Presenting a Model of the Effect of Cognitive Bias on Mental Health and Quality of Life in Elderly Women with the Mediating Role of Mindfulness
Keywords:
Mental health, quality of life, mindfulness, cognitive bias, elderly womenAbstract
The present study aimed to investigate the effect of cognitive bias on mental health and quality of life in elderly women, with the mediating role of mindfulness. This research is applied in purpose, quantitative in approach, and descriptive-survey in design. The statistical population consisted of Iranian elderly women aged over 60 years. Based on G*Power software calculations and using convenience and purposive sampling methods, 129 participants were selected. Data collection instruments included the Mindfulness Questionnaire by Brown et al. (2007), the Quality of Life Questionnaire by Ware and Sherbourne (1992), the Cognitive Bias Questionnaire by Woody et al. (1997), and the General Health Questionnaire by Goldberg (1972). For data analysis, in addition to descriptive statistics, Kolmogorov–Smirnov tests, structural equation modeling, and the Sobel test were employed. All analyses were conducted using SPSS version 23 and SmartPLS version 3.1.1 at a significance level of 0.05. The results indicated that the research model demonstrated a good fit. Cognitive bias had a significant negative effect on mental health (t = 4.698, p = 0.001), quality of life (t = 5.681, p = 0.001), and mindfulness (t = 11.016, p = 0.001) among elderly women. Moreover, mindfulness had a significant positive effect on mental health (t = 2.930, p = 0.004) and quality of life (t = 6.681, p = 0.001). The findings also showed that mindfulness plays a significant mediating role in reducing the effect of cognitive bias on mental health (z = −6.019, p = 0.001) and quality of life (z = −8.527, p = 0.001). Therefore, mindfulness reduces the negative impact of cognitive bias on mental health and quality of life in elderly women.
Downloads
References
Aghajani, T., Solhi, M., Foroughan, M., Ezzatifard, A., Ghahremanzadeh, N., & Rezaei, F. (2025). The effect of social support on the mental health of elderly people at the West Tehran Health Center. Salmand: Iranian Journal of Aging, 20(4), 578-593. https://doi.org/10.32598/sija.2025.3939.2
Bandyopadhyay, N., Das, T., Biswas, A., & Mondal, D. (2023). Effects of Mindfulness-Based Stress Reduction Program on Mental Health of Non-Clinical Older Adults: A Systematic Review on Randomized Controlled Trials. International Journal of Aging Health and Movement, 5(2), 16-23. https://doi.org/10.7575/ijahm.v5i2.105
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Addressing fundamental questions about mindfulness. Psychological Inquiry, 18(4), 272-281. https://doi.org/10.1080/10478400701703344
Cai, T., Verze, P., & Bjerklund Johansen, T. E. (2021). The quality of life definition: where are we going? Uro, 1(1), 14-22. https://doi.org/10.3390/uro1010003
Chen, L., Liu, X., Weng, X., Huang, M., Weng, Y., Zeng, H., & Chen, C. (2023). The emotion regulation mechanism in neurotic individuals: The potential role of mindfulness and cognitive bias. International journal of environmental research and public health, 20(2), 896. https://doi.org/10.3390/ijerph20020896
Chou, Y. H., Lin, C., Lee, S. H., Chang Chien, Y. W., & Cheng, L. C. (2023). Potential mobile health applications for improving the mental health of the elderly: A systematic review. Clinical Interventions in Aging, 1523-1534. https://doi.org/10.2147/CIA.S410396
Godos, J., Grosso, G., Ferri, R., Caraci, F., Lanza, G., Al-Qahtani, W. H., & Castellano, S. (2023). Mediterranean diet, mental health, cognitive status, quality of life, and successful aging in southern Italian older adults. Experimental gerontology, 175, 112143. https://doi.org/10.1016/j.exger.2023.112143
Heidari, M., Morovati, Z., Khanbabai, R., & Farshchi, N. (2017). The Role of Mindfulness, general self-efficacy and emotional intelligence in Predicting Perceived Stress in female students. Women's Studies Sociological and Psychological, 15(1), 189-212. https://doi.org/10.22051/jwsps.2017.12591.1331
Herdian, H., Estria, S. R., Setyawati, R., & Dewi, D. S. E. (2024). Mindfulness Therapy Training: Efforts to Improve Mental Health of the Elderly in the Elderly of Pimpinan Daerah Aisyiyah Banyumas Organization. International Journal of Community Service Implementation, 2(2). https://afdifaljournal.com/journal/index.php/ijcsi/article/view/221
Hsiung, Y., Chen, Y. H., Lin, L. C., & Wang, Y. H. (2023). Effects of Mindfulness-Based Elder Care (MBEC) on symptoms of depression and anxiety and spiritual well-being of institutionalized seniors with disabilities: a randomized controlled trial. BMC Geriatrics, 23(1), 497. https://doi.org/10.1186/s12877-023-04220-6
