The Comparison of the Effectiveness of Transcranial Direct Current Stimulation and Neurofeedback Therapy on Sleep Quality in the Elderly

Document Type : Original Article

Authors

1 Dept. of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran

2 Dept. of Nursing, Nursing and Midwifery Sciences Development Research center, Najafabad Branch, Islamic Azad University, Najafabad, Iran

10.22126/jap.2023.9067.1700

Abstract

Due to physical and mental deficiencies in the elderly, choosing a right treatment approach can effectively improve their health and psychological problems‌‌‌‌. Therefore, the present study was to compare the effectiveness of transcranial direct current stimulation (TDCS) and neurofeedback therapy (NT) on sleep quality of the elderly‌‌‌‌. The research method was semi-experimental with pretest-posttest design and a control group‌‌‌‌. The statistical population included all the elderly who referred to counseling centers in Tehran in 2019‌‌‌‌, Among whom 45 people (60 to 70 years old) who were eligible according to inclusion and exclusion criteria were selected using convenience sampling and randomly assigned into two experimental groups (TDCS and NT) and a control group in the same proportion‌‌‌‌. Petersburg’s Sleep Quality Questionnaire was used to collect data‌‌‌‌. The first experimental group was provided with TDCS using the brain electrical stimulation device II Dose A and the second experimental group was provided with NT using the neurofeedback device‌‌‌‌ 0‌‌‌‌.5 Ver A7990SA. The control group was placed on the waiting list for two months to receive the intervention‌‌‌‌. The data obtained from the research were analyzed using univariate covariance analysis (ANCOVA) in‌‌‌‌ SPSS26 software. The results illustrated that both TDCS and NT were effective in improving the sleep quality of the elderly. However, there was a significant difference between the effectiveness of these two treatment methods on improving sleep quality (P<0.001), in the way that NT is more effective than TDCS in improving the sleep quality of the elderly‌‌‌‌. Based on the findings of this research, TDCS and NT can be used as an effective intervention method to improve the sleep quality of the elderly‌‌‌‌.
 
Refrences
Abad, V‌‌‌‌. C‌‌‌‌., & Guilleminault, C‌‌‌‌. (2018)‌‌‌‌. Insomnia in elderly patients: Recommendations for pharmacological management‌‌‌‌. Drugs & aging35 (9), 791–817‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1007/s40266-018-0569-8
Antal, A‌‌‌‌., & Paulus, W‌‌‌‌. (2013)‌‌‌‌. Transcranial alternating current stimulation (tads)‌‌‌‌. Frontiers in Human Neuroscience, 7, Article 317‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 3389/fnhum‌‌‌‌. 2013‌‌‌‌. 00317
Azarpaikan, A‌‌‌‌., Torbati, H‌‌‌‌. T‌‌‌‌., & Sohrabi, M‌‌‌‌. (2014)‌‌‌‌. Neurofeedback and physical balance in Parkinson's patients‌‌‌‌. Gait & Posture, 40 (1), 177-181‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. gaitpost‌‌‌‌. 2014‌‌‌‌. 03‌‌‌‌. 179
Bahrami, M‌‌‌‌., Dehdashti, A‌‌‌‌., & Karami, M‌‌‌‌. A‌‌‌‌. (2017)‌‌‌‌. Survey on sleep quality in elderly people living in a nursing home in Damghan city in 2017: A Short Report‌‌‌‌. Journal of Rafsanjan University of Medical Sciences, 16 (6), 581-590‌‌‌‌. https://doi‌‌‌‌. org/20‌‌‌‌. 1001‌‌‌‌. 1‌‌‌‌. 17353165‌‌‌‌. 1396‌‌‌‌. 16‌‌‌‌. 6‌‌‌‌. 6‌‌‌‌. 8 [Persian]
Bartlett, D‌‌‌‌., Marshall, N‌‌‌‌., Williams, A‌‌‌‌., & Grunstein, R‌‌‌‌. (2010)‌‌‌‌. Sleep health new south wales: Chronic sleep restriction and daytime sleepiness‌‌‌‌. Internal Medicine Journal, 38 (1), 24-31‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1111/j‌‌‌‌. 1445-5994‌‌‌‌. 2007‌‌‌‌. 01395‌‌‌‌. x
Beh-Pajooh, A‌‌‌‌., & Solimani, S‌‌‌‌. (2017)‌‌‌‌. The relationship between quality of sleep and the quality of life of the elderly in three districts of Tehran‌‌‌‌. Aging Psychology3 (2), 107-114‌‌‌‌. [Persian]
Bjekić, J‌‌‌‌., Manojlović, M‌‌‌‌., & Filipović, S‌‌‌‌. R‌‌‌‌. (2023). Transcranianl electrical stimulation for associative memory     enhancement: State-of-the-art from basic to    clinical research‌‌‌‌. Life, 13 (5), 1125‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 3390/life13051125
Butnik, S‌‌‌‌. M‌‌‌‌. (2005)‌‌‌‌. Neurofeedback in adolescents and adults with attention deficit hyperactivity disorder‌‌‌‌. Journal of Clinical Psychology, 61 (5), 621–625‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1002/jclp‌‌‌‌. 20124
Chen, X‌‌‌‌., & Sui, L‌‌‌‌. (2023)‌‌‌‌. Alpha band neurofeedback training based on a portable device improves working memory performance of young people‌‌‌‌. Biomedical Signal Processing and Control, 80, 104308‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. bspc‌‌‌‌. 2022‌‌‌‌. 104308
Corbo, I‌‌‌‌., Forte, G‌‌‌‌., Favieri, F‌‌‌‌., Casagrande, M. (2023). Poor sleep quality in aging: The Association with mental health‌‌‌‌. International Journal of Environmental Research and Public Health‌‌‌‌. 20 (3), 1661. https://doi‌‌‌‌. org/10‌‌‌‌. 3390/ijerph20031661
Dehghankar, L‌‌‌‌., Rostampour, A‌‌‌‌., & Haji Karim Baba, M‌‌‌‌. (2016)‌‌‌‌. Investigating the quality of sleep in the elderly of Qazvin city in 2014‌‌‌‌. Scientific journal of Student Research Committee of Qazvin University of Medical Sciences, 64 (12), 5-10‌‌‌‌. [Persian]
Delavar A‌‌‌‌. (2017)‌‌‌‌. The book of research methods in psychology and educational sciences, Virayesh Publication‌‌‌‌.
