A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak
Identifieur interne : 001009 ( Ncbi/Merge ); précédent : 001008; suivant : 001010A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak
Auteurs : Nicholas W. S. Chew [Singapour] ; Grace K. H. Lee [Singapour] ; Benjamin Y. Q. Tan [Singapour] ; Mingxue Jing [Singapour] ; Yihui Goh [Singapour] ; Nicholas J. H. Ngiam [Singapour] ; Leonard L. L. Yeo [Singapour] ; Aftab Ahmad [Singapour] ; Faheem Ahmed Khan [Singapour] ; Ganesh Napolean Shanmugam [Singapour] ; Arvind K. Sharma [Inde] ; R. N. Komalkumar [Inde] ; P. V. Meenakshi [Inde] ; Kenam Shah [Inde] ; Bhargesh Patel [Inde] ; Bernard P. L. Chan [Singapour] ; Sibi Sunny [Singapour] ; Bharatendu Chandra [Singapour] ; Jonathan J. Y. Ong [Singapour] ; Prakash R. Paliwal [Singapour] ; Lily Y. H. Wong [Singapour] ; Renarebecca Sagayanathan [Singapour] ; Jin Tao Chen [Singapour] ; Alison Ying Ying Ng [Singapour] ; Hock Luen Teoh [Singapour] ; Georgios Tsivgoulis [États-Unis] ; Cyrus S. Ho [Singapour] ; Roger C. Ho [Singapour] ; Vijay K. Sharma [Singapour]Source :
- Brain, Behavior, and Immunity [ 0889-1591 ] ; 2020.
Abstract
Commonly reported symptoms are headache, throat pain and lethargy. A large number of healthcare workers report more than four symptoms. Those with physical symptoms had higher rates of depression, anxiety, stress, PTSD. Those with physical symptoms had higher mean scores in the IES-R, DASS subscales. Association between physical symptoms and psychological outcomes may be bidirectional.
Url:
DOI: 10.1016/j.bbi.2020.04.049
PubMed: 32330593
PubMed Central: 7172854
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<author><name sortKey="Yeo, Leonard L L" sort="Yeo, Leonard L L" uniqKey="Yeo L" first="Leonard L. L." last="Yeo">Leonard L. L. Yeo</name>
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<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmad, Aftab" sort="Ahmad, Aftab" uniqKey="Ahmad A" first="Aftab" last="Ahmad">Aftab Ahmad</name>
<affiliation wicri:level="1"><nlm:aff id="af020">Department of Neurology, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmed Khan, Faheem" sort="Ahmed Khan, Faheem" uniqKey="Ahmed Khan F" first="Faheem" last="Ahmed Khan">Faheem Ahmed Khan</name>
<affiliation wicri:level="1"><nlm:aff id="af025">Department of Intensive Care Medicine, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Intensive Care Medicine, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Napolean Shanmugam, Ganesh" sort="Napolean Shanmugam, Ganesh" uniqKey="Napolean Shanmugam G" first="Ganesh" last="Napolean Shanmugam">Ganesh Napolean Shanmugam</name>
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<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sharma, Arvind K" sort="Sharma, Arvind K" uniqKey="Sharma A" first="Arvind K." last="Sharma">Arvind K. Sharma</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Komalkumar, R N" sort="Komalkumar, R N" uniqKey="Komalkumar R" first="R. N." last="Komalkumar">R. N. Komalkumar</name>
<affiliation wicri:level="1"><nlm:aff id="af035">Department of Neurology, Yashoda Hospital, Secunderabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Yashoda Hospital, Secunderabad</wicri:regionArea>
<wicri:noRegion>Secunderabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Meenakshi, P V" sort="Meenakshi, P V" uniqKey="Meenakshi P" first="P. V." last="Meenakshi">P. V. Meenakshi</name>
<affiliation wicri:level="1"><nlm:aff id="af040">Department of Neurology, SMS Hospital, Erode, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, SMS Hospital, Erode</wicri:regionArea>
<wicri:noRegion>Erode</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shah, Kenam" sort="Shah, Kenam" uniqKey="Shah K" first="Kenam" last="Shah">Kenam Shah</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Patel, Bhargesh" sort="Patel, Bhargesh" uniqKey="Patel B" first="Bhargesh" last="Patel">Bhargesh Patel</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chan, Bernard P L" sort="Chan, Bernard P L" uniqKey="Chan B" first="Bernard P. L." last="Chan">Bernard P. L. Chan</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sunny, Sibi" sort="Sunny, Sibi" uniqKey="Sunny S" first="Sibi" last="Sunny">Sibi Sunny</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chandra, Bharatendu" sort="Chandra, Bharatendu" uniqKey="Chandra B" first="Bharatendu" last="Chandra">Bharatendu