اثربخشی معنادرمانی بر احساس انرژی و عزت‌نفس معنوی سالمندان مقیم خانۀ سالمندان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روان‌شناسی، دانشگاه پیام‌نور، تهران، ایران

2 گروه جامعه‌شناسی و ارتباطات، دانشکده علوم انسانی، دانشگاه گلستان، گرگان، ایران

چکیده

تغییراتی که در دوران سالمندی ایجاد می­شود منجر به کاهش میزان زیادی از توانایی بدنی و ایجاد احساس پوچی و سرباری آنها می­شود. بنابراین این مطالعه با هدف بررسی اثربخشی معنادرمانی بر احساس انرژی و عزت نفس معنوی سالمندان انجام شد. این پژوهش از نظر هدف، کاربردی و از نظر ماهیت پژوهش، جزء پژوهش­های نیمه-آزمایشی با طرح پیش­آزمون و پس­آزمون با گروه کنترل و دوره پیگیری بود. جامعۀ آماری پژوهش حاضر شامل تمامی سالمندان بالای ۶۵ سالمندان شهر قزوین در سال 1402 بود که از میان آنها نمونه­ای به حجم 40 نفر به روش نمونه­گیری دردسترس و براساس معیارهای ورود و خروج انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه 20 نفر) گمارده شدند. ابزار گردآوری داده­ها شامل دو پرسش‌نامه احساس انرژی اتواتر و کارملی و عزت نفس معنوی فرهوش و همکاران بود. همچنین پروتکل معنادرمانی فرانکل در قالب 8 جلسه 90 دقیقه­ای استفاده شد. داده­ها با روش تحلیل کوواریانس تک متغیره در نرم­افزار SPSS نسخه 27 تحلیل شدند. یافته­های پژوهش نشان داد که معنادرمانی باعث افزایش معنادار احساس انرژی و عزت­نفس معنوی سالمندان شد. بر اساس یافته‌های این پژوهش می‌توان نتیجه گرفت که تقویت توانمندی معنوی با معنادرمانی می­تواند افزایش احساس انرژی و عزت­نفس معنوی سالمندان را در بر داشته باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effectiveness of Logotherapy on the Sense of Energy and Spiritual Self-Esteem of the Elderly Living in Nursing Homes

نویسندگان [English]

  • Hasan Abdollahzadeh 1
  • Hiva Mahmoodi 2
  • Samaneh Aghajani 1
1 Dept. of Psychology, Payam Noor University, Tehran, Iran
2 Sociology and Communication, Faculty of Humanities, Golestan University, Gorgan, Iran
چکیده [English]

The changes that occur in old age may lead to a significant decrease in physical ability and can make them feel empty and burdensome. Therefore, this study was conducted to investigate the effectiveness of logotherapy on the sense of energy and spiritual self-esteem among older people. In terms of purpose, this research was practical, and in terms of its nature, it was a quasi-experimental study with a pretest-posttest-follow-up design with a control group. The statistical population of the current research included all older people over 65 living in Qazvin, Iran in 2023, Among whom, a sample of 40 people was selected using convenience sampling method and according to inclusion and exclusion criteria and randomly assigned into two experimental and control groups (20 people in each group). The data collection tools included Atwater and Carmeli's Energy Feeling and Farhosh et al.’s Spiritual Self-Esteem questionnaires. Moreover, Frankel’s logotherapy protocol was utilized in the format of eight 90-minutes group sessions. The data were analyzed using univariate analysis of covariance (ANCOVA) in SPSS-27 software. The findings revealed that logotherapy significantly increased the sense of energy and spiritual self-esteem in older people. Based on the results of the current study, it can be concluded that strengthening spiritual empowerment via meaning therapy may enhance the sense of energy and spiritual self-esteem in older adults.
EXTENDED ABSTRACT
 Introduction
lder age represents a critical stage in human psychological development, marked by specific physiological, cognitive, and social changes. Evidence suggests that older individuals vary in experience of sense of energy, with such variances largely dependent on motivational influences and individual characteristics. Exclusion from family can engender feelings of emptiness and despair among older adults, leading them to become disengaged from life and experience a sense of energy depletion and fatigue. Additionally, spiritual self-esteem profoundly influences the cognitive processes, emotions, aspirations, and values of older individuals. Those with high self-esteem are more likely to withstand challenges, whereas decreased self-esteem increases the likelihood of surrender or underutilization of their capabilities. Nowadays, logotherapy appears to play a significant role in the mental health and quality of life of older population. In recent years, logotherapy has been effective in enhancing energy levels, sense of purpose, quality of life, increasing hopefulness, and reducing feelings of loneliness among older adults. Therefore, considering the existing gaps in the research literature in this realm, the present study aimed to investigate the effectiveness of logotherapy on the sense of energy and spiritual self-esteem among older residents of nursing homes.
