Background: Nurses' direct exposure to COVID-19 patients and resulting health anxiety can threaten their performance of human and moral duties. Materials and Methods: This work was a descriptive correlational study. The statistical population was all nurses working in the intensive care unit of COVID-19 patients in Ardabil hospitals in the 2021 year, from which 150 people were selected by convenient sampling. Data were collected using the Health Anxiety Inventory, Scale for Existential Thinking, and the Jefferson Scale of Physician Empathy. Results: The Pearson correlation coefficient showed that the association between empathy and health anxiety was negative and significant (r = -0.47, P <0.001), and that between empathy and existential thinking was positive and significant (r = 0.31, P <0.001). Also, the correlation coefficients between health anxiety and existential thinking showed a negative and significant association between the two variables (r = -0.28, P <0.001). In addition, the moderated hierarchical regression analysis showed that the interactive effect of health anxiety and existential thinking on nurses' empathy with patients with COVID-19 was 29%. Conclusion: According to the finding of this study, strengthening the spiritual attitude and existential thinking among the nurses of the COVID-19 ward was necessary to reduce health anxiety and its negative effects on the empathetic comunication with patients.

This study examined the mediation role of perceived social support in the association between hope and health-related quality of life with coronavirus anxiety in the elderly. The research was conducted by descriptive method with a structural equations design. The population included all the over-60 elderly individuals residing in Sanandaj city, Iran, in 2021. Among them, 220 individuals were selected through available sampling method. To gather the data, the questionnaires of coronavirus anxiety, perceived social support, hope and health-related quality of life were used. Data analysis was conducted by using structural equations modeling and via SPSSv23 and AMOSv26 software. Data analysis indicated that there is a significant and negative relationship between hope, health-related quality of life, and perceived coronavirus anxiety among the elderly. Moreover, perceived social support plays a mediating role in the relationship of both hope and health-related quality of life with coronavirus anxiety. The present study provided an important insight regarding the mediating role of perceived social support in the relationship of hope and health-related quality of life with coronavirus anxiety the elderly. Through creating programs to hold suitable interventions for improving perceived social support, the COVID-19–related anxiety can be reduced during its prevalence.

The present study was carried out aimed to examine the relationship between workplace spirituality and job satisfaction. It also aimed to determine the intermediary role of attitude toward death among emergency department staff in Shiraz city. Materials and Methods: In this descriptive and correlation study, the statistical population included 90 staff of the Shiraz Emergency department who were selected through simple random sampling in 2016-2017. Spirituality questionnaires in the workplace, life satisfaction and attitude towards death were used in this research, and the data were analyzed by SPSS and EMOS software. Results: The results of the data analysis indicated that workplace spirituality had a negative effect (β=-0.32, P=0.001) on neutral acceptance and a positive effect (β=0.21, P=0.03) on active acceptance and life satisfaction (β=0.19, P=0.05). Furthermore, out of the attitudes toward death scales, only neutral acceptance could play a mediating role between workplace spirituality and life satisfaction (β=-0.27, P=0.00). Model fitting indicators show that the model has a good fit (X 2 =0.86, GFA=0.97, CFI=0.99). Conclusion: The results show that workplace spirituality is compatible with life satisfaction and the mediating role of attitude toward death among the staff of the emergency department.

Objectives: This study was the first step in translating the Suicide Capacity scale (SCS-3) from English to Persian and then determining its structural validity in a sample of Iranian students. Methods:The sample consisted of 600 participants selected by the convenience sampling method and answered the questionnaires of the Suicide Behaviors Questionnaire-Revised (SBQ-R) Depressive Symptom Index-Suicidality Subscale (DSI-SS), suicide attempt, and suicidal capacity(SCS-3).Results: The single-group factor analysis suggested that the three-factor model shows the goodness of fit with the data.

Background: Chronic pain is recognized as an important public health concern that leads to significant economic and social problems. Thus, identifying variables affecting the psychological adaptation of patients with chronic pain is necessary to prepare an effective intervention and treatment program. Objectives: This study investigated the mediating role of sexual self-esteem in the relationship between marital quality and psychological adaptation to disease in women with chronic pain. Methods: This descriptive-analytic study of correlation type was conducted on 200 women with chronic pain admitted to orthopedic centers in Ardabil City, Iran. The participants were selected using the available sampling method. The Psychological Adaptation questionnaire, the Sexual Self-Esteem scale, and the Marital Relationship Quality questionnaire were used to collect data. The standard mean, standard deviation, Pearson correlation, and multiple regressions were used for data analysis. Results: The findings revealed significant positive relationships between marital quality (r = 0.49) (P < 0.01) and sexual self-esteem (r = 0.60) (P < 0.01) with psychological adaptation. Moreover, significant positive relationships were found between marital quality and sexual self-esteem (r = 0.48) (P < 0.01). Sexual self-esteem also mediated the relationship between marital quality and psychological adaptation (β = 0.23) (P < 0.01). Conclusions: The study revealed that sexual self-esteem served a fully mediating role between marital quality and psychological adaptation in women with chronic pain. Therefore, it is of utmost importance to pay attention to sexual self-esteem’s role in therapeutic interventions related to these women.

