Sabouhi Sadegh, Vaezi Atefeh, Sharbafchi Mohammad Reza, Aerni Amanda, Bentz Dorothee, Coynel David, de Quervain Dominique, Fehlmann Bernhard, Freytag Virginie, Gerhards Christiane, Papassotiropoulos Andreas, Schicktanz Nathalie, Schlitt Thomas, Zimmer Anja, Zuber Priska, Amini Ehssan
Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2022 Oct 11;13:129. doi: 10.4103/ijpvm.ijpvm_281_21. eCollection 2022.
To assess the psychological consequences of changes during the coronavirus 2019 (COVID-19) pandemic in the Iranian population.
We performed an anonymous online survey in the first 3 weeks of March 2020. Individuals older than 14 who could read Persian, and lived in Iran, were eligible for the study. The participants had to rate their stress levels and depressive symptoms (using a nine-item Patient Health Questionnaire PHQ-9) during the last 2 weeks and before the pandemic retrospectively. The changes in the psychological measurements and their association with the sociodemographic factors and burdens due to confinement were assessed.
Overall, among the 3,210 subjects who participated in our study, both the stress levels and average depression scores increased. However, about 23% of the subjects reported a decrease in their stress levels. The burden of childcare, restrictions in private life, and thoughts about the future were positively correlated with the changes in the stress levels and depression scores (|r| > 0.15). However, feeling relieved in the pandemic condition, and enjoying more family time were associated with less change in the stress and depression scores. Being religious (odds ratio [OR] [CI]: 1.5 [1.3-1-8]) and older age (OR [CI]: 2.9 [1.8-4.6] for >55 years old) were identified as the resilience factors, whereas being a student (OR [CI]: 2.1 [1.6;2.7]), seeking a job (OR [CI]: 2.6 [1.8;3.9]), and history of a psychiatric disorder (OR [CI]: 3.2 [2.6;4]) were identified as the risk factors for depression.
The stress levels and depressive symptoms have increased during the COVID-19 pandemic and this increase is related to different social and personal burdens due to the confinement conditions.
评估2019年冠状病毒病（COVID-19）大流行期间伊朗人群变化带来的心理影响。
我们于2020年3月的前三周进行了一项匿名在线调查。年龄在14岁以上、能阅读波斯语且居住在伊朗的个人符合本研究条件。参与者必须回顾性地对过去两周以及大流行之前的压力水平和抑郁症状进行评分（使用九项患者健康问卷PHQ-9）。评估心理测量指标的变化及其与社会人口学因素和因隔离导致的负担之间的关联。
总体而言，在参与我们研究的3210名受试者中，压力水平和平均抑郁得分均有所增加。然而，约23%的受试者报告其压力水平有所下降。育儿负担、私生活受限以及对未来的担忧与压力水平和抑郁得分的变化呈正相关（|r|>0.15）。然而，在大流行状态下感到轻松以及享受更多家庭时光与压力和抑郁得分变化较小相关。宗教信仰（优势比[OR][CI]：1.5[1.3 - 1.8]）和较高年龄（55岁以上者的OR[CI]：2.9[1.8 - 4.6]）被确定为恢复力因素，而学生身份（OR[CI]：2.1[1.6；2.7]）、求职（OR[CI]：2.6[1.8；3.9]）以及精神疾病史（OR[CI]：3.2[2.6；4]）被确定为抑郁的风险因素。
在COVID-19大流行期间，压力水平和抑郁症状有所增加，且这种增加与因隔离条件导致的不同社会和个人负担有关。