Method
The present study employed a quasi-experimental design with pretest-posttest-follow-up with a control group. The population consisted of all older individuals aged 65 years and above in Qazvin, Iran, among whom 40 participants (20 in the experimental group and 20 in the control group) were selected as the study sample using convenience sampling and according to inclusion and exclusion criteria. Inclusion criteria comprised (1) age between 65 to 70 years, (2) willingness to participate in the study, (3) residency in elderly care centers, and (4) literacy in reading and writing. Exclusion criteria included (1) acute psychiatric illness, (2) refusal to complete questionnaires, and (3) absence for more than one session. Participants initially completed the Atwater and Carmeli's (2009) Energy Feeling and Farhoush et al.’s (2019) Spiritual Self-Esteem questionnaires as pretests. The intervention protocol was based on the principles and techniques of Frankl’s logotherapy (1978), administered to the experimental group over eight 90-minute sessions, with a standard 15-minute break during each session, while the control group received no intervention. Two days after the end of intervention, both groups were assessed for energy levels and spiritual self-esteem (posttest). Two months after the posttest assessment, a follow-up was conducted. The data obtained from pre-test, post-test, and follow-up were entered into SPSS-27 and analyzed using univariate covariance analysis (ANCOVA).
 Results
The results indicated that the distribution of scores for all variables are normal, and the assumption of variance homogeneity was confirmed using Levene’s test, while the assumption of covariance homogeneity was confirmed using regression coefficients. The results of ANCOVA for the energy feeling and spiritual self-esteem scores among older participants are presented in Table 1.
According to table 1, the F statistic for the variables of energy feeling and spiritual self-esteem in the post-test are 19.890 and 34.701, respectively, and in the follow-up stage, they are 21.651 and 35.504, respectively, that all of these statistics are significant at the 0.01 level, indicating that there is a significant difference between the two groups in terms of both variables. Based on the means of these variables, this suggests that the mean scores of the experimental group in the post-test and follow-up stages for both variables are significantly higher than the mean scores of the same group in the pre-test stage. This implies that logotherapy significantly increased the levels of energy feeling and spiritual self-esteem among the older participants in both the post-test and follow-up stages.
Conclusion
Logotherapy helps the older adults to discover values, meaning, and purpose in their lives, enabling them to cope with challenges and transitions more effectively. Through enhancing social relationships, searching for meaning, finding life purpose, and accepting changes, this approach helps older adults attain energy felling and psychological-emotional growth. Additionally, logotherapy can motivate individuals to engage more enthusiastically in daily living and can provide an opportunity for establishing and strengthening social connections among older adults. Furthermore, logotherapy aids older people in recognizing their role and existential depth in the world. This process, facilitated by finding meaning, connecting with others, and serving larger communities, can strengthen the spiritual self-esteem of older adults and assist them in discovering significant meaning and purpose in life experiences. Even in the face of challenges and aging-related changes,
through accepting and experiencing meaning in life, the elderly can feel a deep and meaningful connection with others, society, and the spiritual dimension of life, which ultimately aids in strengthening their spiritual self-esteem and can guide them towards deeper spiritual engagement in life.
Ethical Consideration
Ethical Code
To comply with ethical standards in the research, the current study, extracted from the master’s thesis, was pre-registered at Payame Noor University, Bushehr Branch.
Financial Support
 This study had no financial support
Authors’ Contributions
H.A: Conceptualization, methodology, software, validation, project administration; H.M: Resources, writing- original draft, writingreview & editing; S.A: Data curation, formal analysis.
Conflict of Interest
The author had no conflicts of interest.
Acknowledgments
The researchers would like to express their gratitude to the authorities of the elderly care centers in Qazvin and the older men and women for their cooperation.
References
Abdulli Hosseinabadi, Y. (2011). The effectiveness of group intervention with a meaning therapy approach on the happiness of the elderly benefiting from the daily care services of Kohrizk Nursing Home, (Unpublished Master’s thesis), University of Welfare and Rehabilitation Sciences. [Persian]
Ahmarian, F., Khodabakhsh Kolayi, A., & Falsafinijad, M. (2014). The effectiveness of meaning therapy on life expectancy and sleep quality in the Elderly living in boarding centers. Journal of Research in Religion and Health, 1(3), 11-18. [Persian]
Aylaz, R., Aktürk, U., Erci, C., Öztürk, H., & Aslan, H. (2020). Relationship between depression and loneliness in elderly and examination of influential factors. Archives of Gerontology and Geriatrics, 55(3), 684-699. https://doi.org/10.1016/j.archger.2012.03.006
Bahrami, Z., & Mami, S.H. (2017). The effectiveness of group meaning therapy on reducing depression and improving life expectancy of the Elderly in Ilam. Journal of Ilam University of Medical Sciences, 1(4), 31-40. [Persian]
Berghmans, C., & Weiss, A. (2023). The influence of the spiritual dimension as a complementary therapeutic dynamic in meditation practices and in the field of mental health, Evolution Psychiatry, 88(12), https://doi.org/10.1016/j.evopsy.2023.03.006
Cheadle, A. C. D., & Schetter, C. D. (2018). Mastery, self-esteem, and optimism mediate the link between religiousness and spirituality and postpartumdepression. Journal of Behav­ioral Medicine, 41(5), 711-721. https://doi.org/10.1016/j.jad.2021.05.082
Chui, W. H., & Wong, M. Y. (2017). Association Between Parents’ Marital Status and the Development of Purpose, Hope, and Self-Esteem in Adolescents in Hong Kong. Journal of Family Issues, 38(6), 820-838. https://doi.org/10.1177/0192513X15606490
D’Alonzo, K. (2017). The Relationships among Spirituality, Self-Esteem, and Participation in Physical Activity in Late Adolescent and Young Adult Females by Ann L. Fournier A dissertation submitted to the Graduate School-Newark: Rutgers, the State University of New Jersey, 1(3), 45-50. https://doi.org/10.7282/T3W95CMS
Farhosh, M., Erfani, A., Davoudi A., & Ghorbani, S. (2018). Construction and Validation of Spiritual Intelligence Scale of Muslim Students, Journal of Psychology and Religion, 14(4), 41-52. [Persian]
Faruzandeh, Z., Mami, S., & Amani, L. (2020). The effectiveness of Frankel's meaning therapy in a Group way on resilience, depression and quality of life of the Elderly, Journal of Gerontology, 4(4), 19-29. [Persian]
Frankl, V. E. (1978). The unheard cry for meaning: Psychotherapy and humanism. New York: Simon and Schuster. 401-406.
