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Introduction: The worldwide emergence of COVID-19 has been associated with diverse consequences, including anxiety. Hope is believed to act as a motivation to enable one to cope with the anxiety. This study was conducted to identify the role of hope in alleviating anxiety due to the COVID-19 outbreak during the primary phase among community dwellers in Iran. Methods: This cross-sectional study recruited 3,565 subjects with the convenience sampling method. Data collection tools used included the COVID-19 knowledge checklist, Generalised Anxiety Disorder (GAD-7) questionnaires and Snyder Hope Scale. Participants were asked to fill in the questionnaires online. The data were analysed using descriptive and inferential statistics (multivariate linear regression analysis). Results: Participants’ mean scores of anxiety and hope were 6.06±4.52 and 31.27±4.52, respectively. The results indicated that 27.1% of the changes in the anxiety scores were predictable with some of the variables examined in this study. A high score of hope was directly associated with a lower level of anxiety. In addition, the number of hours spent following news and information on COVID-19 was significantly related to anxiety level. Moreover, female gender, urban residence, and having relatives suffering from COVID-19 were significantly related to a higher level of anxiety (P<0.05). Conclusion: The morbidity and mortality associated with the COVID-19 outbreak had brought a lot of anxiety among community dwellers. Hope, potentially, can contribute to overcoming anxiety. Therefore, health policymakers can introduce appropriate social interventions to enable the community to cope with stress and anxiety. Keywords: Generalised anxiety disorder, hope, mental health, pandemic

Background Anxiety in patients with myocardial infarction (MI) which has a very negative effect on the prognosis of their disease and their physical and mental health. We performed this study in order to find the impact of a peer based education (PE) on anxiety in patients with MI. Methods This was a randomized clinical trial study. The study participants included 60 patient with MI, who were randomly divided into two groups. The first group received routine education and the other one received PE. We assessed anxiety before and 30 days after the intervention through a valid questionnaires. Data were analyzed by independent sample t-test, two-way ANOVA and the Bonferroni test. Results The majority of samples were male, married, self-employer, and living in city. After 30 days intervention the anxiety score was significantly lower in the PE group compare to the control group. Conclusion Our findings indicated that the implication of PE as an educational element in decreasing anxiety score and can be considered as a method for continuing of care, and could as well as be a good approach for other patients.

Purpose Students’ academic achievement is a multifaceted phenomenon. While depression can suppress academic performance, academic satisfaction can promote it. This study aims to investigate the relationship between depression and academic satisfaction among students studying at Shahroud University of Medical Sciences. Design/methodology/approach This cross-sectional study was carried out on 312 undergraduate students of Shahroud University of Medical Sciences. Data collection tools included demographic data form, University Student Depression Inventory and academic satisfaction scale. Data were collected by a simple random sampling method and self-reporting by the participants. Data were analyzed using descriptive and inferential statistics (multivariate multiple regression analysis and multivariate linear regression). Findings The participants’ mean depression and academic satisfaction scores were 71.92 ± 22.94 and 53.70 ± 9.69, respectively. In addition, the depression score was significantly and inversely correlated with students' academic satisfaction (r = −0.122, p-value = 0.031). Moreover, there was a significant correlation between students’ depression with marital status, level of the semester, interest in the field of study and study topic. Research limitations/implications This study emphasizes improving education, spiritual and social support and strengthens strategies to deal with depression and medical science students’ related factors. Originality/value Students of medical sciences are exposed to depression during their college years, which is related to their academic satisfaction.

Background. The worldwide emergence of COVID-19 has brought about various psychological consequences, including anxiety, fear of death, etc. Objectives. This study was aimed at determining the proportion of death anxiety and its covariates during the COVID-19 pandemic in Shahroud city, Iran. Material and methods. This cross-sectional study was conducted on 1,215 participants. Data was collected by convenient sampling method with online tools, including an awareness and attitude checklist toward COVID-19, Templar Death Anxiety Questionnaire and the Generalized Anxiety Disorder (GAD-7) Questionnaire. The data was analyzed using descriptive and inferential statistics (multivariate linear regression analysis). The significant level for all tests was considered to be 0.05. Results. The results indicated that the mean score ± standard deviation of death anxiety and GAD were 6.46 ± 3.33 and 6.27 ± 4.83, respectively. Of all participants, 49.1% reported high death anxiety. Parallel to the high anxiety level, a significant increase in death anxiety was observed (p < 0.001). Moreover, factors such as younger age and the death of a family member due to COVID-19 were significantly correlated with death anxiety (p = 0.024 and p = 0.001). Conclusions. Assessing anxiety among exposed clients and applying anxiety reduction and coping methods, such as problem-solving techniques, as well as providing comprehensive and practical information on methods to control and adapt with this disease, are recommended to be implemented in health care systems.