Phenomenological Explanation of Challenges of the Elderly in Kashan City

Document Type : Original Article

Authors

1 Dept. of Sociology, Faculty of Human Sciences, Kashan University, Iran

2 Dept. of Psychology, Faculty of Human Sciences, Kashan University, Iran

3 Dept. of Management and Entrepreneurship, Faculty of Management, Kashan University

Abstract

Old age is a sensitive period of life, characterized by a wide range of physiological and psychological changes that cause the loss of some states, including cognitive weakness, gradual deterioration of the body, memory and social function. The elderly in this period are facing many challenges, the identification of which can be of great help in the preparation of support and rehabilitation programs. Therefore, the purpose of this research was to explain the phenomenological challenges of the elderly living in Kashan, Iran. The research population included the elderly over 62 years old living in Kashan city. The sampling method was purposeful, during which 14 aged people were interviewed and the sampling was saturated. The data were collected using semi-structured interviews and analyzed by the seven-step Claesian method. The result indicated two main themes and 14 Sub-themes. The main themes were‌‌‌‌ (1) individual challenges and‌‌‌‌ (2) social challenges. Sub-themes included (1) concerns about physical health and diseases, (2) feelings of loneliness, (3)  concerns about children's future, (4) support for children, (5) lack of support for children, (6) mental and emotional problems, (7) maintaining authority and respect, (8) positive hope, (9) negative hope, (10) disability, (11) receiving support from social institutions and providing welfare for the elderly, (12) economic problems, (13) positive attitude towards the nursing home and (14) negative attitude towards the nursing home. According to the results, it was found that it is necessary to deal with the problems and challenges of the elderly, and therefore, providing supportive, educational and health services for the elderly can reduce their problems.
References
Anjum, M., & Verma, M. K.‌‌‌‌ (2022). Impact of hope on the coping behavior of male and female cancer patients. Journal of Psychology and Politica Science2‌‌‌‌ (01),1–6. https://doi.org/10.55529/jpps.21.1.6
Anmol, A., Teja, D., & Rashmi, J.‌‌‌‌ (2023). Screening for auditory processing difficulties in older adults with hearing impairment using screening checklist for auditory processing in adults. The Journal of International,19‌‌‌‌ (2), 87–92. https://doi.org/0.5152/iao.2023.22752
August, K. J., & Sorkin, D. H.‌‌‌‌ (2010). Racial and ethnic disparities in indicators of physical health status: Do they still exist throughout late life? Journal of the American Geriatrics Society58‌‌‌‌ (10), 2009-2015. https://doi.org/10.1111/j.1532-5415.2010.03033.x
Bayanfar, F., & Gudari, M.‌‌‌‌ (2022). The effectiveness of group-based existential awareness training on social exclusion, social adjustment, social adequacy and cognitive avoidance in the elderly with empty nest syndrome. Social Psychology Research, 12‌‌‌‌ (48), 35-54. [Persian]
Bittner, A. K., Yoshinaga, P. D., Rittiphairoj, T., & Li, T.‌‌‌‌ (2023). Telerehabilitation for people with low vision. Cochrane Database of Systematic Reviews 8‌‌‌‌ (1),41-60. https://doi.org/10.1002/14651858.CD011019.pub3
Bolzman, C.‌‌‌‌ (2023). The elderly in transnational family configurations: Migration, inter-generational relations and care support in Switzerland. In Handbook of transnational families around the world pp. 169-185. https://doi.org/10.1007/978-3-031-15278-8_11
Budhia, M., Neogi, R., & Rathi, M.‌‌‌‌ (2022). Empty nest syndrome: Its prevalence and predictors in middle aged adults in     Eastern India: Category: Oral Paper Presentation. Indian Journal of Psychiatry, 64‌‌‌‌ (3), 577-600. https://doi.org/ 10.4103/0019-5545.341672
Crabtree, B. F.‌‌‌‌ (1999). Doing qualitative research. sage.