Golparvour, M., Padash, F., & Ateshpour, H. (2011). Strengthening the model of feeling of energy, empowerment and creativity of employees through ethical leadership. Journal of Iran Work Health, 7(3), 11-4. [Persian]
Hosseini, S.J., & Zadeh Mohammadi, A. (2021). The effect of music therapy on self-esteem and the Meaning of life in the Elderly. Applied Psychology Quarterly, 15(3), 49-51. [Persian]
Hutchinson, G. T., & Chapman, B. P. (2016). Logo therapy enhanced REBT: An integration of discovery and reason. Journal of Contemporary Psychotherapy, 35(2), 145–55. https://doi.org/10.1037/a0014331
Kakabrai, K. (2013). The effectiveness of meaning therapy in increasing the level of happiness and hope of the elderly (Master’s thesis), Islamic Azad University, Kermanshah branch, faculty of humanities. [Persian]
Kang, K. A., Im, J. I., Kim, H. S., Kim, S. J., Song, M. K., & Sim, S. (2010). The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. Journal of Korean Academy of Child Health Nursing, 15(2), 136-44. https://doi.org/10.4094/jkachn.2009.15.2.136
Karimi, S., Golperor, M., & Aghaei, A. (2022). Comparing the effectiveness of healthy aging model education and spirituality-oriented existential therapy on the emotional capital components of the Elderly. Journal of Gerontology, 8 (3), 234-219. [Persian]
Kim, S. S., Reed, P. G., Hayward, R. D., Kang, Y., & Koenig, H. G. (2011). Spirituality and psychological well-being: Testing a Theory of family interdependence among family caregivers and their elders. Research in Nursing & Health, 34(2):103-15. https://doi.org/10.1002/nur.20425
Koenig, H. G. (2011). “Definitions,”in Spirituality and Health Research: Methods, Measurement, Statistics, and Resources, Templeton Foundation Press, Philadelphia, Pa, USA.
Koenig, H. G. (2016). Religion, spirituality, and health: a review and update. Advances in mind-body medicine, 29 (3), 19-26.
Koohpayezadeh, F., Motamdi, M., dortaj, F., Eskandari, H., & Farrokhi N. (2018). The effectiveness of the educational package based on meaning therapy on the feeling of loneliness and self-efficacy of retired teachers, Journal of Gerontology, 4(1), 33-24. [Persian]
Kyung, A, K., Shin, J. K., Mi-Kyung, S., & Mi-Jeong, K. (2013). Effects of Logo therapy on Life Respect, Meaning of Life, and Depression of elderly. Journal of Korean Acadmy Nursing, 43(1), 91-101. https://doi.org/10.4040/jkan.2013.43.1.91
Ligimol, J. (2012). The effect of logotherapy on meaning and quality of life of the elderly in old age homes (Master’s thesis). Bengaluru: Christ University.
Love, P., Moore, M., & Warburton, J. (2017). Nurturing spiritual well-being among older people in Australia: Drawing on indigenous and non-indigenous way of knowing. Australasian Journal on Ageing, 36(3):179-85. https://doi.org/10.1111/ajag.12284
Melhem, G. A., Zeilani, R. S., Zaqqout, O. A., Aljwad, A. I., Shawagfeh, M. Q., Al-Rahim, M. A. (2016). Nurses' Perceptions of Spirituality and Spiritual Care Giving: A Comparison Study Among All Health Care Sectors in Jordan, Indian Journal of Palliat Care, 22(1):42-9. https://doi.org/10.4103/0973-1075.173949
Mokhtari Dizji, F., & Sohrabi, F. (2017). The effectiveness of psychotherapy based on improving the Quality of life in a Group way on the Lives of the Elderly. Clinical psychology studies, 8(32), 29-47. [Persian]
Mortazavi, S.S., Foroughan, M., Hosseini, S. A., Nasiri, A., & Shahbazi, F. (2021). Negative factors affecting the sleep of Iranian elderly: a review study. Journal of rehabilitation, 22 (2), 153-132. [Persian]
Nodehi Moghadam A, Rashid N, Hosseini Ajdad Niaki S J, Hosseinzadeh S. (2019). Evaluation of Quality of Life and its Related Factors in Elderly in Mashhad in 1396. Salmand: Iranian Journal of Ageing, 14 (3), 310-319. [Persian]
Pachana, N., & Laidlaw, K. (2014). The Oxford handbook of clinical neuropsychology. Oxford: Oxford University Press.
