mahshid foroughan

This study aimed to examine the status of successful aging (SA) and its associated ecological factors among older adults in Kashan City.
A cross-sectional study was conducted in 2023 utilizing a multi-stage cluster sampling method. A total of 375 individuals aged 60 years and older from Kashan participated in the research. Data were collected using the Successful Aging Questionnaire and additional questions pertaining to familial and neighborhood relationships, framed within an ecological context. Descriptive and analytical statistical tests, including independent t-tests, one-way analysis of variance, correlation analysis, and multivariate linear regression, were performed using SPSS software version 27.
The mean age of the elderly participants was 69.47 ± 7.44 years. The mean score for successful aging was 68.06 ± 10.58, with the lowest scores observed in financial-environmental security and the highest in spirituality. The prevalence of successful aging in Kashan City was found to be 13.6%. Significant associations were identified between successful aging and various factors: age (r = -0.116, P = 0.02), gender (t = 2.41, P = 0.01), marital status (t = -1.98, P = 0.04), education (F = 9.25, P < 0.001), employment status (t = 3.43, P < 0.001), perceived economic status (F = 37.81, P < 0.001), number of siblings (r = 0.170, P < 0.001), number of relatives (r = 0.173, P < 0.001), frequency of contact with family and relatives (F = 2.55, P = 0.05), and the number of neighbors and close friends (r = 0.113, P = 0.02). A multiple multivariate regression analysis revealed that individual, family, and neighborhood variables accounted for 27% of the variance in successful aging, with economic perception and education exerting the most significant influence.
The findings highlight the importance of prioritizing financial-environmental security and psychological well-being in interventions targeting social alienation (SA). Policymaking efforts should focus on vulnerable elderly populations, particularly those with lower education levels, unemployment, perceived low economic status, and limited family or social support.

 Satisfactory communication is one of the important factors associated with successful aging. This study identifies the dimensions of satisfactory communication from the viewpoint of Iranian older adults in 2023.

 This qualitative study was performed on 15 older adults who were selected by a purposeful sampling method from Bojnurd City, Iran. The data were obtained using semi-structured interviews and were analyzed using the conventional content analysis approach. The MAXQDA software, version 2020 was used for data management.

 The average age of the participants was 68.64±7.61 years. Four main and nine sub-main categories were developed, including satisfactory communication with family (leadership, supportive-caring, and daily communication), self-communication (optimistic and coping communication), communication with God (demanding and confabulating communication), and peer communication (feeling and memory sharing). The most frequent category was satisfactory communication with family.

 It is necessary to inform the society, the older adults’ families, and their caregivers about satisfactory communication among them, especially supportive-care communication. Also, considering the importance of self-communication and communication with God in satisfactory communication dimensions, it is necessary to pay attention to their need for solitude and participation in religious ceremonies. There is also a need to provide conditions for more communication between the older adults and their families and peers in the community.

Depression and anxiety are the most frequent and devastating mental diseases among older adults. Several variables are identified as contributing to the development of these illnesses. The present study was conducted to investigate the prevalence of depression, anxiety, and their related factors in older individuals residing in Ardakan.

The current cross-sectional study was based on the data obtained from the first phase of the Ardakan aging cohort of 5176 older adults. Depression and anxiety were evaluated using CESD-10 and HADS-A scales, respectively. Moreover, the relationships between these outcomes and the related factors were evaluated using the logistic and linear regression.

The prevalence of depression and anxiety was estimated to be about 17% and12%, respectively. Poor perception of health) OR=2.29, CI95% 1.79 to 2.93), Low perceived economic status (OR=2.11, CI95% 1.71 to 2.60), Receiving care (OR=1.66, CI95% 1.39 to 1.97), affecting by neurological disease (OR=1.37, CI95% 1.11 to 1.69), Gastrointestinal diseases (OR=1.48, CI95% 1.23 to 1.77) were significantly associated with the presence of depression. Female gender, Poor perception of health and economic status, receiving, and providing care, and suffering from neurological, cardiovascular, gastrointestinal, and respiratory diseases were related to higher anxiety scores.

The prevalence of depression and anxiety among the participants was relatively significant, and these variables were significantly correlated with several factors, including health and economic status and receiving/providing care. These findings highlight the significance of taking into account several socio-economic, health-related, and gender-specific aspects when dealing with mental health disorders including depression and anxiety in this particular age demographic. By identifying the risk factors, healthcare professionals can better target interventions and support systems to manage and mitigate the effect of these mental health disorders.