Dindar farkosh, J., Kazemipour sabet, S., & Ansari, H.‌‌‌‌ (2022). Foresight of the aging trend of the Iranian population in different regions and population groups until 1420. Future study Management33‌‌‌‌ (1), 103-122. [Persian]
Ferdinjad, Z., & Vahedi, H.‌‌‌‌ (2012). The relationship between general health and perceived social support with life satisfaction in the elderly. Quarterly Journal of Behavioral Sciences, 5‌‌‌‌ (15), 87-100. [Persian]
Gani, L. U., Tan, F. C. L., & King, T. F. J.‌‌‌‌ (2023). Telecarers improve osteoporosis treatment and compliance rates in secondary osteoporosis prevention for elderly hip fracture patients. Singapore Medical Journal, 64‌‌‌‌ (4), 244. https://doi.org/ 10.11622/smedj.2022068.
Ghanbari Hashemabadi, B., Mejard Kahani, A., & Ghanbari Hashemabadi, M.‌‌‌‌ (2011). The relationship between children's psychosocial support and the mental health of the elderly. Research Quarterly in Rehabilitation Sciences, 8‌‌‌‌ (6), 1131-1123. [Persian]
Guner, T. A., Erdogan, Z., & Demir, I.‌‌‌‌ (2023). The effect of loneliness on death anxiety in the elderly during the COVID-19 pandemic. OMEGA-journal of Death and Dying, 87‌‌‌‌ (1), 262-282. https://doi.org/ 10.1177/00302228211010587
Guo, Y. Q., Zhang, C. C., Huang, H., Zheng, X., Pan, X. J., & Zheng, J. Z.‌‌‌‌ (2016). Mental health and related influencing factors among the empty-nest elderly and the non-empty-nest elderly in Taiyuan, China: A Cross-sectional study. Public Health, 141, 210-217. https://doi.org/10.1016/j.puhe.2016.09.005
Kiyani, R.‌‌‌‌ (2021). Research on the status of insurance pension coverage and support services for the elderly in the world. Scientific-Research Quarterly of Iran Health Insurance, 4‌‌‌‌ (3), 186-181. [Persian]
Kazan, J., Lyew, T., Croswell, E., Buysse, D. J., Gebara, M. A., Karp, J. F., & Stahl, S. T.‌‌‌‌ (2023). A digital health intervention to stabilize the 24-hour rhythm of sleep, meals, and physical activity for reducing depression among older bereaved spouses: Protocol for a randomized controlled trial. Contemporary Clinical Trials, 124, Article e107016. https://doi.org/10.1016/j.cct.2022.107016
Khatibi, A., Javedani, N., & Arabi, Z.‌‌‌‌ (2019). A comparative study of the quality of life of the elderly living at home and in nursing homes in Hamadan city. Iranian Journal of Sociology, 21‌‌‌‌ (4), 47-74. [Persian]
Khosh Bayani, F., & Babaei Fard, A.‌‌‌‌ (2022). Factors affecting the social exclusion of the elderly in the cities of Kashan, Aran and Bidgol. Social Welfare, 22‌‌‌‌ (84), 299-334. [Persian]
Liang, W., & Guan, H.‌‌‌‌ (2023). Investigation and analysis on travel and health of the elderly in the old residential areas in Beijing. International Review for Spatial Planning and Sustainable Development, 11‌‌‌‌ (1), 85-103. https://doi.org/ 10.14246/irspsd.11.1_85
Liu, G., Li, S., & Kong, F.‌‌‌‌ (2022). Association between social support, smartphone usage and loneliness among the migrant elderly following children in Jinan, China: A cross-sectional study. BMJ Open, 12‌‌‌‌ (5), e060510. https://doi.org/ 10.1136/bmjopen-2021-060510
Madani Qahfarkhi, S.‌‌‌‌ (2021). Report on the situation of the elderly in Iran 2018-2019. First Edition. Tehran: Saba Strategic Retirement Publications. [Persian]
Mahmoudzadeh, H., Aghaari, T., & Hatami, D.‌‌‌‌ (2021). Investigation and analysis of the aging population of Iran. Geographical Research Quarterly, 37‌‌‌‌ (1), 111-125. [Persian]
Majdam, M., Eshghizadeh, M., & Johari Naimi, A.‌‌‌‌ (2014). Investigating the interpersonal communication skills of the elderly in Gonabad city. Geriatric Nursing Quarterly, 2‌‌‌‌ (1), 29-38. [Persian]
