Posttraumatic Stress Symptoms and General Mental Health Problems During the COVID-19 Pandemic in Iran: A Web-Based Cross-sectional Survey

Background: The COVID-19 pandemic as a stressor can harm the community's mental health. Iran is one of the first countries to be severely affected by COVID-19 since February 2020. Objectives: This study aimed to assess the rates of COVID-19-related Posttraumatic Stress Symptoms (PTSS) and the general mental health burden among the Iranian population during the pandemic and to explore the potential influencing factors. Methods: Through a web-based cross-sectional survey, based on social media, data were collected from self-selected volunteers using a demographic information form, General Health Questionnaire-28 (GHQ-28), and Impact of Event Scale-Revised (IES-R). Results: Among 1,910 analyzed respondents, the overall prevalence of COVID-19-related PTSS and general mental health burden was 62.4 and 43.6%, respectively. Regarding mental health, the burden was greater in the social and anxiety dimensions than in the physical and depression dimensions. The prevalence of PTSS was higher in women, younger age groups, divorced/widowed individuals, people with a history of psychiatric disorders, and those who had experienced other stressful events in the last year (P-values < 0.05). Multivariable logistic regression showed that a positive history of other stressful events and the GHQ-28 score were the potential influencing factors associated with PTSS (AOR = 2.468 and 6.007, respectively; P-values < 0.001). Conclusions: The study identified a significant mental health burden and PTSS among Iranians during the COVID-19 pandemic. Continuous assessment and monitoring of the psychological consequences of pandemics should be considered in Iran and other countries.