Background: Coronavirus pandemic can cause unprecedented global anxiety and in contrast, resilience can help people's mental health in stressful situations. This study aims to assess anxiety, hyperarousal stress, resilience of the Iranian population and their related factors during the coronavirus disease 2019 )COVID-19( epidemic. Methods: A cross-sectional study was conducted in 31 provinces in Iran in the second week of March 2020 from 18 March to 25 March when the epidemic started. A four-part questionnaire, including demographic information, the State-Trait Anxiety Inventory (a 20-item standard questionnaire for obvious anxiety-(STAI-y1)), the Connor-Davidson Resilience Scale (CD-RISC- a 25-item) and stress hyperarousal subscale from the Impact of Event Scale-Revised (IES-R) was used to collect data. The ordinal multivariable Generalized Estimating Equations (GEE) model was used to identify correlates of the psychological factors mentioned above. The Chi-squared test was used to investigate the relationship between covid-19 outbreak with anxiety, stress and resilience. all analyses were conducted with SPSS26 and GIS10.71. Results: The findings show that most people had moderate to severe anxiety (80.17%), and a high level of resilience (96.4%) during the COVID 19 epidemic. The majority of participants had moderate stress (58.9%). The lowest and highest prevalence of psychiatric disorders was in Sistan & Baluchistan and Semnan provinces, respectively. Gender (Male) and marital status (single and being widowed/ Divorced) were the only variables statistically significantly associated with anxiety and resilience. Age, gender and education were statistically significantly associated with hyperarousal stress. Have Conclusion: The high and moderate levels of anxiety and stress in Iran can have negative effects on people's well-being and performance and can lead to serious problems. Also, high resilience and negative life events are associated with well-being in people's lives. The results of this study can be used in interventions and other psychological studies.

中文翻译：

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COVID-19 流行期间持续焦虑、过度警觉压力和复原力的预测因素：伊朗的一项国家研究。

背景：冠状病毒大流行可能会引起前所未有的全球焦虑，相比之下，复原力可以帮助人们在压力情况下保持心理健康。本研究旨在评估2019冠状病毒病（COVID-19）流行期间伊朗民众的焦虑、过度警觉压力、恢复力及其相关因素。方法：2019年第二周在伊朗31个省份进行了一项横断面研究。 2020年3月，疫情爆发时的3月18日至3月25日。四部分问卷，包括人口统计信息、状态-特质焦虑量表（明显焦虑的20项标准问卷-(STAI-y1)）、康纳-使用戴维森复原力量表（CD-RISC- 25 项）和事件影响量表修订版 (IES-R) 中的压力过度警觉分量表来收集数据。使用序数多变量广义估计方程 (GEE) 模型来识别上述心理因素的相关性。采用卡方检验来调查covid-19爆发与焦虑、压力和复原力之间的关系。所有分析均使用SPSS26和GIS10.71进行。结果：研究结果显示，大多数人在 COVID 19 疫情期间，他们有中度至重度焦虑（80.17%），并且具有较高的复原力（96.4%）。大多数参与者有中等压力（58.9%）。精神疾病患病率最低和最高的地区分别是锡斯坦和俾路支省以及塞姆南省。性别（男性）和婚姻状况（单身和丧偶/离婚）是唯一与焦虑和心理弹性显着相关的变量。年龄、性别和教育程度与过度警觉压力有统计学显着相关性。结论：伊朗的高度和中度焦虑和压力会对人们的福祉和表现产生负面影响，并可能导致严重的问题。此外，高复原力和消极生活事件与人们的生活幸福感相关。这项研究的结果可用于干预措施和其他心理学研究。