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Also, 59% of patients reported psychological stress during the pandemic, mostly caused by the possibility of infection (31%), a changed work life and possible loss of income (23%), general pandemic-related conditions (17%), worry about physical survival (11%) and other (6%). Concerning the earthquake, the PSS significantly positively correlated with the psychological experience of the earthquake and with the intensity of sleep disturbances. To the best of our knowledge, this is the first study to specifically confirm that the COVID-19 p
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