The Relationship between Stress and Resilience by Following the Guidelines for the Prevention of COVID-19 in Kermanshah Province in 2019

Managing stress and building resilience are crucial in maintaining optimal performance and adhering to COVID-19 prevention guidelines. This study aimed to explore the correlation between stress and resilience while adhering to the guidelines for preventing COVID-19 in Kermanshah province.

A cross-sectional study was carried out in Kermanshah province from December 18th, 2020, to June 6th, 2021, using an online questionnaire. The questionnaire consisted of five sections: Demographic information, Health records, Procedures for COVID-19 prevention, Perceived stress, and Resilience. The data was collected through this questionnaire and analyzed using Pearson correlation and linear regression statistical methods.

Out of 188 participants, 121 (equivalent to 64.36%) were female. The perceived stress, resilience, and adherence to COVID-19 preventive guidelines were measured with mean scores (SD) of 23.53 (8.85), 62.16 (20.53), and 41.72 (7.22), respectively. The correlation analysis between the three variables revealed a significant positive correlation between resilience and adherence to COVID-19 preventive guidelines. Further analysis with multiple linear regression, taking into account other variables, showed that resilience, moderate, and high-stress levels significantly increased adherence to COVID-19 preventive guidelines by 17.27 (95% CI: 10.47, 24.07), 13.61 (95% CI: 6.53, 20.07), and 14.24 (95% CI: 6.57, 21.91), respectively. Additionally, there was a significant negative interaction between resilience and stress levels regarding adherence to COVID-19 preventive guidelines.

The stress level is almost moderate, and resilience is high; conversely, compliance with the guidelines for preventing COVID-19 is also high. Considering the inverse relationship between the interaction of stress and resilience with following the guidelines for the prevention of COVID-19, the necessity of gaining people's trust through their support in facing the adverse conditions of the pandemic, such as psycho-social and economic support by Health policymakers, is emphasized.