Subjective Successful Aging (SSA) refers to individuals’ self‑rating of their aging process. Demographics, socioeconomic status, and health conditions of older adults can shape their aging process and their self‑evaluation of it. This study aimed to explore the status of SSA and its related factors among a sample of Iranian older adults in 2022.

This cross‑sectional study was conducted with 410 older adults in Bojnurd, Iran, who were selected by a multi‑stage sampling method. Data were collected through a four‑part questionnaire consisting of objective socioeconomic status, subjective socioeconomic status (Subjective Social Status (SSS) and Perceived Income Adequacy (PIA)), health status (Self‑Related Health (SRH) and number of chronic diseases), and the SSA six‑question scale. The data were analyzed using SPSS (version 22). Bivariable and multiple linear regression analyses were run to identify the factors associated with SSA.

The mean (standard deviation) age of the participants was 68 (7.33). The mean (standard deviation) of the SSA score was 60.69 (17.85). Only 132 individuals (32.20%) considered themselves successful. According to regression analysis, among the investigated variables, the predictors of SSA were SRH (β = 0.40, p < 0.001), PIA (β = 0.23, p < 0.001), SSS (β = 0.18, p < 0.001), and age (β = −0.11, p = 0.009), respectively.

Regarding the low percentage of participants who considered themselves successful seniors, it is necessary to pay more attention to promoting the aspect of successful aging and its related determinants. According to the results, promoting perceived health and reducing financial concerns, especially in older people, could finally increase SSA among Iranian older adults.

During the COVID-19 pandemic, the main focus of studies was on physical impact of the disease, while psychological impacts were mainly neglected. Identifying the psychological impacts of the COVID-19 pandemic on the general population can help in planning and preparing for future pandemics. The current study aims to investigate the psychological impacts of the COVID-19 pandemic on the general population of Iran.

This cross-sectional survey study that was conducted online on 1735 Iranian people from April 21 to June 21, 2021. Perceived feelings during the COVID-19 pandemic were measured by Reynolds’s self-report tool. The collected data were analyzed using descriptive statistics (frequency and percentage) and inferential statistics including chi-square test and independent t-test in SPSS software, version 22. The significance level was set at 0.05.

The mean age of the respondents was 34.62±11.86 years. The most frequent perceived feelings were boredom (n=764, 44.0%), nostalgia (n=704, 40.6%), worry (n=613, 35.3%), and nervousness (n=591, 34.1%). Females, younger people, unemployed people, unmarried people, and those living in the urban areas experienced significantly higher levels of negative feelings. 

The psychological impact of the COVID-19 pandemic on Iranian people is high, particularly among female, unmarried, and unemployed people. Therefore, supportive and psychological interventions during the pandemic and psychological rehabilitations after the pandemic are needed.

Population aging is accompanied by an increase in the elderly's demand for long-term care, which is mainly provided by family caregivers. Providing quality elderly care, while maintaining the health of caregivers, requires recognition of facilitators and the educational needs. Therefore, this study aims to investigate facilitators of elderly care at home and the educational needs of the family caregivers of older adults in the south of Tehran, Iran.

This is a qualitative study using the conventional content analysis method. To collect data, we conducted semi-structured telephone interviews. Seventeen family caregivers aged ≥18 years with at least one month of caregiving experience and at least six hours of caregiving per week were selected using purposive and snowball sampling methods until data saturation from January to April 2021. After transcribing the recorded interviews, the data were entered into the MAXQDA 2018 software and analyzed.

Personal factors included personal characteristics of caregivers, Capability in caregiving, perceived benefits of caregiving, and self-care activities of caregivers. Interpersonal factors included proper relationship with older adults, older adults’ partial  dependence on caregivers, cooperation and support of family members, and receiving others’ support. Supportive environments included physical environment, receiving support from work environments and organizations providing elderly care services. The most important educational needs of family caregivers were the needs to learn how to prepare nutritious foods for the elders, the way to nourish older adults with dysphagia, and how to move the physically disabled older adults.

Family caregivers of older adults in the south of Tehran should have access to affordable elderly care and home care services based on their educational needs that require planned support from service providers.

One of the undesirable consequences of the aging process is the feeling of loneliness and decrease in general health. Nowadays aging people are one of the most problems of sustainable development in each country in the world. Therefore, current research was aimed to determine the impact of loneliness on elderly health in west health care center of Tehran.