Pope, A. W., McHale, S. M., & Craighead, W. E. (1988). Self-esteem enhancement with children and adolescents. Pergamon Press.
Psarra, E., & Kleftaras, G. (2013). Adaptation to physical disabilities: the role of meaning in life and depression. The European Journal of Counselling Psychology, 2(1), 79-99. https://doi.org/10.23668/psycharchives.2001
Qadri, D., & Mustafaei, A. (2013). The relationship between religious orientation and quality of life in elderly men living at home and living in nursing homes, Iranian Journal of Ageing, 9 (1) 21-14. [Persian]
Rajabi G, Bohloul N. (2007). Reliability and Validity Measurement of Rosenberg Self-Esteem Scale in New Year Students of Shahid Chamran University, Educational and Psychological Research, 3(2): 33-48. [Persian]
Rebecca, P., & Jigging, O. (2011). Association between caregiving, meaning in life and life satisfaction beyond 50 in an Asian sample. Social Indicators Researches, 108(3), 525-535.  https://doi.org/10.1007/s11205-011-9891-9
Ren, Q., Shi, Q., Ma, T., Wang, J., Li, Q., & Li, X. (2019). Quality of life, symptoms, and sleep quality of elderly with end-stage renal disease receiving conservative management: a Systematic review. Health and Quality of Life Outcomes, 17(1), 1-9. https://doi.org/10.1186/s12955-019-1146-5
Ryan, R. M., & Deci, E. L. (2008). From ego depletion to vitality: Theory and findings concerning the facilitation of energy available to the self. Social and Personality Psychology Compass, 2(2), 702–17. https://doi.org/10.1111/j.1751-9004.2008.00098.x
Ryan, R. M., & Frederick, C. (2007). On energy, personality, and health: Subjective vitality as a Dynamic reflection of well-being. Journal of Personality, 65(3), 529–65. https://doi.org/10.1111/j.1467-6494.1997.tb00326.x
Sadjapong, U., & Thongtip, S. (2023) Association between self-esteem and health-related quality of life among elderly rural community, Northern Thailand, Cogent Social Sciences, 9(2), 2-20, https://doi.org/10.1080/23311886.2023.2282410
Sarwarian, Z., & Taghizadeh, M. A. (2014). The effectiveness of group meaning therapy on self-esteem and happiness of teenage girls in Qom, Journal of Medical Ethics, 9(34), 207-187. [Persian]
Schooley, M. (2005). Humanistic group counseling. Michigan Journal of Counseling and Development, 18(1), 163- 174. https://doi.org/10.1002/j.2161-1939.2014.00058. x
Schutter, N., Holwerda, T. J., Stek, M. L., Dekker, J. J., Rhebergen, D., & Comijs, HC. (2017). Loneliness in older adults is associated with diminished cortisol output. Journal of Psychosomatic Research, 95(6),19-25. https://doi.org/10.1016/j.jpsychores.2017.02.002
Shabani, J., Rahgovi, A., Nowrozi, K., Rahgozar, M., & Shabani, M. (2015). The relationship between self-efficacy and quality of life of the Elderly living in nursing homes in Tehran.  Salmand: Iranian Journal of Ageing, 11 (4), 527-517. [Persian]
Sharfi, M., Fadakar Davarani, M., Touhidi Nik, H., Forohari, A., & Burhaninejad, V. (2022). Facilitating and inhibiting factors of social participation of the Elderly based on health-oriented activities: A cross-sectional study. Salmand: Iranian Journal of Ageing, 17(3), 321-304. [Persian]
Smith, E. I., & Crosby, R. G. (2017). Unpacking religious affiliation: Exploring associations between Christian children’s religious cultural context, God image, and self‐esteem across development. British Journal of Developmental Psychology, 35(1), 76-90. https://doi.org/10.1111/bjdp.12156
Tabachnick, B., & Fidell, L. (2007). Using multivariate statistics (5thedn) New York. NY: Allyn and Bacon.
Taqvai Nia, A., & Delavarizadeh, S. (2015). The effectiveness of group meaning therapy on psychological well-being of elderly retired women. Journal of Aging Psychology, 2(2), 124-115. [Persian]
Tavakoli, G., Rezaei Dehnavi, S., & Motthabian, Z. (2019). Effectiveness of positive psychotherapy on vitality in the Elderly. Journal of Aging Psychology, 6(4), 308-299. [Persian]
Van Osch, Y., Bender, M., He, J., Adams, B. G., Kunuroglu, F., Tillman, R. N., Benítez, I., Sekaja, L., & Mamathuba, N. (2020). Assessing the importance of internal and external self-esteem and their relationship to honor concerns in six countries. Cross-Cultural Research, 54(5), 462–485. https://doi.org/10.1177/1069397120909383
Weber, P., Prudius, D., Meluzínová, H. (2015). Geriatric multimorbidity-one of the key problems of contemporary medicine. Vnitrni lekarstvi, 61(12), 1042-1048.
