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. 2021 Mar 9;5(3):e27107. doi: 10.2196/27107

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©Jose Joaquin Mira, Angel Cobos, Olga Martínez García, María José Bueno Domínguez, María Pilar Astier-Peña, Pastora Pérez Pérez, Irene Carrillo, Mercedes Guilabert, Virtudes Perez-Jover, Cesar Fernandez, María Asuncion Vicente, Matilde Lahera-Martin, Carmen Silvestre Busto, Susana Lorenzo Martínez, Ascension Sanchez Martinez, Jimmy Martin-Delgado, Aurora Mula, Barbara Marco-Gomez, Cristina Abad Bouzan, Carlos Aibar-Remon, Jesus Aranaz-Andres, SARS-CoV-2 Second Victims Working Group. Originally published in JMIR Formative Research (http://formative.jmir.org), 09.03.2021.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on http://formative.jmir.org, as well as this copyright and license information must be included.

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Path diagram of the confirmatory factor analysis. Standardized weights and measurement errors of each item of the Self-applied Acute Stress Scale (EASE). CFI: comparative fix index; GFI: goodness-of-fit index; RMSEA: root mean square error of approximation; V1: I can’t help but think of recent critical situations. I can't get out of work; V2: I have completely lost the taste for things that gave me peace of mind; V3: I keep my distance, I resent dealing with people, and I'm irascible even at home; V4: I feel that I am neglecting many people who need my help; V5: I have difficulty thinking and making decisions, I have many doubts, and I have entered a kind of emotional blockage; V6: I feel intense physiological reactions (shock, sweating, dizziness, shortness of breath, insomnia, etc) related to the current crisis; V7: I feel on permanent alert. I believe that my reactions now put other patients, my colleagues, or myself at risk; V8: Worrying about not getting sick causes me a strain that is hard to bear; V9: I'm afraid I'm going to infect my family; V10: I have difficulty empathizing with patients' suffering or connecting with their situation (emotional distancing and emotional anesthesia).