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Dental Care Innovations for Geriatric Populations: Enhancing Quality of Life through Oral Health 2 2 This article has no abstract.   1 2 2025/03/23 1404/1/3 2025/05/27 1404/3/6 Ameneh Marzban Ameneh Marzban Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Iran amenemarzban@yahoo.com Oral Health Aged Dental Care Ghezzi EM, Niessen LC, Jones JA. Innovations in geriatric oral health care. Dental Clinics of North America. 2021; 65(2): 393-407.##Janto M, Iurcov R, Daina CM, Neculoiu DC, Venter AC, Badau D, et al. Oral health among elderly, impact on life quality, access of elderly patients to oral health services and methods to improve oral health: a narrative review. Journal of Personalized Medicine. 2022; 12(3): 1-17.##Chan AKY, Tsang YC, Jiang CM, Leung KCM, Lo ECM, Chu CH. Integration of oral health into general health services for older adults. Geriatrics. 2023; 8(1): 1-8.##Dibello V, Zupo R, Sardone R, Lozupone M, Castellana F, Dibello A, et al. Oral frailty and its determinants in older age: a systematic review. The Lancet Healthy Longevity. 2021; 2(8): 507-20.##Chan AKY, Tsang YC, Jiang CM, Leung KCM, Lo ECM, Chu CH. Diet, Nutrition, and oral health in older adults: a review of the literature. Dentistry Journal. 2023; 11(9): 1-14.## ##

Relationships Between Neuroticism and Health Anxiety with Psychosomatic Disorders in the Elderly: Examining the Mediating Role of Rumination 2 2 Introduction: The present study aimed to model the structural relationships between neuroticism and health anxiety with psychosomatic symptoms in the elderly with psychosomatic disorders, considering the mediating role of rumination. Methods: This descriptive-correlational research was conducted using structural equation modeling (SEM). The statistical population included elderly individuals visiting medical clinics in Khoy City, Iran. Due to the unavailability of accurate statistics on the elderly population, a convenience sampling method was employed. The sample consisted of 200 elderly individuals who had visited two clinics— Social Security Clinic and the Farhangian Clinic —due to somatic complaints. Data were collected using the Psychosomatic Symptoms Questionnaire, the Health Anxiety Inventory, the Rumination Scale, and the Neuroticism Scale. To investigate the direct and indirect effects among the research variables, Smart PLS software was used for analysis through SEM. Results: Neuroticism (β = 0.31, t = 6.31) and health anxiety (β = 0.29, t = 5.91) directly predicted psychosomatic disorders in the elderly. Both also significantly predicted rumination (neuroticism β = 0.31, t = 8.70; health anxiety β = 0.59, t = 15.98), which in turn affected psychosomatic disorders (β = 0.37, t = 7.33). Rumination mediated the effects of neuroticism (indirect β = 0.11, t = 5.57) and health anxiety (indirect β = 0.22, t = 6.77). The model showed good fit (SRMR = 0.065, NFI = 0.910). Conclusion: addressing the psychological aspects of elderly individuals, particularly neuroticism and health anxiety, can significantly improve their physical and mental well-being. Psychological interventions aimed at reducing rumination and enhancing health-related attitudes can effectively prevent and treat psychosomatic disorders. These findings underscore the importance of designing comprehensive intervention programs for the elderly, considering both their psychological and physical dimensions. 3 12 2025/03/232024/11/8 1403/8/18 2025/05/272024/12/18 1403/9/28 Ali Issazadegan Ali Issazadegan Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran Iran a.esazade@gmail.com Shahla Alilou Shahla Alilou Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran Iran Psychosomatic Disorders Disease Anxiety Disorders Neuroticism Rumination Aging Khalili Z, Jafarizadeh M, Mohammadi S, Molaei B, Ebrahimi Belil F. Neglect in nursing homes: prevalence and risk factors. Elderly Health Journal. 2024; 10(1): 14-9.##Ibrahim RM, Ahmed MM, Younis NM. 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Investigating the relationship between personality traits of hardiness and perfectionism with stress and psychosomatic symptoms: a cross-sectional study among nurses in Iran. BMC Psychology. 2024; 12(1): 1-10.##Schmitz N, Hartkamp N, Baldini C, Rollnik J, Tress W. Psychometric properties of the German version of the NEO-FFI in psychosomatic outpatients. Personality and Individual Differences. 2001; 31(5): 713-22.##Barlow DH, Ellard KK, Sauer-Zavala S, Bullis JR, Carl JR. The origins of neuroticism. Perspectives on Psychological Science. 2014; 9(5): 481-96.##Costa PT, Robert R. Revised NEO personality inventory (NEO PI-R) and NEO five-factor inventory (neo-ffi). Psychological Assessment Resource, 1992.##Schultz DP, Schultz SE. Theories of personality. 11th ed. Cengage Learning: Thomson; 2005.##Khan AA, Jacobson KC, Gardner CO, Prescott CA, Kendler KS. Personality and comorbidity of common psychiatric disorders. 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Theories of personality. 10th ed. Yogyakarta: Pustaka Pelajar; 2008.##Smith KE, Mason TB, Lavender JM. Rumination and eating disorder psychopathology: A meta-analysis. Clinical Psychology Review. 2018; 61: 9-23.##Li T, Liu T, Han J, Zhang M, Li Z, Zhu Q, et al. The relationship among resilience, rumination and posttraumatic growth in hemodialysis patients in North China. Psychology, Health & Medicine. 2018 Apr 21; 23(4):442-53.##Van Natta O. From the Slime and Mud: Rumination as Fuel for Artistic Process [Master thesis]. Florida: University of Central Florida; 2024.##Watkins ER, Roberts H. Reflecting on rumination: consequences, causes, mechanisms and treatment of rumination. Behaviour Research and Therapy. 2020; 127: 103573.##Seli P, Risko EF, Smilek D, Schacter DL. Mind-wandering with and without intention. Trends in Cognitive Sciences. 2016; 20(8): 605-17.##Rickerby N, Krug I, Fuller-Tyszkiewicz M, Forte E, Davenport R, Chayadi E, et al. Rumination across depression, anxiety, and eating disorders in adults: a meta-analytic review. Clinical Psychology: Science and Practice. 2024; 31(2): 25-68.##Hwang J, Park S. Gender-specific prevalence and risk factors of sarcopenic obesity in the Korean elderly population: a nationwide cross-sectional study. International Journal of Environmental Research and Public Health. 2023; 20(2): 1-9.##Marsa R, Younesi SJ, Barekati S, Ramshini M, Ghyasi H. A Comparative study on stress, anxiety and depression between nursing-home elderly residents and home-dwelling elderly people. Salmand: Iranian Journal of Ageing. 2020; 15(58): 176-87. [Persian]##Younis NM, Ibrahim RM, Ahmed MM. Health problems related to quality of life among aging in Iraq. Journal of Current Medical Research and Opinion. 2024; 7(06): 3015-24.##Pallant J. SPSS survival manual: A step-by-step guide to data analysis using IBM SPSS. 7th ed. London: Routledge; 2020.##Ghasemi E, Zeinab A, Azam N, Ali EM. 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Elderly's Poverty in Interaction with Social Security Systems in Iran: A Grounded Theory Study in Tehran 2 2 Introduction: Begging, as a deeply rooted social issue, has been experienced by human societies since ancient times. Over different historical periods, it has altered along the economic, social, and cultural conditions of its time, taking on various forms and dimensions. In recent years, with the significant increase in the elderly population in Iran, particularly in metropolitan Tehran, the phenomenon of begging among this age group has also witnessed a notable rise. Beyond its human and ethical dimensions, this issue has critical economic and social consequences that demand serious attention. Methods: This study focuses on the economic dimensions of elderly begging in Tehran. Employing a grounded theory approach, the research aims to identify and explain the economic factors contributing to elderly begging. A theoretical and purposive sampling method was employed to collecte data from 16 elderly beggars via in-depth semi-structured interviews. Results: The results led to 15 primary categories and one core category titled "Poverty and Distrust in Support Systems", which were thoroughly presented along with a paradigmatic model. According to the findings, economic damages resulting from blood money (diyah) and dowry payments, economic shocks caused by bereavement, lack of financial resources, deprivation of inheritance support, experiences of financial failure, and fraud have significantly weakened the economic capital of elderly beggars. Conclusion: Economic insecurity among the elderly has led to their dependence on government and charitable support. However, due to inappropriate treatment and stringent conditions imposed by these institutions, some elderly are deprived of the aids they need. Consequently, begging has emerged as an adaptive behavior in response to unfavorable economic and social conditions. 