Chandra</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ong, Jonathan J Y" sort="Ong, Jonathan J Y" uniqKey="Ong J" first="Jonathan J. Y." last="Ong">Jonathan J. Y. Ong</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Paliwal, Prakash R" sort="Paliwal, Prakash R" uniqKey="Paliwal P" first="Prakash R." last="Paliwal">Prakash R. Paliwal</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wong, Lily Y H" sort="Wong, Lily Y H" uniqKey="Wong L" first="Lily Y. H." last="Wong">Lily Y. H. Wong</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sagayanathan, Renarebecca" sort="Sagayanathan, Renarebecca" uniqKey="Sagayanathan R" first="Renarebecca" last="Sagayanathan">Renarebecca Sagayanathan</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chen, Jin Tao" sort="Chen, Jin Tao" uniqKey="Chen J" first="Jin Tao" last="Chen">Jin Tao Chen</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ying Ng, Alison Ying" sort="Ying Ng, Alison Ying" uniqKey="Ying Ng A" first="Alison Ying" last="Ying Ng">Alison Ying Ying Ng</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Teoh, Hock Luen" sort="Teoh, Hock Luen" uniqKey="Teoh H" first="Hock Luen" last="Teoh">Hock Luen Teoh</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tsivgoulis, Georgios" sort="Tsivgoulis, Georgios" uniqKey="Tsivgoulis G" first="Georgios" last="Tsivgoulis">Georgios Tsivgoulis</name>
<affiliation wicri:level="2"><nlm:aff id="af045">Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, “Attikon” University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, “Attikon” University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN</wicri:regionArea>
<placeName><region type="state">Tennessee</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ho, Cyrus S" sort="Ho, Cyrus S" uniqKey="Ho C" first="Cyrus S." last="Ho">Cyrus S. Ho</name>
<affiliation wicri:level="4"><nlm:aff id="af050">Department of Psychological Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Ho, Roger C" sort="Ho, Roger C" uniqKey="Ho R" first="Roger C." last="Ho">Roger C. Ho</name>
<affiliation wicri:level="4"><nlm:aff id="af050">Department of Psychological Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="af055">Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Institute of Health Innovation and Technology (iHealthtech), National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K." last="Sharma">Vijay K. Sharma</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Brain, Behavior, and Immunity</title>
<idno type="ISSN">0889-1591</idno>
<idno type="eISSN">1090-2139</idno>
<imprint><date when="2020">2020</date>
</imprint>
</series>
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<front><div type="abstract" xml:lang="en"><title>Highlights</title>
<p><list list-type="simple" id="l0005"><list-item id="o0005"><label>•</label>
<p id="p0005">Commonly reported symptoms are headache, throat pain and lethargy.</p>
</list-item>
<list-item id="o0010"><label>•</label>
<p id="p0010">A large number of healthcare workers report more than four symptoms.</p>
</list-item>
<list-item id="o0015"><label>•</label>
<p id="p0015">Those with physical symptoms had higher rates of depression, anxiety, stress, PTSD.</p>
</list-item>
<list-item id="o0020"><label>•</label>
<p id="p0020">Those with physical symptoms had higher mean scores in the IES-R, DASS subscales.</p>
</list-item>
<list-item id="o0025"><label>•</label>
<p id="p0025">Association between physical symptoms and psychological outcomes may be bidirectional.</p>
</list-item>
</list>
</p>
</div>
</front>
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</TEI>
<double pmid="32330593"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak</title>
<author><name sortKey="Chew, Nicholas W S" sort="Chew, Nicholas W S" uniqKey="Chew N" first="Nicholas W. S." last="Chew">Nicholas W. S. Chew</name>
<affiliation wicri:level="1"><nlm:aff id="af005">Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Grace K H" sort="Lee, Grace K H" uniqKey="Lee G" first="Grace K. H." last="Lee">Grace K. H. Lee</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Tan, Benjamin Y Q" sort="Tan, Benjamin Y Q" uniqKey="Tan B" first="Benjamin Y. Q." last="Tan">Benjamin Y. Q. Tan</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jing, Mingxue" sort="Jing, Mingxue" uniqKey="Jing M" first="Mingxue" last="Jing">Mingxue Jing</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Goh, Yihui" sort="Goh, Yihui" uniqKey="Goh Y" first="Yihui" last="Goh">Yihui Goh</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ngiam, Nicholas J H" sort="Ngiam, Nicholas J H" uniqKey="Ngiam N" first="Nicholas J. H." last="Ngiam">Nicholas J. H. Ngiam</name>
