اضطراب مرگ

Nursing critically ill patients can lead to death anxiety. Some factors can predict death anxiety in nurses, one of which is the meaning of life. There are factors that can strengthen or weaken the relationship between death anxiety and the meaning of life in nurses, one of which is perceived stress. This study aims to assess the mediating role of perceived stress in the relationship between the meaning of life and death anxiety in nurses. 

This is a correlational study using structural equation modeling (SEM). The participants were 240 nurses working in public hospitals in Isfahan, Iran, in 2023. They were selected using a convenience sampling method from two hospitals. The data collection tools included a demographic form, the Meaning in Life Questionnaire (MLQ), the Death Anxiety Scale (DAS), and the Perceived Stress Scale (PSS). Pearson’s correlation test and SEM were used for data analysis in SPSS software, version 23 and Amos software.

Out of 240 participants, 230 answered the questionnaires completely. Most of them were female (71%) and married (70%). The mean MLQ score was 50.14±9.92, the mean PSS score was 21.28±4.49, and the mean DAS score was 7.67±2.45. The analyses showed that meaning in life was negatively related to death anxiety (β=-0.160, P=0.009), while perceived stress was positively related to death anxiety (β=0.216, P=0.002). Also, the indirect relationship between the meaning of life and death anxiety through perceived stress was negative and significant (β=-0.702, P=0.006). 

There is a negative relationship between the meaning of life and death anxiety in Iranian nurses. Perceived stress can exacerbate death anxiety in Iranian nurses. In this regard, it is recommended to hold stress management and death awareness courses for nurses to control their death anxiety and stress.

Multiple sclerosis (MS) is one of the common and debilitating diseases of the central nervous system, during which a disorder occurs in the covering of neurons [myelin]. Approximately two million people worldwide are suffering from this disease. Therefore, the present study was conducted to compare the effectiveness of cognitive-behavioral and narrative therapies on death anxiety and body image of MS patients.

This study was conducted using a semi-experimental method of pre-test-post-test and follow-up on 45 patients with MS using a targeted sampling method and with records from the empowerment charity in 2023 in Tehran. The experimental group received one cognitive-behavioral therapy, and the experimental group received two narrative therapies weekly for 60 minutes, while the control group did not receive therapy. Research tools included the Death Anxiety and Body Image Questionnaire. Data analysis was conducted using statistical analysis of covariance (ANCOVA) and analysis of variance (ANOVA) with repeated measurements.

The results indicated that cognitive-behavioral and narrative therapies effectively reduced death anxiety (effect size of 0.622) and improved body image (effect size of 0.701) in MS patients at a significance level of 0.001. According to the Bonferroni test, there was no significant difference between the effectiveness of narrative and cognitive-behavioral therapies (P<0.01).

It seems that cognitive-behavioral and narrative therapies can be employed as complementary treatments along with other treatment methods for MS patients.

The final stage of the patient's life, when death anxiety is experienced more intensely, is a difficult process that can bring positive and negative experiences for the nurse. The aim of the present study is to determine the Prediction of Death Anxiety based on Personality Traits and general health in nurses working in Intensive Care Unit (ICU) of Karaj City hospitals.

The research method was descriptive-correlation. The statistical population of the present study was all the nurses of the special care departments of Karaj hospitals in the year 2022-2023. The samples were calculated by random multi-stage cluster method in the number of 122 people. Data collection instruments including demographic questionnaire, Templer Death Anxiety Scale, "NEO Five-Factor Inventory" and "General Health Questionnaire" were used. The validity of the instruments was calculated using the qualitative content validity method by 5 lecturer of  Faculty of Psychology of the Islamic Azad University of Karaj, and the reliability was calculated using the internal consistency method by calculating the Cronbach's alpha coefficient for the instruments. The collected data were analyzed in SPSS . 26 .

Personality traits (β=-0.403 and P≤0.05), and general health (β=0.372 and P≤0.05) predict death anxiety in intensive care unit nurses. Also, the components of personality traits and general health components predict death anxiety in nurses of special care units.