13 21 2025/03/232024/11/82025/01/28 1403/11/9 2025/05/272024/12/182025/06/21 1404/3/31 Saeede Ebrahimi Nia Saeede Ebrahimi Nia Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran Iran SeyedAlireza Afshani SeyedAlireza Afshani Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran Iran afshanialireza@yazd.ac.ir Ali Ruhani Ali Ruhani Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran Iran Mohammad Torkashvand Moradabadi Mohammad Torkashvand Moradabadi Department of Anthropology and Demography, Faculty of Social Sciences, Yazd University, Yazd, Iran Iran Aged Deprivation Poverty Support Systems Sheikhavandi D. Social Pathology. Tehran: Higher Education Institute of Social Services; 2009.##Lankenau, SE. Panhandling repertoires and routines for overcoming the nonperson treatment. Deviant Behavior. 1991; 12(2): 183–202.##Mehrbani V. Begging in District 12 of Tehran and the Grand Bazaar. Journal of Financial and Economic Policies. 2017;5(18):145-70. [Persian] ##Afra H, Eslami R, Ayar A. Successful aging based on economic and cultural capital approaches: a study of retired teachers in Tabriz. Social Development & Welfare Planning. 2021; 11(45): 193-220. [Persian]##Shokouri A, Moatamedi H. Analysis of Socio-Economic Factors Affecting Begging In the City of Mashhad. Journal of Socio-Development Studies. 2012; 3(1): 39-70. [Persian]##Adebayo K, Fayehun O, Falase O, Adedeji I. Socio-economic context of begging among the elderly in Nigeria. The Nigerian Journal of Sociology and Anthropology. 2014; 12(1): 86-105.##Onagun AI. Relationship between street-begging and poverty in Ilorin Emirate, Kwara State, Nigeria. International Journal of Health Economics and Policy. 2016; 1(1): 1-6.##Parvayi S, Mousavi M. exclusion of ageing in social policy analyzing development plans after the revolution. Social Problems Issues of Iran. 2019; 10(2):59-83.##Zanjari N, Sadeghi R. Assessment of elderly well-being in Iranian provinces using the elderly watch index. Salmand Iranian Journal of Aging. 2020; 16(4): 498-517.##Mahmoudiani S. Migration and Begging in Tehran: Challenges and Policy Requirements. Journal of Population. 2016; 23: 25-49. [Persian]##Ghanatpisheh E, Fathi-Azar E, Adib Y. Successful Regulation and Control of Begging in Metropolises: A Case Study of Tabriz Charity Institute. Journal of Economic Sociology and Development. 2016; 5(2): 131-64. [Persian]##Baltazar BM. Categorization of street beggars and factors influencing street begging in central Tanzania. African Study Monographs. 2012; 33(2): 133-43.##Qandeel A, Jehom WJ. Patterns of living environment among itinerant elderly community in Malaysia. Global Social Welfare. 2020; 7(3): 383-93.##Wendosen A. Elders engaged in begging as a means of livelihood in Debre Birhan town: An exploration of major push factors and their challenges [PhD thesis]. Ethiopia: Addis Ababa University; 2017.##Durkheim E. The division of labor in society. New York: Macmillan; 1964.##Rubington E, Weinberg M. The Role of Third Parties. In: Rubington E, Weinberg M, editors. Deviance. Routledge; 2015. p. 118-144.##Fitzpatrick T. Welfare Theory [Homayounpour H, trans]. Tehran: Institute for Social Security Research; 2004.##Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 3rd ed. SAGE Publications; 1998.##Creswell J. Qualitative inquiry and research design: choosing among five approaches. 2nd ed. London: SAGE publication: 2007.##Adhami J, Torkaman M, Kalahar S, Daghaqaleh A. Tehran metropolis and begging. 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Effect of Sleep Health Education on the Sleep Quality of Elderly Individuals with Diabetes 2 2 Introduction: Sleep disorders significantly impact the daily functioning and overall well-being of elderly individuals. Given that non-pharmacological treatments generally yield more sustainable results than medications, this study aimed to evaluate the effectiveness of sleep health education in improving the sleep quality of elderly individuals with diabetes attending a diabetes clinic in Gorgan, Iran. Methods: This randomized controlled clinical trial was conducted in 2022. A total of 64 eligible elderly patients with diabetes who visited the Gorgan diabetes clinic were randomly assigned to either the intervention or control group. The intervention group received a one-week sleep health education program. Data were collected using the Pittsburgh Sleep Quality Index, administered to both groups at baseline and again one and two months after the intervention. Chi-square and Friedman tests were used to analyze the data using SPSS 21, with a significance level of p < 0.05. Results: At baseline, the total sleep quality score was 9.66 in the control group and 8.78 in the intervention group. A statistically significant difference in the total sleep quality score was observed only in the intervention group across the three assessment points (baseline, one month, and two months post-intervention) (p < 0.001). In the intervention group, all components of sleep quality, except for sleep adequacy and use of sleep medications, showed a statistically significant difference across the three stages (p < 0.05). Conclusion: Considering the demonstrated effectiveness of sleep health education on the sleep quality of elderly individuals with diabetes, it is recommended that healthcare personnel prioritize and integrate sleep health education for this population. 22 29 2025/03/232024/11/82025/01/282025/02/16 1403/11/28 2025/05/272024/12/182025/06/212025/06/23 1404/4/2 Ghanbar Roohi Ghanbar Roohi Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran Iran zahra sabzi zahra sabzi Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran Iran zsgorgan@yahoo.com Ghazale Mazraei Ghazale Mazraei School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran Iran Nasser Behnampour Nasser Behnampour Department of Biostatistics, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran Iran hamideh mancheri hamideh mancheri Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran Iran Sleep Disorder Aged Diabetes Sleep Quality Bagheri-Nesami M, Meskini L, Rostami-ghadi M. The effect of aromatherapy with essential oils of lavender on sleep quality in the elderly. Journal of Gerontology. 2019; 4(3): 63-73. [Persian]##Goli Roshan A, Hosseinkhani SN, Norouzadeh R. The relationship between health literacy of elderly diabetics and adherence to treatment, Babol, Iran, 2021. Qom University of Medical Sciences Journal. 2021; 14(12): 70-80. [Persian]##Maresova P, Javanmardi E, Barakovic S, Barakovic Husic J, Tomsone S, et al. Consequences of chronic diseases and other limitations associated with old age–a scoping review. BMC Public Health. 2019; 19(1): 1-7.##Noohi E, Khandan M, Mirzazadeh A. Effective of electronic education on knowledge attitude and self-care in patient's diabetic type 2 refer to diabetic center of Kerman University of medical science. Iranian Journal of Nursing Research. 2011; 6(22): 73-80. [Persian]##Fadayevatan R, Bahrami M, Mohamadzadeh M, Borhaninejad V. Relationship of sleep quality with mental health and blood sugar control in elderly people with diabetes mellitus. Iranian Journal of Ageing. 