<affiliation wicri:level="1"><nlm:aff id="af005">Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yeo, Leonard L L" sort="Yeo, Leonard L L" uniqKey="Yeo L" first="Leonard L. L." last="Yeo">Leonard L. L. Yeo</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmad, Aftab" sort="Ahmad, Aftab" uniqKey="Ahmad A" first="Aftab" last="Ahmad">Aftab Ahmad</name>
<affiliation wicri:level="1"><nlm:aff id="af020">Department of Neurology, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmed Khan, Faheem" sort="Ahmed Khan, Faheem" uniqKey="Ahmed Khan F" first="Faheem" last="Ahmed Khan">Faheem Ahmed Khan</name>
<affiliation wicri:level="1"><nlm:aff id="af025">Department of Intensive Care Medicine, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Intensive Care Medicine, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Napolean Shanmugam, Ganesh" sort="Napolean Shanmugam, Ganesh" uniqKey="Napolean Shanmugam G" first="Ganesh" last="Napolean Shanmugam">Ganesh Napolean Shanmugam</name>
<affiliation wicri:level="1"><nlm:aff id="af020">Department of Neurology, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sharma, Arvind K" sort="Sharma, Arvind K" uniqKey="Sharma A" first="Arvind K." last="Sharma">Arvind K. Sharma</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Komalkumar, R N" sort="Komalkumar, R N" uniqKey="Komalkumar R" first="R. N." last="Komalkumar">R. N. Komalkumar</name>
<affiliation wicri:level="1"><nlm:aff id="af035">Department of Neurology, Yashoda Hospital, Secunderabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Yashoda Hospital, Secunderabad</wicri:regionArea>
<wicri:noRegion>Secunderabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Meenakshi, P V" sort="Meenakshi, P V" uniqKey="Meenakshi P" first="P. V." last="Meenakshi">P. V. Meenakshi</name>
<affiliation wicri:level="1"><nlm:aff id="af040">Department of Neurology, SMS Hospital, Erode, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, SMS Hospital, Erode</wicri:regionArea>
<wicri:noRegion>Erode</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shah, Kenam" sort="Shah, Kenam" uniqKey="Shah K" first="Kenam" last="Shah">Kenam Shah</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Patel, Bhargesh" sort="Patel, Bhargesh" uniqKey="Patel B" first="Bhargesh" last="Patel">Bhargesh Patel</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chan, Bernard P L" sort="Chan, Bernard P L" uniqKey="Chan B" first="Bernard P. L." last="Chan">Bernard P. L. Chan</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sunny, Sibi" sort="Sunny, Sibi" uniqKey="Sunny S" first="Sibi" last="Sunny">Sibi Sunny</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chandra, Bharatendu" sort="Chandra, Bharatendu" uniqKey="Chandra B" first="Bharatendu" last="Chandra">Bharatendu Chandra</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ong, Jonathan J Y" sort="Ong, Jonathan J Y" uniqKey="Ong J" first="Jonathan J. Y." last="Ong">Jonathan J. Y. Ong</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Paliwal, Prakash R" sort="Paliwal, Prakash R" uniqKey="Paliwal P" first="Prakash R." last="Paliwal">Prakash R. Paliwal</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wong, Lily Y H" sort="Wong, Lily Y H" uniqKey="Wong L" first="Lily Y. H." last="Wong">Lily Y. H. Wong</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sagayanathan, Renarebecca" sort="Sagayanathan, Renarebecca" uniqKey="Sagayanathan R" first="Renarebecca" last="Sagayanathan">Renarebecca Sagayanathan</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chen, Jin Tao" sort="Chen, Jin Tao" uniqKey="Chen J" first="Jin Tao" last="Chen">Jin Tao Chen</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ying Ng, Alison Ying" sort="Ying Ng, Alison Ying" uniqKey="Ying Ng A" first="Alison Ying" last="Ying Ng">Alison Ying Ying Ng</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Teoh, Hock Luen" sort="Teoh, Hock Luen" uniqKey="Teoh H" first="Hock Luen" last="Teoh">Hock Luen Teoh</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tsivgoulis, Georgios" sort="Tsivgoulis, Georgios" uniqKey="Tsivgoulis G" first="Georgios" last="Tsivgoulis">Georgios Tsivgoulis</name>