World Health Organization. (2018). Census Geneva: World Health Organization.
Wu, C. H., Yao, G. (2006). Analysis of factorial invariance across gender in the Taiwan version of the Satisfaction with Life Scale. Personality and Individual Differences, 40(6), 1259-68. https://doi.org/10.1016/j.paid.2005.11.012
Zhang, Y., Chen, Y., & Ma, L. (2018). Depressio and cardiovascular disease in elderly: Current understanding. Journal of Clinical Neuroscience, 47 (1), 1-5. https://doi.org/10.1016/j.jocn.2017.09.022
Zhu, B., Shi, C., Park, C. G., & Reutrakul, S. (2020). Sleep quality and gestational diabetes in pregnant women: a systematic review and meta-analysis. Sleep Medicine, 67 (1), 47-55. https://doi.org/10.1016/j.sleep.2019.11.1246

کلیدواژه‌ها [English]

  • Logotherapy
  • sense of energy
  • spiritual self-esteem
  • elderly
 احمریان، ف.، خدابخش کولایی، ا.، و فلسفی‌نژاد، م. (1394). اثربخشی معنادرمانی بر امید به زندگی و کیفیت خواب در سالمندان مقیم مرکزهای شبانه‌روزی. مجله پژوهش در دین و سلامت، ۱(۳)، ۱۸-۱۱.
بهرامی، ز.، و مامی، ش. (1397). اثربخشی معنا درمانی گروهی بر کاهش افسردگی و ارتقای امید به زندگی سالمندان شهر ایلام. مجله دانشگاه علوم پزشکی ایلام، 1(4)، 31-40.
تقوایی نیا، ع.، و دلاوریزاده، س. (1395). اثربخشی معنادرمانی گروهی بر افزایش بهزیستی روان­شناختی زنان بازنشسته سالمند. مجله روانشناسی پیری، 2(2)، 124-115.
توکلی، غ.، رضایی دهنوی، ص.، و منتجبیان، ز. (1399). اثربخشی روان­درمانی مثبت­نگر بر سرزندگی در سالمندان. مجله روان­شناسی پیری، 6(4)، 308-299.
حسینی، س.ج.، و زاده محمدی، ع. (1400). تأثیر موسیقی درمانی بر عزت­نفس و معنای زندگی درسالمندان. فصلنامه روان­شناسی کاربردی، 15(3)، 49-51.
رجبی، غ.، و بهلول، ن. (1386). سنجش پایایی و روایی مقیاس عزت نفس روزنبرگ دانشجویان سال اول دانشگاه شهید چمران. نشریۀ پژوهش­های تربیتی و روان­شناختی، 3(2)، 48-33. 
سروریان، ز.، و تقی زاده، م. ا. (1394). اثربخشی معنادرمانی گروهی بر عزت­نفس و شادکامی دختران نوجوان شهر قم. مجله اخلاق پزشکی، 9(34)، 207-187.
شرفی، م.، فداکار داورانی، م.، توحیدی نیک، ح.، فروهری، ا.، و برهانی نژاد، و. (1401). عوامل تسهیل کننده و بازدارنده مشارکت اجتماعی سالمندان براساس فعالیت­های سلامت محور: یک مطالعه مقطعی. سالمند: مجله سالمندی ایران، 17(3)، 321-304.
شعبانی، ج.، رهگوی، ا.، نوروزی، ک.، رهگذر، م.، و شعبانی، م (1395). ارتباط خودکارآمدی و کیفیت زندگی سالمندان مقیم آسایشگاه­های شهر تهران. مجله سالمند ایران، 11 (4)، 527-517.
عبدولی حسین­آبادی، ی. (1390). اثربخشی مداخله گروهی با رویکرد معنادرمانی بر شادکامی سالمندان بهره­مند از خدمات مراقبت روزانه آسایشگاه کهریزک (پایان­نامه کارشناسی ارشد چاپ نشده). دانشگاه علوم بهزیستی و توانبخشی، تهران.
فروزنده، ز.، مامی، ش.، و امانی، ل. (1399). اثربخشی معنادرمانی فرانکل به شیوه گروهی بر تاب­آوری، افسردگی و کیفیت زندگی سالمندان، نشریه سالمندشناسی، 4(4)، 29-19.
فرهوش، م.، عرفانی، ا.، داوودی ع.، و قربانی، س. (1398). ساخت
و اعتباریابی مقیاس هوش معنوی دانشجویان مسلمان. مجله
روا­ن­شناسی و دین
، 14(4)، 41-52.
قادری، د.، و مصطفایی، ع. (1393). رابطه جهت­گیری مذهبی و کیفیت زندگی در سالمندان مرد ساکن در خانه و ساکن در خانه سالمندان. مجله سالمندی ایران، 9( 1) 21 – 14.