2020; 14(4): 380-91. [Persian]##Hasanpour F, Mehravar F, Badeleh-Shamushaki MT, Mancheri H. The association of health literacy and medication adherence in type 2 diabetic’s patients referring to comprehensive health centers in Gorgan city. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2024; 9(4): 321-33. [Persian]##Budhiraja R, Roth T, Hudgel DW, Budhiraja P, Drake CL. Prevalence and polysomnographic correlates of insomnia comorbid with medical disorders. Sleep. 2011; 34(7): 859-67.##Alshehri MM, Alkathiry AA, Alenazi AM, Alothman SA, Rucker JL, Phadnis MA, et al. Sleep efficiency and total sleep time in individuals with Type 2 diabetes with and without insomnia symptoms. Sleep Disorders. 2020; 2020(1): 1-12.##Tanaka H, Shirakawa S. Sleep health, lifestyle and mental health in the Japanese elderly: ensuring sleep to promote a healthy brain and mind. Journal of Psychosomatic Research. 2004; 56(5): 465-77.##Li J, Yao YS, Dong Q, Dong YH, Liu JJ, Yang LS, et al. Characterization and factors associated with sleep quality among rural elderly in China. Archives of Gerontology and Geriatrics. 2013; 56 (1): 237-43.##Amini A, Shirvani H, Bazgir B. Effect of rhythmic neural, musculoskeletal exercises on sleep quality in armed forces retirement. Journal of Military Medicine. 2021; 23(2): 10-26. [Persian]##Safa A, Adib-Hajbaghery M, Fazel-Darbandi AR. The relationship between sleep quality and quality of life in older adults. Iranian Journal of Psychiatric Nursing. 2015; 3(3): 53-62. [Persian]##Taheri Tanjani P, Khodabakhshi H, Etemad K, Mohammadi M. Effect of sleep hygiene education on sleep quality and general health of elderly women with sleep disorders living in Birjand City, Iran, in 2016. Iranian Journal of Ageing. 2019; 14(2): 248-59. [Persian]##Torabi A, Ilali ES, Emadian SO, Mousavinasab N. Comparison of the effect of sleep hygiene education with the cognitive and behavioral method on the quality of sleep in elderly. Journal of Gerontology. 2019; 4 (3): 9-17. [Persian]##Asiri S, Rahimi H, Kazemnezhad Leyli E, Pourvakhshoori N. The effect of sleep health education based on mobile application on sleep quality of the elderly: a quasi-experimental study. Iranian Journal of Ageing. 2025; 20(1): 136-55. [Persian]##Foley DJ, Monjan A, Simonsick EM, Wallace RB, Blazer DG. Incidence and remission of insomnia among elderly adults: an epidemiologic study of 6,800 persons over three years. Sleep. 1999; 22: S366-72.##Agargun MY, Kara H, Anlar O. The reliability and validity of Turkish version of Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996; 7: 107-15.##Mirzaei M, Gholamrezaei E, Bidaki R, Fallahzadeh H, Ravaei J. Quality of sleep and methods of management of sleep disorders in elderly of Yazd city in 2016. Journal of Shahid Sadoughi University of Medical Sciences. 2017 Sep 15; 25(6):467-75. [Persian]##Moradi M, Mohammadzadeh H, Noori R, Basiri Moghadam K, Sadeghmoghadam L. Effect of a sleep hygiene education program using telephone follow-up method on the sleep quality of the elderly. Iranian Journal of Ageing. 2021; 15(4): 484-95. [Persian]##Hoch CC, Reynolds III CF, Buysse DJ, Monk TH, Nowell P, Begley AE, et al. Protecting sleep quality in later life: a pilot study of bed restriction and sleep hygiene. The Journals of Gerontology. 2001; 56(1): 52-9.##Montazeri Lemrasky M, Shamsalinia A, Hajiahmadi M, Nasiri M. The effectiveness of education on factors affecting elderly women's sleep. Caspian Journal of Health and Aging. 2018; 3 (1): 59-68. [Persian]##Mottaghi R, Kamkar A, Maredpoor A. Effectiveness of cognitive behavior therapy on the quality of sleep in elderly people with insomnia disorder. Iranian Journal of Ageing. 2016; 11(2): 234-43. [Persian]##Bahrami M, Dehdashti AR, Karami M. A survey on sleep quality in elderly people living in a nursing home in Damghan city in 2017: A short report. Journal of Rafsanjan University of Medical Sciences. 2017; 16(6): 581-90. [Persian]##Shin JC, Kim J, Grigsby-Toussaint D. Mobile phone interventions for sleep disorders and sleep quality: systematic review. JMIR mHealth and UHealth. 2017; 5(9): 7244.##McCrae CS, Rowe MA, Dautovich ND, Lichstein KL, Durrence HH, Riedel BW, et al. Sleep hygiene practices in two community dwelling samples of older adults. Sleep. 2006; 29(12): 1551-60.## ##

The Relationship of Life Experiences with Social Health in Older Adults: The Mediating Role of Positive Feelings Towards Spouse 2 2 Introduction: As the elderly population grows, addressing the challenges of aging, including social health, becomes increasingly important. This study aimed to examine the relationship between life experiences, positive feelings toward a spouse, and social health in older adults. Methods: This descriptive-correlational study involved 298 older adults referred to welfare centers in Tehran, Iran, in 2020. Participants completed the Social Well-Being Questionnaire, the Life Experience Survey, and the Positive Feelings Questionnaire. Data were analyzed using structural equation modeling with AMOS software. Results: The results indicated a significant negative direct effect of life experiences on social health dimensions (social acceptance, integration, contribution, coherence, and cohesion) (p < 0.05). Additionally, positive feelings toward a spouse (kissing, cuddling, reduced loneliness, and touch) significantly mediated the relationship between life experiences and social health (p < 0.05). Conclusion: These findings suggest that older adults can enhance their social health by acquiring knowledge about life experiences and cultivating positive feelings toward their spouses. The implications of this research can inform interventions aimed at improving the social health of older adults. 30 37 2025/03/232024/11/82025/01/282025/02/162024/09/7 1403/6/17 2025/05/272024/12/182025/06/212025/06/232024/12/18 1403/9/28 Maleehe Zamanpour Maleehe Zamanpour Department of Psychology, Arak Branch, Islamic Azad University, Arak, Iran Iran Zabih Pirani Zabih Pirani Department of Psychology, Arak Branch, Islamic Azad University, Arak, Iran Iran z-pirani@iau-arak.ac.ir Moslem Abbasi Moslem Abbasi 2. Department of Psychology, Faculty of Literature and Humanities, Salman Farsi University, Kazeroon, Fars, Iran Iran Davood Taqvai Davood Taqvai Department of Psychology, Arak Branch, Islamic Azad University, Arak, Iran Iran Social Health Life Experiences Positive Feelings Towards Spouse Aged Hwang YK, Lee CS. Relationship between body image, growth mindset, grit, and successful aging in Korean elderly: Moderated mediation effect of hope. Medico Legal Update. 2020; 20(1): 2196-202.## Mohammadi S, Kazemi M, Yousefi Afrashteh M. The mediating role of resilience in the relationship between religious components and psychological well-being in older adults. Salmand: Iranian Journal of Ageing. 2023; 19(2): 176-89. [Persian] ## Zhou G, Wang Y, Yu X. Direct and indirect effects of family functioning on loneliness of elderly Chinese individuals. Current Psychology. 2018; 37(1): 295-301.##Fahimian M, Masoudi Alavi N, Sadat Z, Taebi M. Translation and psychometric evaluation of the social health scale for the elderly (SHSE). Journal of Isfahan Medical School. 2023; 41(705): 1-8. [Persian] ## Ghahfarokhi MS. Prevalence and correlates of living alone among elderly in Iran. Payesh. 2019; 18(4): 357-67. [Persian]##Mortazavi H, Golmakani E, Armat M, Tabatabaeichehr M, Hasanzadeh E. The relationship between spiritual intelligence and quality of life in elderlies. Journal of North Khorasan University of Medical Sciences. 2018; 9(3): 363-70. [Persian] ## Tohidifar M, Kazemian Moghadam K, Haroonrashidi H. The effectiveness of compassion-focused therapy on loneliness and cognitive flexibility in elderly men. Journal of Psychological Studies. 2021; 17(2): 97-116. ## Shahbazi Chahartaq A, Yousefi Afrashteh M, Morovati Z. Relationship between spiritual health with life satisfaction in the elderly people: the mediating role of forgiveness. Salmand: Iranian Journal of Ageing. 