Dewald, J‌‌‌‌. F‌‌‌‌., Meijer, A‌‌‌‌. M‌‌‌‌., Oort, F‌‌‌‌. J‌‌‌‌., Kerkhof, G‌‌‌‌. A‌‌‌‌., & Bögels, S‌‌‌‌. M‌‌‌‌. (2010)‌‌‌‌. The Influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A Meta-analytic review‌‌‌‌. Sleep Medicine Reviews, 14 (3), 179-189‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. smrv‌‌‌‌. 2009‌‌‌‌. 10‌‌‌‌. 004
Ciullo, V‌‌‌‌., Spalletta, G‌‌‌‌., Caltagirone, C‌‌‌‌., Banaj, N‌‌‌‌., Vecchio, D‌‌‌‌., & Piras, F‌‌‌‌. (2021)‌‌‌‌. Transcranial direct current stimulation and cognition in neuropsychiatric disorders: Systematic review of the evidence and future directions‌‌‌‌. The Neuroscientist, 27 (3), 285-309‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1177/1073858420936167
Etoom, M‌‌‌‌., Alwardat, M‌‌‌‌., Alghwiri, A‌‌‌‌., Lena, F‌‌‌‌., & Romigi, A‌‌‌‌. (2022)‌‌‌‌. Effects of transcranial direct current stimulation on sleep in athletes: A Protocol of a randomized controlled trial‌‌‌‌. Journal of Clinical Medicine11, 5883‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 3390/jcm11195883
Foley, D‌‌‌‌. J‌‌‌‌., Monjan, A‌‌‌‌. A‌‌‌‌., Brown, S‌‌‌‌. L‌‌‌‌., Simonsick, E‌‌‌‌. M‌‌‌‌., Wallace, R‌‌‌‌. B‌‌‌‌., & Blazer, D‌‌‌‌. G‌‌‌‌. (1995)‌‌‌‌. Sleep complaints among elderly persons: An Epidemiologic study of three communities‌‌‌‌. Sleep18 (6), 425–432‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1093/sleep/18‌‌‌‌. 6‌‌‌‌. 425
Fraley, R‌‌‌‌. C‌‌‌‌., & Roisman, G‌‌‌‌. I‌‌‌‌. (2019)‌‌‌‌. The Development of adult attachment styles: Four lessons‌‌‌‌. Current opinion in psychology, 25, 26-30‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. copsyc‌‌‌‌. 2018‌‌‌‌. 02‌‌‌‌. 008
Galvin-McLaughlin, D‌‌‌‌., Klee, D‌‌‌‌., Memmott, T., Peters, B‌‌‌‌., Wiedrick, J‌‌‌‌., Fried-Oken, M.‌‌‌‌, & Dudy, S‌‌‌‌. (2022)‌‌‌‌. Methodology and preliminary data on feasibility of a neurofeedback protocol to improve visual attention to letters in mild Alzheimer's disease‌‌‌‌. Contemporary Clinical Trials Communications, 28, 100950‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. conctc‌‌‌‌. 2022‌‌‌‌. 100950
Gunkelman, J‌‌‌‌. D‌‌‌‌., & Johnstone, J‌‌‌‌. (2005)‌‌‌‌. Neurofeedback and the brain‌‌‌‌. Journal of Adult Development, 12 (2-3), 93-98‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1007/s10804-005-7024-x
Hadian, S‌‌‌‌., Jabalameli, sh‌‌‌‌. (2020)‌‌‌‌. The effectiveness of compassion-focused therapy (CFT) on subjective well-being of students with sleep disorders‌‌‌‌. Daneshvar Medicine, 27 (1), 19-28‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22070/dmed‌‌‌‌. 27‌‌‌‌. 140‌‌‌‌. 19 [Persian]
Hadi Toroghi, H‌‌‌‌., & Masoudi, S‌‌‌‌. (2020)‌‌‌‌. The Effectiveness of group-based acceptance and commitment therapy on the improvement of sleep quality in elderly people with chronic pain‌‌‌‌. Medical Journal of Mashhad University of Medical Sciences63 (3), 2295-2301‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22038/mjms‌‌‌‌. 2020‌‌‌‌. 16382 [Persian]
Hajatnia, B‌‌‌‌., Tajeri, B‌‌‌‌., & Haji Alizadeh, K‌‌‌‌. (2021)‌‌‌‌. The effectiveness of spiritual therapy on the quality of sleep, resilience, and death anxiety of the elderly‌‌‌‌. Journal of Preventive Medicine,8 (2), 17-26‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 52547/jpm‌‌‌‌. 8‌‌‌‌. 2‌‌‌‌. 26 [Persian]
Hashemipour, M‌‌‌‌., & Isfahani Asl, M‌‌‌‌. (2022)‌‌‌‌. Effectiveness of Neurofeedback on Sleep Quality and Pain Control of people with Migraine Headaches who refer to Specialized Neurosurgery Clinics in Ahvaz‌‌‌‌. Psychological Achievements29 (2), 91-104‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22055/psy‌‌‌‌. 2022‌‌‌‌. 40353‌‌‌‌. 2818 [Persian]
Hasler‌‌‌‌. G‌‌‌‌., Buysse, D‌‌‌‌. J‌‌‌‌., Gamma, A‌‌‌‌., Ajdacic, V‌‌‌‌., Eich, D‌‌‌‌., Rossler, W‌‌‌‌., & Angst, J‌‌‌‌. (2005). Excessive daytime sleepiness in young adults: A 20-year prospective community study‌‌‌‌. Journal of Clinical Psychiatry, 66 (4), 521-529‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 4088/jcp‌‌‌‌. v66n0416
Haukedal, C‌‌‌‌. L‌‌‌‌., Lyxell, B‌‌‌‌., & Wie, O‌‌‌‌. B‌‌‌‌. (2020)‌‌‌‌. Health-related quality of life with cochlear implants: The Children’s perspective‌‌‌‌. Ear and hearing, 41 (2), 330-343‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1097/AUD. 0000000000000761
Heinrich, H‌‌‌‌., Strehl, U‌‌‌‌., Arns, M‌‌‌‌., Rothenberger, A‌‌‌‌., & Ros, T‌‌‌‌. (Eds‌‌‌‌.) (2016)‌‌‌‌. Neurofeedback in ADHD‌‌‌‌. Frontiers Media SA‌‌‌‌. Retrieved from https://books‌‌‌‌. google‌‌‌‌. com/books
 Hohenfeld, C‌‌‌‌., Kuhn, H‌‌‌‌., Müller, C‌‌‌‌., Nellessen, N‌‌‌‌., Ketteler, S‌‌‌‌., Heinecke, A‌‌‌‌., & Reets, K‌‌‌‌. (2020)‌‌‌‌. Changes in brain activation related to visuo-spatial memory after real-time fMRI neurofeedback training in healthy elderly and Alzheimer's disease‌‌‌‌. Behavioural Brain Research, 381, 112435‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. bbr‌‌‌‌. 2019‌‌‌‌. 112435
Hossein Abadi, R‌‌‌‌. (2016)‌‌‌‌. Investigating the effect of acupressure on the sleep quality of the elderly in Kahrizak nursing home, Tehran‌‌‌‌. Master's thesis, University of Welfare and Rehabilitation Sciences‌‌‌‌.
