Highlights COVID-19 pandemic caused crucial changes in work and personal life of healthcare providers. Healthcare providers are the backbone of healthcare systems and their mental health is the Achilles heel in the fight against COVID-19 The impacts of COVID-19 pandemic on work and personal life of healthcare providers life of healthcare providers is unknown Working in the pandemic era is a unique experience that may happen in the working life of every healthcare provider. It has enormous effects on personal and working life of them. Along with providing protective devices and financial support for healthcare workers, it is essential to take into account their mental health status. In site consulting and providing personalized mental care for the personnel is necessary

No abstract

Background: About 50% of obsessive-compulsive disorder patients still suffer significant symptoms even after the recommended first-line therapy. This demonstrates the necessity to investigate strategies to improve alleviation of symptoms. Objective: The main objective of this study was to investigate the efficacy of a 5-hydroxytryptophan 3 receptor antagonist, tropisetron, as an adjuvant therapy to selective serotonin reuptake inhibitors, in ameliorating obsessive-compulsive disorder symptoms. Methods: Men and women between the ages of 18–60 years diagnosed with obsessive-compulsive disorder, based on DSM5, who had a Yale-Brown obsessive compulsive scale score of more than 21 were recruited in a double-blinded, parallel-group, placebo-controlled, clinical trial of 10 weeks to receive either tropisetron (5 mg twice daily) and fluvoxamine (100 mg daily initially followed by 200 mg daily after week 4) or placebo and fluvoxamine. The primary outcome of interest in this study was the Yale-Brown obsessive compulsive scale total score decrease from baseline. Results: One hundred and eight participants were equally randomized into two groups; 48 participants in each group finished the trial. The Yale-Brown obsessive compulsive total score significantly dropped in both groups while the tropisetron group participants experienced a significantly higher decrease in their scores (Greenhouse-Geisser F(1.53–65.87)=3.516, p-value=0.04). No major adverse effect was observed in any of the groups. Conclusion: This trial showed a significant efficacy for tropisetron over placebo in treatment of obsessive-compulsive disorder symptoms when added to fluvoxamine.

Introduction Psychiatry's postgraduate training curriculum in Iran has been revised and one of the core revisions has been the incorporation of full‐time 9‐months of psychotherapy training. However, little is known about psychotherapy training in Iran. Methods An online anonymous survey was developed by the Early Career Psychiatrists (ECP) Section of the World Psychiatric Association (WPA). The survey included 16 questions about the: (a) quality of psychotherapy training (supervision, type of psychotherapy training available, barriers in accessing training); (b) organizational aspects of psychotherapy training (compulsoriness, payment, and assessment); (c) satisfaction with training in psychotherapy; (d) self‐confidence in the use of psychotherapy. This survey was circulated to Iranian early career psychiatrists and psychiatric trainees. Results 112 early career psychiatrists and psychiatric trainees from across Iran responded to the survey; 98.2% of which stated that psychotherapy training is included in their psychiatry training, and cognitive behavioral therapy and psychodynamic psychotherapy were the most reported modalities integrated into their psychiatric training. Moreover, 43.3% of the participants reported that they were satisfied or very satisfied with their psychotherapy training during the training years. Discussion Psychotherapy is integrated into psychiatric training programs in most educational centers in Iran. The modalities and satisfaction of trainees are similar to that of high‐income countries in other continents. Supervision and training in modalities like family therapy could be further implemented and adapted to the Iranian culture.

No abstract