Personality traits and general health predict death anxiety in intensive care unit nurses. Therefore, it is suggested that nursing officials consider related programs in order to promote the general health of nurses.

 Prostate cancer is the most common and second leading cause of cancer-related mortality among men worldwide. The present study aimed to compare the effectiveness of positive psychotherapy and mindfulness on pain disability and death anxiety in patients with prostate cancer.

The design of this study was a quasi-experimental pre-test-post-test design with a control group. The statistical population included all patients with prostate cancer referred to Imam Khomeini Hospital Complex in the first 6 months of 2024. The study sample included 45 patients with prostate cancer who were selected using purposive sampling and randomly assigned to two experimental groups and a control group (15 people in each group). The first and second experimental groups underwent positive psychotherapy and mindfulness interventions for 8 60-minute sessions, respectively. Data collection tools included the Pollard Pain Disability Index (1984) and the Templer Death Anxiety Questionnaire (1970). Data analysis was performed using analysis of covariance using SPSS version 24 software.

The findings of this study showed that both positive psychotherapy and mindfulness interventions significantly reduced pain disability and death anxiety compared to the control group (p<0.05). The findings also indicated that positive psychotherapy was more effective than mindfulness in reducing pain disability in patients with prostate cancer (p<0.05).

According to the results obtained, it is suggested that health psychology counselors and therapists use two intervention

positive psychotherapy and mindfulness, with positive psychotherapy as the treatment priority, specifically to reduce pain disability and death anxiety in patients with prostate cancer.

One of the common psychological problems of old age is death anxiety, because this period is full of all kinds of feelings of deficiency and incapacity. This research was conducted with the aim of comparing the effectiveness of teaching positive psychology strategies and yoga techniques on death anxiety in elderly women of Shahrbabak city.

The research method was semi-experimental and pre-test, post-test with a control group. The statistical population included all the elderly women of Shahrbabak city in 1402, 45 elderly women (15 people from the first experimental group, 15 people from the second experimental group, and 15 people from the control group) were selected by available sampling method. The data collection tool was Templer's Death Anxiety Questionnaire (1970). The intervention of positive psychology strategies was performed on the first experimental group, the intervention of yoga therapy techniques was performed on the second experimental group, and the control group did not receive any intervention. Data analysis was done with descriptive tests (mean and standard deviation), variance analysis test with repeated measurements and post hoc test using SPSS version 25 software. P level less than 0.05 was considered significant.

The results of analysis of variance showed that yoga therapy techniques and positive psychology strategies had an effect on the death anxiety of elderly women (P<0.01). The results of the follow-up test showed that teaching positive psychology strategies had a greater effect on the variable of death anxiety, and then teaching yoga techniques had an effect on the dependent variable.

Based on the research findings, the positive treatment approach not only reduces negative mood symptoms caused by death anxiety, but also directly increases positive emotions and capabilities in life.

Meaning in life by improving and affecting people's coping in the face of life crises, causes self-compassion and effective confrontation with stressors such as death anxiety. The present study aimed to formulate a structural model for predicting death anxiety based on meaning in life with the mediation of self-compassion in middle-aged employees of Islamic Azad University Science and Research Branch.

The research method was descriptive correlation type. The statistical population of this research was made up 50 to 65-year-old employees of Islamic Azad University Science and Research Branch in 2023-2024, from whom 308 were selected in a non-random and convenience method. The research instruments included demographic questionnaire, "Templer Death Anxiety Scale", "Meaning in Life Questionnaire" and "Self-Compassion Scale". The validity of the instruments was measured using content validity using a qualitative method and reliability using the internal consistency method by calculating Cronbach's alpha coefficient. The collected data were analyzed in SPSS.26 and AMOS.24.

Meaning in life negatively and significantly predicts death anxiety in middle-aged employees at the 0.01 level. Self-compassion negatively and significantly predicts death anxiety in middle-aged employees at the 0.01 level. Meaning in life negatively and significantly predicts death anxiety in middle-aged employees with the mediation of self-compassion at the 0.01 level.