Marayimova, K.,‌‌‌‌ (2022). Muzey pedagogikasi vositasida bo lajako qituvchilaristik faoliyatga yo imkoniyatlari. Academic research in educational sciences, 3‌‌‌‌ (1), 17-26. https://doi.org/10.24412/2181-1385-2022-1-17-26
Mohammadi, N., & Fard Ebrahimi, F.‌‌‌‌ (2022). Successful aging: the role of lifestyle, spiritual intelligence and self-efficacy. Psychology of Aging, 8‌‌‌‌ (4), 373-361. [Persian]
Nasr, A., Parhehi, H., Pak Sarasht, M., Kiamenesh, A., Bagheri, K., Shahmsaz, M., Delawar, A., & Khoynejad, G.‌‌‌‌ (2014). Quantitative and qualitative research methods in educational sciences and psychology. Ninth edition. Tehran: Samt Publications. [Persian]
Niazi, M., and Babaei Fard, A.‌‌‌‌ (2017). Sociology of aging, Tehran. First Edition. Kashan: Sokhran Publications. [Persian]
Özdemir, A. A., Kavak Buda, F., Dural, G., & Gültekin, A.‌‌‌‌ (2022). The Relationship between spiritual well-being, life satisfaction and hope in elderly individuals in Turkey. Journal of Religion and Health, 1-14. https://doi.org/ 10.1007/s10943-022-01517-5.
Pasha, G., Safarzadeh, S., & Mashak, R.‌‌‌‌ (2007). Comparison of public health and social support between elderly people living in nursing homes and elderly people living at home, Research Family Quarterly, 3‌‌‌‌ (9), 517-503. [Persian]
Parvaei, S.‌‌‌‌ (2023). Ageing in Risk Society; Examining the Problematic Aspects of the Ageing Experience. Journal of Population Association of Iran17‌‌‌‌ (34), 347-379. https://doi:10.22034/jpai.2023.1972049.1255. [Persian]
Sabrian, M., Haji Aghajani, S., & Ghorbani, R.‌‌‌‌ (2003). Investigating the economic, social, health status and leisure time of the elderly living in urban areas, covered by Semnan University of Medical Sciences. Kumesh bimonthly, 4‌‌‌‌ (3), 25-32. [Persian]
Sadegh Moghadam, L., Foroughan, M., Mohammadi Shahbalaghi, F., Ahmadi, F., Nazari, Sh., Farhadi, A., & Amiri, M.‌‌‌‌ (2018). Elderly's lived experiences of aging: a phenomenological study. Iranian Journal of Aging, 14‌‌‌‌ (4), 478-493. [Persian]
Samoui, R., & Kivan Ara, M.‌‌‌‌ (2021). Explaining the challenges of Iran's health system in facing future aging: a qualitative study. Iranian Journal of Aging, 16‌‌‌‌ (4), 623-608. [Persian]
Sarkisian, C. A., Hays, R. D., Berry, S. H. & Mangione, C. M.‌‌‌‌ (2001) Expectations regarding aging among older adults and physicians who care for older adults, Medical Care, 39‌‌‌‌ (9) 1025–36. https://doi.org/10.1097/00005650-200109000-00012 [Persian]
Shankar, A., McMunn, A., Demakakos, P., Hamer, M., & Steptoe, A.‌‌‌‌ (2017). Social isolation and loneliness: Prospective associations with functional status in older adults. Health Psychology, 36‌‌‌‌ (2), 179. https://doi.org/ 10.1037/hea0000437
Song, C., Yao, L., Chen, H., Song, Y., & Liu, L.‌‌‌‌ (2023). Prevalence and factors influencing depression among empty nesters in China: A meta-analysis. BMC Geriatrics, 23‌‌‌‌ (1), 333. https://doi.org/ 10.1186/s12877-023-04064-0
Stone, R., & M. Murtaugh, M.‌‌‌‌ (1990). The elderly population with chronic functional disability: Implications for home care eligibility. The Gerontologist 30‌‌‌‌ (4): 491-496.https://doi.org/10.1093/geront/30.4.491
Tao, P., Svetnik, V., Bliwise, D. L., Zammit, G., Lines, C., & Herring, W. J.‌‌‌‌ (2023). Comparison of polysomnography in people with Alzheimer's disease and insomnia versus non-demented elderly people with insomnia. Sleep Medicine, 101, 515-521. https://doi.org/10.1016/j.sleep.2022.11.027.