2023; 19(1): 116-29. [Persian] ## Yazdanpanah L, Nikvarz T. Relationship between social factors and social health among students of Shahid Bahonar University of Kerman. Journal of Applied Sociology. 2015; 59(3): 100-16. [Persian]## Bousquet J, Kuh D, Bewick M, Standberg T, Farrell J, Pengelly R, et al. Operational definition of active and healthy ageing (AHA): a conceptual framework. The Journal of Nutrition, Health & Aging. 2015; 19(9): 955-60.##Krahn G, Rabinson A, Murray AJ, Havercamp SM. Its time to reconsider how we define health: Perspective from disability and chronic condition. Disable and Health Journal. 2021; 14(4): 1-5.## Lu J, Yu Z, Zhang X, Wu M, Lin S, Zhu Y, et al. Association between social health status and health-related quality of life among community-dwelling elderly in Zhejiang. Health and Quality of Life Outcomes. 2020; 18(1): 1-8.## Farzaneh S, Alizadeh S. Study in social determinants on social health among older people in Babol town. Quarterly Journal of Socio - Cultural Development Studies (Scds). 2013; 2(1): 183-208. [Persian] ## Lee S, Choi Y. A study on family support and resilience of the elderly. Journal of Advanced Researches and Reports. 2021; 1(2): 61-8.##Won D, Bae JS, Byun H, Seo KB. Enhancing subjective well-being through physical activity for the elderly in Korea: A meta-analysis approach. International Journal of Environmental Research and Public Health. 2019; 17(1): 1-11.## Alikarami K, Maleki A, Abdollahyan H, Rezaei M. The lived experience of loneliness among aged women (A phenomenological study). Women's Strategic Studie. 2019; 21(83): 7-30. [Persian]## Zarghami H, Mahmoudian H. Children's out-migration and loneliness feeling in rural older parents. Journal of Health Psychology. 2016; 5(19): 99-116. [Persian]## Afsharkohan J, Ghaderi Harsini F. Sociological study of the aging experience among the elders of Kermanshah. Women's Strategic Studies. 2022; 25(97): 167-197. [Persian] ## Najafi Behzadi N, Kayani O. Investigation and cognition of social experiences on the quality of life in Lordegan city. National Conference on Professional Research in Psychology and Counseling with a Teacher Perspective. IEEE; 2021. p. 1-8. [Persian]## Besharat MA, Mirzaei T, Gholamali Lavasani M, Naghipoor M. The moderating role of positive and negative affect on the association of sexual knowledge and attitude with marital satisfaction. Iranian Journal of Family Psychology. 2018; 4(2): 3-18. [Persian]##Ahmadi M, Zamani Lari MH. The relationship between dysfunctional attitudes and positive and negative emotions with attitudes towards extramarital relationships; Considering the mediating role of religious orientation in couples on the verge of divorce. Islam and Psychological Research. 2023; 8(18): 115-30. [Persian] ## Barkhshan Sh, Shojaei Joshoghani R. The relationship between positive feelings towards spouse and marital adjustment with internet addiction in married women (Case study: Isfahan). Iranian Journal of Psychology and Behavioral Sciences. 2022; 29: 11-19. [Persian]## Ghasemi N, Zanganeh R. Comparison of feelings of loneliness, positive feelings towards spouse and boldness among mothers of normal students and mothers of students with intellectual disability in Fasa city. Iranian Journal of Psychology and Behavioral Sciences. 2024; 36(4): 88-102. [Persian] ## Wiebe SA, Johnson SM. A review of the research in emotionally focused therapy for couples. Family Process. 2016; 55(3): 390-407.## Ariyan N, Farnam A. The relationship between spouse choosing criteria and positive feelings towards Spouse: the mediating role of family unity and flexibility. Ferdowsi University of Mashhad Journal of Social Sciences. 2022; 9(1): 219-49. [Persian]## Kolodziejczak K, Gerstorf D, Rook K. Facets of close, romantic, and intimate relationships in later life. Innovation in Aging. 2019; 3(Supplement_1): 792.## Oraki M. The effectiveness of the schema therapy on depression and relapse in heroin-dependent individuals. Iranian Journal of Health Psychology. 2019; 2(1): 9-18.##Tough H, Siegrist J, Fekete C. Social relationships, mental health and wellbeing in physical disability: a systematic review. BMC Public Health. 2017; 17(1): 1-18.##Boyraz G, Lightsey ORJr. Can positive thinking help? Positive automatic thoughts as moderators of the stress-meaning relationship. The American Journal of Orthopsychiatry. 2012; 82(2): 267-77. ## Javadi N, Darvishpour A, Khalili M, Barari F. The survey of social wellbeing and related factors in students of Guilan Medical University in 2015. The Quarterly journal of School of Medicine, Shahid Beheshti University of Medical Sciences. 2017; 40(4): 197-203. [Persian]## Mohamadzadeh Ebrahimi A, Neissi A, Arshadi N, Shehni Yailagh M, Mehrabizadeh Honarmand M. Designing and testing a model of the casual relationships between personality traits of sociotropy/autonomy, perception of stressful events and depression symptoms in Shahid Chamran University students. Psychological Achievements. 2016; 23(1): 43-73. [Persian] ## Saffarinia M, Tadris Tabrizi M, Aliakbari M. Exploring the validity, reliability of social well-being questionnaire in men and women resident in Tehran city. Quarterly of Educational Measurement. 2015; 5(18): 115-132. [Persian]## Keyes CLM, Shapiro A. Social well-being in the U.S.: a descriptive epidemiology. In: Brim OG, Ryff CD, Kessler RC, editors. How healthy are we?: A national study of well-being at midlife. The University of Chicago Press; 2004. p. 350-372.## O'Leary KD, Turkewitz H. A Comparative outcome study of behavioral marital therapy and communication therapy. Journal of Marital and Family Therapy. 1981; 7(2): 159-69.## Heidar M , Mazaheri MA, Pouretamad HR. The relationship between communication beliefsand with positive feelings towards spouse. Journal of Family Research. 2005; 1(2): 121-130.## Sarason IG‚ Johnson JH‚ Siegel JM. Assessing the impact of life changes: development of the life experience survey. Journal of Consulting and Clinical Psychology. 1978; 46(5): 932-46.##Cardilla K. Personality vulnerability, coping and depression: a multi-method daily diary study of college students. University of California, Santa Cruz; 2008.##Sarason IG‚ Johnson JH‚ Siegel JM. Assessing the impact of life changes: development of the life experience survey. Journal of Consulting and Clinical Psychology. 1978; 46(5): 932-46## ##

The Effect of Physical Activity on Motor Memory in Older Adults: A Comparative Study of Active and Inactive Groups 2 2 Introduction: Cognitive decline is a common consequence of aging, often affecting motor memory, which plays a critical role in performing daily activities. Impaired motor memory may reduce independence and quality of life among older adults. This study aimed to compare motor memory performance in physically active and inactive elderly individuals and to examine the potential role of physical activity in enhancing motor-related cognitive functions. Methods: This cross-sectional study was carried out in Sabzevar city, Iran, in 2022. A total of 110 elderly individuals aged over 60 years were selected using convenience sampling based on specific inclusion criteria. Participants were divided into two groups—active and inactive—according to their responses to the Sherki Standard Physical Activity Questionnaire. Data collection tools included the Edinburgh Handedness Questionnaire (to assess dominant hand), the Sherki Standard Physical Activity Questionnaire (to determine physical activity levels), the Linear Movement Device (LM-01) (to measure motor performance), and a Motor Memory Test, in which participants were asked to perform linear hand movements over short and long distances. The number of movement errors was recorded as an indicator of motor memory performance. Results: The analysis revealed statistically significant differences in motor memory performance between the physically active and inactive elderly groups. Specifically, for the short-distance movement task, participants in the active group demonstrated significantly fewer errors than their inactive counterparts (Z = -6.129, p < 0.001). The long-distance movement task, the active elderly group again outperformed the inactive group, showing fewer errors (Z = -8.186, p < 0.001). Conclusion: The results suggest that regular physical activity is associated with improved motor memory performance in older adults. These findings emphasize the importance of integrating physical activity programs into geriatric care to help maintain cognitive and motor function, promote independence, and enhance overall quality of life in aging populations. 