Im, J‌‌‌‌. J‌‌‌‌., Jeong, H‌‌‌‌., Bikson, M‌‌‌‌., Woods, A‌‌‌‌. J‌‌‌‌., Unal, G‌‌‌‌., Oh, J‌‌‌‌. K‌‌‌‌., & Chung, Y‌‌‌‌. A‌‌‌‌. (2019)‌‌‌‌. Effects of 6-month at-home transcranial direct current stimulation on cognition and cerebral glucose metabolism in Alzheimer's disease‌‌‌‌. Brain Stimulation, 12 (5), 1222 -1228‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. brs‌‌‌‌. 2019‌‌‌‌. 06‌‌‌‌. 003
Jaramillo, E‌‌‌‌., T‌‌‌‌., & Willging, C‌‌‌‌. E‌‌‌‌. (2021)‌‌‌‌. Producing insecurity: Healthcare access, health insurance, and wellbeing among American Indian elders‌‌‌‌. Social Science & Medicine, 268, 113384‌‌‌‌. https://doi‌‌‌‌. org/10. 1016/j‌‌‌‌. socscimed‌‌‌‌. 2020‌‌‌‌. 113384
Khaksarian, M‌‌‌‌., Hasanvandi, S‌‌‌‌., Piri, R‌‌‌‌., & Sohrabifard, M‌‌‌‌. M‌‌‌‌. (2020)‌‌‌‌. A Comparison of the effect neurofeedback on the improvement of the executive functions of individuals with ADHD and epilepsy‌‌‌‌. Yafte, 22 (1),13-24‌‌‌‌. http://yafte‌‌‌‌. lums‌‌‌‌. ac‌‌‌‌. ir/article-1-2863-en‌‌‌‌. html [Persian]
Khubchandani, J‌‌‌‌., & Price, J‌‌‌‌. H‌‌‌‌. (2020)‌‌‌‌. Short sleep duration in working American adults, 2010-2018‌‌‌‌. Journal community health, 45, 219–227‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1093/sleep/18‌‌‌‌. 6‌‌‌‌. 425
Mohammadi, R‌‌‌‌., Alipour, A‌‌‌‌., & Hajihaji, K‌‌‌‌. (2021)‌‌‌‌. Synergistic effect of mindful breath awareness and muscle relaxation (MBMR) and cranio-electro stimulation (CES) on improving sleep quality in patients with type 2 diabetes‌‌‌‌. Neuropsychology, 7 (1), 85-102‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 30473/clpsy‌‌‌‌. 2021‌‌‌‌. 56178‌‌‌‌. 1577
Mousavi, S‌‌‌‌. A‌‌‌‌., Jarareh, J‌‌‌‌., & Mohammadiarya, A‌‌‌‌. (2021)‌‌‌‌. Effectiveness of transcranial direct current stimulation (TDCS) over the prefrontal cortex on cognitive function in the elderly with Alzheimer‌‌‌‌. Rooyesh, 10 (7), 1-12‌‌‌‌. https://doi‌‌‌‌. org/20‌‌‌‌. 1001‌‌‌‌. 1‌‌‌‌. 2383353‌‌‌‌. 1400‌‌‌‌. 10‌‌‌‌. 7‌‌‌‌. 4‌‌‌‌. 6 [Persian]
Mousavi Sadati, S‌‌‌‌. K‌‌‌‌., & Rashidzadeh, P‌‌‌‌. (2020)‌‌‌‌. Effect of cerebellar transcranial direct current stimulation on balance and sensory system of the elderly‌‌‌‌. Scientific Journal of Rehabilition Medicine, 8 (4), 195-205‌‌‌‌. https://sid‌‌‌‌. ir/paper/239702/en [Persian]
Nazari, A‌‌‌‌. M‌‌‌‌., Nikoosiar Jahromi, M‌‌‌‌., Aminimanesh, S‌‌‌‌., & Taheri, M‌‌‌‌. (2013)‌‌‌‌. The efficacy of cognitive-behavioral group therapy on insomnia symptoms among male prisoners‌‌‌‌. Journal of Research in Behavioral Research, 11 (2), 139-146‌‌‌‌. https://sid‌‌‌‌. ir/paper/106610/en [Persian]
Perlis, M‌‌‌‌. L‌‌‌‌., Kehr, E‌‌‌‌. L‌‌‌‌., Smith, M‌‌‌‌. T‌‌‌‌., Andrews, P‌‌‌‌. J‌‌‌‌., Orff, H‌‌‌‌., & Giles, D‌‌‌‌. E‌‌‌‌. (2001)‌‌‌‌. Temporal and stage wise distribution of high frequency EEG activity in patients with primary and secondary insomnia disorder and in good sleeper controls‌‌‌‌. Journal of Sleep Research, 10 (2), 93-104‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1046/j‌‌‌‌. 1365-2869‌‌‌‌. 2001‌‌‌‌. 00247‌‌‌‌. x
Pellicciari, M‌‌‌‌. C‌‌‌‌., & Miniussi, C‌‌‌‌. (2018)‌‌‌‌. Transcranial direct current stimulation in neurodegenerative disorders‌‌‌‌. The Journal of ECT, 34 (3), 193 -202‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1097/YCT‌‌‌‌. 0000000000000539
Pourgheisar, N‌‌‌‌., Jabalameli, S‌‌‌‌., Haghayegh, S‌‌‌‌. A‌‌‌‌., & Moghimian, M‌‌‌‌. (2022)‌‌‌‌. The Effectiveness of Transcranial Direct-Current Stimulation on Psychological Distress and Quality of Life in the Elderly‌‌‌‌. Aging Psychology8 (3), 217-205‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22126/jap‌‌‌‌. 2022‌‌‌‌. 7882‌‌‌‌. 1628 [Persian]
Report of Iran Statistics Center (2016)‌‌‌‌. 2015 census‌‌‌‌. [Persian]
Saadat, B‌‌‌‌., & Sheikh, M‌‌‌‌. (2023)‌‌‌‌. The effectiveness of neurofeedback training and exercise environmental affordances on static and ‎dynamic balance and the fear of falling in the elderly‌‌‌‌. Aging Psychology9 (1), 79-88‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22126/jap‌‌‌‌. 2023‌‌‌‌. 8618‌‌‌‌. 1678 [Persian]
Shokrgozar, A‌‌‌‌., Nekoonam, Y‌‌‌‌., & Nikkhah, F‌‌‌‌. (2021)‌‌‌‌. The Effectiveness of neurofeedback on sleep quality and anxiety in people with coronary artery disease‌‌‌‌. Journal of Neuropsychology7 (1), 59-70‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 30473/clpsy‌‌‌‌. 2021‌‌‌‌. 58021‌‌‌‌. 1595 [Persian]
Shouhani, M‌‌‌‌., Jalilian, M‌‌‌‌., Parsaei, S‌‌‌‌., Modara, F‌‌‌‌., Seidkhani, H‌‌‌‌. (2020) The Effect of Unilateral and Bilateral Electrical Stimulation of the Brain on Improving the Balance of the Elderly‌‌‌‌. Salmand: Iranian Journal of Ageing, 15 (3), 312-323‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 32598/sija‌‌‌‌. 10‌‌‌‌. 15‌‌‌‌. 3‌‌‌‌. 1895‌‌‌‌. 3 [Persian]
Tang, H‌‌‌‌., Vitiello, M‌‌‌‌., Perlis, M‌‌‌‌., & Riegel, B‌‌‌‌. (2015)‌‌‌‌. Open-loop neurofeedback audiovisual stimulation: A Pilot study of its potential for sleep induction in older adults‌‌‌‌. Applied Psychophysiology and Biofeedback, 40 (3), 183-188‌‌‌‌. http://dx‌‌‌‌. doi‌‌‌‌. org/10‌‌‌‌. 1007/s10484-015-9285-x
Thase, M‌‌‌‌. E‌‌‌‌. (2005)‌‌‌‌. Correlates and consequences of chronic insomnia‌‌‌‌. General Hospital Psychiatry, 27 (2), 100-112‌‌‌‌.       https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. genhosppsych‌‌‌‌. 2004‌‌‌‌. 09‌‌‌‌. 006
Tononi, G‌‌‌‌., & Cirelli, C‌‌‌‌. (2006)‌‌‌‌. Sleep function and synaptic homeostasis‌‌‌‌. Sleep medicine review, 10 (1), 49-62‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. smrv‌‌‌‌. 2005‌‌‌‌. 05‌‌‌‌. 002
Vahdani Nia MS, Goshtasebi A, Montazeri A, Maftoon F‌‌‌‌. Health-related quality of life in an elderly population in Iran: A population-based study‌‌‌‌. Payesh 2005, 4 (2), 113-120‌‌‌‌. 20‌‌‌‌. 1001‌‌‌‌. 1‌‌‌‌. 16807626‌‌‌‌. 1384‌‌‌‌. 4‌‌‌‌. 2‌‌‌‌. 5‌‌‌‌. 0 [Persian]
Valizadeh, H‌‌‌‌., & Ahmadi, V‌‌‌‌. (2021) Effectiveness of mindfulness-based therapy on sleep quality and death anxiety in the elderly with hypertension‌‌‌‌. Caspian Journal of Health & Agin,6 (2), 71-84‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22088/cjhaa‌‌‌‌. 6‌‌‌‌. 2‌‌‌‌. 7 [Persian]
Westwood, S‌‌‌‌. J‌‌‌‌., Criaud, M‌‌‌‌., Lam, S‌‌‌‌. L‌‌‌‌., Lukito, S., Wallace-Hanlon, S‌‌‌‌., Kowalczyk, O‌‌‌‌. S‌‌‌‌.,‌‌‌ & Rubia, K‌‌‌‌. (2023)‌‌‌‌. Transcranial direct current stimulation (TDCS) combined with cognitive training in adolescent boys with ADHD: A Double-blind, randomised, sham-controlled trial‌‌‌‌. Psychological Medicine, 53 (2), 497-512‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1017/S0033291721001859
World Health Organization (2019)‌‌‌‌. Integrated care for older people (‎‎‎‎‎‎‎‎‎ICOPE): Guidance for person-centered assessment and pathways in primary care (REFERENCE NUMBER: WHO/FWC/ALC/19‌‌‌‌. 1)‌‌‌‌.
