en سلامت جانبازان يا معلولان Veterans or Handicapped Health توصیفی و نظرسنجی Descriptive & Survey <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="color:#f79646">Aims:</span></span></strong><span style="font-size:10.0pt"> Death anxiety is a common concern in late adulthood, increasingly influenced by loneliness and perceived social support. This study explored the mediating role of spiritual health in the relationships between loneliness, perceived social support, and dysfunctional attitudes and their impact on death anxiety in older adults. </span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="color:#f79646">Instrument & Methods</span></span></strong><strong><span style="font-size:10.0pt"><span style="color:#f79646">:</span></span></strong><span style="font-size:10.0pt"> A cross-sectional survey design was employed with a sample of older adults aged 60 and above (n=384) from May to July 2024 in Shahr-e-Rey, Iran. Participants completed validated questionnaires assessing loneliness, perceived social support, dysfunctional attitudes, spiritual health, and death anxiety. Structural equation modeling was utilized to analyze the data and assess the mediating effects of spiritual health.</span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="color:#f79646">Findings:</span></span></strong> <span style="font-size:10.0pt">There was a significant positive correlation between loneliness and death anxiety (p<0.05), indicating that higher loneliness levels were associated with increased death anxiety. Additionally, perceived social support correlates negatively with loneliness, suggesting that greater social support reduces feelings of loneliness. Spiritual health demonstrated a significant mediating effect (p<0.05) as it was positively influenced by perceived social support and negatively impacted by loneliness, ultimately leading to reduced death anxiety. Dysfunctional attitudes also emerged as a significant predictor of death anxiety.</span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="color:#f79646">Conclusion:</span></span></strong><span style="font-size:10.0pt"> Enhancing spiritual health through strengthening perceived social support is a viable strategy to alleviate death anxiety among older adults. Addressing loneliness and fostering supportive social relationships can improve older adults&rsquo; mental health and quality of life. </span></span></span></p> Anxiety,Loneliness,Social Support,Spirituality,Aged, 29 35 http://ijwph.ir/browse.php?a_code=A-10-2271-1&slc_lang=en&sid=1 Sh. Keyvan Nasab 15300319475328460026781 15300319475328460026781 No Department of Educational Psychology and Rehabilitation Counselling, Tehran Medical Branch, Islamic Azad University, Tehran, Iran B. Hamid 15300319475328460026782 15300319475328460026782 No Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran L. Ganji 15300319475328460026783 15300319475328460026783 No Department of Educational Psychology and Rehabilitation Counselling, Tehran Medical Branch, Islamic Azad University, Tehran, Iran M. Amini 15300319475328460026784 15300319475328460026784 No “Rehabilitation Research Centre” and “Department of Occupational Therapy, School of Rehabilitation Sciences”, Iran University of Medical Sciences, Tehran, Iran M. Pashmdarfard 15300319475328460026785 15300319475328460026785 Yes Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran Z. Davari 15300319475328460026786 15300319475328460026786 No Department of Educational Psychology and Rehabilitation Counselling, Tehran Medical Branch, Islamic Azad University, Tehran, Iran