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            <front>

                <journal-meta>
                                                                <journal-id>eur res j</journal-id>
            <journal-title-group>
                                                                                    <journal-title>The European Research Journal</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2149-3189</issn>
                                                                                            <publisher>
                    <publisher-name>Prusa Medical Publishing</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.18621/eurj.1128240</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Psychiatry</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Psikiyatri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Do anxiety levels and attitudes towards COVID-19 vaccines among healthcare workers change after COVID-19 vaccination?</article-title>
                                                                                                                                        </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-9456-8913</contrib-id>
                                                                <name>
                                    <surname>Balaban</surname>
                                    <given-names>Hasan</given-names>
                                </name>
                                                                    <aff>Department of Psychiatry, Turkish Ministry of Health, Yalvaç State Hospital, Isparta, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-2742-1254</contrib-id>
                                                                <name>
                                    <surname>Demirdağ Çevikkan</surname>
                                    <given-names>Meltem</given-names>
                                </name>
                                                                    <aff>Department of Otorhinolaryngology, Turkish Ministry of Health, Yalvaç State Hospital, Isparta, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-9667-4525</contrib-id>
                                                                <name>
                                    <surname>Tanyeri Kayahan</surname>
                                    <given-names>Selin</given-names>
                                </name>
                                                                    <aff>Department of Psychiatry, Turkish Ministry of Health, Yalvaç State Hospital, Isparta, Turkey</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20231104">
                    <day>11</day>
                    <month>04</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>9</volume>
                                        <issue>6</issue>
                                        <fpage>1303</fpage>
                                        <lpage>1313</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20220609">
                        <day>06</day>
                        <month>09</month>
                        <year>2022</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20220905">
                        <day>09</day>
                        <month>05</month>
                        <year>2022</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2015, The European Research Journal</copyright-statement>
                    <copyright-year>2015</copyright-year>
                    <copyright-holder>The European Research Journal</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Objectives:  The COVID-19 pandemic has significant effects on the mental health of societies and individuals worldwide while especially for healthcare workers these effects pose a higher risk due to occupational exposure. COVID-19 vaccines have been a turning point in the pandemic, however concepts as vaccine hesitancy and anti-vaccination have come into question again. This study aimed to comparatively evaluate the attitudes of healthcare professionals towards the COVID-19 vaccines, their pandemic-related anxiety and phobia levels before and after vaccination.Methods:  In this cross-sectional study, the anxiety levels and attitudes towards COVID-19 vaccines of healthcare professionals working in a state hospital were evaluated by administrating Coronavirus Anxiety Scale (CAS), Coronavirus-19 Phobia Scale (CP19-S), and Attitudes Towards COVID-19 Vaccine Scale (ATV-COVID-19) to the participants both in the pre-vaccine (n = 154) and post-vaccine (n = 81) periods. All these scales were previously validates in Turkish population. 44.8% (n = 69) of pre-vaccine sample and 45.7% (n = 37) of post-vaccine sample were female and all participants were Turkish. Participants were questioned about COVID-19 symptoms during each application and kept in touch in terms of side effects.Results: One hundres fifty-four pre-vaccine and 81 post-vaccine health workers were included in the study. After the vaccination scores of CAS and CP19-S decreased significantly compared to the pre-vaccine period (p &amp;lt; 0.001 and p = 0.005, respectively); while ATV-COVID-19 scores significantly increased (p &amp;lt; 0.001). Participants did not report significant adverse events in the post-vaccine period.Conclusions:  The results of the study in the form of a decrease in anxiety and fear levels and an increase in positive attitudes towards the vaccine after vaccination suggest that vaccination may have a positive effect on the mental health of healthcare workers.</p></abstract>
                                                                                    
            
