Arch Iran Med. 2022;25(4): 201-208.
doi: 10.34172/aim.2022.35
  Abstract View: 392
  PDF Download: 344


Original Article

Survey on Mental Health Status in Iranian Population Aged 15 and Above One Year after the Outbreak of COVID-19 Disease: A Population-Based Study

Ahmad Ali Noorbala 1 ORCID logo, Azam Maleki 2 ORCID logo, Seyed Abbas Bagheri Yazdi 3 ORCID logo, Elham Faghihzadeh 4 ORCID logo, Zarrintag Hoseinzadeh 2 ORCID logo, Marzieh Hajibabaei 1 ORCID logo, Seyedeh Elham Sharafi 1 ORCID logo, Koorosh Kamali 2* ORCID logo

1 Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
2 Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran
3 Department of Mental Health, Ministry of Health and Medical Education of Iran, Tehran, Iran
4 Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
*Corresponding Author: Corresponding Author: Koorosh Kamali, PhD; Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran. Email: , Email: drkamali@zums.ac.ir


Background: Mental disorders are the most common health problems that affect different population groups. According to the national survey in 2015 based on General Health Questionnaire-28 (GHQ-28), 23.44% of Iranians older than 15 years were suspected of having a mental disorder. The study aimed to determine the mental health status of the population over 15 years of age in the Islamic Republic of Iran, one year after the outbreak of COVID-19 in 2020.

Methods: The population-based study was performed on 24584 individuals over 15 years of age in Iran between December and February, 2020. The GHQ-28 was completed through telephone interviews. Data were analyzed using descriptive statistics, chi-square test, independent t-test, and multiple logistic regression at 95% confidence level.

Results: The results showed that the mean age of participants was 44.18±16.47 years. The prevalence of mental disorders was 29.7%. Mental disorder was associated with female gender (OR=1.195, 95% CI 1.10–1.29), 25–44 years (OR=1.206, 95% CI 1.06–1.36), urban life (OR=1.116, 95% CI 1.04–1.19), illiteracy (OR=1.286, 95% CI 1.11–1.48), being divorced (OR=1.924, 95% CI 1.50– 2.45), and unemployment (OR=1.657, 95% CI 1.40–1.94). Among the participants and their families, 14.7% and 32.3% were infected with the disease, respectively. The COVID-19 mortality rate in their families was 13.2%. The prevalence of mental disorders in infected people (40% vs. 27.3%) and bereaved families (39.6% vs. 35.3%) was more than the non-infected groups.

Conclusion: Our results showed that in Iran, the mental health of the general population had a rising trend compared to 2015, especially in people infected with COVID-19 and bereaved families. The observed difference may be due to the prevalence of the COVID-19 epidemic and rapid demographic, social, and economic changes in Iran. Planning to improve mental health in the mentioned population should be considered for the post COVID-19 era.

Cite this article as: Noorbala AA, Maleki A, Bagheri Yazdi SA, Faghihzadeh E, Hosseinzadeh Z, Hajibabaei M, et al. Survey on mental health status in Iranian population aged 15 and above one year after the outbreak of COVID-19 disease: a populationbased study. Arch Iran Med. 2022;25(4):201–208. doi: 10.34172/aim.2022.35
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Submitted: 16 Oct 2021
Revision: 19 Jan 2022
Accepted: 26 Jan 2022
ePublished: 01 Apr 2022
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