Dimensions of emotional distress among Brazilian workers in a COVID-19 reference hospital: A factor analytical study

Table 3 Pattern matrix of rotated Oblimin solution as extracted through principal axis factoring

Description	Item	Avoidance and re-experience	Depression-anxiety	Sleep changes	Communality
I tried to remove it from my memory	IES-R-17	0.81	-0.10	0.05	0.60
I found myself acting or feeling as though I was back at that time	IES-R-14	0.79	0.03	-0.01	0.66
I was aware that I still had a lot of feelings about it, but I didn't deal with them	IES-R-12	0.79	-0.13	0.02	0.53
I tried not to think about it	IES-R-11	0.78	-0.12	0.04	0.53
Pictures about it popped into my mind	IES-R-9	0.76	0.10	0.01	0.70
I was jumpy and easily startled	IES-R-10	0.75	0.12	0.02	0.71
I tried not to talk about it	IES-R-22	0.75	-0.06	-0.03	0.48
My feelings about it were kind of numb	IES-R-13	0.72	-0.02	-0.02	0.48
I thought about it when I didn't mean to	IES-R-6	0.70	0.14	0.09	0.73
I had waves of strong feelings about it	IES-R-16	0.68	0.12	0.12	0.71
I stayed away from reminders about it	IES-R-8	0.68	-0.10	0.03	0.40
I felt watchful or on-guard	IES-R-21	0.65	0.19	0.01	0.62
I felt as if it hadn't happened or wasn't real	IES-R-7	0.62	0.05	-0.02	0.42
I avoided letting myself get upset when I thought about it or was reminded of it	IES-R-5	0.62	0.05	0.07	0.48
Other things kept making me think about it	IES-R-3	0.61	0.12	0.22	0.70
Reminders of it caused me to have physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart	IES-R-19	0.60	0.20	0.03	0.59
Any reminder brought back feelings about it	IES-R-1	0.59	0.19	0.07	0.59
I had dreams about it	IES-R-20	0.49	0.12	0.10	0.41
I had trouble concentrating	IES-R-18	0.45	0.32	0.12	0.61
I felt irritable and angry	IES-R-4	0.45	0.34	0.09	0.60
Feeling down, depressed, or hopeless	PHQ-9-2	0.01	0.84	-0.05	0.68
Feeling tired or having little energy	PHQ-9-4	-0.15	0.78	0.15	0.60
Little interest or pleasure in doing things	PHQ-9-1	-0.07	0.75	0.09	0.58
Feeling nervous, anxious, or on edge	GAD-7-1	0.06	0.74	0.02	0.63
Feeling bad about yourself - or that you are a failure or have let yourself or your family down	PHQ-9-6	0.05	0.74	-0.09	0.52
Not being able to stop or control worrying	GAD-7-2	0.16	0.72	-0.01	0.69
Becoming easily annoyed or irritable	GAD-7-6	0.11	0.72	-0.03	0.61
Trouble concentrating on things, such as reading the newspaper or watching television	PHQ-9-7	0.04	0.68	0.07	0.55
Worrying too much about different things	GAD-7-3	0.13	0.68	0.03	0.62
Trouble relaxing	GAD-7-4	0.01	0.68	0.22	0.69
Overall, based on your definition of burnout, how would you rate your level of burnout	Mini-Z	-0.05	0.67	0.05	0.45
Moving or speaking so slowly that other people could have noticed	PHQ-9-8	0.18	0.62	-0.08	0.49
Poor appetite or overeating	PHQ-9-5	0.04	0.56	0.13	0.45
Feeling afraid as if something awful might happen	GAD-7-7	0.31	0.56	-0.12	0.53
Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual	PHQ-9-9	0.02	0.49	-0.08	0.21
Being so restless that it's hard to sit still	GAD-7-5	0.27	0.46	-0.06	0.41
I had trouble falling asleep	IES-R-15	0.21	-0.03	0.81	0.85
I had trouble staying asleep	IES-R-2	0.17	0.05	0.74	0.77
Trouble falling or staying asleep, or sleeping too much	PHQ-9-3	-0.16	0.46	0.53	0.60
Eigenvalue; Explained variance (%)		10.76; 28.00	9.22; 24.00	2.50; 6.00
Total explained variance (%)		28.00	52.00	58.00

Loadings above 0.40 are typed in bold. PHQ-9: The Patient Health Questionnaire-9; GAD-7: The Generalized Anxiety Disorder-7; IES-R: The Impact of Event Scale-Revised; Mini-Z: Single-item Mini-Z Burnout Assessment.