the possibility to infect a relative with the disease, or the possibility of becoming infected. The fact that said professionals were working with patients positive for COVID-19 at that time had no impact on their decision to receive the vaccine.(AU)

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BACKGROUND: The severe acute respiratory syndrome coronavirus 2 outbreak has been identified as a pandemic and global health emergency. It presents as a severe acute respiratory disease. The rapid dissemination of the disease created challenges for healthcare systems and forced healthcare workers (HCWs) to deal with many clinical and nonclinical stresses. The aim of our research is to describe work conditions, symptoms experienced by HCWs, worries about contagion, and generalized anxiety symptoms and compare those findings across regions in Spain. METHODS: This cross-sectional study was conducted using an online survey. Critical care units throughout Spain were included. The sample comprised HCWs working in intensive care units from March to May 2020. We assessed work variables, physical symptoms, worries about contagion, and anxiety (generalized anxiety disorder-7 questionnaire). RESULTS: The final sample comprised 448 surveys. Among the respondents, 86.9% (n=389) were nursing professionals, and 84.8% (n=380) were women. All participants cared for coronavirus disease 2019 (COVID-19) patients during the study period. Workload during the pandemic in Madrid was judged to be higher than in other regions (P<0.01). The availability of personal protective equipment was found to be higher in Cataluña. The most frequently experienced symptom was headaches (78.1%). Worries about self-infection and the possibility of infecting others received mean scores of 3.11 and 3.75, respectively. Mean scores for generalized anxiety levels were 11.02, with 58.7% of the professionals presenting with generalized anxiety syndrome during the assessment. CONCLUSIONS: In this study, we found high levels of anxiety among HCWs caring directly for COVID-19 patients, which could produce long-term psychological alterations that still need to be assessed.