{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:43:37Z","timestamp":1790289817075,"version":"4.1.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine whether emotion regulation moderates the relationship between depression, anxiety, and perceived burdensomeness among community-dwelling older adults with attention to its relevance for public health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 300 adults aged \u226560\u202fyears attending outpatient clinics in Egypt. Validated instruments measured emotion regulation, depression, anxiety, and perceived burdensomeness. Pearson\u2019s correlation and multivariable regression analyses were applied to examine relationships among variables and evaluate moderation effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Perceived burdensomeness was positively associated with depression and anxiety (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.765,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and negatively with emotion regulation (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.676,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Emotion regulation predicted lower burdensomeness (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f\u22120.54,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and reduced depression, anxiety, and stress (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f\u22120.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Better regulation skills attenuate the negative impact of mental health symptoms on burdensomeness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Emotion regulation acts as a buffer, mitigating distress and perceived burdensomeness in later life. Integrating emotion regulation training into geriatric programs may enhance resilience and reduce suicide risk in older adults. These results highlight the need to integrate emotion regulation strategies into public health initiatives, especially within primary care and community services that serve older populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1780055","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T04:20:43Z","timestamp":1776140443000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Relationship between depression, anxiety, and perceived burdensomeness: the mediating role of emotional regulation among Egyptian older adults"],"prefix":"10.3389","volume":"14","author":[{"given":"Ibrahim","family":"Alasqah","sequence":"first","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University","place":["Buraydah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdelwahab Ibrahim","family":"El-Sayed","sequence":"additional","affiliation":[{"name":"Nursing Administration Department, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdellah","family":"Othman","sequence":"additional","affiliation":[{"name":"Nursing Administration Department, Faculty of Nursing, Sohag University","place":["Sohag, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Hussein","family":"Ramadan Atta","sequence":"additional","affiliation":[{"name":"Psychiatric and Mental-Health Nursing Department, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]},{"name":"Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University","place":["Wadi Addawasir, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noha Gamal El-Sayed","family":"Ghoniem","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing, Faculty of Nursing, Zagazig University","place":["Zagazig, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaimaa Mohamed","family":"Amin","sequence":"additional","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University","place":["Buraydah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"ref1","year":"2023"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"104904","DOI":"10.1016\/j.archger.2022.104904","article-title":"Global prevalence of social isolation among community-dwelling older adults: a systematic review and meta-analysis","volume":"107","author":"Hong Teo","year":"2023","journal-title":"Arch Gerontol 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Pers"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1780055\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T04:20:46Z","timestamp":1776140446000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1780055\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,14]]},"references-count":36,"alternative-id":["10.3389\/fpubh.2026.1780055"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1780055","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,14]]},"article-number":"1780055"}}