Wu, C‌‌‌‌. Y‌‌‌‌., Su, T‌‌‌‌. P‌‌‌‌., Fang, C‌‌‌‌. L‌‌‌‌., & Yeh, M‌‌‌‌. Y‌‌‌‌. (2012)‌‌‌‌. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates‌‌‌‌. Journal of the Chinese Medical Association, 75 (2), 75- 80‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. jcma‌‌‌‌. 2011‌‌‌‌. 12‌‌‌‌. 011
Zhou, Q‌‌‌‌., Yu, C‌‌‌‌., Yu, H‌‌‌‌., Zhang, Y‌‌‌‌., Liu, Z‌‌‌‌., Hu, Z‌‌‌‌., Yuan, T‌‌‌‌. F‌‌‌‌., & Zhou, D‌‌‌‌. (2020)‌‌‌‌. The effects of repeated transcranial direct current stimulation on sleep quality and depression symptoms in patients with major depression and insomnia‌‌‌‌. Sleep medicine70, 17–26‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. sleep‌‌‌‌. 2020‌‌‌‌. 02‌‌‌‌. 003

Keywords

Main Subjects


Refrences
Abad, V‌‌‌‌. C‌‌‌‌., & Guilleminault, C‌‌‌‌. (2018)‌‌‌‌. Insomnia in elderly patients: Recommendations for pharmacological management‌‌‌‌. Drugs & aging35 (9), 791–817‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1007/s40266-018-0569-8
Antal, A‌‌‌‌., & Paulus, W‌‌‌‌. (2013)‌‌‌‌. Transcranial alternating current stimulation (tads)‌‌‌‌. Frontiers in Human Neuroscience, 7, Article 317‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 3389/fnhum‌‌‌‌. 2013‌‌‌‌. 00317
Azarpaikan, A‌‌‌‌., Torbati, H‌‌‌‌. T‌‌‌‌., & Sohrabi, M‌‌‌‌. (2014)‌‌‌‌. Neurofeedback and physical balance in Parkinson's patients‌‌‌‌. Gait & Posture, 40 (1), 177-181‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. gaitpost‌‌‌‌. 2014‌‌‌‌. 03‌‌‌‌. 179
Bahrami, M‌‌‌‌., Dehdashti, A‌‌‌‌., & Karami, M‌‌‌‌. A‌‌‌‌. (2017)‌‌‌‌. Survey on sleep quality in elderly people living in a nursing home in Damghan city in 2017: A Short Report‌‌‌‌. Journal of Rafsanjan University of Medical Sciences, 16 (6), 581-590‌‌‌‌. https://doi‌‌‌‌. org/20‌‌‌‌. 1001‌‌‌‌. 1‌‌‌‌. 17353165‌‌‌‌. 1396‌‌‌‌. 16‌‌‌‌. 6‌‌‌‌. 6‌‌‌‌. 8 [Persian]
Bartlett, D‌‌‌‌., Marshall, N‌‌‌‌., Williams, A‌‌‌‌., & Grunstein, R‌‌‌‌. (2010)‌‌‌‌. Sleep health new south wales: Chronic sleep restriction and daytime sleepiness‌‌‌‌. Internal Medicine Journal, 38 (1), 24-31‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1111/j‌‌‌‌. 1445-5994‌‌‌‌. 2007‌‌‌‌. 01395‌‌‌‌. x
Beh-Pajooh, A‌‌‌‌., & Solimani, S‌‌‌‌. (2017)‌‌‌‌. The relationship between quality of sleep and the quality of life of the elderly in three districts of Tehran‌‌‌‌. Aging Psychology3 (2), 107-114‌‌‌‌. [Persian]
Bjekić, J‌‌‌‌., Manojlović, M‌‌‌‌., & Filipović, S‌‌‌‌. R‌‌‌‌. (2023). Transcranianl electrical stimulation for associative memory     enhancement: State-of-the-art from basic to    clinical research‌‌‌‌. Life, 13 (5), 1125‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 3390/life13051125
Butnik, S‌‌‌‌. M‌‌‌‌. (2005)‌‌‌‌. Neurofeedback in adolescents and adults with attention deficit hyperactivity disorder‌‌‌‌. Journal of Clinical Psychology, 61 (5), 621–625‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1002/jclp‌‌‌‌. 20124
Chen, X‌‌‌‌., & Sui, L‌‌‌‌. (2023)‌‌‌‌. Alpha band neurofeedback training based on a portable device improves working memory performance of young people‌‌‌‌. Biomedical Signal Processing and Control, 80, 104308‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. bspc‌‌‌‌. 2022‌‌‌‌. 104308
Corbo, I‌‌‌‌., Forte, G‌‌‌‌., Favieri, F‌‌‌‌., Casagrande, M. (2023). Poor sleep quality in aging: The Association with mental health‌‌‌‌. International Journal of Environmental Research and Public Health‌‌‌‌. 20 (3), 1661. https://doi‌‌‌‌. org/10‌‌‌‌. 3390/ijerph20031661
Dehghankar, L‌‌‌‌., Rostampour, A‌‌‌‌., & Haji Karim Baba, M‌‌‌‌. (2016)‌‌‌‌. Investigating the quality of sleep in the elderly of Qazvin city in 2014‌‌‌‌. Scientific journal of Student Research Committee of Qazvin University of Medical Sciences, 64 (12), 5-10‌‌‌‌. [Persian]
Delavar A‌‌‌‌. (2017)‌‌‌‌. The book of research methods in psychology and educational sciences, Virayesh Publication‌‌‌‌.