Tian, Q.‌‌‌‌ (2016). Intergeneration social support affects the subjective well-being of the elderly: Mediator roles of self-esteem and loneliness. Journal of Health Psychology, 21‌‌‌‌ (6), 1137-114. https://doi.org/10.1177/1359105314547245
Turan, İ. A., & True, E. M.‌‌‌‌ (2023). The perception of public space of the elderly after social isolation and its effect on health. Ain Shams Engineering Journal, 14‌‌‌‌ (3), 101884.https://doi.org/10.1016/j.asej.2022.101884
Wei, M., Russell, D. W., & Zakalik, R. A.‌‌‌‌ (2005). Adult attachment, social self-efficacy, self-disclosure, loneliness, and subsequent depression for freshman college students: A longitudinal study. Journal of Counseling Psychology, 52‌‌‌‌ (4), 602. https://doi.org/10.1037/0022-0167.52.4.602
World Health Organization. ‌‌‌‌ (‎2020)‎. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020. WorldHealthOrganization.https://apps.who.int/iris/handle/10665/331490. License: CC BY-NC-SA 3.0 IGO
Wong, Y. K., Wu, C. F., & Tu, Y. H.‌‌‌‌ (2022). Effectiveness of a serious game design and game Mechanic factors for attention and executive function improvement in the elderly: A pretest-posttest study. Applied Sciences12‌‌‌‌ (14), Article 6923. https://doi.org/10.3390/app12146923
Xin, Y., & Ren, X.‌‌‌‌ (2022). Predicting depression among rural and urban disabled elderly in China using a random forest classifier. BMC psychiatry, 22‌‌‌‌ (1), 1-11. https://doi.org/ 10.1186/s12888-022-03742-4
Zarea, H., Masoudi Asl, A., Akhwan Behbahani, A., Tariqat, M., & Hassanzadeh, Ali.‌‌‌‌ (2010). Social health insurance in the world and Iran‌‌‌‌ (proposed model). First Edition. Tehran: Social Studies Office of Islamic Council Research Center. [Persian]
Zhang, X., & Dong, S.‌‌‌‌ (2022). The Relationships between social support and loneliness: A Meta-analysis and review. Acta Psychologica, 29‌‌‌‌ (3), 50-75. https://doi.org/ 10.1016/j.actpsy.2022.103616.

Keywords

Main Subjects


Anjum, M., & Verma, M. K.‌‌‌‌ (2022). Impact of hope on the coping behavior of male and female cancer patients. Journal of Psychology and Politica Science2‌‌‌‌ (01),1–6. https://doi.org/10.55529/jpps.21.1.6
Anmol, A., Teja, D., & Rashmi, J.‌‌‌‌ (2023). Screening for auditory processing difficulties in older adults with hearing impairment using screening checklist for auditory processing in adults. The Journal of International,19‌‌‌‌ (2), 87–92. https://doi.org/0.5152/iao.2023.22752
August, K. J., & Sorkin, D. H.‌‌‌‌ (2010). Racial and ethnic disparities in indicators of physical health status: Do they still exist throughout late life? Journal of the American Geriatrics Society58‌‌‌‌ (10), 2009-2015. https://doi.org/10.1111/j.1532-5415.2010.03033.x
Bayanfar, F., & Gudari, M.‌‌‌‌ (2022). The effectiveness of group-based existential awareness training on social exclusion, social adjustment, social adequacy and cognitive avoidance in the elderly with empty nest syndrome. Social Psychology Research, 12‌‌‌‌ (48), 35-54. [Persian]
Bittner, A. K., Yoshinaga, P. D., Rittiphairoj, T., & Li, T.‌‌‌‌ (2023). Telerehabilitation for people with low vision. Cochrane Database of Systematic Reviews 8‌‌‌‌ (1),41-60. https://doi.org/10.1002/14651858.CD011019.pub3
Bolzman, C.‌‌‌‌ (2023). The elderly in transnational family configurations: Migration, inter-generational relations and care support in Switzerland. In Handbook of transnational families around the world pp. 169-185. https://doi.org/10.1007/978-3-031-15278-8_11
Budhia, M., Neogi, R., & Rathi, M.‌‌‌‌ (2022). Empty nest syndrome: Its prevalence and predictors in middle aged adults in     Eastern India: Category: Oral Paper Presentation. Indian Journal of Psychiatry, 64‌‌‌‌ (3), 577-600. https://doi.org/ 10.4103/0019-5545.341672
Crabtree, B. F.‌‌‌‌ (1999). Doing qualitative research. sage.