38 44 2025/03/232024/11/82025/01/282025/02/162024/09/72025/02/26 1403/12/8 2025/05/272024/12/182025/06/212025/06/232024/12/182025/05/19 1404/2/29 mohammadreza shahabi kaseb mohammadreza shahabi kaseb Department of Motor Behavior, Faculty of Physical Education and Sports Sciences, Hakim Sabzevari University, Sabzevar. Iran Iran Mr.shahabi@hsu.ac.ir Amir Masoud Ravanshenas Amir Masoud Ravanshenas Department of Motor Behavior, Faculty of Physical Education and Sports Sciences, Hakim Sabzevari University, Sabzevar. Iran Iran Zahra Estiri Zahra Estiri Department of Motor Behavior, Faculty of Physical Education and Sports Sciences, Hakim Sabzevari University, Sabzevar. Iran Iran Arezou Mehranian Arezou Mehranian Department of Motor Behavior, Faculty of Physical Education and Sports Sciences, Shahid Beheshti University, Tehran, Iran Iran Aging Memory Exercise Motor Skills Maclean LM, Brown LJ, Khadra H, Astell AJ. Observing prioritization effects on cognition and gait: The effect of increased cognitive load on cognitively healthy older adults’ dual-task performance. Gait & Posture. 2017; 53: 139-44.##Norouzi E, Vaezmosavi M, Gerber M, Pühse U, Brand S. Dual-task training on cognition and resistance training improved both balance and working memory in older people. The Physician and Sportsmedicine. 2019; 47(4): 471-8.##Best JR, Miller PH. A developmental perspective on executive function. Child Development. 2010; 81(6): 1641-60.##Faßbender RV, Risius OJ, Dronse J, Richter N, Gramespacher H, Befahr Q, et al. Decreased efficiency of between-network dynamics during early memory consolidation with aging. Frontiers in Aging Neuroscience. 2022; 14: 1-19.##Magill RA, Anderson DI. Motor learning and control: concepts and applications. 11th ed. New York, NY: McGraw-Hill Education; 2018.##Seidler RD, Bernard JA, Burutolu TB, Fling BW, Gordon MT, Gwin JT, et al. Motor control and aging: links to age-related brain structural, functional, and biochemical effects. Neuroscience & Biobehavioral Reviews. 2010; 34(5): 721-33.##Erickson KI, Voss MW, Prakash RS, Basak C, Szabo A, Chaddock L, et al. Exercise training increases size of hippocampus and improves memory. The Proceedings of the National Academy of Sciences. 2011; 108(7): 3017-22.##Voss MW, Nagamatsu LS, Liu-Ambrose T, Kramer AF. Exercise, brain, and cognition across the life span. Journal of Applied Physiology. 2011; 111(5): 1505-13.##Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychological Science. 2003; 14(2): 125-30.##Rehfeld K, Müller P, Aye N, Schmicker M, Dordevic M, Kaufmann J, et al. Dancing or fitness sport? The effects of two training programs on hippocampal plasticity and balance abilities in healthy seniors. Frontiers in Human Neuroscience. 2017; 11: 1-9.##Xu L, Gu H, Cai X, Zhang Y, Hou X, Yu J, et al. The effects of exercise for cognitive function in older adults: a systematic review and meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health. 2023; 20(2): 1-13.##Buele J, Palacios-Navarro G. Cognitive-motor interventions based on virtual reality and instrumental activities of daily living (iADL): an overview. Front Aging Neuroscience. 2023; 15: 1-9.##Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Academic Press; 2013.##Oldfield RC. The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia. 1971; 9(1): 97-113.##Veale JF. Edinburgh handedness inventory–short form: a revised version based on confirmatory factor analysis. Laterality. 2014; 4;19(2): 164-77.##Alipour A, Aghahheriss M. The conformity between handedness and footedness among Iranian Nations. Journal of Modern Psychological Researches. 2012; 7(26): 105-26. [Persian]##Asadı E, Shahabı Kaseb MR, Zeıdabadı R, Hamedınıa MR. Effect of 4 weeks of frankincense consumption on explicit motor memory and serum BDNF in elderly men. Turkish Journal of Medical Sciences. 2019; 49(4): 1033-40.##Sharkey BJ, Gaskill SE. Fitness & health. 7th ed. Human Kinetics; 2013.##Mokaberian M, Kashani V, Kashani K, Namdar Tajari S. The comparison of happiness in active and inactive old men and women in Tehran. Journal of Sports and Motor Development and Learning. 2014; 6(2): 183-94. [Persian]##Kholousi P, Tojari F, Esmaeili Shazandi MR. Determining motives and motivation factors among iranian elders of male and female to participate in physical activities. Strategic Studies on Youth and Sports. 2018; 17(40): 27-42. [Persian]##Morris JC. The clinical dementia rating (CDR). Neurology. 1993; 43(11): 1993.##Lotfi MS, Tagharrobi Z, Sharifi K, Abolhasani J. Diagnostic accuracy of persian version of clinical dementia rating (P-CDR) for early dementia detection in the elderly. Journal of Rafsanjan University of Medical Sciences. 2015; 14(4): 283-98. [Persian]##Sadeghi N, Noroozian M, Khalaji H, Mokhtari P. Validity and reliability of clinical dementia rating scale among the elderly in Iran. Zahedan Journal of Research in Medical Sciences. 2012; 14: 47-50.##Hübner L, Godde B, Voelcker-Rehage C. Acute exercise as an intervention to trigger motor performance and eeg beta activity in older adults. Neural Plast. 2018; 2018: 1-20.##Xu L, Gu H, Cai X, Zhang Y, Hou X, Yu J, et al. The effects of exercise for cognitive function in older adults: a systematic review and meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health. 2023; 20(2): 1-13.##Zerbo D. The benefits of physical activity and exercise on physical, cognitive and daily life activities in aging adults. Annales Kinesiologiae. 2019; 10(1): 1-13.##Sofi F, Valecchi D, Bacci D, Abbate R, Gensini GF, Casini A, et al. Physical activity and risk of cognitive decline: a meta-analysis of prospective studies. Journal of Internal Medicine. 2011; 269(1): 107-17.##De la Rosa A, Solana E, Corpas R, Bartrés-Faz D, Pallàs M, Vina J, et al. Long-term exercise training improves memory in middle-aged men and modulates peripheral levels of BDNF and Cathepsin B. Scientific Reports. 2019; 9(1): 1-11.##Falck RS, Davis JC, Best JR, Crockett RA, Liu-Ambrose T. Impact of exercise training on physical and cognitive function among older adults: a systematic review and meta-analysis. Neurobiology of Aging. 2019; 79: 119-30.##Gothe NP, Khan I, Hayes J, Erlenbach E, Damoiseaux JS. Yoga effects on brain health: a systematic review of the current literature. Brain Plast. 2019; 5(1): 105-22.##Nagamatsu LS, Handy TC, Hsu CL, Voss M, Liu-Ambrose T. Resistance training promotes cognitive and functional brain plasticity in seniors with probable mild cognitive impairment: A 6-month randomized controlled trial. Archives of Internal Medicine. 2012; 172(8): 666-8.##Voelcker-Rehage C, Niemann C. Structural and functional brain changes related to different types of physical activity across the life span. Neuroscience and Biobehavioral Reviews. 2013; 37(9 Pt B): 2268-95.##Leach RC, McCurdy MP, Trumbo MC, Matzen LE, Leshikar ED. Differential age effects of transcranial direct current stimulation on associative memory. 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Promoting neuroplasticity for motor rehabilitation after stroke: considering the effects of aerobic exercise and genetic variation on brain-derived neurotrophic factor. Physical Therapy. 2013; 93(12): 1707-16.##Kirchner L, Chen W-q, Afjehi-Sadat L, Viidik A, Skalicky M, Höger H, et al. Hippocampal metabolic proteins are modulated in voluntary and treadmill exercise rats. Experimental Neurology. 2008; 212(1): 145-51.##Opii WO, Joshi G, Head E, Milgram NW, Muggenburg BA, Klein JB, et al. Proteomic identification of brain proteins in the canine model of human aging following a long-term treatment with antioxidants and a program of behavioral enrichment: relevance to Alzheimer's disease. Neurobiology of Aging. 2008; 29(1): 51-70.## ##