Dewald, J‌‌‌‌. F‌‌‌‌., Meijer, A‌‌‌‌. M‌‌‌‌., Oort, F‌‌‌‌. J‌‌‌‌., Kerkhof, G‌‌‌‌. A‌‌‌‌., & Bögels, S‌‌‌‌. M‌‌‌‌. (2010)‌‌‌‌. The Influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A Meta-analytic review‌‌‌‌. Sleep Medicine Reviews, 14 (3), 179-189‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. smrv‌‌‌‌. 2009‌‌‌‌. 10‌‌‌‌. 004
Ciullo, V‌‌‌‌., Spalletta, G‌‌‌‌., Caltagirone, C‌‌‌‌., Banaj, N‌‌‌‌., Vecchio, D‌‌‌‌., & Piras, F‌‌‌‌. (2021)‌‌‌‌. Transcranial direct current stimulation and cognition in neuropsychiatric disorders: Systematic review of the evidence and future directions‌‌‌‌. The Neuroscientist, 27 (3), 285-309‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1177/1073858420936167
Etoom, M‌‌‌‌., Alwardat, M‌‌‌‌., Alghwiri, A‌‌‌‌., Lena, F‌‌‌‌., & Romigi, A‌‌‌‌. (2022)‌‌‌‌. Effects of transcranial direct current stimulation on sleep in athletes: A Protocol of a randomized controlled trial‌‌‌‌. Journal of Clinical Medicine11, 5883‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 3390/jcm11195883
Foley, D‌‌‌‌. J‌‌‌‌., Monjan, A‌‌‌‌. A‌‌‌‌., Brown, S‌‌‌‌. L‌‌‌‌., Simonsick, E‌‌‌‌. M‌‌‌‌., Wallace, R‌‌‌‌. B‌‌‌‌., & Blazer, D‌‌‌‌. G‌‌‌‌. (1995)‌‌‌‌. Sleep complaints among elderly persons: An Epidemiologic study of three communities‌‌‌‌. Sleep18 (6), 425–432‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1093/sleep/18‌‌‌‌. 6‌‌‌‌. 425
Fraley, R‌‌‌‌. C‌‌‌‌., & Roisman, G‌‌‌‌. I‌‌‌‌. (2019)‌‌‌‌. The Development of adult attachment styles: Four lessons‌‌‌‌. Current opinion in psychology, 25, 26-30‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. copsyc‌‌‌‌. 2018‌‌‌‌. 02‌‌‌‌. 008
Galvin-McLaughlin, D‌‌‌‌., Klee, D‌‌‌‌., Memmott, T., Peters, B‌‌‌‌., Wiedrick, J‌‌‌‌., Fried-Oken, M.‌‌‌‌, & Dudy, S‌‌‌‌. (2022)‌‌‌‌. Methodology and preliminary data on feasibility of a neurofeedback protocol to improve visual attention to letters in mild Alzheimer's disease‌‌‌‌. Contemporary Clinical Trials Communications, 28, 100950‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. conctc‌‌‌‌. 2022‌‌‌‌. 100950
Gunkelman, J‌‌‌‌. D‌‌‌‌., & Johnstone, J‌‌‌‌. (2005)‌‌‌‌. Neurofeedback and the brain‌‌‌‌. Journal of Adult Development, 12 (2-3), 93-98‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1007/s10804-005-7024-x
Hadian, S‌‌‌‌., Jabalameli, sh‌‌‌‌. (2020)‌‌‌‌. The effectiveness of compassion-focused therapy (CFT) on subjective well-being of students with sleep disorders‌‌‌‌. Daneshvar Medicine, 27 (1), 19-28‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22070/dmed‌‌‌‌. 27‌‌‌‌. 140‌‌‌‌. 19 [Persian]
Hadi Toroghi, H‌‌‌‌., & Masoudi, S‌‌‌‌. (2020)‌‌‌‌. The Effectiveness of group-based acceptance and commitment therapy on the improvement of sleep quality in elderly people with chronic pain‌‌‌‌. Medical Journal of Mashhad University of Medical Sciences63 (3), 2295-2301‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22038/mjms‌‌‌‌. 2020‌‌‌‌. 16382 [Persian]
Hajatnia, B‌‌‌‌., Tajeri, B‌‌‌‌., & Haji Alizadeh, K‌‌‌‌. (2021)‌‌‌‌. The effectiveness of spiritual therapy on the quality of sleep, resilience, and death anxiety of the elderly‌‌‌‌. Journal of Preventive Medicine,8 (2), 17-26‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 52547/jpm‌‌‌‌. 8‌‌‌‌. 2‌‌‌‌. 26 [Persian]
Hashemipour, M‌‌‌‌., & Isfahani Asl, M‌‌‌‌. (2022)‌‌‌‌. Effectiveness of Neurofeedback on Sleep Quality and Pain Control of people with Migraine Headaches who refer to Specialized Neurosurgery Clinics in Ahvaz‌‌‌‌. Psychological Achievements29 (2), 91-104‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22055/psy‌‌‌‌. 2022‌‌‌‌. 40353‌‌‌‌. 2818 [Persian]
Hasler‌‌‌‌. G‌‌‌‌., Buysse, D‌‌‌‌. J‌‌‌‌., Gamma, A‌‌‌‌., Ajdacic, V‌‌‌‌., Eich, D‌‌‌‌., Rossler, W‌‌‌‌., & Angst, J‌‌‌‌. (2005). Excessive daytime sleepiness in young adults: A 20-year prospective community study‌‌‌‌. Journal of Clinical Psychiatry, 66 (4), 521-529‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 4088/jcp‌‌‌‌. v66n0416
Haukedal, C‌‌‌‌. L‌‌‌‌., Lyxell, B‌‌‌‌., & Wie, O‌‌‌‌. B‌‌‌‌. (2020)‌‌‌‌. Health-related quality of life with cochlear implants: The Children’s perspective‌‌‌‌. Ear and hearing, 41 (2), 330-343‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1097/AUD. 0000000000000761
Heinrich, H‌‌‌‌., Strehl, U‌‌‌‌., Arns, M‌‌‌‌., Rothenberger, A‌‌‌‌., & Ros, T‌‌‌‌. (Eds‌‌‌‌.) (2016)‌‌‌‌. Neurofeedback in ADHD‌‌‌‌. Frontiers Media SA‌‌‌‌. Retrieved from https://books‌‌‌‌. google‌‌‌‌. com/books
 Hohenfeld, C‌‌‌‌., Kuhn, H‌‌‌‌., Müller, C‌‌‌‌., Nellessen, N‌‌‌‌., Ketteler, S‌‌‌‌., Heinecke, A‌‌‌‌., & Reets, K‌‌‌‌. (2020)‌‌‌‌. Changes in brain activation related to visuo-spatial memory after real-time fMRI neurofeedback training in healthy elderly and Alzheimer's disease‌‌‌‌. Behavioural Brain Research, 381, 112435‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. bbr‌‌‌‌. 2019‌‌‌‌. 112435
Hossein Abadi, R‌‌‌‌. (2016)‌‌‌‌. Investigating the effect of acupressure on the sleep quality of the elderly in Kahrizak nursing home, Tehran‌‌‌‌. Master's thesis, University of Welfare and Rehabilitation Sciences‌‌‌‌.