Dindar farkosh, J., Kazemipour sabet, S., & Ansari, H.‌‌‌‌ (2022). Foresight of the aging trend of the Iranian population in different regions and population groups until 1420. Future study Management33‌‌‌‌ (1), 103-122. [Persian]
Ferdinjad, Z., & Vahedi, H.‌‌‌‌ (2012). The relationship between general health and perceived social support with life satisfaction in the elderly. Quarterly Journal of Behavioral Sciences, 5‌‌‌‌ (15), 87-100. [Persian]
Gani, L. U., Tan, F. C. L., & King, T. F. J.‌‌‌‌ (2023). Telecarers improve osteoporosis treatment and compliance rates in secondary osteoporosis prevention for elderly hip fracture patients. Singapore Medical Journal, 64‌‌‌‌ (4), 244. https://doi.org/ 10.11622/smedj.2022068.
Ghanbari Hashemabadi, B., Mejard Kahani, A., & Ghanbari Hashemabadi, M.‌‌‌‌ (2011). The relationship between children's psychosocial support and the mental health of the elderly. Research Quarterly in Rehabilitation Sciences, 8‌‌‌‌ (6), 1131-1123. [Persian]
Guner, T. A., Erdogan, Z., & Demir, I.‌‌‌‌ (2023). The effect of loneliness on death anxiety in the elderly during the COVID-19 pandemic. OMEGA-journal of Death and Dying, 87‌‌‌‌ (1), 262-282. https://doi.org/ 10.1177/00302228211010587
Guo, Y. Q., Zhang, C. C., Huang, H., Zheng, X., Pan, X. J., & Zheng, J. Z.‌‌‌‌ (2016). Mental health and related influencing factors among the empty-nest elderly and the non-empty-nest elderly in Taiyuan, China: A Cross-sectional study. Public Health, 141, 210-217. https://doi.org/10.1016/j.puhe.2016.09.005
Kiyani, R.‌‌‌‌ (2021). Research on the status of insurance pension coverage and support services for the elderly in the world. Scientific-Research Quarterly of Iran Health Insurance, 4‌‌‌‌ (3), 186-181. [Persian]
Kazan, J., Lyew, T., Croswell, E., Buysse, D. J., Gebara, M. A., Karp, J. F., & Stahl, S. T.‌‌‌‌ (2023). A digital health intervention to stabilize the 24-hour rhythm of sleep, meals, and physical activity for reducing depression among older bereaved spouses: Protocol for a randomized controlled trial. Contemporary Clinical Trials, 124, Article e107016. https://doi.org/10.1016/j.cct.2022.107016
Khatibi, A., Javedani, N., & Arabi, Z.‌‌‌‌ (2019). A comparative study of the quality of life of the elderly living at home and in nursing homes in Hamadan city. Iranian Journal of Sociology, 21‌‌‌‌ (4), 47-74. [Persian]
Khosh Bayani, F., & Babaei Fard, A.‌‌‌‌ (2022). Factors affecting the social exclusion of the elderly in the cities of Kashan, Aran and Bidgol. Social Welfare, 22‌‌‌‌ (84), 299-334. [Persian]
Liang, W., & Guan, H.‌‌‌‌ (2023). Investigation and analysis on travel and health of the elderly in the old residential areas in Beijing. International Review for Spatial Planning and Sustainable Development, 11‌‌‌‌ (1), 85-103. https://doi.org/ 10.14246/irspsd.11.1_85
Liu, G., Li, S., & Kong, F.‌‌‌‌ (2022). Association between social support, smartphone usage and loneliness among the migrant elderly following children in Jinan, China: A cross-sectional study. BMJ Open, 12‌‌‌‌ (5), e060510. https://doi.org/ 10.1136/bmjopen-2021-060510
