1- Social Determinants of Health Research Center and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, IR Iran 2- Research Center for Behavioral Disorders and Substances Abuse, Hamadan University of Medical Sciences, Hamadan, IR Iran 3- Department of Public Health, Hamadan University of Medical Sciences, Hamadan, IR Iran 4- Chronic Diseases Care Research Center and Department of Mother and Child Health, Hamadan University of Medical Sciences, Hamadan, IR Iran 5- Psychiatric Clinics of the University of Basel, Center for Affective, Stress and Sleep Disorders, University of Basel, Basel, Switzerland 6- Psychiatric Clinics of the University of Basel, Center for Affective, Stress and Sleep Disorders, University of Basel, Basel, Switzerland , serge.brand@upkbs.ch