Factors Associated with Weight Loss in a National Longitudinal Study among Community-Dwelling Individuals 45 Years and Older in Thailand in 2015-2022 2 2 Introduction: : Only a small number of research has evaluated the determinants of weight loss among ageing adults in poorly resourced countries. Thus, using longitudinal and nationally representative community-dwelling data from 2015 to 2022 in Thailand, also stratified by sex, this study sought to examine the factors associated with weight loss among those 45 and older. Methods: Four waves of Health, Ageing, and Retirement in Thailand (HART) investigations were analyzed in 2015, 2017, 2020, and 2022 (analytical baseline sample N=2775). Weight loss (>5kg in the past 12 months) was assessed by self-report. The time-variant factors and outcomes were evaluated using conditional fixed-effects logistic regression. Results: Regressions found that increasing age (AOR = 1.07, 95% CI: 1.03-1.07, p < 0.001), transitioning to not working (AOR = 1.47, 95% CI: 1.10-1.96, p = 0.009), decreasing economic status (AOR = 0.94, 95% CI: 0.89-0.99, p = 0.035), an increase in hospitalisation (AOR = 1.58, 95% CI: 1.22-2.04, p < 0.001), an increase in multimorbidity (AOR = 1.42, 95% CI: 1.01-2.00, p = 0.043), an increase in functional disability (AOR = 1.52, 95% CI: 1.28-1.81, p < 0.001), an increase in wearing dentures (AOR = 1.66, 95% CI: 1.07-2.58, p = 0.025), increasing depressive symptoms (AOR = 1.06, 95% CI: 1.02-1.10, p < 0.001), and increasing social participation (AOR = 1.32, 95% CI: 1.01-1.71, p = 0.041) were significantly associated with weight loss. In addition, among men, transitioning to living alone (AOR = 2.12, 95% CI: 1.23-3.66, p = 0.009) was associated with increased weight loss. Conclusion: This long-term study improves our knowledge of the factors that contribute to weight loss in people 45 years of age and older. We found that health and psychosocial factors were associated with weight loss. The early detection and management of these identified associated factors may be important for preventing weight loss, especially among underweight older adults in Thailand. 45 52 2025/03/232024/11/82025/01/282025/02/162024/09/72025/02/262025/03/5 1403/12/15 2025/05/272024/12/182025/06/212025/06/232024/12/182025/05/192025/06/21 1404/3/31 Supa Pengpid Supa Pengpid Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand Thailand supaprom@yahoo.com Karl Peltzer Karl Peltzer Department of Psychology, University of the Free State, Bloemfontein, South Africa South Africa kfpeltzer@gmail.com André Hajek André Hajek Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany Germany Razak Gyasi Razak Gyasi National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore, NSW, Australia Australia Weight loss Correlates Longitudinal study Thailand Norman K, Haß U, Pirlich M. Malnutrition in older adults-recent advances and remaining challenges. Nutrients. 2021; 13(8), 1-20. ##Alibhai SM, Greenwood C, Payette H. (2005). An approach to the management of unintentional weight loss in elderly people. Canadian Medical Association Journal. 2005; 172(6): 773–780. ## Hajek A, Boc, JO, König HH. (2017). Psychosocial correlates of unintentional weight loss in the second half of life in the German general population. PloS One. 2017; 12(10): e0185749. ## Sahyoun NR, Serdula MK, Galuska DA, Zhang XL, Pamuk ER. The epidemiology of recent involuntary weight loss in the United States population. The Journal of Nutrition, Health & Aging. 2004; 8(6): 510–17.## Suh J, Cho YJ, Kim HJ, Choi SS. Age-related difference in weight change and all-cause mortality in middle-aged and older Korean populations: Korean longitudinal study of aging. Korean Journal of Family Medicine. 2021; 42(4): 297–302. ##Bardon LA, Streicher M, Corish CA, Clarke M, Power LC, Kenny RA, et al. Predictors of incident malnutrition in older Irish adults from the Irish longitudinal study on ageing cohort-A MaNuEL study. The Journal of Gerontology. 2020; 75(2): 249–56. ## Dean M, Raats MM, Grunert KG, Lumbers M. Food in later life team. Factors influencing eating a varied diet in old age. Public Health Nutrition. 2009; 12(12): 2421–7.## Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. Journal of Clinical Gerontology and Geriatrics. 2015; 6(3): 78–84. ## Sørbye LW, Schroll M, Finne-Soveri H, Jonsson PV, Topinkova E, Ljunggren G, et al. Unintended weight loss in the elderly living at home: the aged in Home Care Project (AdHOC). The Journal of Nutrition Health and Aging. 2008; 12(1): 10-6.##Lee YJ, Shin JH. Association between functional decline and weight change in elderly population. 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Dimensions of social isolation and weight loss among older men and women in S. Korea. Innovation in Aging. 2020; 4(Suppl 1): 909.## Anantanasuwong D, Theerawanviwat D, Siripanich P. Panel survey and study on health and aging, and retirement in Thailand. In: Gu D, Dupre M, editors. Encyclopedia of gerontology and population aging. Springer; 2022. p. 3700-6.## Katz S, Ford AB, Heiple KG, Newill VA. Studies of illness in the aged: Recovery after fracture of the hip. Journal of Gerontology. 1964; 19; 285-93. ##Pengpid S, Peltzer K, Anantanasuwong D. Prevalence, correlates, and health indicators associated with meal-skipping among middle-aged and older adults in Thailand: A national longitudinal study. Geriatrics & Gerontology International. 2024; 24(11): 1196-202.##Schnittker J, Bacak V. The increasing predictive validity of self-rated health. PLoS One. 2014; 9(1): 1-11. ## Andresen EM, Malmgren JA, Carter WB, Patrick DL. 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The impact of dentures on the nutritional health of the elderly. The Journal of Aging Research and Lifestyle. 2015; 4(1): 50-3.## McMinn J, Steel C, Bowman A. Investigation and management of unintentional weight loss in older adults. BMJ (Clinical research ed.). 2011; 342.##Eng PM, Kawachi I, Fitzmaurice G, Rimm EB. Effects of marital transitions on changes in dietary and other health behaviours in US male health professionals. Journal of Epidemiology and Community Health. 2005; 59(1): 56–62. ##Bae EM, Park SM. Association between variations in body mass index and cognitive function in older Korean adults. Journal of Obesity & Metabolic Syndrome. 2021; 30(3): 271-8.## ##