Meaning in life predicts death anxiety in middle-aged employees through the mediation of self-compassion. Therefore, it is suggested that health counselors and psychologists reduce their death anxiety by holding meaning therapy and self-compassion courses for middle-aged employees.

 Intensive care unit nurses are exposed to numerous psychological disorders, including alexithymia and death anxiety, due to their continuous exposure to complex and stressful conditions. Therefore, the present study was conducted to compare the effectiveness of emotion-focused therapy and schema therapy on alexithymia and death anxiety of intensive care unit nurses.

 The method of the present study was a semi-experimental pre-test-post-test with a control group. The statistical population of the present study was the nurses of Imam Hossein Hospital in Shahrood City working in the intensive care unit in 1403. Of these, 45 nurses were selected by convenience sampling and randomly assigned to three schema therapy, emotion-focused, and control groups. The intervention groups received treatment in eight sessions weekly, and the control group did not receive any intervention. The Toronto Alexithymia Scale (TAS) and Templer Death Anxiety Scale (DAS) were used to collect data. Data analysis from this study was performed using SPSS-27 software and univariate and multivariate analysis of covariance.

 The data showed that alexithymia significantly decreased in emotion-focused therapy (F = 0.01, p < 17.91) and schema therapy (F = 0.01, p < 0.08). Death anxiety also significantly improved in emotion-focused therapy (F = 0.01, p < 128.42) and schema therapy (F = 0.01, p < 34.70). From the comparison of the two treatment methods, it can be concluded that emotion-focused therapy was more effective than schema therapy in reducing alexithymia in intensive care unit nurses (P<0.001), and no significant difference was observed between the two groups regarding death anxiety (P<0.001).

 Considering the effectiveness of emotion-focused therapy compared to schema therapy, it can be concluded that emotion-focused therapy can be used as a more effective treatment in the treatment of alexithymia in intensive care unit nurses.

This research aimed to determine the effectiveness of treatment based on acceptance and commitment and compassion-focused therapy on death anxiety and fear of falling in patients with multiple sclerosis.

In the present quasi-experimental study, the statistical population included all patients with multiple sclerosis referred to the MS Association of Tabriz in 2023. The sample size included 60 people from the statistical population selected by convenience sampling and were randomly replaced into three groups. For the first group, acceptance and commitment therapy was implemented in 8 60-minute sessions over four weeks, and for the second group, compassion therapy was implemented in 8 60-minute sessions over four weeks, while the third group (control) did not receive training. The research tools included the Death Anxiety Scale by Templer et al. (1970) and the Falls Efficacy Scale-International by Kempen et al. (2008). The data was analyzed using two-way repeated measures ANOVA.

The effect of interventions on reducing death anxiety (p=0.001, F=16.702) and fear of falling (p=0.001, F=30.263) in patients with multiple sclerosis was significant, and these positive effects remained stable during the follow-up period. Also, the results of the post hoc test showed that there was a statistically significant difference between the treatment methods (p<0.001) and acceptance and commitment therapy was more effective on death anxiety and fear of falling in patients with multiple sclerosis (p<0.001).

Considering the effect of acceptance and commitment therapy on death anxiety and fear of falling in patients with multiple sclerosis in the present study, more attention is recommended to conduct training based on this intervention.

Death anxiety is a significant factor that may exacerbate end-of-life diseases and is a prevalent concern among patients facing terminal illnesses due to the nature of their conditions and the associated high mortality rates. This study aimed to explore the relationship between religious attitudes and death anxiety in patients at the end-of-life.

This descriptive-analytical study was conducted on 80 patients at the end-of-life in 2023. Data were collected using a demographic information questionnaire, Templer’s Death Anxiety Scale, and Golriz and Brahani’s Religious Attitude Questionnaire. The data analysis was performed using SPSS software version 16.

