AUTHOR=Gonzalez Mendez Maria Jose , Ma Li , Alvarado Ruben , Ramirez Jorge , Xu Kun-Peng , Xu Hui-Fang , Zhang Shao-Kai , Bangura Mohamed S. , Yang Ying , Yu Yan-Qin , Zhang Xi , Wang Wenjun , Gu Xiaofen , Li Li , Salah Didier Sama , Qiao Youlin TITLE=A Multi-Center Study on the Negative Psychological Impact and Associated Factors in Chinese Healthcare Workers 1 Year After the COVID-19 Initial Outbreak JOURNAL=International Journal of Public Health VOLUME=Volume 67 - 2022 YEAR=2022 URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604979 DOI=10.3389/ijph.2022.1604979 ISSN=1661-8564 ABSTRACT=Healthcare workers (HCWs) might be among the most affected populations due to an increased work burden during the COVID-19 pandemic. The current cross-sectional study analyzed the prevalence of five psychological outcomes (depression, anxiety, stress, PTSD, and suicidal ideation) of HCWs from health centers in seven Chinese regions and measured the total possible negative psychological impact one year after the COVID-19 initial outbreak, identifying the main variables and risk factors associated with this impact. In total, 1263 participants were enrolled in this study. The current findings demonstrated that after one year of the initial outbreak, 43.5% of the participants had symptoms of at least one mental health problem. Moreover, we found 33.4% of anxiety, 26.8% of depression, 14.7% of stress, 10.1% of PTSD, and 8.3% of participants with suicidal thoughts. In addition, nurses showed higher scores on the scales of depression and stress. Using a passive coping style, long working hours during the outbreak, having experienced violence as a health worker during the pandemic, close contact with COVID-19 cases, and having a chronic disease diagnosis increased the risk of psychological impairment.