Im, J‌‌‌‌. J‌‌‌‌., Jeong, H‌‌‌‌., Bikson, M‌‌‌‌., Woods, A‌‌‌‌. J‌‌‌‌., Unal, G‌‌‌‌., Oh, J‌‌‌‌. K‌‌‌‌., & Chung, Y‌‌‌‌. A‌‌‌‌. (2019)‌‌‌‌. Effects of 6-month at-home transcranial direct current stimulation on cognition and cerebral glucose metabolism in Alzheimer's disease‌‌‌‌. Brain Stimulation, 12 (5), 1222 -1228‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. brs‌‌‌‌. 2019‌‌‌‌. 06‌‌‌‌. 003
Jaramillo, E‌‌‌‌., T‌‌‌‌., & Willging, C‌‌‌‌. E‌‌‌‌. (2021)‌‌‌‌. Producing insecurity: Healthcare access, health insurance, and wellbeing among American Indian elders‌‌‌‌. Social Science & Medicine, 268, 113384‌‌‌‌. https://doi‌‌‌‌. org/10. 1016/j‌‌‌‌. socscimed‌‌‌‌. 2020‌‌‌‌. 113384
Khaksarian, M‌‌‌‌., Hasanvandi, S‌‌‌‌., Piri, R‌‌‌‌., & Sohrabifard, M‌‌‌‌. M‌‌‌‌. (2020)‌‌‌‌. A Comparison of the effect neurofeedback on the improvement of the executive functions of individuals with ADHD and epilepsy‌‌‌‌. Yafte, 22 (1),13-24‌‌‌‌. http://yafte‌‌‌‌. lums‌‌‌‌. ac‌‌‌‌. ir/article-1-2863-en‌‌‌‌. html [Persian]
Khubchandani, J‌‌‌‌., & Price, J‌‌‌‌. H‌‌‌‌. (2020)‌‌‌‌. Short sleep duration in working American adults, 2010-2018‌‌‌‌. Journal community health, 45, 219–227‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1093/sleep/18‌‌‌‌. 6‌‌‌‌. 425
Mohammadi, R‌‌‌‌., Alipour, A‌‌‌‌., & Hajihaji, K‌‌‌‌. (2021)‌‌‌‌. Synergistic effect of mindful breath awareness and muscle relaxation (MBMR) and cranio-electro stimulation (CES) on improving sleep quality in patients with type 2 diabetes‌‌‌‌. Neuropsychology, 7 (1), 85-102‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 30473/clpsy‌‌‌‌. 2021‌‌‌‌. 56178‌‌‌‌. 1577
Mousavi, S‌‌‌‌. A‌‌‌‌., Jarareh, J‌‌‌‌., & Mohammadiarya, A‌‌‌‌. (2021)‌‌‌‌. Effectiveness of transcranial direct current stimulation (TDCS) over the prefrontal cortex on cognitive function in the elderly with Alzheimer‌‌‌‌. Rooyesh, 10 (7), 1-12‌‌‌‌. https://doi‌‌‌‌. org/20‌‌‌‌. 1001‌‌‌‌. 1‌‌‌‌. 2383353‌‌‌‌. 1400‌‌‌‌. 10‌‌‌‌. 7‌‌‌‌. 4‌‌‌‌. 6 [Persian]
Mousavi Sadati, S‌‌‌‌. K‌‌‌‌., & Rashidzadeh, P‌‌‌‌. (2020)‌‌‌‌. Effect of cerebellar transcranial direct current stimulation on balance and sensory system of the elderly‌‌‌‌. Scientific Journal of Rehabilition Medicine, 8 (4), 195-205‌‌‌‌. https://sid‌‌‌‌. ir/paper/239702/en [Persian]
Nazari, A‌‌‌‌. M‌‌‌‌., Nikoosiar Jahromi, M‌‌‌‌., Aminimanesh, S‌‌‌‌., & Taheri, M‌‌‌‌. (2013)‌‌‌‌. The efficacy of cognitive-behavioral group therapy on insomnia symptoms among male prisoners‌‌‌‌. Journal of Research in Behavioral Research, 11 (2), 139-146‌‌‌‌. https://sid‌‌‌‌. ir/paper/106610/en [Persian]
Perlis, M‌‌‌‌. L‌‌‌‌., Kehr, E‌‌‌‌. L‌‌‌‌., Smith, M‌‌‌‌. T‌‌‌‌., Andrews, P‌‌‌‌. J‌‌‌‌., Orff, H‌‌‌‌., & Giles, D‌‌‌‌. E‌‌‌‌. (2001)‌‌‌‌. Temporal and stage wise distribution of high frequency EEG activity in patients with primary and secondary insomnia disorder and in good sleeper controls‌‌‌‌. Journal of Sleep Research, 10 (2), 93-104‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1046/j‌‌‌‌. 1365-2869‌‌‌‌. 2001‌‌‌‌. 00247‌‌‌‌. x
Pellicciari, M‌‌‌‌. C‌‌‌‌., & Miniussi, C‌‌‌‌. (2018)‌‌‌‌. Transcranial direct current stimulation in neurodegenerative disorders‌‌‌‌. The Journal of ECT, 34 (3), 193 -202‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1097/YCT‌‌‌‌. 0000000000000539
Pourgheisar, N‌‌‌‌., Jabalameli, S‌‌‌‌., Haghayegh, S‌‌‌‌. A‌‌‌‌., & Moghimian, M‌‌‌‌. (2022)‌‌‌‌. The Effectiveness of Transcranial Direct-Current Stimulation on Psychological Distress and Quality of Life in the Elderly‌‌‌‌. Aging Psychology8 (3), 217-205‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22126/jap‌‌‌‌. 2022‌‌‌‌. 7882‌‌‌‌. 1628 [Persian]
Report of Iran Statistics Center (2016)‌‌‌‌. 2015 census‌‌‌‌. [Persian]
