id author title date pages extension mime words sentences flesch summary cache txt cord-304208-jwlc8fxj Vagni, Monia Coping With COVID-19: Emergency Stress, Secondary Trauma and Self-Efficacy in Healthcare and Emergency Workers in Italy 2020-09-03 .txt text/plain 8630 360 48 Hence, this study explores the relationship between coping strategies used by healthcare and emergency workers in Italy to manage the stress factors related to the COVID-19 emergency, which may result in the risk of developing secondary trauma. As regards the stress that they experience, the literature clearly explains that healthcare and emergency workers who intervene in emergency situations are exposed to the risk of developing dysfunctional reactions that can be identified at different levelsphysical and/or physiological (e.g., psychosomatic disorders, sleep/wake cycle alterations, and sense of tiredness); emotional (e.g., irritability, nervousness, agitation, anger, low self-esteem, and guilt); cognitive (e.g., distractibility, sense of ineffectiveness, and negative anticipation of events); and relational (e.g., increase in conflicts within emergency teams and/or with their organization/institution, and social withdrawal)-and may also develop reactions from secondary trauma (Del Missier et al., 2008; Sbattella, 2009; Argentero and Setti, 2011; Fraccaroli and Balducci, 2011; Bellelli and Di Schiena, 2012; Walton et al., 2020) . ./cache/cord-304208-jwlc8fxj.txt ./txt/cord-304208-jwlc8fxj.txt