ABSTRACT
Introduction: The COVID-19 crisis will have an undeniable impact on the population´s emotional health. The present study aims to shed light to the psychosocial impact on the Spanish health centres workers during the first and second wave of COVID-19 and possible preventive measures to minimize it. Materials and Methods: Literature review (Pubmed, SCOPUS and Cochrane Library Plus);statistical analysis of the 2019 National Labour Force Survey;41 semi-structured interviews. Results: The review shows that the group most at risk is made of women, nurses or low qualified professionals, aged between 20-30 years, work experience <5 years and without previous crisis training. Working in first line impact on mental health leads to a higher prevalence of anxiety, depression, and post-traumatic stress disorder. There are several preventive interventions to be implemented, including those based on peer support and resilience training. The semi-structured interviews confirmed consequences compatible with bibliographic findings and allowed to deepen into the knowledge of the sector´s preventive system. Conclusions: Working in health centres during the pandemic gives rise to psychosocial risks that require a specialized approach. Exposure to these risks at the workplace can lead to negative effects on people's physical and mental health so that preventive measures are required. Mental health surveillance is key for an early detection and addressing the damage caused by the pandemic. The commitment of managers, middle managers and prevention service´s heads to psychosocial health is essential for the success of preventive actions.