<affiliation wicri:level="2"><nlm:aff id="af045">Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, “Attikon” University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, “Attikon” University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN</wicri:regionArea>
<placeName><region type="state">Tennessee</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ho, Cyrus S" sort="Ho, Cyrus S" uniqKey="Ho C" first="Cyrus S." last="Ho">Cyrus S. Ho</name>
<affiliation wicri:level="4"><nlm:aff id="af050">Department of Psychological Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Ho, Roger C" sort="Ho, Roger C" uniqKey="Ho R" first="Roger C." last="Ho">Roger C. Ho</name>
<affiliation wicri:level="4"><nlm:aff id="af050">Department of Psychological Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="af055">Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Institute of Health Innovation and Technology (iHealthtech), National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K." last="Sharma">Vijay K. Sharma</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
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<idno type="doi">10.1016/j.bbi.2020.04.049</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak</title>
<author><name sortKey="Chew, Nicholas W S" sort="Chew, Nicholas W S" uniqKey="Chew N" first="Nicholas W. S." last="Chew">Nicholas W. S. Chew</name>
<affiliation wicri:level="1"><nlm:aff id="af005">Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Grace K H" sort="Lee, Grace K H" uniqKey="Lee G" first="Grace K. H." last="Lee">Grace K. H. Lee</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Tan, Benjamin Y Q" sort="Tan, Benjamin Y Q" uniqKey="Tan B" first="Benjamin Y. Q." last="Tan">Benjamin Y. Q. Tan</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jing, Mingxue" sort="Jing, Mingxue" uniqKey="Jing M" first="Mingxue" last="Jing">Mingxue Jing</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Goh, Yihui" sort="Goh, Yihui" uniqKey="Goh Y" first="Yihui" last="Goh">Yihui Goh</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ngiam, Nicholas J H" sort="Ngiam, Nicholas J H" uniqKey="Ngiam N" first="Nicholas J. H." last="Ngiam">Nicholas J. H. Ngiam</name>
<affiliation wicri:level="1"><nlm:aff id="af005">Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yeo, Leonard L L" sort="Yeo, Leonard L L" uniqKey="Yeo L" first="Leonard L. L." last="Yeo">Leonard L. L. Yeo</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmad, Aftab" sort="Ahmad, Aftab" uniqKey="Ahmad A" first="Aftab" last="Ahmad">Aftab Ahmad</name>
<affiliation wicri:level="1"><nlm:aff id="af020">Department of Neurology, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmed Khan, Faheem" sort="Ahmed Khan, Faheem" uniqKey="Ahmed Khan F" first="Faheem" last="Ahmed Khan">Faheem Ahmed Khan</name>
<affiliation wicri:level="1"><nlm:aff id="af025">Department of Intensive Care Medicine, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Intensive Care Medicine, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Napolean Shanmugam, Ganesh" sort="Napolean Shanmugam, Ganesh" uniqKey="Napolean Shanmugam G" first="Ganesh" last="Napolean Shanmugam">Ganesh Napolean Shanmugam</name>
<affiliation wicri:level="1"><nlm:aff id="af020">Department of Neurology, Ng Teng Fong General Hospital, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sharma, Arvind K" sort="Sharma, Arvind K" uniqKey="Sharma A" first="Arvind K." last="Sharma">Arvind K. Sharma</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Komalkumar, R N" sort="Komalkumar, R N" uniqKey="Komalkumar R" first="R. N." last="Komalkumar">R. N. Komalkumar</name>
<affiliation wicri:level="1"><nlm:aff id="af035">Department of Neurology, Yashoda Hospital, Secunderabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Yashoda Hospital, Secunderabad</wicri:regionArea>
<wicri:noRegion>Secunderabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Meenakshi, P V" sort="Meenakshi, P V" uniqKey="Meenakshi P" first="P. V." last="Meenakshi">P. V. Meenakshi</name>
<affiliation wicri:level="1"><nlm:aff id="af040">Department of Neurology, SMS Hospital, Erode, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, SMS Hospital, Erode</wicri:regionArea>
