Elderly Health Journal

en The Role of Health Anxiety in Illness Perception: The Mediating Effect of Bodily Symptom Vigilance among Elderly Patients Attending Medical Clinics in Urmia تخصصي Special پژوهشي Research <div style="text-align: justify;">Introduction: Health anxiety is recognized as an important psychological factor influencing individuals’ perception of illness, particularly among older adults. However, the mechanisms underlying this relationship, especially the mediating role of bodily symptom vigilance, remain insufficiently explored. The present study aimed to investigate the role of health anxiety in illness perception, emphasizing the mediating effect of bodily symptom vigilance among elderly individuals attending medical clinics in Urmia. Methods: This fundamental study employed a descriptive-correlational design using structural equation modeling. The statistical population included individuals aged 60 years and older who visited medical centers in Urmia in 2024. A convenience sample of 200 participants was selected. Data were collected using the Health Anxiety Inventory, the Brief Illness Perception Questionnaire, and the Body Vigilance Scale. Data analysis was performed using SPSS and SmartPLS software. Results: Health anxiety significantly predicted illness perception both directly (β = 0.313, t = 5.04, p < 0.001) and indirectly through bodily symptom vigilance (β = 0.200, t = 4.26, p < 0.001). Health anxiety also significantly predicted bodily symptom vigilance (β = 0.323, t = 5.27, p < 0.001), while bodily symptom vigilance significantly predicted illness perception (β = 0.620, t = 10.60, p < 0.001). Model fit indices indicated an acceptable fit of the proposed model (SRMR = 0.089, NFI = 0.891). Conclusion: Health anxiety and heightened bodily vigilance play a crucial role in shaping illness perception among older adults. These findings highlight the importance of addressing psychological factors in developing mental health policies and interventions for the elderly population.</div> Health Anxiety, Disease Perception, Bodily Symptom Vigilance 23 33 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-491-3&slc_lang=en&sid=1 Shayan Maleki No Department of Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Khoy Branch, Khoy, Iran Elahe Ghafori No Department of Educational Psychology, Islamic Azad University, Urmia Branch, Urmia, Iran Kosar Babalou No Department of Clinical Psychology, Islamic Azad University, Urmia Branch, Urmia, Iran Masoud Gorbanalipour masoudqorbanalipour@gmail.com 0000-0002-7752-1969 Yes Department of Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Khoy Branch, Khoy, Iran