This was descriptive- analytical research conducted cross- sectionally in 2020-2021. The research population was elderly people over 60 years old covered by west health center of Tehran. Determining the sample size was conducted by Krejcie and Morgan table to the number of 300. The list of elderly people extracted from Sib system, and selected by random table of numbers. The research tool were two questionnaires including GHQ-28 of Goldberg and loneliness feeling of elderly population (SELSA- S) that confirmed their validity and reliability. Descriptive results were reported by frequency, average, and also analytical results reported using by Pearson and variance analysis, and also linear regression.

Increased feeling of loneliness and poor mental health and social function were observed elderly people. Negative and significant feeling of loneliness and its components impacted on mental health among elderly people. There was no significant relationship between feeling of loneliness and gender.

Decreased feeling of loneliness among elderly people might lead to improved mental health among elderly people. Therefore, due to the increasing elderly population in Iran, it is so important to design interventions and trainingprograms in order to create supportive conditions forelderly people.

Caring for an adult child with schizophrenia is mostly done by the parents, who are often in old age. The physical conditions and age of elderly parents and the constant dependence of these patients on them may have a significant impact on the quality of care. The present study aims to investigate the lived experiences of Iranian elderly parents with adult children having schizophrenia.

This is a qualitative phenomenological study. Colaizzi’s seven-step method was used for data analysis. Using a purposive sampling method and considering maximum diversity, 16 elderly parents of adults with schizophrenia were selected from among those referred to the treatment and support centers in Tehran, Iran. Data were collected using in-depth semi-structured interviews. The consolidated criteria for reporting qualitative research (COREQ) checklist was used in this study. 

Four main themes and 11 sub-themes were extracted. The theme of emotional burden included the sub-themes of “endless fear and worry”, “regret and shame”, and “sadness and anger”. The theme of caring burden included the sub-themes of “impaired social and family relationships”, “helplessness and ineffective support”, and “challenges of the healthcare system”. The theme of optimal and effective care included the sub-themes of “purposeful effort for the child's recovery” and “commitment and responsibility”. The theme of coping strategies included the sub-themes of “spiritual coping strategy”, “adaptive psychological strategies”, and “maladaptive psychological strategies”. 

Caring for an adult child with schizophrenia brings is burdensome and have adverse psychological consequences for elderly parents. It is essential to support these parents to help them overcome psychological challenges during caregiving and use adaptive psychological coping strategies by providing psycho-educational interventions.

Older people experience physical and psychological changes that can negatively affect their life satisfaction and result in unhappiness. Life review therapy can be an effective intervention in increasing the positive feelings and happiness of the elderly. This study aims to determine the effects of a life review therapy program on self-actualization and happiness among older adults. 

This is a quasi-experimental study with a pre-test/post-test/follow-up design. Participants were 22 elderly people aged ≥60 years referred to a daycare center in Tehran, Iran. They were randomly divided into two intervention (n=11) and control (n=11) groups. The perma flourishing scale and the Oxford happiness questionnaire were used to collect data before, immediately after, and one month after the intervention. The life review therapy was performed according to Haight and Webester’s protocol. The collected data were analyzed in SPSS software, version 26. 

There was a significant increase in the total mean scores of happiness and flourishing scores in the intervention group immediately and one month after the intervention (P<0.001), but no significant change was reported in the control group. The mean scores of happiness and flourishing in the intervention group in the pre-test phase were 50.27 and 98.63, respectively. In the post-test and follow-up phases, these scores reached 58.27 and 57.09 for happiness and 111.63 and 104.81 for flourishing, respectively. 

The present study shows that life review intervention in can provide an opportunity for flourishing and psychological development and also an increase in the level of happiness among older adults.

According to the statistics, the number of older people in Iran is increasing. Considering the occurrence of major changes in old age and the high prevalence of stress, anxiety, and depression in the elderly, this study aims to examine the effect of coloring mandala patterns on depression, anxiety, and stress of older people in Tehran, Iran.

This is a quasi-experimental, single-group study (clinical trial) with a pre-test/post-test design. Participants were 40 older people referred to Yas Elderly Day Care Center in Tehran in 2021 who met the entry criteria and were selected non-randomly. They were asked to color the mandala patterns in 20 minutes (using colored pencils) for 4 consecutive weeks, two sessions per week. Their anxiety, depression, and stress were measured by the depression, anxiety, and stress scale-21 items (DASS-21) before and immediately after the intervention. The data were analyzed in SPSS software, version 23.