Saadat, B‌‌‌‌., & Sheikh, M‌‌‌‌. (2023)‌‌‌‌. The effectiveness of neurofeedback training and exercise environmental affordances on static and ‎dynamic balance and the fear of falling in the elderly‌‌‌‌. Aging Psychology9 (1), 79-88‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22126/jap‌‌‌‌. 2023‌‌‌‌. 8618‌‌‌‌. 1678 [Persian]
Shokrgozar, A‌‌‌‌., Nekoonam, Y‌‌‌‌., & Nikkhah, F‌‌‌‌. (2021)‌‌‌‌. The Effectiveness of neurofeedback on sleep quality and anxiety in people with coronary artery disease‌‌‌‌. Journal of Neuropsychology7 (1), 59-70‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 30473/clpsy‌‌‌‌. 2021‌‌‌‌. 58021‌‌‌‌. 1595 [Persian]
Shouhani, M‌‌‌‌., Jalilian, M‌‌‌‌., Parsaei, S‌‌‌‌., Modara, F‌‌‌‌., Seidkhani, H‌‌‌‌. (2020) The Effect of Unilateral and Bilateral Electrical Stimulation of the Brain on Improving the Balance of the Elderly‌‌‌‌. Salmand: Iranian Journal of Ageing, 15 (3), 312-323‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 32598/sija‌‌‌‌. 10‌‌‌‌. 15‌‌‌‌. 3‌‌‌‌. 1895‌‌‌‌. 3 [Persian]
Tang, H‌‌‌‌., Vitiello, M‌‌‌‌., Perlis, M‌‌‌‌., & Riegel, B‌‌‌‌. (2015)‌‌‌‌. Open-loop neurofeedback audiovisual stimulation: A Pilot study of its potential for sleep induction in older adults‌‌‌‌. Applied Psychophysiology and Biofeedback, 40 (3), 183-188‌‌‌‌. http://dx‌‌‌‌. doi‌‌‌‌. org/10‌‌‌‌. 1007/s10484-015-9285-x
Thase, M‌‌‌‌. E‌‌‌‌. (2005)‌‌‌‌. Correlates and consequences of chronic insomnia‌‌‌‌. General Hospital Psychiatry, 27 (2), 100-112‌‌‌‌.       https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. genhosppsych‌‌‌‌. 2004‌‌‌‌. 09‌‌‌‌. 006
Tononi, G‌‌‌‌., & Cirelli, C‌‌‌‌. (2006)‌‌‌‌. Sleep function and synaptic homeostasis‌‌‌‌. Sleep medicine review, 10 (1), 49-62‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. smrv‌‌‌‌. 2005‌‌‌‌. 05‌‌‌‌. 002
Vahdani Nia MS, Goshtasebi A, Montazeri A, Maftoon F‌‌‌‌. Health-related quality of life in an elderly population in Iran: A population-based study‌‌‌‌. Payesh 2005, 4 (2), 113-120‌‌‌‌. 20‌‌‌‌. 1001‌‌‌‌. 1‌‌‌‌. 16807626‌‌‌‌. 1384‌‌‌‌. 4‌‌‌‌. 2‌‌‌‌. 5‌‌‌‌. 0 [Persian]
Valizadeh, H‌‌‌‌., & Ahmadi, V‌‌‌‌. (2021) Effectiveness of mindfulness-based therapy on sleep quality and death anxiety in the elderly with hypertension‌‌‌‌. Caspian Journal of Health & Agin,6 (2), 71-84‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 22088/cjhaa‌‌‌‌. 6‌‌‌‌. 2‌‌‌‌. 7 [Persian]
Westwood, S‌‌‌‌. J‌‌‌‌., Criaud, M‌‌‌‌., Lam, S‌‌‌‌. L‌‌‌‌., Lukito, S., Wallace-Hanlon, S‌‌‌‌., Kowalczyk, O‌‌‌‌. S‌‌‌‌.,‌‌‌ & Rubia, K‌‌‌‌. (2023)‌‌‌‌. Transcranial direct current stimulation (TDCS) combined with cognitive training in adolescent boys with ADHD: A Double-blind, randomised, sham-controlled trial‌‌‌‌. Psychological Medicine, 53 (2), 497-512‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1017/S0033291721001859
World Health Organization (2019)‌‌‌‌. Integrated care for older people (‎‎‎‎‎‎‎‎‎ICOPE): Guidance for person-centered assessment and pathways in primary care (REFERENCE NUMBER: WHO/FWC/ALC/19‌‌‌‌. 1)‌‌‌‌.
Wu, C‌‌‌‌. Y‌‌‌‌., Su, T‌‌‌‌. P‌‌‌‌., Fang, C‌‌‌‌. L‌‌‌‌., & Yeh, M‌‌‌‌. Y‌‌‌‌. (2012)‌‌‌‌. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates‌‌‌‌. Journal of the Chinese Medical Association, 75 (2), 75- 80‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. jcma‌‌‌‌. 2011‌‌‌‌. 12‌‌‌‌. 011
Zhou, Q‌‌‌‌., Yu, C‌‌‌‌., Yu, H‌‌‌‌., Zhang, Y‌‌‌‌., Liu, Z‌‌‌‌., Hu, Z‌‌‌‌., Yuan, T‌‌‌‌. F‌‌‌‌., & Zhou, D‌‌‌‌. (2020)‌‌‌‌. The effects of repeated transcranial direct current stimulation on sleep quality and depression symptoms in patients with major depression and insomnia‌‌‌‌. Sleep medicine70, 17–26‌‌‌‌. https://doi‌‌‌‌. org/10‌‌‌‌. 1016/j‌‌‌‌. sleep‌‌‌‌. 2020‌‌‌‌. 02‌‌‌‌. 003