In this study, the mean age of the patients was 62.65±4.12 years, the mean death anxiety score was 81.15±11.32, and the mean religious attitude score was 79.13±9.28. The results of the correlation coefficient test between death anxiety and religious attitude found a significant and negative relationship, with increasing religious attitude, death anxiety decreases (r=-0.321, P<0.01). The results of linear regression analysis of death anxiety based on religious beliefs showed that a one-unit change in the religious beliefs component results in a 0.410 change in death anxiety (P<0.05).

The results of this study highlight the critical role of religious attitudes in managing death anxiety among end-of-life patients. By fostering spiritual well-being, healthcare providers can enhance the quality of life for those facing terminal illnesses, ultimately leading to more compassionate and effective care practices.

Loss is one of the most difficult and stressful events that a person can experience, and losing a child is the most difficult. The present study was conducted with the aim of determining the effectiveness of intensive short-term dynamic psychotherapy on the meaning of life and death anxiety of bereaved mothers..

The research method was quasi-experimental with a pretest-posttest design and follow-up with a control group. The statistical population was all women aged 30 to 50 who lost a child due to suicide, who referred to Imam Reza and Sina Hospitals in Tabriz in 2023. A number of 30 people were selected by convenience sampling and randomly assigned into two equal groups. The experimental group received intensive short-term dynamic psychotherapy during 8 sessions. The control group did not receive any treatment. The research tools were the Meaning of Life Questionnaire by Steger and the Death Anxiety Scale by Templer. Data were analyzed by two-way analysis of variance with repeated measurements and Bonferroni's post hoc test.

In comparison to the control group, intensive short-term dynamic psychotherapy increased the meaning of life of bereaved mothers in the post-test (p<0.001) and decreased their death anxiety (p<0.001). The treatment effect was permanent in the follow-up phase on the meaning of life (p<0.001) and death anxiety (p<0.001) variables. The effect of this treatment on the meaning of life and death anxiety in the post-test and follow-up stages was similar.

It seems that intensive short-term dynamic psychotherapy improves the meaning of life and reduces the death anxiety of bereaved mothers. Therefore, it can probably be a useful treatment to reduce psychological problems and create a meaning for life in bereaved mothers.

The epidemic of coronavirus disease and the implementation of preventive policies have had a tremendous psychological and physical impact on society, and in recent years, the prevalence of mental and psychological problems among young people has increased significantly. Some researchers have reported its rate among people under 20 years to be 75%. The results have shown that the onset of mental health issues between the ages of 12 and 24 is associated with several disorders that will continue for the following years of life. In addition, some have stated that issues and problems in the field of mental health are the main cause of physical diseases in teenagers and young adults. These problems have become more severe since the coronavirus disease epidemics began. Based on this, the present study was conducted to determine the effectiveness of treatment based on acceptance and commitment on coronavirus anxiety and death anxiety in adolescent girls with coronavirus.

The method of the present study was quasi–experimental with a pretest–posttest design and a control group. The statistical population included all teenage girls inflicted with coronavirus living in Yazd City, Iran, in 2021–2022. Of them, 30 volunteers were included in the study based on the inclusion and exclusion criteria. Then, they were randomly assigned to two groups of 15 people: experimental and control. The inclusion criteria were as follows: girls inflicted with coronavirus in Yazd City, participation in training sessions, participants' willingness and written consent, not suffering from psychological disorders and chronic physical diseases, not participating in other counseling and therapy groups at the same time, and ability to answer questionnaires. The exclusion criteria were as follows: absence of more than two sessions from the protocol sessions of acceptance and commitment therapy, lack of trust in the group, unwillingness to continue cooperation, not completing the questionnaires, not completing the tasks included in the protocol of acceptance and commitment therapy, and the therapist's diagnosis that the subject got hurt by the group. Data were obtained using the Corona Disease Anxiety Scale (Alipour et al., 2020) and the Death Anxiety Scale (Templer, 1970) before and after the implementation of the program Commitment and Acceptance Therapy (Hayes et al., 2011). The experimental group underwent Acceptance and Commitment Therapy during 8 sessions of 60 minutes (two sessions per week), and the control group did not receive any intervention. The data obtained were analyzed using descriptive statistics, including mean, standard deviation, frequency, and percentage, and inferential statistics using univariate covariance analysis and independent t test in SPSS version 23 software. The significance level of the tests was set at 0.05.