Of 40 participants, 57.5% were women, 65% were married, and 67.5% had a diploma or higher education. Their mean age was 72.03±5.34 years. Data analysis showed that coloring mandalas significantly reduced depression (P=0.001), anxiety (P=0.001), and stress (P=0.001).

Coloring mandala designs can reduce the depression, anxiety, and stress of the elderly. Therefore, this method can be used as a simple and affordable method to improve the mental health of the elderly.

Social communication is one of the important factors for older adults’ life satisfaction. However, the impact of intergenerational communication dimensions on it and the role of optimism toward aging in this correlation is unclear.

This study investigated the mediating role of optimism toward aging in the association between intergenerational communication and older adults’ life satisfaction.

This cross-sectional study was performed on 550 older adults in Bojnord, Iran, who were selected by a multistage sampling method. Data were collected with the Optimism Toward Aging (OTA) scale, a single-item measure of life satisfaction, and the intergenerational communication scale with two dimensions, intergenerational accommodative communication (IAC) and intergenerational non-accommodative communication (INAC). Structural equation modeling using maximum likelihood estimation was adopted in Amos 24.0.

The mean age of the participants was 67.74 ± 7.18, and 240 people (43.6%) were men. The results revealed that IAC had no significant direct association with life satisfaction (LS) (β = 0.02, P > 0.05), but INAC had a significant negative direct association with it (β = -0.170, p < 0.001). Unlike IAC (β = 0.474, P < 0.001), INAC did not show direct associations with OTA (β = 0.002, P > 0.05). However, only IAC could indirectly affect the LS of older adults through the complete mediating effect of OTA (β = 0.145, CI = [0.100, 0.199], P < 0.001).

The findings suggested the positive effect of optimism toward aging on intergenerational accommodative communication and life satisfaction. Intergenerational non-accommodation exhibited a stronger direct association with life satisfaction in older adults than intergenerational accommodation. Thus, to enhance life satisfaction in older adults, it is necessary to give special attention to improving their communication with young people and promoting their optimism.

This study aimed to compare the diagnostic value of four questionnaires for the diagnosis of neurocognitive disorders (NCDs) in the elderly.

 In this project, people older than 60 years who lived in Tehran were investigated. A total of 99 literate cases were enrolled in the study, and four questionnaires, including functional assessment staging tool (FAST), abbreviated mental test score (AMTS), mini-mental state examination (MMSE), and modified Persian test of elderly for assessment of cognition and executive function (PEACE) were completed for them. They were then referred to a neuropsychiatrist, and the status of their cognition and neurobehavior was determined. The specialists were blinded to the results of the tests.

Of the 99 participants studied, 39 cases were healthy, eight cases had mild Alzheimer’s disease, 38 had amnesic MCI, five cases had secondary dementia, and nine cases had mixed vascular dementia and Alzheimer’s disease. The area under the ROC curve for distinguishing the healthy group from the rest of the population was 0.692, 0.629, 0.734, and 0.751 for the FAST, AMTS, MMSE, and NBCSS questionnaires, respectively.

MMSE and NBCSS tests had better diagnostic power than the other two tests to distinguish the healthy group from the rest of the population.

This study aims to investigate the relationship between the big-five personality traits (extroversion, neuroticism, agreeableness, conscientiousness, and openness to experience) and elder abuse.

In this cross-sectional study, 304 older adults (60 years old and older) were selected by convenience sampling method based on the inclusion criteria among older adults who were referred to the health centers of Marand City, Iran in 2021. To collect data, Hwalek-sengstock elder abuse screen test (HS-EAST) and 10-item personality inventory (TIPI) were used. The data were analyzed using SPSS software version 23 with t test, chi-square, and logistic regression.

The mean age of the participants was 70.5±7.7 years with almost equal gender distribution. Among the older adults studied, the prevalence of elder abuse was calculated to be 34.2%. The results of logistic regression indicated that the five-big personality traits, especially low conscientiousness, low extroversion, low agreeableness, and high neuroticism after controlling the variables of sex, age, marital status, housing status, education level, employment status, and chronic disease significantly predicts elder abuse (P<0.001, df=12, X2=76.64).

