Purpose: The COVID-19 pandemic and governmental counter measurements, confinement in particular, have changed the routines of everyday life of people all over the world. To assess the psychological consequences of daily life changes during COVID-19 pandemic in the Iranian population.Method: We performed an anonymous online survey in the first 3 weeks of March 2020. Participants had to rate their stress levels and depressive symptoms during the last two weeks and before the pandemic retrospectively. The changes in psychological measurements and its association with socio-demographic factors and burdens due to confinement were assessed.Results: Overall, among the 3210 subjects who participated in our study, we observed an increase in both stress levels and average depression score. However, about 23% of subjects reported a decrease in their stress levels during the pandemic. The burden of childcare at home, restrictions in private life, and the burden of thoughts about the future were positively correlated with changes in stress levels and depression scores. On the other hand, feeling relieved in the pandemic condition, and enjoying more family time associated with less change in stress levels and depression scores. Being religious and older age were identified as resilience factors, whereas being a student, seeking a job, and having a psychiatric disorder history were identified as risk factors for depression.Conclusion: Stress levels and depressive symptoms have increased during COVID-19 pandemic and this increase is in relation to different social and personal burdens due to confinement strategy.

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Review question / Objective: The aim of this study is to evaluate the efficacy of digital health interventions in monitoring and improving medication adherence in Multiple Sclerosis patients. Condition being studied: Multiple sclerosis (MS) is the most prevalent chronic inflammatory disease of the central nervous system (CNS), which leads to focal lesions in the white matter, characterized by selective primary demyelination with partial preservation of axons and reactive astrocytic gliosis. The disease is thought to be due to a complex interaction between different genetic and environmental factors. The prevalence of MS is rising all over the world, due on one hand to earlier diagnosis and prolonged survival, and on the other to a true increase in incidence of the disease. The diagnosis of MS remains clinical despite recent advances in diagnostics and relies on demonstrating dissemination in space and time while excluding alternative diagnoses.