کاکابرایی، ک. (1393). اثربخشی معنادرمانی در افزایش سطح شادکامی و امیدواری سالمندان (پایان‌نامه کارشناسی‌ارشد چاپ نشده). دانشگاه آزاد اسلامی واحد کرمانشاه.
کریمی، س.، گل پرور، م.، و آقایی، ا. (1401). مقایسه اثربخشی آموزش الگوی سالمندی سالم و درمان وجودگرای معنویت محور بر مؤلفه­های سرمایه عاطفی سالمندان. نشریۀ سالمندشناسی، 8 (3)، 234-219.
کوهپایه زاده، ف.، معتمدی، ع.، درتاج، ع.، اسکندری، ج.، و فرخی.ن. (1398). اثر بخشی بسته آموزشی مبتنی بر معنادرمانی بر احساس تنهایی و خودکارآمدی معلمان بازنشسته. نشریه سالمندشناسی، 4(1)، 33-24.
گلپرور، م.، پاداش، ف.، و آتشپور، ح. (1390) . تقویت مدل احساس انرژی، توانمندسازی و خلاقیت کارکنان از طریق رهبری اخلاقی. مجله سلامت کار ایران، 7(3)، 11-4.
مختاری دیزجی، ف.، و سهرابی، ف. (1397). اثربخشی روان­درمانی مبتنی بر بهبود کیفیت زندگی به شیوه گروهی بر سر زندگی سالمندان. مطالعات روان­شناسی بالینی، 8(32)، 47-29.
مرتضوی، س.س.، فروغان، م.، حسینی، س. ع.، نصیری، ا.، و شهبازی، ف. (1400). عوامل منفی تأثیرگذار بر خواب سالمندان ایرانی: یک مطالعه مروری. مجله توانبخشی، 22 (2)، 153-132.
نودهی مقدم، ا.، رشید، ن.، اجداد نیاکی، س.ج.، و حسین زاده، س. (1396). بررسی کیفیت زندگی و عوامل مرتبط با آن در سالمندان شهر مشهد در سال 1396. سالمند: مجله سالمندی ایران، 14(3)، 319-310.
References
Abdulli Hosseinabadi, Y. (2011). The effectiveness of group intervention with a meaning therapy approach on the happiness of the elderly benefiting from the daily care services of Kohrizk Nursing Home, (Unpublished Master’s thesis), University of Welfare and Rehabilitation Sciences. [Persian]
Ahmarian, F., Khodabakhsh Kolayi, A., & Falsafinijad, M. (2014). The effectiveness of meaning therapy on life expectancy and sleep quality in the Elderly living in boarding centers. Journal of Research in Religion and Health, 1(3), 11-18. [Persian]
Aylaz, R., Aktürk, U., Erci, C., Öztürk, H., & Aslan, H. (2020). Relationship between depression and loneliness in elderly and examination of influential factors. Archives of Gerontology and Geriatrics, 55(3), 684-699. https://doi.org/10.1016/j.archger.2012.03.006
Bahrami, Z., & Mami, S.H. (2017). The effectiveness of group meaning therapy on reducing depression and improving life expectancy of the Elderly in Ilam. Journal of Ilam University of Medical Sciences, 1(4), 31-40. [Persian]
Berghmans, C., & Weiss, A. (2023). The influence of the spiritual dimension as a complementary therapeutic dynamic in meditation practices and in the field of mental health, Evolution Psychiatry, 88(12), https://doi.org/10.1016/j.evopsy.2023.03.006
Cheadle, A. C. D., & Schetter, C. D. (2018). Mastery, self-esteem, and optimism mediate the link between religiousness and spirituality and postpartumdepression. Journal of Behav­ioral Medicine, 41(5), 711-721. https://doi.org/10.1016/j.jad.2021.05.082
Chui, W. H., & Wong, M. Y. (2017). Association Between Parents’ Marital Status and the Development of Purpose, Hope, and Self-Esteem in Adolescents in Hong Kong. Journal of Family Issues, 38(6), 820-838. https://doi.org/10.1177/0192513X15606490
D’Alonzo, K. (2017). The Relationships among Spirituality, Self-Esteem, and Participation in Physical Activity in Late Adolescent and Young Adult Females by Ann L. Fournier A dissertation submitted to the Graduate School-Newark: Rutgers, the State University of New Jersey, 1(3), 45-50. https://doi.org/10.7282/T3W95CMS
Farhosh, M., Erfani, A., Davoudi A., & Ghorbani, S. (2018). Construction and Validation of Spiritual Intelligence Scale of Muslim Students, Journal of Psychology and Religion, 14(4), 41-52. [Persian]
Faruzandeh, Z., Mami, S., & Amani, L. (2020). The effectiveness of Frankel's meaning therapy in a Group way on resilience, depression and quality of life of the Elderly, Journal of Gerontology, 4(4), 19-29. [Persian]
Frankl, V. E. (1978). The unheard cry for meaning: Psychotherapy and humanism. New York: Simon and Schuster. 401-406.