Based on the findings of the present study, it is suggested to pay more attention to the five-big personality traits in the screening and early identification programs of older adults at risk of elder abuse.

 Social participation is one of the most important factors in the health of the elderly and also the main goal of health-related interventions. The purpose of this study was to assess social participation and its related factors in the elderly women population.

 This cross-sectional study was conducted on 300 women aged 60 and older in Hamadan, Iran, in 2020. The samples were selected by a simple random sampling method and according to inclusion and exclusion criteria. A demographic questionnaire, Women’s Social Participation Factors Questionnaire, and mini-mental state examination were completed, and data were obtained from the participants by trained questionnaires.

 The mean social participation score was 70.8±10.7, and scores ranged from 0 to 120. The level of social participation was moderate in 82% of the participants, weak and insufficient in 16.3%, and strong in 1.7% of participants. The obtained results indicated that 39% of the participants were employed before the elderly, and 22.67% had regular employment in old age. There were different types of occupation among this group: 30.33% had paid jobs, 23.67% voluntary jobs, 62% religious activities, and 76% were jobless. Moreover, a significant difference was observed between social participation and elderly employment history (P<0.01), level of education (P=0.01), and regular physical activity (P=0.03).

 The social participation of elderly women was found to be mostly moderate in this study, and people with higher education, regular physical activity, and a vocational history before old age had better social participation.

Elder abuse is a major public health concern worldwide. Considering the high prevalence of misbehavior towards the elderly, this study investigated the prevalence of elder abuse and its related factors among the elderly people in Yasouj, Iran in 2021.

Using a convenience sampling method, this cross-sectional study included 299 older adults aged over 60 years referring to the Social Security Outpatient Clinic in Yasouj. To collect data, we used the Domestic Elder Abuse Questionnaire. To analyze the data, chi-square and multiple logistic regression statistical tests were used.

Of the participants, 55.2 % reported at least one type of misbehavior. While psychological misbehavior had the highest prevalence (41.8 %), rejection had the lowest prevalence (10.7 %). Multiple regression analysis showed that elder abuse was statistically associated with higher educational status (p = 0.002), lower economic status (p = 0.002), and single people reported a higher rate of elder abuse (p = 0.001).

According to our results, more than half of the participants reported at least one type of elder abuse, and psychological abuse was the most common type of abuse experienced by the elderly. Since elder abuse can have serious effects on the health and well-being of the elderly, it is critical to identify the related risk factors. Furthermore, it is essential to implement screening programs to increase the awareness of the elderly and caregivers.

Participation in peer social groups could be used in health promotion programs for the elderly. The current study investigates the effectiveness of participation in a peer social support network intervention on the self-management of the elderly with type 2 diabetes. 

This research is a quasi-experimental study with a pre-test-pos-ttest design with a control group conducted in 2019. Two health centers were selected as research settings from a single district in Qom Province, Iran. From each center, 46 subjects were randomly selected. Subjects in the intervention group participated in a peer social support network for 3 months (12 sessions), and the control group received only usual care. The outcome variable was self-management. The components of this variable include the level of hemoglobin A1C (HbA1C), diabetes distress (measured with Diabetes Distress Scale), awareness (measured with Davoodi’s knowledge of diabetes questionnaire), attitude (measured with diabetes attitude scale [DAS-3]), self-efficacy (measured with diabetes empowerment scale, [DES-28]), weight and blood pressure. Subjects were evaluated at baseline and at a 6-month follow-up. The obtained data were analyzed using t-test, Chi-Square, and Fisher test in SPSS software, version 22. The significance level was set at less than 0.5.

The change in mean HbA1C of the intervention and control groups at baseline and 6-month follow-up was -0.7 and 0.1, respectively, which was significant (P≤0.0001). Moreover, the difference in changes in the mean values of diabetes distress (P=0.008), self-efficacy (P≤0.0001), and attitude (P≤0.0001) were significant. No significant changes were found in knowledge, weight, systolic and diastolic blood pressure (P>0.05). 

The formation of social support groups may help control blood sugar in the elderly with type 2 diabetes. Seemingly, social groups can mainly impact through psychological factors such as distress control, attitude improvement, and self-efficacy enhancement.

Developing a negative attitude towards the elderly in the family and society can cause misbehavior towards them; therefore, improving the attitude towards the elderly will have positive effects on their health and quality of life. In the current research, an attempt has been made to investigate effect of a nursing home visit program on students' attitudes about the nursing home.