Javadzade, N., Esmaeili, S. V., Omranifard, V., & Zargar, F. (2024). Effect of mindfulness-based stress reduction (MBSR) program on depression, emotion regulation, and sleep problems: A randomized controlled trial study on depressed elderly. BMC public health, 24(1), 271. https://doi.org/10.1186/s12889-024-17759-9
Jazayeri, E., Kazemipour, S., Hosseini, S. R., & Radfar, M. (2023). Quality of life in the elderly: A community study. Caspian Journal of Internal Medicine, 14(3), 534. https://pmc.ncbi.nlm.nih.gov/articles/PMC10379806/
Ji, Q., Yin, M., Li, Y., & Zhou, X. (2023). Exploring the influence path of high-rise residential environment on the mental health of the elderly. Sustainable Cities and Society, 98, 104808. https://doi.org/10.1016/j.scs.2023.104808
Ke, Y. H., Yang, R., Lie, S. A., Lim, T. X. Y., Abdullah, H. R., Ting, D. S. W., & Liu, N. (2024). Enhancing diagnostic accuracy through multi-agent conversations: using large language models to mitigate cognitive bias. arXiv preprint. https://doi.org/10.48550/arXiv.2401.14589
Khodamoradi, A., Hassanipour, S., Daryabeigi Khotbesara, R., & Ahmadi, B. (2018). The trend of population aging and planning of health services for the elderly: A review study. Jmsthums, 6(3), 81-95. http://jms.thums.ac.ir/article-1-544-fa.html
Mapurunga, M. V., Rodrigues de Oliveira, D., Andreoni, S., Sarubbi Jr, V., Bonilha, A. C., D’Almeida, V., & Demarzo, M. (2025). Effects of mindfulness training on quality of life and well-being in older adults: a randomized controlled trial. Aging & mental health, 1-13. https://doi.org/10.1080/13607863.2025.2488890
Munawar, K., Fadzil, Z., Choudhry, F. R., & Kausar, R. (2024). Cognitive functioning, dependency, and quality of life among older adults. Activities, Adaptation & Aging, 48(1), 115-140. https://doi.org/10.1080/01924788.2023.2193786
Nordqvist, C. H. (2017). What is mental health? Mental Health, 11(2), 32-39. https://www.linkedin.com/pulse/what-mental-health-dr-warren-shepell-
Padhan, S., Mohapatra, A., Ramasamy, S. K., Agrawal, S., & Ramasamy, S. (2023). Artificial intelligence (AI) and robotics in elderly healthcare: enabling independence and quality of life. Cureus, 15(8). https://pubmed.ncbi.nlm.nih.gov/37664381/
Piva, G., Caruso, L., Gómez, A. C., Calzolari, M., Visintin, E. P., Davoli, P., & Lamberti, N. (2024). Effects of forest walking on physical and mental health in elderly populations: a systematic review. Reviews on Environmental Health, 39(1), 121-136. https://pubmed.ncbi.nlm.nih.gov/36239186/
Post, M. (2014). Definitions of quality of life: what has happened and how to move on. Topics in Spinal Cord Injury Rehabilitation, 20(3), 167-180. https://doi.org/10.1310/sci2003-167
Richburg, C. E., Dossett, L. A., & Hughes, T. M. (2023). Cognitive bias and dissonance in surgical practice: a narrative review. Surgical Clinics, 103(2), 271-285. https://www.surgical.theclinics.com/article/S0039-6109(22)00160-8/abstract
Rocamora‐Pérez, P., Poza‐Rodríguez, A. D. L., Benzo‐Iglesias, M. J., Aguilar‐Parra, J. M., Trigueros‐Ramos, R., López‐Liria, R., & Morales‐Gázquez, M. J. (2025). Quality of Life, Pain, and Sexual Desire in the Elderly Over 65 Years of Age. Brain and Behavior, 15(7), e70655. https://doi.org/10.1002/brb3.70655
Samadi, F., & Dalir, M. (2021). The Role of psychological and social health on sexual health of elderly women. Social Psychology Research, 10(40), 21-42. https://doi.org/10.22034/spr.2021.127712
Serrada-Tejeda, S., Martínez-Cuervo, F., Pérez-de-Heredia-Torres, M., Montes-Montes, R., Obeso-Benítez, P., & Palacios-Cena, D. (2025). Healthcare's empathy in elderly care: How anxiety, depression, and professional quality of life influence empathic abilities. Geriatric Nursing, 62, 188-193. https://doi.org/10.1016/j.gerinurse.2025.01.033
Shafaei, H., Najafzadeh, F., Shakki, M., & Ghorbani, S. (2024). Associations between physical activity and quality of life, happiness, and depression among elderly women. Women's Health Bulletin, 11(2), 104-111. https://doi.org/10.30476/whb.2024.101984.1276
Talebisiavashani, F., & Mohammadi-Sartang, M. (2024). The effect of mindfulness-based interventions on mental health and cognitive function in older adults: a systematic review and meta-analysis. Journal of Aging and Health. https://doi.org/10.1177/08982643241263882
Tarkhan, M., & Ahmadi Lashki, G. (2015). The Relationship Between Self-Focus Cognitive Bias and Responsibility with Social Adjustment of Women. Social Cognition, 3(special), 97-108. https://sc.journals.pnu.ac.ir/article_1493.html?lang=en
Van Gaans, D., & Dent, E. (2018). Issues of accessibility to health services by older Australians. Public Health Reviews, 3(9), 20-25. https://publichealthreviews.biomedcentral.com/articles/10.1186/s40985-018-0097-4