                                                            <kwd-group>
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  vaccination</kwd>
                                                    <kwd>  healthcare workers</kwd>
                                                    <kwd>  anxiety</kwd>
                                                    <kwd>  phobia</kwd>
                                                    <kwd>  vaccine hesitancy</kwd>
                                            </kwd-group>
                                                        
                                                                                                                                                    </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1. Pollard CA, Morran MP, Nestor-Kalinoski AL. The COVID-19 pandemic: a global health crisis. Physiol Genomics 2020;52:549-57.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2. World Health Organization. World Health Organization Global COVID-19 Data. Available from: https://covid19.who.int/</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3. Vahratian A, Blumberg SJ, Terlizzi EP, Schiller JS. Symptoms of anxiety or depressive disorder and use of mental health care among adults during the COVID-19 pandemic - United States, August 2020-February 2021. MMWR Morb Mortal Wkly Rep 2021;70:490-4.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4. Santarone K, McKenney M, Elkbuli A. Preserving mental health and resilience in frontline healthcare workers during COVID-19. Am J Emerg Med 2020;38:1530-1.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5. Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun 2020;88:559-65.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6. Fattori A, Cantù F, Comotti A, Tombola V, Colombo E, Nava C, et al. Hospital workers mental health during the COVID-19 pandemic: methods of data  collection and characteristics of study sample in a university hospital in Milan (Italy). BMC Med Res Methodol 2021;21:163.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7. Bryant-Genevier J, Rao CY, Lopes-Cardozo B, Kone A, Rose C, Thomas I, et al. Symptoms of depression, anxiety, post-traumatic stress disorder, and suicidal ideation among state, tribal, local, and territorial public health workers during the COVID-19 pandemic - United States, March-April 2021. MMWR Morb Mortal Wkly Rep 2021;70:947-52.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8. Hebbani AV, Pulakuntla S, Pannuru P, Aramgam S, Badri KR, Reddy VD. COVID-19: comprehensive review on mutations and current vaccines. Arch Microbiol 2021;204:8.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9. Kaplan AK, Sahin MK, Parildar H, Adadan Guvenc I. The willingness to accept the COVID-19 vaccine and affecting factors among healthcare professionals: a cross-sectional study in Turkey. Int J Clin Pract 2021;75:e14226.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10. Szmyd B, Karuga FF, Bartoszek A, Staniecka K, Siwecka N, Bartoszek A, et al. Attitude and behaviors towards SARS-CoV-2 vaccination among healthcare workers: a cross-sectional study from Poland. Vaccines (Basel) 2021;9:218.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11. Silva WAD, de Sampaio Brito TR, Pereira CR. COVID-19 anxiety scale (CAS): Development and psychometric properties. Curr Psychol 2022;41:5693-702.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12. Biçer İ, Çakmak C, Demir H, Kurt ME. Coronavirus anxiety scale short form: Turkish validity and reliability study. Anadolu Klin Tıp Bilim Derg 2020;25:216-25.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13. Geniş B. Issue 7 Perception of COVID-19 (P-COVID-19), Perception of Causes of COVID-19 (PCa-COVID-19), Perception of Control of COVID-19 (PCo-COVID-19). Humanit 2020;306:306-26.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14. Arpaci I, Karataş K, Baloğlu M. The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S). Pers Individ Dif 2020;164:110108.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15. Hao Q, Wang D, Xie M, Tang Y, Dou Y, Zhu L, et al. Prevalence and risk factors of mental mealth problems among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Front Psychiatry 2021;12:567381.