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Momeni K, Rafiee Z. Correlation of Social Support and Religious Orientation With Life Satisfaction in the Elderly. Salmand: Iranian Journal of Ageing 2018; 13 (1) :50-61
URL: http://salmandj.uswr.ac.ir/article-1-1189-en.html
1- Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran.
2- Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran. , zahra.r3606@gmail.com
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Extended Abstract
1. Objective 

he increasing population of elderly in Iran has drawn attention to the new issues related to them; for example, social support. It is a social network providing psychological and tangible resources for individuals to be able to deal with stressful living conditions and daily issues. As the old age disabilities become common with increasing age and occasionally inevitable dependence, the role of social support in such circumstances is highlighted in improving the life satisfaction in the elderly. One of the interpersonal aspects effective on mental health is religion. Successful aging is a good model of aging in connection with the religious orientation [2]. Sine social dimension of health is the most controversial aspect of health, the current study aimed to investigate the relationship between social support/religious orientation and life satisfaction in the elderly.
2. Methods and Materials
The present study is applied research and correlational study using the descriptive method. The statistical population of the present study included all individuals aged 60 years and older residents of the Kermanshah nursing home in 2016; the cohort consisted of 200 individuals. The sample size based on the Morgan table was 126 (48 males and 78 females) mean (SD)=69.76(9), which was determined by the available sampling method. The inclusion criteria for participation in the study were as follows: informed consent to participate in the research, ability to answer questions physically and psychologically, and residence in the elderly home. On the other hand, exclusion criteria consisted of a very severe mental illness or disorder (dementia, Alzheimer's disease, schizophrenia, and severe depression) based on the medical records and experience of grief (death of close relatives) in the last 6 months. Therefore, the investigators referred to the relevant center during the weekdays and provided the subjects with questionnaires, after introduction and explanation of research objectives, providing the necessary instructions for the completion of the questionnaires, and obtaining written consent from the elderly. The current study was approved by the Razi University of Kermanshah . 
The questionnaires used in this study included social support questionnaire (Philips et al.,1976)  that consisted of 23 questions to measure the social support. In the study by Khabbaz et al. (2011) [32], the calculated alpha coefficient for this questionnaire was 0.74. Social Support Questionnaire [34] and Satisfaction With Life Scale [34] were used to assess the level of individuals’ satisfaction; it contained five propositions. The reliability of this questionnaire using test-retest method was 0.82 and that using Cronbach’s alpha was 0.87. The Religious Orientation Questionnaire, containing 21 questions, by Allport and Ro (1967) [27] was used to measure the internal and external religious orientations. The internal consistency of this questionnaire using Cronbach’s alpha was 0.71, and the retest reliability was 0.74. Pearson’s correlation coefficient, simultaneous regression analysis, and SPSS software  were used for data analysis.
3. Results
 Descriptive findings showed that the mean of the external religious orientation (40.40) was higher than that of the inner religious orientation (26.83) for the variable of religious orientation. On the other hand, life satisfaction with the mean of 23.50 in the subjects was higher than the average score of 20, and the mean of social support in the subjects was 18/48 . Therefore, the social support can be considered as excellent. In the social support components, family support component had a higher mean (6.74) than friends’ support (5.93) as well as that of the others (5.81). 
These results indicated a significant relationship between one of the components of religious orientation and life satisfaction (P<0.05). In other words, the correlation coefficient was 0.249 between internal orientations and life satisfaction; since the correlation coefficient was positive, it can be speculated that the life satisfaction was raised by increasing the inner religious orientation. However, no significant relationship was established between the external religious orientations and life satisfaction. The correlation coefficient between these two variables was 0.77. In addition, the results also showed a significant positive correlation between the religious orientation and social support (0.708, P<0.05). Thus, the social support in subjects was increased with increasing religious orientation. Furthermore, the relationship between the external religious orientation and social support was 0.374 at P<0.05 level, which led to the conclusion that social support in subjects was increased with increasing religious orientation. However, no significant relationship was observed between social support and life satisfaction. 
The results of regression test showed that inner religious orientation, external religious orientation, and social support could predict the variability of life satisfaction. R2=0.11 potentiated that these variables could significantly predict 11% of the changes in life satisfaction. In the coefficient equation, it was found that B=0.562 as obtained in the internal religious orientation variable; this phenomenon showed that 1 unit increase in the internal religious orientation variable led to 0.562 unit increase in the life satisfaction variable. In social support, B=0.546 showed that with 1 unit increase in social support, life satisfaction increased by 0.546.
4. Conclusion
 Due to the experiences of life, elderly are part of the capital of a community, and therefore, addressing their mental and physical needs is essential for the society. However, paying attention to the growth of life satisfaction of the elderly firstly requires investigating the relationship between religious orientation and social support. The results of the present study showed that religious orientation and social support were able to predict life satisfaction. Therefore, for attaining life satisfaction, increasing the life satisfaction of the elderly could be optimally achieved by holding group religious and fun ceremonies, as participation in such activities has been recognized as one of the sources of social support, in addition to providing spiritual dimension. Thus, altogether, the effective steps can be taken by increasing the adherence of the elderly to religious orientation and providing space for religious ceremonies in order to improve their satisfaction with life. 
Acknowledgments
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Conflict of Interest
The authors declared no conflicts of interest.


References
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  2. Hojati H, Hojati H, Sharifnia SH, Salmasi A, Hoseinzadeh A, Farhadi S. [Comparison of loneliness, belonging and life satisfaction in the elderlies living at home with the nursing home residents (Persian)]. Journal of Health & Care. 2012; 14(3):9-15.