<wicri:noRegion>Erode</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shah, Kenam" sort="Shah, Kenam" uniqKey="Shah K" first="Kenam" last="Shah">Kenam Shah</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Patel, Bhargesh" sort="Patel, Bhargesh" uniqKey="Patel B" first="Bhargesh" last="Patel">Bhargesh Patel</name>
<affiliation wicri:level="1"><nlm:aff id="af030">Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chan, Bernard P L" sort="Chan, Bernard P L" uniqKey="Chan B" first="Bernard P. L." last="Chan">Bernard P. L. Chan</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sunny, Sibi" sort="Sunny, Sibi" uniqKey="Sunny S" first="Sibi" last="Sunny">Sibi Sunny</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chandra, Bharatendu" sort="Chandra, Bharatendu" uniqKey="Chandra B" first="Bharatendu" last="Chandra">Bharatendu Chandra</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ong, Jonathan J Y" sort="Ong, Jonathan J Y" uniqKey="Ong J" first="Jonathan J. Y." last="Ong">Jonathan J. Y. Ong</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Paliwal, Prakash R" sort="Paliwal, Prakash R" uniqKey="Paliwal P" first="Prakash R." last="Paliwal">Prakash R. Paliwal</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wong, Lily Y H" sort="Wong, Lily Y H" uniqKey="Wong L" first="Lily Y. H." last="Wong">Lily Y. H. Wong</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sagayanathan, Renarebecca" sort="Sagayanathan, Renarebecca" uniqKey="Sagayanathan R" first="Renarebecca" last="Sagayanathan">Renarebecca Sagayanathan</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chen, Jin Tao" sort="Chen, Jin Tao" uniqKey="Chen J" first="Jin Tao" last="Chen">Jin Tao Chen</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ying Ng, Alison Ying" sort="Ying Ng, Alison Ying" uniqKey="Ying Ng A" first="Alison Ying" last="Ying Ng">Alison Ying Ying Ng</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Teoh, Hock Luen" sort="Teoh, Hock Luen" uniqKey="Teoh H" first="Hock Luen" last="Teoh">Hock Luen Teoh</name>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tsivgoulis, Georgios" sort="Tsivgoulis, Georgios" uniqKey="Tsivgoulis G" first="Georgios" last="Tsivgoulis">Georgios Tsivgoulis</name>
<affiliation wicri:level="2"><nlm:aff id="af045">Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, “Attikon” University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, “Attikon” University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN</wicri:regionArea>
<placeName><region type="state">Tennessee</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ho, Cyrus S" sort="Ho, Cyrus S" uniqKey="Ho C" first="Cyrus S." last="Ho">Cyrus S. Ho</name>
<affiliation wicri:level="4"><nlm:aff id="af050">Department of Psychological Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Ho, Roger C" sort="Ho, Roger C" uniqKey="Ho R" first="Roger C." last="Ho">Roger C. Ho</name>
<affiliation wicri:level="4"><nlm:aff id="af050">Department of Psychological Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="af055">Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Institute of Health Innovation and Technology (iHealthtech), National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K." last="Sharma">Vijay K. Sharma</name>
<affiliation wicri:level="4"><nlm:aff id="af010">Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af015">Division of Neurology, Department of Medicine, National University Health System, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Brain, Behavior, and Immunity</title>
<idno type="ISSN">0889-1591</idno>
<idno type="eISSN">1090-2139</idno>
<imprint><date when="2020">2020</date>
</imprint>
</series>
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<front><div type="abstract" xml:lang="en"><title>Highlights</title>
<p><list list-type="simple" id="l0005"><list-item id="o0005"><label>•</label>
<p id="p0005">Commonly reported symptoms are headache, throat pain and lethargy.</p>
</list-item>
<list-item id="o0010"><label>•</label>
<p id="p0010">A large number of healthcare workers report more than four symptoms.</p>
</list-item>
<list-item id="o0015"><label>•</label>
<p id="p0015">Those with physical symptoms had higher rates of depression, anxiety, stress, PTSD.</p>
</list-item>
<list-item id="o0020"><label>•</label>
<p id="p0020">Those with physical symptoms had higher mean scores in the IES-R, DASS subscales.</p>
</list-item>
<list-item id="o0025"><label>•</label>
<p id="p0025">Association between physical symptoms and psychological outcomes may be bidirectional.</p>