Results of univariate covariance analysis showed that acceptance and commitment therapy was effective in reducing coronavirus anxiety (p<0.001) and death anxiety (p<0.001) in adolescent girls. According to the obtained value of the eta coefficient for coronavirus anxiety and death anxiety, it can be said that 0.337 of the variance of coronavirus anxiety and 0.417 of the variance of death anxiety was related to the effect of acceptance and commitment therapy.

Based on the results of the research, acceptance and commitment therapy affects reducing coronavirus anxiety and death anxiety. Therefore, this treatment program can be used to empower female teenagers and reduce the anxiety of coronavirus and death.

Given the widespread impact of COVID-19 and its high death rate among healthcare workers.

this study aims to assess the relationship between coronavirus-related anxiety, death anxiety, and emotional intelligence in nurses.

This analytical cross-sectional study focused on nurses at government medical centers in Borujerd city in 2019, comprising a sample of 106 participants selected through simple random sampling. Descriptive statistics were employed to analyze the data, while correlation tests assessed the relationships among COVID-19 anxiety, death anxiety, and emotional intelligence. Linear regression was applied to evaluate the impact of demographic variables, death anxiety, and emotional intelligence on COVID-19 anxiety (P < 0.05).

A significant positive correlation was found between the anxiety scores related to COVID-19 and death anxiety among nurses (P<0.001). Conversely, there was a significant negative correlation between the COVID-19 anxiety scores and the emotional intelligence scores of the nurses (P<0.001).

Given the significant positive correlation between coronavirus anxiety and death anxiety in nurses, as well as the significant negative correlation between coronavirus anxiety and emotional intelligence, it is recommended to leverage emotional intelligence to mitigate anxiety related to the coronavirus and subsequent death anxiety.

One of the critical periods of life is aging, during which people face various physical and mental problems that affect their quality of life. Therefore, the purpose of this research was to examine the relationship between meaning in life and quality of life through the mediating role of death anxiety. This was a descriptive correlational study using structural equation modeling (SEM). The statistical population of the present study included employees and retirees aged 60 to 65 years of various offices and organizations of Tehran, Iran in 2023-2024, among whom 354 people were selected as the sample. Participants answered the Templer’s death anxiety, WHO quality of life, and Steger et al.’s meaning in life questionnaires. The collected data were analyzed by SEM using SPSS-24 and AMOS-24 software. The results showed that there is a significant negative relationship between meaning in life and quality of life with death anxiety, and a significant positive relationship between meaning in life and quality of life. In addition, the mediating role of death anxiety in the relationship between meaning in life and quality of life was confirmed (P=.001). In general, given that death anxiety affects the quality of life of older adults, addressing the issue of meaning in life in the field of counseling for older adults can help improve their quality of life.

the chronic nature, tiring treatments and debilitating and threatening complications of diabetes affect the physical, mental, social, life expectancy and death anxiety of the affected person, so the present study aims to determine the effectiveness of treatment based on acceptance and A commitment was made to the life expectancy and death anxiety of patients with type 2 diabetes.

The current research method was a semi-experimental pre-test-post-test type with a control group and a follow-up period. The statistical population includes all patients with type 2 diabetes with deceased relatives who visited Milad specialized and sub-specialized hospitals in the second six months of 2022, 30 eligible people were selected by purposive sampling method and by simple random sampling (paired sampling method) or the person inside the box) were placed in two groups (15 people in the test group and 15 people in the control group). The data collection tools included life expectancy questionnaires by Schneider et al. (1991) and death anxiety questionnaires by Templer and Ruff (1971). The intervention group was subjected to group intervention in eight 90-minute face-to-face sessions over a period of two months, and the control group received the normal intervention. In order to analyze the data, SPSS version 22 software and the analysis of variance test with repeated measurements between groups were used, observing the statistical assumptions.

