en <div style=text-align: justify;><strong>Aims:</strong> The COVID-19 pandemic could be considered a significant public health crisis. This study aimed to assess the rate of depressive symptoms and its related risk factors among older adults during the COVID-19 outbreak.<br> <strong>Instrument & Methods:</strong> This cross-sectional study was conducted on 400 older adults aged 60 and over in 2020 in Mashhad City, Iran. A random cluster sampling was done for selecting the older adults from 5 urban health care centers. The Persian version of the WHO-5 index was used. Data were analyzed by SPSS 20 using descriptive statistics, chi-square, and logistic regression tests.<br> <strong>Findings:</strong> The prevalence of moderate depressive symptoms was (33%). Although most of the participants had mild depressive symptoms (38.2%); Moreover, There was a significant relationship between depression with family structure (p<0.001) and underlying disease (p<0.001).<br> <strong>Conclusion:</strong> The rate of depressive symptoms among older adults is high. The policy-makers and health professionals need to provide psychological interventions to decrease the psychological damages caused by the outbreak crisis.<br> </div> Depression,Elderly,COVID-19, 141 146 http://hehp.modares.ac.ir/browse.php?a_code=A-10-42417-7&slc_lang=en&sid=4 S. Olyani 1003194753284600210634 1003194753284600210634 No Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran M. Afzalaghaee 1003194753284600210635 1003194753284600210635 No Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran M. Talebi 1003194753284600210636 1003194753284600210636 No Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran N. Peyman peymann@mums.ac.ir 1003194753284600210637 1003194753284600210637 Yes Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran