Family medicine practitioners' stress during the COVID-19 pandemic: a cross-sectional survey.
Identifieur interne : 000021 ( Main/Exploration ); précédent : 000020; suivant : 000022Family medicine practitioners' stress during the COVID-19 pandemic: a cross-sectional survey.
Auteurs : Marion Dutour [France] ; Anna Kirchhoff [France] ; Cécile Janssen [France] ; Sabine Meleze [France] ; Hélène Chevalier [France] ; Sandrine Levy-Amon [France] ; Marc-Antoine Detrez [France] ; Emilie Piet [France] ; Tristan Delory [France]Source :
- BMC family practice [ 1471-2296 ] ; 2021.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Attitude du personnel soignant (MeSH), Auto-évaluation diagnostique (MeSH), Concept du soi (MeSH), Contrôle des maladies transmissibles (instrumentation), Contrôle des maladies transmissibles (organisation et administration), Exposition professionnelle (effets indésirables), Exposition professionnelle (prévention et contrôle), Femelle (MeSH), France (épidémiologie), Humains (MeSH), Mâle (MeSH), Médecins généralistes (psychologie), Médecins généralistes (statistiques et données numériques), Santé au travail (tendances), Stress psychologique (diagnostic), Stress psychologique (épidémiologie), Stress psychologique (étiologie), Transmission de maladie infectieuse (prévention et contrôle), Équipement de protection individuelle (ressources et distribution), Études transversales (MeSH).
- MESH :
- diagnostic : Stress psychologique.
- effets indésirables : Exposition professionnelle.
- organisation et administration : Contrôle des maladies transmissibles.
- prévention et contrôle : Exposition professionnelle, Transmission de maladie infectieuse.
- psychologie : Médecins généralistes.
- ressources et distribution : Équipement de protection individuelle.
- statistiques et données numériques : Médecins généralistes.
- tendances : Santé au travail.
- épidémiologie : Contrôle des maladies transmissibles, France, Stress psychologique.
- étiologie : Stress psychologique.
- Adulte, Attitude du personnel soignant, Auto-évaluation diagnostique, Concept du soi, Femelle, Humains, Mâle, Études transversales.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult (MeSH), Attitude of Health Personnel (MeSH), COVID-19 (epidemiology), COVID-19 (prevention & control), COVID-19 (psychology), Communicable Disease Control (instrumentation), Communicable Disease Control (organization & administration), Cross-Sectional Studies (MeSH), Diagnostic Self Evaluation (MeSH), Disease Transmission, Infectious (prevention & control), Female (MeSH), France (epidemiology), General Practitioners (psychology), General Practitioners (statistics & numerical data), Humans (MeSH), Male (MeSH), Occupational Exposure (adverse effects), Occupational Exposure (prevention & control), Occupational Health (trends), Personal Protective Equipment (supply & distribution), SARS-CoV-2 (MeSH), Self Concept (MeSH), Stress, Psychological (diagnosis), Stress, Psychological (epidemiology), Stress, Psychological (etiology).
- MESH :
- geographic , epidemiology : France.
- adverse effects : Occupational Exposure.
- diagnosis : Stress, Psychological.
- epidemiology : COVID-19, Stress, Psychological.
- etiology : Stress, Psychological.
- instrumentation : Communicable Disease Control.
- organization & administration : Communicable Disease Control.
- prevention & control : COVID-19, Disease Transmission, Infectious, Occupational Exposure.
- psychology : COVID-19, General Practitioners.
- statistics & numerical data : General Practitioners.
- supply & distribution : Personal Protective Equipment.
- trends : Occupational Health.
- Adult, Attitude of Health Personnel, Cross-Sectional Studies, Diagnostic Self Evaluation, Female, Humans, Male, SARS-CoV-2, Self Concept.
Abstract
BACKGROUND
The COVID-19 pandemic has shaken the world in early 2020. In France, General Practitioners (GPs) were not involved in the care organization's decision-making process before and during the first wave of the COVID-19 pandemic. This omission could have generated stress for GPs. We aimed first to estimate the self-perception of stress as defined by the 10-item Perceived Stress Score (PSS-10), at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes, a french administrative area severely impacted by COVID-19. Second, we aimed to identify factors associated with a self-perceived stress (PSS-10 ≥ 27) among socio-demographic characteristics of GPs, their access to reliable information and to personal protective equipment during the pandemic, and their exposure to well established psychosocial risk at work.
METHODS
We conducted an online cross-sectional survey between 8th April and 10th May 2020. The self-perception of stress was evaluated using the PSS-10, so to see the proportion of "not stressed" (≤20), "borderline" (21 ≤ PSS-10 ≤ 26), and "stressed" (≥27) GPs. The agreement to 31 positive assertions related to possible sources of stress identified by the scientific study committee was measured using a 10-point numeric scale. In complete cases, factors associated with stress (PSS-10 ≥ 27) were investigated using logistic regression, adjusted on gender, age and practice location. A supplementary analysis of the verbatims was made.
RESULTS
Overall, 898 individual answers were collected, of which 879 were complete. A total of 437 GPs (49%) were stressed (PSS-10 ≥ 27), and 283 GPs (32%) had a very high level of stress (PSS-10 ≥ 30). Self-perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements. However, in this context of health crisis, the primary source of stress was the diversity and quantity of information from diverse sources (614 GPs (69%, OR = 2.21, 95%CI [1.40-3.50], p < 0.001). Analysis of verbatims revealed that GPs felt isolated in a hospital-based model.
CONCLUSION
The first wave of the pandemic was a source of stress for GPs. The diversity and quantity of information received from the health authorities were among the main sources of stress.
DOI: 10.1186/s12875-021-01382-3
PubMed: 33583410
PubMed Central: PMC7882249
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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xml:lang="fr">France</country><wicri:regionArea>Infectious disease department, Annecy-Genevois hospital, Annecy</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Annecy</settlement></placeName></affiliation></author><author><name sortKey="Kirchhoff, Anna" sort="Kirchhoff, Anna" uniqKey="Kirchhoff A" first="Anna" last="Kirchhoff">Anna Kirchhoff</name><affiliation wicri:level="3"><nlm:affiliation>Infectious disease department, Annecy-Genevois hospital, Annecy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious disease department, Annecy-Genevois hospital, Annecy</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Annecy</settlement></placeName></affiliation></author><author><name sortKey="Janssen, Cecile" sort="Janssen, Cecile" uniqKey="Janssen C" 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Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Detrez, Marc Antoine" sort="Detrez, Marc Antoine" uniqKey="Detrez M" first="Marc-Antoine" last="Detrez">Marc-Antoine Detrez</name><affiliation wicri:level="3"><nlm:affiliation>Clinical research unit, Annecy-Genevois hospital, Annecy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Clinical research unit, Annecy-Genevois hospital, Annecy</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Annecy</settlement></placeName></affiliation></author><author><name sortKey="Piet, Emilie" sort="Piet, Emilie" uniqKey="Piet E" first="Emilie" last="Piet">Emilie Piet</name><affiliation wicri:level="3"><nlm:affiliation>Infectious disease department, Annecy-Genevois hospital, Annecy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious disease department, Annecy-Genevois hospital, Annecy</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Annecy</settlement></placeName></affiliation></author><author><name sortKey="Delory, Tristan" sort="Delory, Tristan" uniqKey="Delory T" first="Tristan" last="Delory">Tristan Delory</name><affiliation wicri:level="1"><nlm:affiliation>Institut national d'études démographiques (Ined), UR 14, Aubervillers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut national d'études démographiques (Ined), UR 14, Aubervillers</wicri:regionArea><wicri:noRegion>Aubervillers</wicri:noRegion><wicri:noRegion>Aubervillers</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Clinical research unit, Annecy-Genevois hospital, Annecy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Clinical research unit, Annecy-Genevois hospital, Annecy</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Annecy</settlement></placeName></affiliation></author></analytic><series><title level="j">BMC family practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Attitude of Health Personnel (MeSH)</term><term>COVID-19 (epidemiology)</term><term>COVID-19 (prevention & control)</term><term>COVID-19 (psychology)</term><term>Communicable Disease Control (instrumentation)</term><term>Communicable Disease Control (organization & administration)</term><term>Cross-Sectional Studies (MeSH)</term><term>Diagnostic Self Evaluation (MeSH)</term><term>Disease Transmission, Infectious (prevention & control)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>General Practitioners (psychology)</term><term>General Practitioners (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Occupational Exposure (adverse effects)</term><term>Occupational Exposure (prevention & control)</term><term>Occupational Health (trends)</term><term>Personal Protective Equipment (supply & distribution)</term><term>SARS-CoV-2 (MeSH)</term><term>Self Concept (MeSH)</term><term>Stress, Psychological (diagnosis)</term><term>Stress, Psychological (epidemiology)</term><term>Stress, Psychological (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Attitude du personnel soignant (MeSH)</term><term>Auto-évaluation diagnostique (MeSH)</term><term>Concept du soi (MeSH)</term><term>Contrôle des maladies transmissibles (instrumentation)</term><term>Contrôle des maladies transmissibles (organisation et administration)</term><term>Exposition professionnelle (effets indésirables)</term><term>Exposition professionnelle (prévention et contrôle)</term><term>Femelle (MeSH)</term><term>France (épidémiologie)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Médecins généralistes (psychologie)</term><term>Médecins généralistes (statistiques et données numériques)</term><term>Santé au travail (tendances)</term><term>Stress psychologique (diagnostic)</term><term>Stress