Madani Qahfarkhi, S.‌‌‌‌ (2021). Report on the situation of the elderly in Iran 2018-2019. First Edition. Tehran: Saba Strategic Retirement Publications. [Persian]
Mahmoudzadeh, H., Aghaari, T., & Hatami, D.‌‌‌‌ (2021). Investigation and analysis of the aging population of Iran. Geographical Research Quarterly, 37‌‌‌‌ (1), 111-125. [Persian]
Majdam, M., Eshghizadeh, M., & Johari Naimi, A.‌‌‌‌ (2014). Investigating the interpersonal communication skills of the elderly in Gonabad city. Geriatric Nursing Quarterly, 2‌‌‌‌ (1), 29-38. [Persian]
Marayimova, K.,‌‌‌‌ (2022). Muzey pedagogikasi vositasida bo lajako qituvchilaristik faoliyatga yo imkoniyatlari. Academic research in educational sciences, 3‌‌‌‌ (1), 17-26. https://doi.org/10.24412/2181-1385-2022-1-17-26
Mohammadi, N., & Fard Ebrahimi, F.‌‌‌‌ (2022). Successful aging: the role of lifestyle, spiritual intelligence and self-efficacy. Psychology of Aging, 8‌‌‌‌ (4), 373-361. [Persian]
Nasr, A., Parhehi, H., Pak Sarasht, M., Kiamenesh, A., Bagheri, K., Shahmsaz, M., Delawar, A., & Khoynejad, G.‌‌‌‌ (2014). Quantitative and qualitative research methods in educational sciences and psychology. Ninth edition. Tehran: Samt Publications. [Persian]
Niazi, M., and Babaei Fard, A.‌‌‌‌ (2017). Sociology of aging, Tehran. First Edition. Kashan: Sokhran Publications. [Persian]
Özdemir, A. A., Kavak Buda, F., Dural, G., & Gültekin, A.‌‌‌‌ (2022). The Relationship between spiritual well-being, life satisfaction and hope in elderly individuals in Turkey. Journal of Religion and Health, 1-14. https://doi.org/ 10.1007/s10943-022-01517-5.
Pasha, G., Safarzadeh, S., & Mashak, R.‌‌‌‌ (2007). Comparison of public health and social support between elderly people living in nursing homes and elderly people living at home, Research Family Quarterly, 3‌‌‌‌ (9), 517-503. [Persian]
Parvaei, S.‌‌‌‌ (2023). Ageing in Risk Society; Examining the Problematic Aspects of the Ageing Experience. Journal of Population Association of Iran17‌‌‌‌ (34), 347-379. https://doi:10.22034/jpai.2023.1972049.1255. [Persian]
Sabrian, M., Haji Aghajani, S., & Ghorbani, R.‌‌‌‌ (2003). Investigating the economic, social, health status and leisure time of the elderly living in urban areas, covered by Semnan University of Medical Sciences. Kumesh bimonthly, 4‌‌‌‌ (3), 25-32. [Persian]
Sadegh Moghadam, L., Foroughan, M., Mohammadi Shahbalaghi, F., Ahmadi, F., Nazari, Sh., Farhadi, A., & Amiri, M.‌‌‌‌ (2018). Elderly's lived experiences of aging: a phenomenological study. Iranian Journal of Aging, 14‌‌‌‌ (4), 478-493. [Persian]
Samoui, R., & Kivan Ara, M.‌‌‌‌ (2021). Explaining the challenges of Iran's health system in facing future aging: a qualitative study. Iranian Journal of Aging, 16‌‌‌‌ (4), 623-608. [Persian]
Sarkisian, C. A., Hays, R. D., Berry, S. H. & Mangione, C. M.‌‌‌‌ (2001) Expectations regarding aging among older adults and physicians who care for older adults, Medical Care, 39‌‌‌‌ (9) 1025–36. https://doi.org/10.1097/00005650-200109000-00012 [Persian]