The present experimental study was conducted on 66 female students, seventh grade, in two groups of control and intervention by random block sampling in Tehran in 2016. The intervention group had a plan to visit nursing homes. Before visiting and meeting with the elderly, the intervention group students were given training on aging, elderly people and nursing homes, and how to communicate with the elderly was also explained. Then the program of visiting the old people's home was implemented. 4 weeks after the implementation of the intervention, the attitude survey questionnaire was completed again by both groups (103-105). Data collection was done with a researcher-made questionnaire in two sections: demographic information and students' attitudes. Students' attitudes were measured before and after the intervention in both groups. Data were measured using SPSS 23 software and independent t, paired t, Man-Whitney and Wilcoxon tests.

In the intervention group, there was a significant difference in the level of "attitude towards the elderly" before (16.13) and after the intervention (17.58) (P>0.001); But in the control group, the steps before (14.70) and after the intervention (14.96) did not show statistically significant difference (P>0.05). "Attitude towards the nursing home" in the intervention group, the scores before the intervention (21.61) compared to after the intervention (22.88), there was a statistically significant difference, and in the control group, no statistically significant difference was observed before and after the intervention. "Attitude towards leaving parents to nursing homes" in intervention and control groups; before and after the intervention, no significant statistical difference was observed (P < 0.05).

Visiting the nursing home had a positive effect on the students' attitudes towards the elderly and the nursing home, but it did not affect towards leaving parents to the nursing home.

 Due to the importance of place attachment in older adults, it seems necessary to identify their perception of this concept and its dimensions. The present study aims to design and assess the psychometric properties of a place attachment scale for older adults in Iran.

Methods & Materials:

 The is a sequential exploratory mixed method study that was conducted in 2018-2019 in two quantitative and qualitative phases. Participants were 414 community-dwelling older adults with a mean age of 70.43±8.84 years in Aran & Bidgol city, Iran who were selected by cluster sampling according to the inclusion criteria. By literature review and interview, the items were formulated. The face and validity content validity of the initial draft was assessed by a panel of experts and older adults. The construct validity was determined by exploratory and confirmatory factor analyses. The internal consistency and test-retest reliability were also determined. SPSS software, version 24 and AMOS version 24 applications were used for statistical analysis.

 In examining content validity, most of items had content validity ratio >0.7, content validity index >0.79, and kappa coefficient >0.74. In examining construct validity using exploratory factor analysis, three factors of emotional bond, physical bond, and dependence were extracted for the subscale of attachment to home and three factors of emotional bond, social bond, and physical bond were extracted for the subscale of attachment to neighborhood, which explained 61.75% and 50.06% of the total variance, respectively. The measurement models of attachment to home (GFI=0.877, CFI=0.916, RMSEA=0.080) and neighborhood (GFI=0.809, CFI=0.860, RMSEA=0.077) had acceptable fit to the data. Moreover, the scale had acceptable internal consistency (α= 0.9) and test-retest reliability (ICC= 0.8).

 The designed 42-item place attachment scale with two domains of attachment to home and neighborhood for the community-dwelling older adults in Iran has acceptable validity and reliability. This tool can be used in further studies and by policymaking in Iran.

Coronary Artery Disease (CAD) despite physical disorders can also lead to significant mental disturbances like anxiety and depression. Therefore, the present study was conducted in order to assess the level of anxiety and depression in the elderly with acute coronary syndromes hospitalized in selected hospitals in Tehran 1400.

The current study is a cross-sectional, quantitative and descriptive-analytical study that was conducted in 2021. The study population included the elderly male and female patients (over 60 years old) who suffered from acute coronary syndrome hospitalized in selected hospitals in Tehran. For this purpose, 229 people were randomly selected to participate in the study. The Abbreviated Mental Test (AMT) and Hospital Anxiety and Depression Scale (HADS) were used as questionnaries in this study.

Findings showed that with an increase of one unit of the anxiety score, if other variables were fixed, the depression score increased by an average of 0.45 units. Also, the results for other demographic variables showed that people with low education, having non-personal residence, lack of social support, families with more than four children, unemployed people and male gender had a higher depression score.

Considering the existence of a significant relationship between anxiety and depression with the mentioned variables, it is suggested that health service providers and their families pay attention to elderly patients in order to reduce the level of anxiety and depression.

