Introduction this is the first study assessing the psychological impact on Tunisian general population during the first peak of the COVID-19 pandemic. We aimed to assess the prevalence of anxiety, depressive symptoms and insomnia, as well as associated factors. Methods a cross-sectional study was conducted through an online survey of 1615 people during March 23 rd to May 5 th , 2020. We used the hospital anxiety and depression scale for anxiety and depression screening, and the insomnia severity index to assess sleep disturbances. Results our study revealed a high prevalence of anxiety and depressive symptoms, and insomnia (70.9%, 71.1% and 60.6% respectively). Multivariable statistics showed that anxiety symptoms were correlated to female gender (adjusted odds ratio [aOR] 1.784, 95% confidence interval (CI 1.252-2.542; p=10 -3 ), history of mental illness (aOR: 1.680, 95% CI: 1.329-2.125; p<10 -3 ), frequently social media exposure (aOR: 1.578, 95%CI: 1.250-1.992; p<10 -3 ), times to focus on COVID-19 ≥ 3hours (aOR: 1.840, 95% CI: 1.433-2.362; p<10 -3 ), consultation with doctor in the clinic in the past 14 days (aOR: 1.821, 95%CI : 1.220-2.718; p=0.003) and recent traumatic event in the past 14 days (aOR: 1.641,95% CI: 1.331-2.024; p<10 -3 ). Principal factors associated with depressive symptoms included female gender (aOR: 1.637, 95% CI: 1.150-2.331; p=0.006), history of mental illness (aOR: 1.498, 95% CI: 1.189-1.888; p=10 -3 ), times to focus on COVID-19 ≥ 3hours (aOR: 1.956, 95% CI: 1.555-2.461; p<10 -3 ), and recent traumatic event in the past 14 days (aOR: 1.558, 95% CI: 1.265-1.919; p<10 -3 ). The main factors correlated to insomnia were younger (age <35years) (aOR: 1.592, 95% CI: 1.17 -2.152; p=0.003), female gender (aOR: 1.864, 95% CI: 1.252-2.775; p=0.002), having organic diseases (aOR: 1.527, 95% CI: 1.131-2.061; p=0.006), history of mental illness (aOR: 1.777, 95% CI: 1.396-2.263; p<10 -3 ), students (aOR: 1.931, 95% CI: 1.495-2.495; p<10 -3 ), times to focus on COVID-19 ≥3hours (aOR: 1.877, 95% CI: 1.467-2.400; p<10 -3 ) and recent traumatic event (aOR: 1.431, 95% CI: 1.144-1.789; p=0.002). Conclusion our study revealed a major mental health burden in Tunisia during COVID-19 pandemic. Many factors were correlated to anxiety, depressive symptoms and insomnia, suggesting the need for greater psychological support in general and in certain vulnerable groups.

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Introduction Partner violence is a serious public health problem.International studies have well-explored the psychological aspects of domestic violence, but few explored the clinical profile of women victims of violence Objectives To define the clinical and psychopathological profile of women victims of domestic violence Methods We contacted 75 women who consulted at the psychiatric emergency of ‘HediChaker hospital’Sfax -Tunisia whowhere consulting in the context of medical expertise for domestic violence, on the period between May until October 2021 An anonymous survey was asked to these ladies Results The age oscillates between 18 and 64 years 86.7% of the participants were married for the first time, and 24% had at least one child. In 48% of the cases, the victims and their partners had an average socio-economic level. 66.7% don’t have a job. 6.7 % had toxic habits: 5.3% were smoking 22.7% had psychiatric follow: 14.3% for depressive disorder, 7% for bipolar disorder and 1.4% for anxiety Following a physical assault by the spouse, 37.3% of women consulted medical emergency and 21.3% consulted psychiatric emergency. The prevalence of potentially traumatic life events was 29.3%:16% were victim of parental violence and 13.3% suffered from sexual abuse. Conclusions This study shows that the prevalenceof domestic violence is higher among young working women. This work underlines also the necessity of a systematic screening of different aspects of violence in emergency medical or psychiatric servicesin order to provide for these ladies the necessary psychological support Disclosure No significant relationships.

This is the first study to explore factors associated with peritraumatic reactions experienced during the COVID-19 pandemic among the Tunisian general population. A web-based survey was conducted between 23 March and 5 May 2020, so that 1615 responses were included. We used the Peritraumatic Distress Inventory and Peritraumatic Dissociative Experiences Questionnaire. Participants with a medical history, those undergoing compulsory quarantine and those having relatives affected by or dying from COVID-19 were significantly more likely to present higher Peritraumatic Distress Inventory and Peritraumatic Dissociative Experiences Questionnaire scores. Factors associated with higher levels of peritraumatic reactions should be targeted by national programs to prioritize assistance through early psychological interventions.