The results showed that there was a difference between the average scores of life expectancy and death anxiety of patients with type 2 diabetes in the post-test and follow-up stages compared to the pre-test stage, and these results remained stable until the follow-up stage (P<0.01); Therefore, the treatment based on acceptance and commitment improved the life expectancy and reduced the death anxiety of patients with type 2 diabetes.

Based on the results of this study, therapists and health care providers can use acceptance and commitment therapy as an effective treatment method in improving the health and psychological status of patients with type 2 diabetes.

Breast cancer is the most common cancer diagnosed among women and the second leading cause of death in women after lung cancer. The present study was conducted with the aim of investigating the relationship between death anxiety and spiritual health and social support in women with breast cancer.

The research is descriptive and correlational. The study population included women with breast cancer referred to selected oncology centers in Tehran. The research sample consisted of 160 people who were randomly selected. The research tools included questionnaires related to demographic information, Templer's death anxiety (TDAS), Polotzin and Ellison's spiritual health (SWBS), and perceived social support (MSPSS). Data analysis was done using SPSS version 25 software.

The data showed that the average score of death anxiety in women with breast cancer was 7.89, the average score of spiritual health was 84.84, and social support was 64.97 and at a high level. Also, the data showed that there is an inverse and significant negative relationship between the level of death anxiety and spiritual health and between the level of death anxiety and social support in women with breast cancer.

Cancers that are related to female identity damage cause more anxiety in women. Therefore, the treatment staff, especially the nurses of the cancer department, the family of these patients and the surrounding people should keep this issue in mind in order to provide the necessary support to these patients.

The life threat and encountering death in individuals who recovered from COVID-19 hospitalization resulted in ongoing psychological and emotional damage experienced after being fully recovered, even after several years. Therefore, this study aimed to investigate the prediction of death anxiety based on expressed emotion, intolerance of uncertainty, and experiential avoidance in patients recovered from COVID-19 hospitalization.

A descriptive correlational design was used in this study. All individuals in Khorramabad who have recovered from COVID-19-related hospitalization in the first half of 2024 constituted the study population. Among them, 190 people were selected using the snowball sampling method. The research tools were the Templer death anxiety questionnaire, the Cole and Kazarian expressed emotion questionnaire, the Freeston, et al. intolerance of uncertainty questionnaire, and the Bond, et al. experimental avoidance questionnaire. The data were analyzed using Pearson correlation coefficients and stepwise multiple regression using SPSS-24 software.

The regression analysis indicated that expressed emotions could negatively predict death anxiety in patients who recovered from COVID-19 hospitalization (p≤0.001). Conversely, the intolerance of uncertainty and experiential avoidance could positively predict death anxiety in the target group (p≤0.001).

This study highlights the role of emotional factors and dysfunctional cognitive patterns such as intolerance of uncertainty and experiential avoidance in the development of death anxiety in individuals who recovered from COVID-19-related hospitalization. Therefore, psychologists, counsellors, and psychiatrists may use techniques that promote adaptive emotional regulation strategies and cognitive strategies in the treatment of death anxiety in patients who recovered from COVID-19.

Death is an important and undeniable reality in human life, and it has affected various aspects of life and mental health, and in some people, it is the main source of anxiety in their lives. To treat this anxiety, various treatment methods, including intervention and spiritual care, have attracted the attention of researchers. The present study was conducted to investigate and compare the effectiveness of spiritual interventions and spiritual care on the treatment of death anxiety in different studies.