</list-item>
</list>
</p>
</div>
</front>
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</pmc>
<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak.</title>
<author><name sortKey="Chew, Nicholas W S" sort="Chew, Nicholas W S" uniqKey="Chew N" first="Nicholas W S" last="Chew">Nicholas W S. Chew</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Grace K H" sort="Lee, Grace K H" uniqKey="Lee G" first="Grace K H" last="Lee">Grace K H. Lee</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Tan, Benjamin Y Q" sort="Tan, Benjamin Y Q" uniqKey="Tan B" first="Benjamin Y Q" last="Tan">Benjamin Y Q. Tan</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Jing, Mingxue" sort="Jing, Mingxue" uniqKey="Jing M" first="Mingxue" last="Jing">Mingxue Jing</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Goh, Yihui" sort="Goh, Yihui" uniqKey="Goh Y" first="Yihui" last="Goh">Yihui Goh</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ngiam, Nicholas J H" sort="Ngiam, Nicholas J H" uniqKey="Ngiam N" first="Nicholas J H" last="Ngiam">Nicholas J H. Ngiam</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yeo, Leonard L L" sort="Yeo, Leonard L L" uniqKey="Yeo L" first="Leonard L L" last="Yeo">Leonard L L. Yeo</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Ahmad, Aftab" sort="Ahmad, Aftab" uniqKey="Ahmad A" first="Aftab" last="Ahmad">Aftab Ahmad</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Ng Teng Fong General Hospital, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmed Khan, Faheem" sort="Ahmed Khan, Faheem" uniqKey="Ahmed Khan F" first="Faheem" last="Ahmed Khan">Faheem Ahmed Khan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care Medicine, Ng Teng Fong General Hospital, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Intensive Care Medicine, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Napolean Shanmugam, Ganesh" sort="Napolean Shanmugam, Ganesh" uniqKey="Napolean Shanmugam G" first="Ganesh" last="Napolean Shanmugam">Ganesh Napolean Shanmugam</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Ng Teng Fong General Hospital, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sharma, Arvind K" sort="Sharma, Arvind K" uniqKey="Sharma A" first="Arvind K" last="Sharma">Arvind K. Sharma</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Komalkumar, R N" sort="Komalkumar, R N" uniqKey="Komalkumar R" first="R N" last="Komalkumar">R N Komalkumar</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Yashoda Hospital, Secunderabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Yashoda Hospital, Secunderabad</wicri:regionArea>
<wicri:noRegion>Secunderabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Meenakshi, P V" sort="Meenakshi, P V" uniqKey="Meenakshi P" first="P V" last="Meenakshi">P V Meenakshi</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, SMS Hospital, Erode, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, SMS Hospital, Erode</wicri:regionArea>
<wicri:noRegion>Erode</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shah, Kenam" sort="Shah, Kenam" uniqKey="Shah K" first="Kenam" last="Shah">Kenam Shah</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Patel, Bhargesh" sort="Patel, Bhargesh" uniqKey="Patel B" first="Bhargesh" last="Patel">Bhargesh Patel</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chan, Bernard P L" sort="Chan, Bernard P L" uniqKey="Chan B" first="Bernard P L" last="Chan">Bernard P L. Chan</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sunny, Sibi" sort="Sunny, Sibi" uniqKey="Sunny S" first="Sibi" last="Sunny">Sibi Sunny</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chandra, Bharatendu" sort="Chandra, Bharatendu" uniqKey="Chandra B" first="Bharatendu" last="Chandra">Bharatendu Chandra</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ong, Jonathan J Y" sort="Ong, Jonathan J Y" uniqKey="Ong J" first="Jonathan J Y" last="Ong">Jonathan J Y. Ong</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Paliwal, Prakash R" sort="Paliwal, Prakash R" uniqKey="Paliwal P" first="Prakash R" last="Paliwal">Prakash R. Paliwal</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wong, Lily Y H" sort="Wong, Lily Y H" uniqKey="Wong L" first="Lily Y H" last="Wong">Lily Y H. Wong</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sagayanathan, Renarebecca" sort="Sagayanathan, Renarebecca" uniqKey="Sagayanathan