 Social isolation is one of the important concerns in the elderly population which can negatively affect their quality of life and health. The present study aims to determine the prevalence of social isolation among older adults aged 60 years and older in Tehran, Iran and find its associated factors.

This is a secondary analysis study on data obtained from a large cross-sectional study conducted on older adults in Tehran in 2020. The Persian version of lubben social network scale (LSNS-6) was used to measure social isolation. The demographic characteristics (age, gender, marital status, living arrangements, and number of children), socio-economic status (educational level, employment status, and household income) and health-related information (history of chronic diseases and use of assistive devices) were collected using a checklist. Data were analyzed in SPSS v. 23 software using multivariate logistic regression analysis. The significance level was set at

The data were related to 1280 older adults aged 60 years and older (Mean±SD age=70.97±8.07 years). The prevalence of social isolation was 30.8%. The results of chi-square test revealed that living arrangement (P<0.001, X2=46.93), marital status (P<0.001, X2=26.91), household income (P<0.001, X2=67.44), level of education (P<0.05, X2=20.26), employment status (P <0.001, X2=29.21), musculoskeletal problems (P<0.001, X2=15.47), respiratory problems (P<0.05, X2=10.43), vision problems (P<0.05, X2=4.4), hyperlipidemia (P<0.001, X2=13.53), and wearing glasses (P<0.05, X2=3.92) had significant association with social isolation. The regression analysis model could significantly predict social isolation (X2=188.35, P<0.001). The model revealed that being male (P<0.05, OR=1.7), living with spouse (P<0.05, OR=0.4), musculoskeletal disease (P<0.05, OR=1.42), diabetes (P<0.05, OR=1.41), household income (P<0.001, OR=5.82), being unemployed (P<0.001, OR=2.13), having hyperlipidemia (P<0.001, OR=0.58), and living in developed areas (P<0.001, OR=2.02) significantly predicted the social isolation.

There is a strong association between social isolation and some socio-economic, demographic-health related factors in older adults. Health policymakers and healthcare experts can develop the screening and prevention programs related to the mental and social health of older adults in Tehran, Iran in order to moderate and control these factors.

The high rate of complete suicide in older adults on the one hand and the low report of suicidal thoughts by them compared to other groups on the other hand, indicate the importance of suicide in this group. The objective of this study was to explore the structural factors contributing to suicidal ideation in Iranian older adults.
This was a qualitative study using grounded theory approach. The sample included a total of 13 community-dwelling (visiting day-care centers and psychiatric clinics) and institutionalized older adults aged 60 years or above selected using purposive and theoretical sampling methods. The data were collected using in-depth  semi-structured interviews. The data were analyzed using constant comparative method, constant review of the written text of the interviews, field notes, and memo writing via Strauss and Corbin’s method.
The results indicated 2 main categories including perceived adversities and negative self-concept that were represented in the form of 10 subcategories including having a difficult life, financial strain, retirement, disempowerment, disrupted family, being lonely, being a trouble to others, self-perceived uselessness, lack of control over life, and losing reputation.
Suicidal ideation among Iranian older adults occurs in the context of negative life events that can cause significant pain and suffering. The concepts related to family, health, and performance of older adults are especially important in the development of suicidal thoughts due to their cultural significance. Therefore, professionals and policymakers can reduce suicidal ideation in older adults by enriching social interactions, increasing welfare activities, paying more attention to spiritual capacities, and generally reducing the structural challenges in day-care centers and nursing homes.

Investigating the status of intergenerational relationships of elderly parents with their adult childen is very important in examining issues related to the status of the elderly such as well being and quality of life and other aspects of elderly life. Giveeen the significance of the topic, the current study aimed to examine the psychometric properties of the Persian version of “Intergenerational Relationship Quality Scale for Aging Parents and Their Children” (IRQS‑AP).

A total of 463 community‑dwelling elders (aged 60 years or older) in Tehran participated in this study through multistage cluster sampling method. To investigate reliability, the construct and convergent validity of the IRQS‑AP, confirmatory factor analysis (CFA), and interclass correlation coefficient were done.

The content validity index was 0.84 for the entire tool. In the CFA, we found the instrument had a four-factor structure and adequate internal consistency. The scale had a significant and positive correlation with the two measures of loneliness and depression. Furthermore, Cronbach’s alpha was estimated at 0.77, and the high value of the interclass correlation was 0.82.

