In the Coronavirus Disease 2019 (COVID-19) pandemic, medical staff Are in direct contact with the patients and experience high work pressure. Direct contact with the patients could create some psychological problems in this group. Thus, the prevalence of such problems must be investigated in them. The present study aimed to determine the level of stress, anxiety, and depression among the healthcare staff in Zanjan City, Iran, during the COVID-19 epidemic. Methods: This descriptive study has a cross-sectional design. The Sample of the study population consisted of 535 Staff healthcare members of Vali-e-Asr Hospital in Zanjan City, Iran. A sample of 200 of medical staff was randomly selected to participate in the present study. The required data were collected using the electronic version of Depression, Anxiety, Stress Scale (DASS) tool. Descriptive statistics, as well as the inferential statistics (the Pearson correlation coefficient, Spearman correlation coefficient, Phi, and Cramer's correlation tests), were used to analyze the obtained data in SPSS. Results: The mean age of the study participants was 40.60 years. The mean values of depression, anxiety, and stress in study samples were 6.27, 5.38, and 8.41, respectively. There was a significant relation between gender and variables of depression, anxiety, and stress. There was also an inverse relationship between stress and variables of educational level and age (P<0/05). Conclusion: We found that our sample reported a normal degree of Depression, anxiety, and stress. The extent of stress induced by direct contact with patients was higher in female employees. Furthermore, with the increase in the education and age of the employees, their stress level decreased.

Background: This study aims to determine the mental health status (depression, anxiety, and stress) and their determinants among Zanjan University of Medical Sciences (ZUMS) students during an early stage of COVID-19 pandemic. Methods: This cross-sectional study was conducted on 409 ZUMS students from April 20 to May 30, 2020 by convenience sampling method. The Persian version of the DASS21 scale was used to assess the level of participants' mental health. Data were analyzed using SPSS-22 by student t -test and binary logistic regression. A P < 0.05 was considered statistically significant. Results: The mean (SD) age of the participants was 22.35 (4.6) years and 66.3% of them were female. The findings indicated that 11.2%, 9 and 7.1 % of the participants had extremely severe levels of depression, anxiety, and stress respectively. Moreover, it was found that married students experienced less stress than single students (P < 0.05). Conclusion:The results showed that students' mental health should be considered during the COVID-19 outbreak since almost half of the students have experienced varying levels of stress, anxiety, and depression during COVID-19 pandemic of. It is suggested that the universities should plan to provide high-quality and timely psychological services in order to support the students.