R" first="Renarebecca" last="Sagayanathan">Renarebecca Sagayanathan</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chen, Jin Tao" sort="Chen, Jin Tao" uniqKey="Chen J" first="Jin Tao" last="Chen">Jin Tao Chen</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ying Ng, Alison Ying" sort="Ying Ng, Alison Ying" uniqKey="Ying Ng A" first="Alison Ying" last="Ying Ng">Alison Ying Ying Ng</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Teoh, Hock Luen" sort="Teoh, Hock Luen" uniqKey="Teoh H" first="Hock Luen" last="Teoh">Hock Luen Teoh</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tsivgoulis, Georgios" sort="Tsivgoulis, Georgios" uniqKey="Tsivgoulis G" first="Georgios" last="Tsivgoulis">Georgios Tsivgoulis</name>
<affiliation wicri:level="2"><nlm:affiliation>Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN, United States.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN</wicri:regionArea>
<placeName><region type="state">Tennessee</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ho, Cyrus S" sort="Ho, Cyrus S" uniqKey="Ho C" first="Cyrus S" last="Ho">Cyrus S. Ho</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, National University of Singapore, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Ho, Roger C" sort="Ho, Roger C" uniqKey="Ho R" first="Roger C" last="Ho">Roger C. Ho</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K" last="Sharma">Vijay K. Sharma</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System, Singapore. Electronic address: Vijay_Kumar_SHARMA@nuhs.edu.sg.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2020">2020</date>
<idno type="RBID">pubmed:32330593</idno>
<idno type="pmid">32330593</idno>
<idno type="doi">10.1016/j.bbi.2020.04.049</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak.</title>
<author><name sortKey="Chew, Nicholas W S" sort="Chew, Nicholas W S" uniqKey="Chew N" first="Nicholas W S" last="Chew">Nicholas W S. Chew</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Grace K H" sort="Lee, Grace K H" uniqKey="Lee G" first="Grace K H" last="Lee">Grace K H. Lee</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Tan, Benjamin Y Q" sort="Tan, Benjamin Y Q" uniqKey="Tan B" first="Benjamin Y Q" last="Tan">Benjamin Y Q. Tan</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Jing, Mingxue" sort="Jing, Mingxue" uniqKey="Jing M" first="Mingxue" last="Jing">Mingxue Jing</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Goh, Yihui" sort="Goh, Yihui" uniqKey="Goh Y" first="Yihui" last="Goh">Yihui Goh</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ngiam, Nicholas J H" sort="Ngiam, Nicholas J H" uniqKey="Ngiam N" first="Nicholas J H" last="Ngiam">Nicholas J H. Ngiam</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yeo, Leonard L L" sort="Yeo, Leonard L L" uniqKey="Yeo L" first="Leonard L L" last="Yeo">Leonard L L. Yeo</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Ahmad, Aftab" sort="Ahmad, Aftab" uniqKey="Ahmad A" first="Aftab" last="Ahmad">Aftab Ahmad</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Ng Teng Fong General Hospital, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ahmed Khan, Faheem" sort="Ahmed Khan, Faheem" uniqKey="Ahmed Khan F" first="Faheem" last="Ahmed Khan">Faheem Ahmed Khan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care Medicine, Ng Teng Fong General Hospital, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Intensive Care Medicine, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Napolean Shanmugam, Ganesh" sort="Napolean Shanmugam, Ganesh" uniqKey="Napolean Shanmugam G" first="Ganesh" last="Napolean Shanmugam">Ganesh Napolean Shanmugam</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Ng Teng Fong General Hospital, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Neurology, Ng Teng Fong General Hospital</wicri:regionArea>
<wicri:noRegion>Ng Teng Fong General Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sharma, Arvind K" sort="Sharma, Arvind K" uniqKey="Sharma A" first="Arvind K" last="Sharma">Arvind K. Sharma</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Komalkumar, R N" sort="Komalkumar, R N" uniqKey="Komalkumar R" first="R N" last="Komalkumar">R N Komalkumar</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Yashoda Hospital, Secunderabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Yashoda Hospital, Secunderabad</wicri:regionArea>