Psychometric Properties of the Persian Version of the Thai Internalized Stigma Scale among Elderly Nursing Home Residents 2 2 Introduction: The Thai version of the Internalized Stigma of Living in a Care Home Scale (TIS-LCH) was developed to assess internalized stigma among older adults. This study aimed to validate the Persian translation of the TIS-LCH for use among elderly residents in Iranian nursing homes. Methods: A forward–backward translation process was conducted to ensure the accuracy of the English-to-Persian adaptation. A total of 260 elderly individuals from nursing homes in Tabriz, Iran, were selected via convenience sampling in 2024. Internal consistency and test–retest reliability were assessed using Cronbach’s alpha and the intra-class correlation coefficient (ICC), respectively. Content validity was evaluated by a panel of ten multidisciplinary experts. Face validity was examined both qualitatively and quantitatively by ten literate elderly individuals. Construct validity was assessed using confirmatory factor analysis (CFA). Discriminant validity was evaluated through known group comparisons (men vs. women) using independent t-tests, with significance set at p < 0.05. Results: The scale demonstrated strong internal consistency (Cronbach’s alpha = 0.94), with acceptable content validity (CVI = 0.95; CVR = 0.91). Five items were revised based on qualitative face validity, and all items surpassed the impact score threshold (> 1.5) in the quantitative assessment. CFA results supported a 21-item version of the scale after removing five items with low factor loadings. Model fit indices were acceptable (CMIN/df = 2.81, GFI = 0.85, CFI = 0.82, RMSEA = 0.084). Discriminant validity indicated higher internalized stigma scores in women (mean difference = 2.60). Conclusion: The Persian version of the TIS-LCH is a reliable and valid instrument for measuring internalized stigma among elderly individuals in nursing homes. While the scale shows promising psychometric properties, further validation across different populations and settings is recommended to ensure its broader applicability and cultural relevance. 53 59 2025/03/232024/11/82025/01/282025/02/162024/09/72025/02/262025/03/52025/04/8 1404/1/19 2025/05/272024/12/182025/06/212025/06/232024/12/182025/05/192025/06/212025/06/24 1404/4/3 Fatemeh Fani Fatemeh Fani Department of Geriatrics Health , Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran Iran Leila Saleck Ebrahimi Leila Saleck Ebrahimi Department of Clinical Psychology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Iran Leila.saleck@gmail.com Shamsedin Namjoo Shamsedin Namjoo Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Iran Mostafa Farahbakhsh Mostafa Farahbakhsh Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran Iran Leila Jahangiry Leila Jahangiry Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran Iran Khosro Afaridoun Khosro Afaridoun Department of Mathematics and Statistics, Faculty of Sciences, Central Tehran Branch, Islamic Azad University, Tehran, Iran Iran Psychometrics Validation Stigma Aging Nursing home Validity Reliability Momeni K, Karami S, Majzoobi MR. Comparing life style, self-esteem and mental health of the alone, non-alone and residing nursing home elderly. Developmental Psychology. 2014; 10(38): 139-45. [Persian]##Nouri A, Farsi S. Expectations of institutionalized elderly from their children. Iranian Journal of Ageing. 2018; 13(2): 262-79. [Persian]##Scott S, Raynor A, Dare J, Grieve J, Costello L. Improving the transition of older adults into residential aged care: a scoping review. Clinical Gerontologist. 2024; 47(5): 746-59.##Abdollahi F, Mohammadpour RA. Health related quality of life among the elderly living in nursing home and homes. Journal of Mazandaran University of Medical Sciences. 2013; 23(104): 20-5. [Persian]##Mokhtari F, Ghasemi N. Comparison of elderlys quality of life and mental health living in nursing homes and members of retiered club of Shiraz city. Iranian Journal of Ageing. 2011; 5(4): 53-63. [Persian]##Sohrabi MB, Zolfaghari P, Mahdizade F, Aghayan S-M, Ghasemian-Aghmashhadi M, et al. Evaluation and comparison of cognitive state and depression in elderly admitted in sanitarium with elderly sited in personal home. Knowledge & Health. 2008; 3(2): 27-31. [Persian]##Hemmati Alamdarlou G, Dehshiri G, Shojaie S, Hakimi Rad E. Health and loneliness status of the elderly living in nursing homes versus those living with their families. Iranian Journal of Ageing. 2008; 3(2): 557-64. [Persian]##Gaebel W, Rössler W, Sartorius N. The stigma of mental illness-end of the story?. Springer; 2016.##Heydari A, Meshkinyazd A, Soodmand P. Mental illness stigma: A concept analysis. Modern Care Journal. 2015; 11(3): 218-28.##Yanos PT, Roe D, Lysaker PH. Narrative enhancement and cognitive therapy: a new group-based treatment for internalized stigma among persons with severe mental illness. International Journal of Group Psychotherapy. 2011; 61(4): 576-95.##Mak WW, Mo PK, Cheung RY, Woo J, Cheung FM, Lee D. Comparative stigma of HIV/AIDS, SARS, and tuberculosis in Hong Kong. Social Science & Medicine. 2006; 63(7): 1912-22.##Link BG, Phelan JC. Conceptualizing stigma. Annual review of Sociology. 2001; 27(1): 363-85.##Tosangwarn S, Clissett P, Blake H. Psychometric properties of the Thai Internalized Stigma Scale (TIS-LCH) for care home residents. Clinical Gerontologist. 2017; 40(5): 362-8.##Pashandi Sh, Khaghanizade M, Ebadi A. Review of translation and cultural adaptation process of questionnaires. Scientific Journal of Education Strategies in Medical Sciences. 2009; 2(3): 117-20##Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine. 2016; 15(2): 155-63##Nunnally J, Bernstein I. Psychometric Theory. 3rd ed. New York: MacGraw-Hill; 1994.##Kline RB. Principles and practice of structural equation modeling. 5th ed. Guilford publications; 2015.##Bakhtiyari F, Foroughan M, Fakhrzadeh H, Nazari N, Najafi B, Alizadeh M, et al. Validation of the persian version of Abbreviated Mental Test (AMT) in elderly residents of Kahrizak charity foundation. Iranian Journal of Diabetes and Metabolism. 2014; 13(6): 487-94. [Persian]##. Chu L, Pei C, Ho M, Chan P. Validation of the abbreviated mental test (Hong Kong version) in the elderly medical patient. Hong Kong Medical Journal. 1995; 1(3): 207-11.##Ebadi A, Zarshenas L, Rakhshan M, Zareiyan A, Sharifnia S, Mojahedi M. Principles of scale development in health science. Tehran: Jame-e-negar; 2017.##Economou M, Bechraki A, Charitsi M. The stigma of mental illness: Α historical overview and conceptual approaches. Psychiatrike = Psychiatriki. 2020; 31(1): 36-46.##Dessie ZG, Zewotir T. HIV-related stigma and associated factors: a systematic review and meta-analysis. Frontiers Public Health. 2024; 12: 1-21.##Masoudnia E, Mirzaei M, Chenaninasab H. Relationship between illness perception and perceived stigma in patients with HIV symptoms. Journal of Jiroft University of Medical Sciences. 2016; 2(1): 1-12.##Sohrabi F, Esfandyari G, Yousefi F, Abdollahi N, Saed G, Bakhivushi S. The relationships between self-esteem, demographic variables, psychiatric diagnosis and Frequency of hospitalization with mental illness stigma in psychiatric patients. Journal of Psychology and Psychiatry. 2016; 3(4): 27-38.##Hartini N, Fardana NA, Ariana AD, Wardana ND. Stigma toward people with mental health problems in Indonesia. Psychology Research and Behavior Management. 2018; 11: 535-541.##Shi J, Chen Y, Jiang Y, Li Y, Wang W, Zhao H, et al. Stigma and its associations with medication adherence in major depressive disorder. Psychiatry Research. 2024; 331: 115664.## ##

The Role of Nutrition in Managing Rheumatoid Arthritis in the Elderly Patients 2 2 Rheumatoid arthritis (RA) is a chronic autoimmune condition that primarily affects older adults, leading to joint inflammation and systemic complications. This review aims to evaluate the effectiveness of dietary interventions in managing this disease. Existing literatures indicate a significant prevalence of malnutrition within this population, which is often exacerbated by factors such as sarcopenia, frailty, and comorbidities. This review discusses the anti-inflammatory effects of specific diets, notably the Mediterranean and plant-based dietary patterns, which are rich in monounsaturated fats, omega-3 fatty acids, dietary fiber, and antioxidants. These diets have shown promise in reducing inflammation and improving joint function. However, barriers such as food insecurity and limited nutritional knowledge complicate their implementation. Emerging strategies, including personalized nutrition on the basis of individual health profiles, offer potential pathways for enhancing RA management. Addressing these nutritional barriers and improving assessment tools are essential for integrating effective dietary strategies into comprehensive care plans for older adults with RA. Future research should focus on tailored interventions that consider the unique needs of this population. 