Golparvour, M., Padash, F., & Ateshpour, H. (2011). Strengthening the model of feeling of energy, empowerment and creativity of employees through ethical leadership. Journal of Iran Work Health, 7(3), 11-4. [Persian]
Hosseini, S.J., & Zadeh Mohammadi, A. (2021). The effect of music therapy on self-esteem and the Meaning of life in the Elderly. Applied Psychology Quarterly, 15(3), 49-51. [Persian]
Hutchinson, G. T., & Chapman, B. P. (2016). Logo therapy enhanced REBT: An integration of discovery and reason. Journal of Contemporary Psychotherapy, 35(2), 145–55. https://doi.org/10.1037/a0014331
Kakabrai, K. (2013). The effectiveness of meaning therapy in increasing the level of happiness and hope of the elderly (Master’s thesis), Islamic Azad University, Kermanshah branch, faculty of humanities. [Persian]
Kang, K. A., Im, J. I., Kim, H. S., Kim, S. J., Song, M. K., & Sim, S. (2010). The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. Journal of Korean Academy of Child Health Nursing, 15(2), 136-44. https://doi.org/10.4094/jkachn.2009.15.2.136
Karimi, S., Golperor, M., & Aghaei, A. (2022). Comparing the effectiveness of healthy aging model education and spirituality-oriented existential therapy on the emotional capital components of the Elderly. Journal of Gerontology, 8 (3), 234-219. [Persian]
Kim, S. S., Reed, P. G., Hayward, R. D., Kang, Y., & Koenig, H. G. (2011). Spirituality and psychological well-being: Testing a Theory of family interdependence among family caregivers and their elders. Research in Nursing & Health, 34(2):103-15. https://doi.org/10.1002/nur.20425
Koenig, H. G. (2011). “Definitions,”in Spirituality and Health Research: Methods, Measurement, Statistics, and Resources, Templeton Foundation Press, Philadelphia, Pa, USA.
Koenig, H. G. (2016). Religion, spirituality, and health: a review and update. Advances in mind-body medicine, 29 (3), 19-26.
Koohpayezadeh, F., Motamdi, M., dortaj, F., Eskandari, H., & Farrokhi N. (2018). The effectiveness of the educational package based on meaning therapy on the feeling of loneliness and self-efficacy of retired teachers, Journal of Gerontology, 4(1), 33-24. [Persian]
Kyung, A, K., Shin, J. K., Mi-Kyung, S., & Mi-Jeong, K. (2013). Effects of Logo therapy on Life Respect, Meaning of Life, and Depression of elderly. Journal of Korean Acadmy Nursing, 43(1), 91-101. https://doi.org/10.4040/jkan.2013.43.1.91
Ligimol, J. (2012). The effect of logotherapy on meaning and quality of life of the elderly in old age homes (Master’s thesis). Bengaluru: Christ University.
Love, P., Moore, M., & Warburton, J. (2017). Nurturing spiritual well-being among older people in Australia: Drawing on indigenous and non-indigenous way of knowing. Australasian Journal on Ageing, 36(3):179-85. https://doi.org/10.1111/ajag.12284
Melhem, G. A., Zeilani, R. S., Zaqqout, O. A., Aljwad, A. I., Shawagfeh, M. Q., Al-Rahim, M. A. (2016). Nurses' Perceptions of Spirituality and Spiritual Care Giving: A Comparison Study Among All Health Care Sectors in Jordan, Indian Journal of Palliat Care, 22(1):42-9. https://doi.org/10.4103/0973-1075.173949
Mokhtari Dizji, F., & Sohrabi, F. (2017). The effectiveness of psychotherapy based on improving the Quality of life in a Group way on the Lives of the Elderly. Clinical psychology studies, 8(32), 29-47. [Persian]
Mortazavi, S.S., Foroughan, M., Hosseini, S. A., Nasiri, A., & Shahbazi, F. (2021). Negative factors affecting the sleep of Iranian elderly: a review study. Journal of rehabilitation, 22 (2), 153-132. [Persian]
Nodehi Moghadam A, Rashid N, Hosseini Ajdad Niaki S J, Hosseinzadeh S. (2019). Evaluation of Quality of Life and its Related Factors in Elderly in Mashhad in 1396. Salmand: Iranian Journal of Ageing, 14 (3), 310-319. [Persian]
Pachana, N., & Laidlaw, K. (2014). The Oxford handbook of clinical neuropsychology. Oxford: Oxford University Press.
Pope, A. W., McHale, S. M., & Craighead, W. E. (1988). Self-esteem enhancement with children and adolescents. Pergamon Press.