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16. Ornell F, Schuch JB, Sordi AO, Kessler FHP. “Pandemic fear” and COVID-19: mental health burden and strategies. Braz Psychiatry 2020;42:232-5.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA 2020;323:2133-4.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18. Melnyk BM, Orsolini L, Tan A, Arslanian-Engoren C, Melkus GD, Dunbar-Jacob J, et al. A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness. J Occup Environ Med 2018;60:126-31.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3:e203976.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res 2020;288:112936.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21. Chen S, Aruldass AR, Cardinal RN. Mental health outcomes after SARS-CoV-2 vaccination in the United States: a national  cross-sectional study. J Affect Disord 2022;298(Pt A):396-9.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22. Haddaden M, Aldabain L, Patel N, Maharaj A, Saif A, Imam Z, et al. Health care workers attitudes toward COVID-19 vaccination and the effect on personal  and professional life. J community Hosp Intern Med Perspect 2021;11:585-9.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23. Zdziarski K, Landowski M, Zabielska P, Karakiewicz B. Subjective feelings of Polish doctors after receiving the COVID-19 vaccine. Int J Environ Res Public Health 2021;18:6291.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24. Nasir M, Zaman MA, Majumder TK, Ahmed F, Nazneen R, Omar E, et al. Perception, preventive practice, and attitude towards vaccine against COVID-19 among health care professionals in Bangladesh. Infect Drug Resist 2021;14:3531-40.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25. Turan GB, Aksoy M, Özer Z, Demir C. The association between coronaphobia and attitude towards COVID-19 vaccine: a sample in the east of Turkey. Encephale 2022;48:38-42.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26. Karayürek F, Çebi AT, Gülses A, Ayna M. The impact of covid-19 vaccination on anxiety levels of Turkish dental professionals and their attitude in clinical care: a cross-sectional study. Int J Environ Res Public Health 2021;18:10373.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27. Kennedy A, Lavail K, Nowak G, Basket M, Landry S. Confidence about vaccines in the United States: understanding parents’ perceptions. Health Aff (Millwood) 2011;30:1151-9.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28. Wang J, Jing R, Lai X, Zhang H, Lyu Y, Knoll MD, et al. Acceptance of COVID-19 vaccination during the COVID-19 pandemic in China. Vaccines (Basel) 2020;8:482.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29. Giuliani M, Ichino A, Bonomi A, Martoni R, Cammino S, Gorini A. Who is willing to get vaccinated? A study into the psychological, socio-demographic, and cultural determinants of COVID-19 vaccination intentions. Vaccines (Basel) 2021;9:810.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30. Barry M, Temsah M-H, Alhuzaimi A, Alamro N, Al-Eyadhy A, Aljamaan F, et al. COVID-19 vaccine confidence and hesitancy among health care workers: a  cross-sectional survey from a MERS-CoV experienced nation. PLoS One 2021;16:e0244415.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31. World Health Organization. Ten threats to global health in 2019. 2019.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32. Salali GD, Uysal MS. COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel  coronavirus in the UK and Turkey. Psychol Med 2020 Oct 19. doi: 10.1017/S0033291720004067</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33. Temsah M-H, Barry M, Aljamaan F, Alhuzaimi A, Al-Eyadhy A, Saddik B, et al. Adenovirus and RNA-based COVID-19 vaccines’ perceptions and acceptance among  healthcare workers in Saudi Arabia: a national survey. BMJ Open 2021;11:e048586.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34. Reiter PL, Pennell ML, Katz ML. Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine 2020;38:6500-7.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35. Akarsu B, Canbay Özdemir D, Ayhan Baser D, Aksoy H, Fidancı İ, Cankurtaran M. While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to  the future COVID-19 vaccine. Int J Clin Pract 2021;75:e13891.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36. Li M, Luo Y, Watson R, Zheng Y, Ren J, Tang J, et al. Healthcare workers’ (HCWs) attitudes and related factors towards COVID-19  vaccination: a rapid systematic review. Postgrad Med J 2021 Jun 30. doi: 10.1136/postgradmedj-2021-140195.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37. Hajure M, Tariku M, Bekele F, Abdu Z, Dule A, Mohammedhussein M, et al. Attitude towards COVID-19 vaccination among healthcare workers: a systematic review. Infect Drug Resist 2021;14:3883-97.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38. Shekhar R, Sheikh AB, Upadhyay S, Singh M, Kottewar S, Mir H, et al. COVID-19 vaccine acceptance among health care workers in the United States. Vaccines (Basel) 2021;9:119.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
