RT Journal Article T1 Sense of Coherence in Healthcare Workers During the COVID-19 Pandemic in Ecuador: Association With Work Engagement, Work Environment and Psychological Distress Factors A1 Gómez Salgado, Juan A1 Arias Ulloa, Cristian Arturo A1 Ortega Moreno, Mónica A1 García Iglesias, Juan Jesús A1 Escobar Segovia, Kenny A1 Ruiz Frutos, Carlos AB Objectives: The aim of this study was to test the association between the sense ofcoherence, work engagement, and psychological distress in healthcare workers inEcuador during the first phase of the COVID-19 pandemic.Methods: A cross-sectional observational study in a sample of 803 healthcareprofessionals from all regions of Ecuador between 2 April and 17 May 2020. Aself-administered questionnaire was used, which contained sociodemographicand work environment variables, the Utrecht Work Engagement Scale (UWES-9),the General Health Questionnaire (GHQ-12), and Sense of Coherence Scale(SOC-13).Results: The mean value of sense of coherence was M = 65.04; SD = 12.74; forwork engagement, it was M = 39.36; SD = 10.53; and for psychological distress, M =4.58; SD = 3.44. There is a positive correlation (p < 0.01) between the sense ofcoherence and work engagement, and a negative correlation with psychologicaldistress.Conclusion: During the pandemic in Ecuador, healthcare professionals have suffered amajor deterioration of their mental health. Sense of coherence has been associatedwith work engagement and psychological distress. They have perceived a worsening ofthe quality of care and working conditions compared to those existing beforeCOVID-19. PB Frontiers Media SN 1661-8556 SN 1661-8564 (electrónico) YR 2022 FD 2022 LK https://hdl.handle.net/10272/22074 UL https://hdl.handle.net/10272/22074 LA eng NO Gómez-Salgado J, Arias-Ulloa CA, Ortega-Moreno M, García-Iglesias JJ, Escobar-Segovia K and Ruiz-Frutos C (2022) Sense of Coherence in Healthcare Workers During the COVID- 19 Pandemic in Ecuador: Association With Work Engagement, Work Environment and Psychological Distress Factors. Int J Public Health 67:1605428. doi: 10.3389/ijph.2022.1605428 DS Repositorio Institucional de la Universidad de Huelva RD 30 may 2026