This research, using the meta-analysis research model and using internal databases (SID, Civilka, Noor Mags, Magiran databases) and external databases (PubMed, Scopus, ScienceDirect Google Scholar), 16 studies out of 512 The cases that investigated the effectiveness of spiritual interventions and spiritual care on death anxiety between 2017 and 2023 and met the criteria for entering the study have been collected and analyzed. The tools used in this research are content analysis checklist and comprehensive software. The meta-analysis was 2CAM.

Although spiritual intervention and spiritual care have shown their effectiveness as two methods of controlling death anxiety in the conducted researches, spiritual interventions have been more effective than spiritual care to control this type of anxiety. The effect size of spiritual interventions (P=0.0001 and 0.723) is significant and the effect size of spiritual care (P=0.066 and 0.618) is insignificant. The results of this meta-analysis showed that although a significant share of the heterogeneity in the effect size is related to the type of intervention, the remaining heterogeneity in the effect size is probably related to other variables (such as age, gender, severity, and type of disease). This issue requires studies with a more accurate level in this field.

Spirituality, with the mechanism of connecting humans to a superior force and giving meaning to life, is known as an essential and effective factor in solving psychological problems, including death anxiety. Interventions and spiritual care, especially when they are appropriate to the society's culture, are useful for curbing death anxiety, and their application, especially spiritual interventions in mental health centers, increases individual efficiency.

It is essential to improve the psychological well-being of nurses who experienced complicated grief caused by Covid-19. Therefore, this study was conducted with the aim of determining the effect of acceptance and commitment based treatment on pathological worry and death anxiety in nurses with the experience of complicated grief caused by COVID-19.

The present study was a semi-experimental study with a pre-post design and a control group. The study population included all the nurses who had experienced complicated grief caused by Covid-19 in the city of Qom. Using purposive sampling, 40 nurses scored higher than 45 on Pennsylvania State's pathological worry questionnaire (PSWQ) and 7≤ on Templer's death anxiety questionnaire (DAQ) were selected and were randomly divided into two experimental and control groups (each group including 20 people). The experimental group then underwent 8 therapy sessions (120 minutes each) based on acceptance and commitment. Data were analyzed using analysis of variance with repeated measures and Bonferroni post hoc test, using SPSS-25.

Analysis of variance with repeated measurements showed that the therapeutic approach based on acceptance and commitment had a significant impact on the pathological worry and death anxiety of nurses at different stages of evaluation (p<0.001). Furthermore, the results of the Bonferroni post hoc test showed that change pathological worry and death anxiety scores that occurred during the post-test phase was also maintained during the follow-up phase (p>0.05).

Considering the effectiveness of the treatment based on acceptance and commitment, this therapeutic approach can be used to improve the problems of nurses experiencing complicated grief caused by COVID-19 in hospitals and counseling centers, by counselors, clinical psychologists and Psychiatrists

Given the increasing older adult population in the near future in Iran, understanding the status of this age group in various domains, including physical health and mental well-being, has become increasingly important, necessitating attention to this demographic. Therefore, understanding the factors contributing to increased levels of successful aging and reduced death anxiety seems to be crucial. Considering that attachment styles play a significant role in shaping mental and physical health throughout life, this research aimed to investigate the relationship between attachment styles and successful aging and death anxiety with the mediating role of resilience. This was a descriptive-correlational study using structural equation modeling (SEM). The statistical population comprised all older adults residing in Kermanshah, Iran during the years 2024-2025, among whom 332 individuals were selected using convenience sampling. The participants completed Zanjari’s successful aging, Templer’s death anxiety, Collins & Read’s attachment styles, and Connor & Davidson’s resilience questionnaires. The collected data were analyzed using SPSS-24 and AMOS-24 software. The results indicated that the hypothesized model had a good fit with the studied sample. As such, secure attachment was related to successful aging and death anxiety through resilience. Furthermore, avoidant attachment was related to successful aging and death anxiety through resilience, and resilience mediated the relationship between ambivalent attachment style with successful aging and death anxiety. These findings emphasize the importance of fostering secure attachment and resilience in interventions aimed at enhancing successful aging and ultimately improving the well-being of older adults.