Objective: The prevalence and increase of suicidal ideation and attempts among young people and students have been one of the concerns of researchers and mental health care professionals. The present study evaluated the psychometric properties of the Persian version of Reasons for Living for Young Adults-II (RFL-YA-II) in a group of Iranian students. Methods: This study was conducted on a sample of 250 students of Kurdistan University, Iran in the academic year 2021-2022. The instruments used in this study were RFL-YA-II, suicide behaviors questionnaire-revised (SBQ-R), oxford happiness questionnaire-short form (OHQ-SF), beck hopelessness scale (BHS), and ryff scale of psychological wellbeing (RSPWB). Results: The results of confirmatory factor analysis demonstrated a four-factor structure of the Persian version of RFL-YA-II, while the goodness of fit indices of the one-factor model were not satisfactory. The factor loads of items related to all four factors ranged from 0.41 to 0.91. The findings also provided evidence for the convergent (0.17 to 0.57) and discriminant (-0.20 to -0.56) validity, and Cronbach's alpha coefficients ranged from 0.86 to 0.91. Conclusion: The Persian version of RFL-YA-II is a valid and reliable tool for assessing the reasons for living in Iranian university samples and it can be used in research and treatment settings.

Aging has been a major issue for experts, policymakers, and even the general public in recent years. There is a growing body of evidence highlighting the role of personality traits in the health of older adults, but this evidence is still in its infancy. This study aimed to investigate the role of the big five personality traits in predicting the mental health among older adults. In this cross-sectional study, 150 community-residing older adults were selected and completed the Ten Item Personality Inventory, Multidimensional Scale of Perceived Social Support, Adult Hope Scale, and Short-Form Health Survey. According to the results, extraversion and openness to experience can explain 11% of the variances of hope, extraversion and conscientiousness account for 16% of the variances in perceived social support, and all the big five personality traits together predict 34% of the variances in the health-related quality of life. Given the role of personality traits in predicting the mental health of older adults, counselors and psychologists working with these people can pay attention to the personality traits of older adults in designing their psychological, educational, and research programs to achieve more desirable outcomes.

Objective: In old age, people suffer from many mental and physical illnesses, which make it important for the elderly to pay attention to adapting to these diseases. So, the aim of this research was to study the role of perceived burdensomeness, thwarted belongingness, and giving meaning to life in psychosocial adjustment, as well as the mediating role of self-care in the elderly. Method: This research was descriptive and correlational, conducted through available sampling of 200 elderly people who lived in the city of Ardabil. After the necessary assessments in terms of mental disorders and inclusion criteria, they were chosen to conduct this investigation in 2020. The Meaning in Life Questionnaire, Psychosocial Adjustment Scale, Self-Care Questionnaire for the Elderly, and Interpersonal Needs scale were used to gather the data. The data were analyzed using SPSS25 and Amos24 software. Results: The findings showed that perceived burdensomeness and thwarted belongingness have a negative and direct effect on elderly self-care [β = -0.25, P < 0.01] [β = -0.20, P < 0.05] and psychosocial adjustment [β = -0.0, P < 0.05] [β = -0.12, P < 0.05]. Also, giving meaning to life has a positive and direct effect on elderly self-care [β = 0.32, P = 0.01] and psychosocial adjustment [β = 0.033, P < 0.01]. The variable of self-care can play a mediating role in the relationship between thwarted belongingness [β = -0.174, P < 0.05], perceived burdensomeness [β = -0.140, P < 0.05], and giving meaning to life [β = 0.223, P < 0.05] with psychosocial adjustment. Moreover, among the exogenous variables, thwarted belongingness and perceived burdensomeness by change in self-care have been able to reduce psychosocial adjustment. Giving meaning through self-care, however, has increased psychosocial adjustment. Conclusion: The findings revealed that thwarted belongingness, perceived burdensomeness, and giving meaning to life are important variables in health and adaptability of the elderly, which draws attention to family-centered interventions and individual therapies.