<wicri:noRegion>Secunderabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Meenakshi, P V" sort="Meenakshi, P V" uniqKey="Meenakshi P" first="P V" last="Meenakshi">P V Meenakshi</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, SMS Hospital, Erode, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, SMS Hospital, Erode</wicri:regionArea>
<wicri:noRegion>Erode</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shah, Kenam" sort="Shah, Kenam" uniqKey="Shah K" first="Kenam" last="Shah">Kenam Shah</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Patel, Bhargesh" sort="Patel, Bhargesh" uniqKey="Patel B" first="Bhargesh" last="Patel">Bhargesh Patel</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Neurology, Zydus Hospital and BJ Hospital, Ahmedabad</wicri:regionArea>
<wicri:noRegion>Ahmedabad</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chan, Bernard P L" sort="Chan, Bernard P L" uniqKey="Chan B" first="Bernard P L" last="Chan">Bernard P L. Chan</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sunny, Sibi" sort="Sunny, Sibi" uniqKey="Sunny S" first="Sibi" last="Sunny">Sibi Sunny</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chandra, Bharatendu" sort="Chandra, Bharatendu" uniqKey="Chandra B" first="Bharatendu" last="Chandra">Bharatendu Chandra</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ong, Jonathan J Y" sort="Ong, Jonathan J Y" uniqKey="Ong J" first="Jonathan J Y" last="Ong">Jonathan J Y. Ong</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Paliwal, Prakash R" sort="Paliwal, Prakash R" uniqKey="Paliwal P" first="Prakash R" last="Paliwal">Prakash R. Paliwal</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wong, Lily Y H" sort="Wong, Lily Y H" uniqKey="Wong L" first="Lily Y H" last="Wong">Lily Y H. Wong</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sagayanathan, Renarebecca" sort="Sagayanathan, Renarebecca" uniqKey="Sagayanathan R" first="Renarebecca" last="Sagayanathan">Renarebecca Sagayanathan</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chen, Jin Tao" sort="Chen, Jin Tao" uniqKey="Chen J" first="Jin Tao" last="Chen">Jin Tao Chen</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ying Ng, Alison Ying" sort="Ying Ng, Alison Ying" uniqKey="Ying Ng A" first="Alison Ying" last="Ying Ng">Alison Ying Ying Ng</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Teoh, Hock Luen" sort="Teoh, Hock Luen" uniqKey="Teoh H" first="Hock Luen" last="Teoh">Hock Luen Teoh</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<wicri:noRegion>National University Health System</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tsivgoulis, Georgios" sort="Tsivgoulis, Georgios" uniqKey="Tsivgoulis G" first="Georgios" last="Tsivgoulis">Georgios Tsivgoulis</name>
<affiliation wicri:level="2"><nlm:affiliation>Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN, United States.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece and The University of Tennessee Health Science Center, Memphis, TN</wicri:regionArea>
<placeName><region type="state">Tennessee</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ho, Cyrus S" sort="Ho, Cyrus S" uniqKey="Ho C" first="Cyrus S" last="Ho">Cyrus S. Ho</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, National University of Singapore, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Ho, Roger C" sort="Ho, Roger C" uniqKey="Ho R" first="Roger C" last="Ho">Roger C. Ho</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Psychological Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K" last="Sharma">Vijay K. Sharma</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System, Singapore. Electronic address: Vijay_Kumar_SHARMA@nuhs.edu.sg.</nlm:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurology, Department of Medicine, National University Health System</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
</analytic>
<series><title level="j">Brain, behavior, and immunity</title>
<idno type="eISSN">1090-2139</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Since the declaration of the coronavirus 2019 (COVID-19) outbreak as pandemic, there are reports on the increased prevalence of physical symptoms observed in the general population. We investigated the association between psychological outcomes and physical symptoms among healthcare workers.</div>
</front>
</TEI>
</pubmed>
</double>
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