The IRQS‑AP is a valid and reliable scale that can be used to examine the status of intergenerational relationship quality in Iranian elder population.

Most parents consider adolescence to be the most difficult stage of parenting. Parental practice is a determining factor in adolescents’ outcomes. Mothers play the main role of parenting in Iran. Coinciding the transition of adolescence with the transition of middle-aged mothers can affect the mothers’ parenting practice. The present study aimed at explaining the Iranian mothers’ practice in parenting an adolescent child. This qualitative conventional content analysis was conducted from July 2018 to November 2019 in Kashan. 21 in-depth semi-structured interviews with mothers of adolescent children were performed using a purposive sampling method. The data were analyzed through conventional content analysis. Data collection and analysis were performed simultaneously using MAXQDAv10 software. Regarding the study objectives, two themes and six main categories were identified. The theme of ‘laying the groundwork for upbringing’ was detected by two main categories: ‘meeting the needs and ‘effective interaction with the adolescent’; also, the theme of ‘individual-social capacity building’ was explained by four main categories: ‘helping to gain independence’, ‘modeling individual-social behavior’, ‘socializing the adolescent’, and ‘preparing to accept future roles’. Mothers’ practice was mainly focused on adolescents’ independence, college education, career prospects, and marriage preparation and respect for older adults. Consistent with this transition to modernity, and contrary to the collectivist values of Iranian society, mothers’ practice was in line with developing adolescents’ independence and building their self-confidence, which is close to the authoritative parenting style.

According to the world health organization (WHO), in 2019, around 50 million people suffer from dementia, worldwide; and approximately 60% live in low- and middle-income countries. Dementia has physical, psychological, social, and economic effects on dementia sufferers, their caregivers, families, and the community.

This systematic review investigated the effect of short-term and long-term interventions with grapes and their derivatives on different cognitive functions, such as executive function, memory, attention and language in all people.

Pubmed, Scopus, and Proquest were searched until June 12, 2020 for English studies. Clinical trials in which grapes and its derivatives were considered as an intervention and changes of cognition and its components as an outcome, were selected. Two independent individuals assessed the quality of the articles according to Jadad checklist and extracted the information of the articles with inclusion criteria based on a specific table. The differences were resolved with the discussion and opinion of a third person.

Nine Studies (211 individuals) were included in the content analysis, of which 3 studies had short-term intervention and 6 studies had long-term intervention with grape juice, freeze-dried grape powder, and a syrup made from grapes (Enoant Syrup). It can be said that the consumption of grapes and its derivatives improved various cognitive components (such as attention, executive function, immediate spatial memory, learning, and driving skill) between groups.

In general, long-term intervention with grapes and their derivatives has led to the improvement of some cognitive functions, but its short-term intervention is not very effective and only 2 studies showed improvement in attention speed. However, the included studies were highly heterogeneous and more research is needed using similar cognitive assessment tools.

 Cardiovascilar disesases and sleep disorders are two major health problems common in old age. The aim of the present study was to examine the relationship between daytime sleepiness and cardiovascular indices among Iranian older adults.

Methods & Materials:

 A cross-sectional design was used. The sample included 321 older adults who were selected from primary healthcare centers in Kiar County, Chaharmahal and Bakhtiari Province, Iran, using Non-random sampling available method. The data was gathered after taking informed concent, using a demographic questionnaire, Epworth Sleepiness Scale, anthropometric measurements, and relevant paraclinical tests. Chi-squared test, Mann–Whitney U test, Kruskal Wallis test, and Spearman's correlation coefficient were used to analyze the data. All the analyses were performed using SPSS, version 23.

 The data showed 23.67%, 19%, and 7% of the participants had mild to moderate and severe daytime sleepiness, respectively. There was a significant association between daytime sleepiness and age (r=0.121, P=0.03). Moreover, significant positive correlations were found between daytime sleepiness and BMI (r=0.170, P=0.002), systolic blood pressure (r=0.235, P<0.001), diastolic blood pressure (r=0.216, P<0.001), abdominal obesity (r=0.293, P<0.001), and neck circumference (r=0.239, P<0.001).

 Given the positive relationships between daytime sleepiness and some cardiovascular health indices, daytime sleepiness assessment in primary healthcare services for the elderly, especially for those with a history of cardiovascular events, is suggested. More research to illustrate the cause and effect between these two is warranted.