60 68 2025/03/232024/11/82025/01/282025/02/162024/09/72025/02/262025/03/52025/04/82025/03/19 1403/12/29 2025/05/272024/12/182025/06/212025/06/232024/12/182025/05/192025/06/212025/06/242025/05/25 1404/3/4 Yusuf Adedeji Yusuf Adedeji Department of Medical Laboratory Services, Uniosun Teaching Hospital, Osun State, Nigeria Nigeria yusufadedeji2003@gmail. 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Nutrients. 2021; 13(4): 1-14.##Ardhaoui M, Mahbouba J, Naffati F, Fhima F, Ghali M, Zrour S, et al. AB0319 Prealbumin serum level as a useful tool in the assessment of malnutrition in elderly patients with rheumatoid arthritis. Annals of the Rheumatic Diseases. 2022; 81(1): 1284.##Niksolat F, Zandieh Z, Roshani F, Larijani SS, Mirfakhraee H, Bahadori F, et al. Geriatric syndromes among patients with rheumatoid arthritis: a comparison between young and elderly patients. Ethiopian Journal of Health Sciences. 2022; 32(4): 791-8.##Ardhaoui M, Mahbouba J, Zrour S, Bejia I, Touzi M, Bergaoui N. POS0479 The prognostic inflammatory and nutritional index (PINI) in elderly patients with rheumatoid arthritis. Annals of the Rheumatic Diseases. 2023; 82(1): 500.##Oseni B, Adedeji Y. Rheumatoid arthritis: peripheral blood cells and plasma protein characteristics in geriatric patients. Adeleke University Journal of Science. 2024; 3(1): 59-66.##Sun Z, Shao H, Liu H, Ma L. Anemia in elderly rheumatoid arthritis patients: a cohort study. Archives of Medical Science: AMS. 2024; 20(2): 45-63.##Wunderle C, Stumpf F, Schuetz P. Inflammation and response to nutrition interventions. Journal of Parenteral and Enteral Nutrition. 2024; 48(1): 27-36.##Massironi S, Viganò C, Palermo A, Pirola L, Mulinacci G, Allocca M, et al. Inflammation and malnutrition in inflammatory bowel disease. The Lancet Gastroenterology & Hepatology. 2023; 8(6): 579-90.##Ozer NT, Gundogan K. The vicious cycle of malnutrition and tuberculosis: a narrative review. Journal of Clinical Practice & Research. 2024; 46(5): 444-8.##Torii M, Itaya T, Minamino H, Katsushima M, Fujita Y, Tanaka H, et al. Management of sarcopenia in patients with rheumatoid arthritis. Modern Rheumatology. 2023; 33(3): 435-40.##Shannon OM, Ashor AW, Scialo F, Saretzki G, Martin-Ruiz C, Lara J, et al. Mediterranean diet and the hallmarks of ageing. European Journal of Clinical Nutrition. 2021; 75(8): 1176-92.##Bustamante MF, Agustín-Perez M, Cedola F, Coras R, Narasimhan R, Golshan S, et al. Design of an anti-inflammatory diet (ITIS diet) for patients with rheumatoid arthritis. Contemporary Clinical Trials Communications. 2020; 17: 1-7.##Rekik S, Nouicer S, Boussaid S, Rahmouni S, Zouaoui K, Sahli H, et al. AB0252 impact of adherence to the mediterranean diet on disease activity in patients with rheumatoid arthritis. Annals of the Rheumatic Diseases. 2023; 82(1): 1309-10.##Alawadhi B, Alsaber A, Shatawan I, Al-Herz A, Setiya P, Saleh K, et al. POS0991-HPR adherence to the mediterranean diet is associated with a reduced das-28 index among patients with rheumatoid arthritis. Annals of the Rheumatic Diseases. 2023; 82(1): 812.##Sales C, Oliviero F, Spinella P. The mediterranean diet model in inflammatory rheumatic diseases. Reumatismo. 2009; 61(1): 10-4.##Miao Z, Zhao Y, Chen M, He C. Using flavonoids as a therapeutic intervention against rheumatoid arthritis: The known and unknown. Pharmacological Research-Modern Chinese Medicine. 2022; 3: 100014.##Alwarith J, Kahleova H, Rembert E, Yonas W, Dort S, Calcagno M, et al. Nutrition interventions in rheumatoid arthritis: the potential use of plant-based diets. A review. Frontiers in Nutrition. 2019; 6: 1-11.##Schönenberger KA, Schüpfer AC, Gloy VL, Hasler P, Stanga Z, Kaegi-Braun N, et al. Effect of anti-inflammatory diets on pain in rheumatoid arthritis: a systematic review and meta-analysis. Nutrients. 2021; 13(12): 1-19.##Nikiphorou E, Philippou E. Nutrition and its role in prevention and management of rheumatoid arthritis. Autoimmunity reviews. 2023; 22(7): 103333.##Skoczyńska M, Świerkot J. The role of diet in rheumatoid arthritis. Reumatologia/Rheumatology. 2018; 56(4): 259-67.##Matsumoto Y, Sugioka Y, Tada M, Okano T, Mamoto K, Inui K, et al. Monounsaturated fatty acids might be key factors in the Mediterranean diet that suppress rheumatoid arthritis disease activity: The TOMORROW study. Clinical Nutrition. 2018; 37(2): 675-80.##Tański W, Świątoniowska-Lonc N, Tabin M, Jankowska-Polańska B. The relationship between fatty acids and the development, course and treatment of rheumatoid arthritis. Nutrients. 2022; 14(5): 1-30.##Navarini L, Afeltra A, Gallo Afflitto G, Margiotta DP. Polyunsaturated fatty acids: any role in rheumatoid arthritis?. Lipids in Health and Disease. 2017; 16: 1-5.##Di Giuseppe D, Wallin A, Bottai M, Askling J, Wolk A. Long-term intake of dietary long-chain n-3 polyunsaturated fatty acids and risk of rheumatoid arthritis: a prospective cohort study of women. Annals of the Rheumatic Diseases. 2014; 73(11): 1949-53.##Veselinovic M, Vasiljevic D, Vucic V, Arsic A, Petrovic S, Tomic-Lucic A, et al. Clinical benefits of n-3 PUFA and ɤ-linolenic acid in patients with rheumatoid arthritis. 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Corrigendum to “Depression, Perfectionism, and Hypertension in the Elderly: A Path Analysis Examining Worry, Ambiguity Tolerance, and Problem-Solving” [In Elderly Health Journal. 2024; 10(1): 70-75 ] 2 2 The publisher has been informed of an error that occurred on page 70 in which the of the first and third authors affiliation must be changed to Department of Psychology, Khoy Branch, Islamic Azad University, Khoy, Iran. On behalf of the author, the publisher wishes to apologize for this error. The online version of the article has been updated on June 20, 2025 and can be found at https://ehj.ssu.ac.ir/article-1-318-en.html. 69 69 2025/03/232024/11/82025/01/282025/02/162024/09/72025/02/262025/03/52025/04/82025/03/192025/07/19 1404/4/28 2025/05/272024/12/182025/06/212025/06/232024/12/182025/05/192025/06/212025/06/242025/05/252025/06/20 1404/3/30 Masood Ghorbanalipour Masood Ghorbanalipour Department of Psychology, Khoy Branch, Islamic Azad University, Khoy, Iran Iran Masoudqorbanalipour@gmail.com Shahla Alilou Shahla Alilou Department of Psychology, Faculty of Humanities, Shahid Madani University of Azerbaijan, Tabriz, Iran Iran Kosar Babalou Kosar Babalou Department of Psychology, Khoy Branch, Islamic Azad University, Khoy, Iran Iran Nika Akbarlou Nika Akbarlou Department of Psychology, Faculty of Medicine, Azad University of Urmia, Urmia, Iran Iran ## ##

Corrigendum to “Comparing Personality Traits and Resilience Among Treatment-Seeking and Treatment-avoidant Elderly with Health Anxiety Disorder” [Elderly Health Journal. 2024; 10(2): 104-110] 2 2 The publisher has been informed of an error that occurred on page 104 in which the first three authors affiliation must be  changed to Department of Psychology, Khoy Branch, Islamic Azad University, Khoy, Iran, and the fourth author must be  changed to Department of Psychology, Faculty of Psychology and Educational Sciences, Shahid Madani University of Azerbaijan, Tabriz, Iran. On behalf of the author, The publisher wishes to apologize for this error. The online version of the article was updated on 20 June 2025 and can be found at https://ehj.ssu.ac.ir/article-1-318-en.html. 70 70 2025/03/232024/11/82025/01/282025/02/162024/09/72025/02/262025/03/52025/04/82025/03/192025/07/192025/07/19 1404/4/28 2025/05/272024/12/182025/06/212025/06/232024/12/182025/05/192025/06/212025/06/242025/05/252025/06/202025/06/20 1404/3/30 Masood Ghorbanalipour Masood Ghorbanalipour Department of Psychology, Khoy Branch, Islamic Azad University, Khoy, Iran Iran Masoudqorbanalipour@gmail.com Somayeh Hajihatamlou Somayeh Hajihatamlou Department of Psychology, Khoy Branch, Islamic Azad University, Khoy, Iran Iran Bahare Hosseinlou Bahare Hosseinlou Department of Psychology, Khoy Branch, Islamic Azad University, Khoy, Iran Iran Ameneh Zardi Nahr Ameneh Zardi Nahr Department of Psychology, Faculty of Psychology and Educational Sciences, Shahid Madani University of Azerbaijan, Tabriz, Iran Iran ## ##