psychologique (épidémiologie)</term><term>Stress psychologique (étiologie)</term><term>Transmission de maladie infectieuse (prévention et contrôle)</term><term>Équipement de protection individuelle (ressources et distribution)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Occupational Exposure</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Exposition professionnelle</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>COVID-19</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Contrôle des maladies transmissibles</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>COVID-19</term><term>Disease Transmission, Infectious</term><term>Occupational Exposure</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Exposition professionnelle</term><term>Transmission de maladie infectieuse</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Médecins généralistes</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>COVID-19</term><term>General Practitioners</term></keywords><keywords scheme="MESH" qualifier="ressources et distribution" xml:lang="fr"><term>Équipement de protection individuelle</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>General Practitioners</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Médecins généralistes</term></keywords><keywords scheme="MESH" qualifier="supply & distribution" xml:lang="en"><term>Personal Protective Equipment</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Santé au travail</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Occupational Health</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Contrôle des maladies transmissibles</term><term>France</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Stress psychologique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Cross-Sectional Studies</term><term>Diagnostic Self Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>SARS-CoV-2</term><term>Self Concept</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Attitude du personnel soignant</term><term>Auto-évaluation diagnostique</term><term>Concept du soi</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The COVID-19 pandemic has shaken the world in early 2020. In France, General Practitioners (GPs) were not involved in the care organization's decision-making process before and during the first wave of the COVID-19 pandemic. This omission could have generated stress for GPs. We aimed first to estimate the self-perception of stress as defined by the 10-item Perceived Stress Score (PSS-10), at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes, a french administrative area severely impacted by COVID-19. Second, we aimed to identify factors associated with a self-perceived stress (PSS-10 ≥ 27) among socio-demographic characteristics of GPs, their access to reliable information and to personal protective equipment during the pandemic, and their exposure to well established psychosocial risk at work.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted an online cross-sectional survey between 8th April and 10th May 2020. The self-perception of stress was evaluated using the PSS-10, so to see the proportion of "not stressed" (≤20), "borderline" (21 ≤ PSS-10 ≤ 26), and "stressed" (≥27) GPs. The agreement to 31 positive assertions related to possible sources of stress identified by the scientific study committee was measured using a 10-point numeric scale. In complete cases, factors associated with stress (PSS-10 ≥ 27) were investigated using logistic regression, adjusted on gender, age and practice location. A supplementary analysis of the verbatims was made.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Overall, 898 individual answers were collected, of which 879 were complete. A total of 437 GPs (49%) were stressed (PSS-10 ≥ 27), and 283 GPs (32%) had a very high level of stress (PSS-10 ≥ 30). Self-perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements. However, in this context of health crisis, the primary source of stress was the diversity and quantity of information from diverse sources (614 GPs (69%, OR = 2.21, 95%CI [1.40-3.50], p < 0.001). Analysis of verbatims revealed that GPs felt isolated in a hospital-based model.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The first wave of the pandemic was a source of stress for GPs. The diversity and quantity of information received from the health authorities were among the main sources of stress.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">33583410</PMID><DateCompleted><Year>2021</Year><Month>02</Month><Day>23</Day></DateCompleted><DateRevised><Year>2021</Year><Month>02</Month><Day>23</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2296</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>1</Issue><PubDate><Year>2021</Year><Month>02</Month><Day>14</Day></PubDate></JournalIssue><Title>BMC family practice</Title><ISOAbbreviation>BMC Fam Pract</ISOAbbreviation></Journal><ArticleTitle>Family medicine practitioners' stress during the COVID-19 pandemic: a cross-sectional survey.</ArticleTitle><Pagination><MedlinePgn>36</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12875-021-01382-3</ELocationID><Abstract><AbstractText Label="BACKGROUND">The COVID-19 pandemic has shaken the world in early 2020. In France, General Practitioners (GPs) were not involved in the care organization's decision-making process before and during the first wave of the COVID-19 pandemic. This omission could have generated stress for GPs. We aimed first to estimate the self-perception of stress as defined by the 10-item Perceived Stress Score (PSS-10), at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes, a french administrative area severely impacted by COVID-19. Second, we aimed to identify factors associated with a self-perceived stress (PSS-10 ≥ 27) among socio-demographic characteristics of GPs, their access to reliable information and to personal protective equipment during the pandemic, and their exposure to well established psychosocial risk at work.