Triphen­yl[2-(triphenyl­phosphanium­yl)eth­yl]phosphanium bis­(periodate)

In title salt, C38H34P2 2+·2IO4 −, the P atoms of the dication and the I atoms of the periodate anions are each in a slightly distorted tetra­hedral environment. In the dication, the two –P(C6H5)3 groups adopt a gauche conformation with respect to each other. In the crystal, several C—H⋯O hydrogen bonds between the cations and anions lead to a two-dimensional arrangement along (101)

Psychological Effects of the Outbreak of COVID-19 on the Mental Health of Healthcare Workers in Iran

Objectives: The COVID-19 pandemic exposed healthcare workers to heavy stress and made them vulnerable to various types of mental illnesses. This study aims to evaluate the psychological effects of the COVID-19 pandemic on the mental health of healthcare workers in the COVID-19 ward. Methods: This study was performed during the first peak of the COVID-19 pandemic in 9-Dey Hospital of Torbat Heydarieh in Iran, in which a total of 178 healthcare workers in the COVID-19 ward participated via the census sampling method. In this study, we employed the Goldberg general health questionnaire along with a researcher-made questionnaire on the experience of exposure to COVID-19 disease. Following the completion of the questionnaires, the participants’ data were analyzed by the SPSS software and statistical tests (the Spearman and Pearson correlations). Results: Our results showed 91.1%, 77.57%, 87.55%, 87.07%, 56.75%, and 74.16% for the general health, physical symptoms, anxiety symptoms, sleep disorders, social dysfunction, and depression symptoms, respectively, during the COVID-19 pandemic conditions. The results showed a significant association between the experience of exposure to COVID-19, anxiety symptoms, and sleep disorders (P<0.05). Discussion: Access to counseling and psychotherapy systems, rehabilitation, and the improvement of working conditions can effectively enhance resilience and promote the mental health of healthcare workers and increase the quality of care and treatment services

Assessing the Effects of Acceptance-commitment and Psychodrama Therapies in Nurses With Social Anxiety Disorder

Objectives: Social anxiety disorder (SAD) is one the most prevalent psychiatric disorders and generates severe negative effects on patients' mental, individual, and social health. Decreased responsibility, absenteeism, and poor life quality can be the consequences of this disorder. Considering the effective empirical background of both therapeutic approaches in reducing social anxiety symptoms and the lack of research on combining both interventions to reduce anxiety, this study was performed to determine the effects of acceptance-commitment therapy (ACT) and psychodrama therapy on nurses' social anxiety. Methods: This randomized trial research was conducted at Torbat Heydarieh University of Medical Sciences in 2017 with a pre-test-post-test design. A total of 48 nurses with SAD who were referred to the university counseling center were chosen at random and entered into 4 equal groups (12 subjects) (an intervention group and 3 control groups). The intervention group received a combination of psychodrama and ACT therapies in twelve 90-minute treatment sessions (2 meetings every week). The control groups were provided with psychodrama therapy, ACT, and no treatment. The study data were collected by Connor's social anxiety questionnaire (2000). The collected data were analyzed by analyses of variance and covariance. Results: A decrease was observed in the social anxiety scores in the four groups of the study after psychological therapies. The Mean±SD of the social anxiety score in the treatment group based on psychodrama was 64.75±13.37 before the study period and 49.08±6.71 after that. While in the ACT group, it was 59.65±12.21 and 42.66±8.05 before and after the study, respectively, and in the group provided with a combination of both therapies, it was 62.75±13.49 before the study period and 35.75±7.19 after that. A lack of significant difference (P=0.86) could be detected in the mean anxiety score in the group of control. However, the social anxiety score of the group with a combination of both therapies significantly decreased (P<0.001) compared to other studied control groups.   Discussion: The data analysis showed that a combination of ACT and psychodrama therapies significantly reduced the social anxiety of nurses