Psarra, E., & Kleftaras, G. (2013). Adaptation to physical disabilities: the role of meaning in life and depression. The European Journal of Counselling Psychology, 2(1), 79-99. https://doi.org/10.23668/psycharchives.2001
Qadri, D., & Mustafaei, A. (2013). The relationship between religious orientation and quality of life in elderly men living at home and living in nursing homes, Iranian Journal of Ageing, 9 (1) 21-14. [Persian]
Rajabi G, Bohloul N. (2007). Reliability and Validity Measurement of Rosenberg Self-Esteem Scale in New Year Students of Shahid Chamran University, Educational and Psychological Research, 3(2): 33-48. [Persian]
Rebecca, P., & Jigging, O. (2011). Association between caregiving, meaning in life and life satisfaction beyond 50 in an Asian sample. Social Indicators Researches, 108(3), 525-535.  https://doi.org/10.1007/s11205-011-9891-9
Ren, Q., Shi, Q., Ma, T., Wang, J., Li, Q., & Li, X. (2019). Quality of life, symptoms, and sleep quality of elderly with end-stage renal disease receiving conservative management: a Systematic review. Health and Quality of Life Outcomes, 17(1), 1-9. https://doi.org/10.1186/s12955-019-1146-5
Ryan, R. M., & Deci, E. L. (2008). From ego depletion to vitality: Theory and findings concerning the facilitation of energy available to the self. Social and Personality Psychology Compass, 2(2), 702–17. https://doi.org/10.1111/j.1751-9004.2008.00098.x
Ryan, R. M., & Frederick, C. (2007). On energy, personality, and health: Subjective vitality as a Dynamic reflection of well-being. Journal of Personality, 65(3), 529–65. https://doi.org/10.1111/j.1467-6494.1997.tb00326.x
Sadjapong, U., & Thongtip, S. (2023) Association between self-esteem and health-related quality of life among elderly rural community, Northern Thailand, Cogent Social Sciences, 9(2), 2-20, https://doi.org/10.1080/23311886.2023.2282410
Sarwarian, Z., & Taghizadeh, M. A. (2014). The effectiveness of group meaning therapy on self-esteem and happiness of teenage girls in Qom, Journal of Medical Ethics, 9(34), 207-187. [Persian]
Schooley, M. (2005). Humanistic group counseling. Michigan Journal of Counseling and Development, 18(1), 163- 174. https://doi.org/10.1002/j.2161-1939.2014.00058. x
Schutter, N., Holwerda, T. J., Stek, M. L., Dekker, J. J., Rhebergen, D., & Comijs, HC. (2017). Loneliness in older adults is associated with diminished cortisol output. Journal of Psychosomatic Research, 95(6),19-25. https://doi.org/10.1016/j.jpsychores.2017.02.002
Shabani, J., Rahgovi, A., Nowrozi, K., Rahgozar, M., & Shabani, M. (2015). The relationship between self-efficacy and quality of life of the Elderly living in nursing homes in Tehran.  Salmand: Iranian Journal of Ageing, 11 (4), 527-517. [Persian]
Sharfi, M., Fadakar Davarani, M., Touhidi Nik, H., Forohari, A., & Burhaninejad, V. (2022). Facilitating and inhibiting factors of social participation of the Elderly based on health-oriented activities: A cross-sectional study. Salmand: Iranian Journal of Ageing, 17(3), 321-304. [Persian]
Smith, E. I., & Crosby, R. G. (2017). Unpacking religious affiliation: Exploring associations between Christian children’s religious cultural context, God image, and self‐esteem across development. British Journal of Developmental Psychology, 35(1), 76-90. https://doi.org/10.1111/bjdp.12156
Tabachnick, B., & Fidell, L. (2007). Using multivariate statistics (5thedn) New York. NY: Allyn and Bacon.
Taqvai Nia, A., & Delavarizadeh, S. (2015). The effectiveness of group meaning therapy on psychological well-being of elderly retired women. Journal of Aging Psychology, 2(2), 124-115. [Persian]
Tavakoli, G., Rezaei Dehnavi, S., & Motthabian, Z. (2019). Effectiveness of positive psychotherapy on vitality in the Elderly. Journal of Aging Psychology, 6(4), 308-299. [Persian]
Van Osch, Y., Bender, M., He, J., Adams, B. G., Kunuroglu, F., Tillman, R. N., Benítez, I., Sekaja, L., & Mamathuba, N. (2020). Assessing the importance of internal and external self-esteem and their relationship to honor concerns in six countries. Cross-Cultural Research54(5), 462–485. https://doi.org/10.1177/1069397120909383
Weber, P., Prudius, D., Meluzínová, H. (2015). Geriatric multimorbidity-one of the key problems of contemporary medicine. Vnitrni lekarstvi, 61(12), 1042-1048.
World Health Organization. (2018). Census Geneva: World Health Organization.
Wu, C. H., Yao, G. (2006). Analysis of factorial invariance across gender in the Taiwan version of the Satisfaction with Life Scale. Personality and Individual Differences, 40(6), 1259-68. https://doi.org/10.1016/j.paid.2005.11.012
Zhang, Y., Chen, Y., & Ma, L. (2018). Depressio and cardiovascular disease in elderly: Current understanding. Journal of Clinical Neuroscience, 47 (1), 1-5. https://doi.org/10.1016/j.jocn.2017.09.022
Zhu, B., Shi, C., Park, C. G., & Reutrakul, S. (2020). Sleep quality and gestational diabetes in pregnant women: a systematic review and meta-analysis. Sleep Medicine, 67 (1), 47-55. https://doi.org/10.1016/j.sleep.2019.11.1246