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Aim and Background: Health care workers were one of the main groups under massive pressure without sufficient resources and equipment during Coronavirus outbreak. So, the aim of the present study was to explore and determine the challenges of health care workers encounter during serving patients who suffered coronavirus.
Methods and Materials: In this study, Qualitative-descriptive method was used. The statistical population of the study included all health care workers including physicians and nurses who worked in coronavirus parts of the hospitals of Qom city from the beginning of disease outbreak. eleven Health care workers by purposeful sampling were selected and using saturation criteria went through semi structured in depth interviews. Qualitative content analysis was used to analyze data.
Findings: The findings included 9 themes(experiencing psychological distress and negative emotions, experiencing difficulty and work pressure, lack of using mental health experts and sufficient psychological skills, not being prepared to encounter disease, lack of sufficient knowledge, occupational conflict experience, and decrease of interpersonal relationship and Coronavirus stigma, disagreement and tension with family members, experiencing frustration and helplessness due to the nature of the disease) and 22 subthemes.
Conclusions: The results of this study indicated that health care workers had challenges with areas of emotions, interpersonal and family relationships, and working environments and job difficulties. For this purpose, it is necessary to use strategies such as using mental health professionals for health care workers and their families, creating adequate preparation before the outbreak in terms of equipment, personnel, necessary training about the disease and its process, skill training health care workers and making various incentives.

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Aim and Background: Educating couples is very important to resolve the conflicts created in marital relationship. Accordingly, the purpose of this study was to investigate the effectiveness of relationship enrichment program training in reducing latent communication aggression and increasing relationship maintenance strategies.
Methods and Materials: The method of the study was semi-experimental with pre-test, post-test, and follow-up with control group design. The statistical population included all couples seeking divorce who referred to the Pre-Divorce Counseling Center of the Deputy for Prevention of Justice located in the city of Karaj in 1400-99. A total of 21 couples using simple random sampling method were selected and divided into two experimental groups (each the group was divided into 7 pairs and a control group (7 pairs). The experimental groups underwent communication enrichment training (7 sessions of 90 minutes). But the control group did not receive any intervention. Hidden communication aggression questionnaires (1) and relationship retention strategies (RMSM) were used to collect information. Multivariate analysis of covariance, analysis of covariance, Tukey and Scheffe post hoc test and repeated measures of multivariate (profile analysis) were used to analyze the data. SPSS software version 25 was used to analyze the data.
Findings: The results showed that relationship-based enrichment training was effective in reducing communication aggression in the post-test and follow-up stages (P≤0.001). Also, training based on communication enrichment was effective in increasing relationship maintenance strategies in the post-test and follow-up stages (P≤0.001).
Conclusions: According to the findings, it can be stated that the effectiveness of relationship enrichment program training is effective in reducing latent communication aggression and increasing relationship maintenance strategies.

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Aim and Background: The comparison of different psychological approaches in terms of their effect on psychological variables is of interest to many researchers. In this regard, the purpose of this research is to compare the effectiveness of unified transdiagnostic treatment and hope therapy on self-care activities and reducing cognitive-behavioral avoidance in patients with type 2 diabetes.
Methods and Materials: The design of the research is experimental and pre-test and post-test with a control group. The statistical population included all married men and women with type 2 diabetes and members of Ahvaz diabetes society in 1400. 60 of these patients were selected based on the criteria of entry and exit, screening and purposefully, and after matching, they were randomly assigned in 3 groups of 20 people. Research tools included diabetes self-care activities scale (Toobert et al. 2000) and cognitive-behavioral avoidance scale (Ottenbreit and Dobson, 2004). Data were analyzed through multivariate (MANCOVA) and univariate (ANCOVA) analyzes using SPSS software.
Findings: The results showed that integrated transdiagnostic treatment and hope therapy were effective on self-care activities and cognitive-behavioral avoidance in patients with diabetes (p<0.05); in addition, the results showed that there is no significant difference between the effectiveness of two types of intervention in patients with diabetes.
Conclusions: It seems that both approaches are equally effective on self-care activities and cognitive-behavioral avoidance in patients with diabetes.