</AbstractText><AbstractText Label="METHODS">We conducted an online cross-sectional survey between 8th April and 10th May 2020. The self-perception of stress was evaluated using the PSS-10, so to see the proportion of "not stressed" (≤20), "borderline" (21 ≤ PSS-10 ≤ 26), and "stressed" (≥27) GPs. The agreement to 31 positive assertions related to possible sources of stress identified by the scientific study committee was measured using a 10-point numeric scale. In complete cases, factors associated with stress (PSS-10 ≥ 27) were investigated using logistic regression, adjusted on gender, age and practice location. A supplementary analysis of the verbatims was made.</AbstractText><AbstractText Label="RESULTS">Overall, 898 individual answers were collected, of which 879 were complete. A total of 437 GPs (49%) were stressed (PSS-10 ≥ 27), and 283 GPs (32%) had a very high level of stress (PSS-10 ≥ 30). Self-perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements. However, in this context of health crisis, the primary source of stress was the diversity and quantity of information from diverse sources (614 GPs (69%, OR = 2.21, 95%CI [1.40-3.50], p < 0.001). Analysis of verbatims revealed that GPs felt isolated in a hospital-based model.</AbstractText><AbstractText Label="CONCLUSION">The first wave of the pandemic was a source of stress for GPs. The diversity and quantity of information received from the health authorities were among the main sources of stress.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dutour</LastName><ForeName>Marion</ForeName><Initials>M</Initials><Identifier Source="ORCID">0000-0001-9414-8812</Identifier><AffiliationInfo><Affiliation>Infectious disease department, Annecy-Genevois hospital, Annecy, France. marion.dutour@etu.univ-grenoble-alpes.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kirchhoff</LastName><ForeName>Anna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Infectious disease department, Annecy-Genevois hospital, Annecy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Janssen</LastName><ForeName>Cécile</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Infectious disease department, Annecy-Genevois hospital, Annecy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meleze</LastName><ForeName>Sabine</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Institut national d'études démographiques (Ined), UR 14, Aubervillers, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chevalier</LastName><ForeName>Hélène</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Helene Chevalier Conseils, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Levy-Amon</LastName><ForeName>Sandrine</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Stimulus, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Detrez</LastName><ForeName>Marc-Antoine</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Clinical research unit, Annecy-Genevois hospital, Annecy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Piet</LastName><ForeName>Emilie</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Infectious disease department, Annecy-Genevois hospital, Annecy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delory</LastName><ForeName>Tristan</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Institut national d'études démographiques (Ined), UR 14, Aubervillers, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical research unit, Annecy-Genevois hospital, Annecy, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>02</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Fam Pract</MedlineTA><NlmUniqueID>100967792</NlmUniqueID><ISSNLinking>1471-2296</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="Y">COVID-19</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003140" MajorTopicYN="Y">Communicable Disease Control</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059026" MajorTopicYN="N">Diagnostic Self Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018562" MajorTopicYN="N">Disease Transmission, Infectious</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058005" MajorTopicYN="Y">General Practitioners</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016273" MajorTopicYN="Y">Occupational Exposure</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016272" MajorTopicYN="N">Occupational Health</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000067393" MajorTopicYN="N">Personal Protective Equipment</DescriptorName><QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="Y">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="Y">Stress, Psychological</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">Cross-sectional survey</Keyword><Keyword MajorTopicYN="Y">General practitioners</Keyword><Keyword MajorTopicYN="Y">Pandemics</Keyword><Keyword MajorTopicYN="Y">Stress</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>10</Month><Day>03</Day></PubMedPubDate><PubMedPubDate 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sort="Delory, Tristan" uniqKey="Delory T" first="Tristan" last="Delory">Tristan Delory</name><name sortKey="Detrez, Marc Antoine" sort="Detrez, Marc Antoine" uniqKey="Detrez M" first="Marc-Antoine" last="Detrez">Marc-Antoine Detrez</name><name sortKey="Janssen, Cecile" sort="Janssen, Cecile" uniqKey="Janssen C" first="Cécile" last="Janssen">Cécile Janssen</name><name sortKey="Kirchhoff, Anna" sort="Kirchhoff, Anna" uniqKey="Kirchhoff A" first="Anna" last="Kirchhoff">Anna Kirchhoff</name><name sortKey="Levy Amon, Sandrine" sort="Levy Amon, Sandrine" uniqKey="Levy Amon S" first="Sandrine" last="Levy-Amon">Sandrine Levy-Amon</name><name sortKey="Meleze, Sabine" sort="Meleze, Sabine" uniqKey="Meleze S" first="Sabine" last="Meleze">Sabine Meleze</name><name sortKey="Piet, Emilie" sort="Piet, Emilie" uniqKey="Piet E" first="Emilie" last="Piet">Emilie Piet</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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