Shankar, A., McMunn, A., Demakakos, P., Hamer, M., & Steptoe, A.‌‌‌‌ (2017). Social isolation and loneliness: Prospective associations with functional status in older adults. Health Psychology, 36‌‌‌‌ (2), 179. https://doi.org/ 10.1037/hea0000437
Song, C., Yao, L., Chen, H., Song, Y., & Liu, L.‌‌‌‌ (2023). Prevalence and factors influencing depression among empty nesters in China: A meta-analysis. BMC Geriatrics, 23‌‌‌‌ (1), 333. https://doi.org/ 10.1186/s12877-023-04064-0
Stone, R., & M. Murtaugh, M.‌‌‌‌ (1990). The elderly population with chronic functional disability: Implications for home care eligibility. The Gerontologist 30‌‌‌‌ (4): 491-496.https://doi.org/10.1093/geront/30.4.491
Tao, P., Svetnik, V., Bliwise, D. L., Zammit, G., Lines, C., & Herring, W. J.‌‌‌‌ (2023). Comparison of polysomnography in people with Alzheimer's disease and insomnia versus non-demented elderly people with insomnia. Sleep Medicine, 101, 515-521. https://doi.org/10.1016/j.sleep.2022.11.027.
Tian, Q.‌‌‌‌ (2016). Intergeneration social support affects the subjective well-being of the elderly: Mediator roles of self-esteem and loneliness. Journal of Health Psychology, 21‌‌‌‌ (6), 1137-114. https://doi.org/10.1177/1359105314547245
Turan, İ. A., & True, E. M.‌‌‌‌ (2023). The perception of public space of the elderly after social isolation and its effect on health. Ain Shams Engineering Journal, 14‌‌‌‌ (3), 101884.https://doi.org/10.1016/j.asej.2022.101884
Wei, M., Russell, D. W., & Zakalik, R. A.‌‌‌‌ (2005). Adult attachment, social self-efficacy, self-disclosure, loneliness, and subsequent depression for freshman college students: A longitudinal study. Journal of Counseling Psychology, 52‌‌‌‌ (4), 602. https://doi.org/10.1037/0022-0167.52.4.602
World Health Organization. ‌‌‌‌ (‎2020)‎. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020. WorldHealthOrganization.https://apps.who.int/iris/handle/10665/331490. License: CC BY-NC-SA 3.0 IGO
Wong, Y. K., Wu, C. F., & Tu, Y. H.‌‌‌‌ (2022). Effectiveness of a serious game design and game Mechanic factors for attention and executive function improvement in the elderly: A pretest-posttest study. Applied Sciences12‌‌‌‌ (14), Article 6923. https://doi.org/10.3390/app12146923
Xin, Y., & Ren, X.‌‌‌‌ (2022). Predicting depression among rural and urban disabled elderly in China using a random forest classifier. BMC psychiatry, 22‌‌‌‌ (1), 1-11. https://doi.org/ 10.1186/s12888-022-03742-4
Zarea, H., Masoudi Asl, A., Akhwan Behbahani, A., Tariqat, M., & Hassanzadeh, Ali.‌‌‌‌ (2010). Social health insurance in the world and Iran‌‌‌‌ (proposed model). First Edition. Tehran: Social Studies Office of Islamic Council Research Center. [Persian]
Zhang, X., & Dong, S.‌‌‌‌ (2022). The Relationships between social support and loneliness: A Meta-analysis and review. Acta Psychologica, 29‌‌‌‌ (3), 50-75. https://doi.org/ 10.1016/j.actpsy.2022.103616.