  3. Nakahara J. Effects of social activities outside the home on life satisfaction among elderly people living alone. International Journal of Psychological Studies. 2013; 5(1):112-20. doi: 10.5539/ijps.v5n1p112 
  4. Shamsaei F, Oshtorani F, Oshtorani A. [Comparison of life satisfaction in blind and deaf students with normal students of Hamadan’s schools in 2014 (Persian)]. Pajouhan Scientific Journal. 2014; 13(1):52-60.
  5. Lu M, Yang G, Skora E, Wang G, Cai Y, Sun Q, et al. Self-esteem, social support,and life satisfaction in Chineseparents of children with autism spectrum disorder. Research in Autism Spectrum Disorders. 2015; 17:70–77. doi: 10.1016/j.rasd.2015.05.003
  6. Pilar Matud M, Bethencourt JM, Ibáñez I. Relevance of genderroles in life satisfaction in adult people. Personality and Individual Differences. 70: 206–211. doi: 10.1016/j.paid.2014.06.046
  7. Barrera M, Sandler IN, Ramsay TB. Preliminary development of a scale of social support: Studies on college students. American Journal of Community Psychology. 1981; 9(4):435–47. doi: 10.1007/bf00918174
  8. Hamren K, Chungkham HS, Hyde M. Religion, spirituality, social support and quality of life: Measurement and predictors CASP-12(v2) amongst older Ethiopians living in Addis Ababa. Aging & Mental Health. 2014; 19(7):610–21. doi: 10.1080/13607863.2014.952709 
  9. Ingersoll B, Silverman A. Comparative group psychotherapy for the Aged. The Gerontologist. 1978; 18(2):201–6. doi: 10.1093/geront/18.2.201
  10. Farhadi A, Obeidavi Z, Movahedi Y, Rahimi M, Mobasher A. [The comparison and relationship of social support and stress with life satisfaction among the elderly of Khorramabad city in 2013 (Persian)]. yafte. 2015; 17(2):14-22
  11. Crimmins EM, Preston SH, Cohen B. The role of social networks and social integration. In: Crimmins EM, Preston SH, Cohen B, editors. Explaining divergent levels of longevity in high-income countries. Washington, D.C.: National Academies Press; 2011. 
  12. Muckenhuber J, Stronegger WJ, Freidl W. Social capital affects the health of older people more strongly than that of younger people. Ageing and Society. 2012; 33(5):853–70. doi: 10.1017/s0144686x12000219
  13. Lee EO. Religion and spirituality as predictors of wellbeing among Chinese American and Korean American older adults. Journal of Religion, Spirituality & Aging. 2007; 19(3):77-100. doi: 10.1300/j496v19n03_06
  14. Fardinejad Z, Ahadi H. [The relationship of general health and perceived social support with life satisfaction in elderly people (Persian)]. Journal of Behavioral Sciences. 2013; 5(15):87-100.
  15. Hoseini SM, Rezaei A, Keykhosravi Z. [A comparison of old men and women’s social support, life satisfaction, happiness and depression (Persian)]. Sociology of Women. 2011; 2(4):143-61.
  16. Ghaedi GH, Yaaghoobi H. [A study on the relationship between different dimensions of perceived social support and different aspects of wellbeing (Persian)]. Armaghan-e- Danesh. 2008; 13(2):69-81.
  17. Parpoochi B, Ahmadi M, Sohrabi F. [The relationship of religiousness and social support with life satisfaction among university students (Persian)]. Knowledge & Research in Applied Psychology. 2013; 14(3):60-68. 
  18. Masoudi R, Soleimani MA, Qorbani M, Hasheminia AM, Pour Dehkordi AH, Bahrami N. [The effect of family centered empowerment model on the quality of life in elderly people (Persian)]. Journal of Qazvin University of Medical Sciences. 2010; 1(14):51-64.
  19. Krause N. Common facets of religion, unique facets of religion, and life satisfaction among older African Americans. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2004; 59(2):S109–17. doi: 10.1093/geronb/59.2.s109
  20.  Levin JS, Chatters LM, Taylor RJ. Religious effects on health status and life satisfaction among black Americans. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 1995; 50B(3):S154–63. doi: 10.1093/geronb/50b.3.s154
  21. Moberg DO. Disabilities, spirituality, and well-being inlate life: Research foundations for study and practice. Journal of Religion, Spirituality & Aging. 2008; 20(4):313-40. doi: 10.1080/15528030802232379
  22. Yoon DP, Lee EKO. The impact of religiousness,spirituality, and social support on psychological well-being among older adults in rural areas. Journal of Gerontological Social Work. 2007; 48(3-4):281–98. doi: 10.1300/j083v48n03_01
  23. Roh S, Lee KH, Yoon DP. General well-being of Korean immigrant elders: The significance of religiousness/spirituality and social support. Journal of Social Service Research. 2013;39(4):483–97. doi: 10.1080/01488376.2012.709451
  24. Hazan H. Antropology of aging. In: Bergman S, Margulec I, editors. Aging in Israel: Selected topics in gerontology. Tel Aviv: Publishing House; 1984.
  25. Zahednejhad SH, Fazeli Y, Rezayi H, Haghighizadeh MH. [Association of coping strategies and religiosity with life satisfaction of old people living in nursing homes of Ahvaz city, Iran. (Persian)]. Salmand. 2016; 10(4):30-39.
  26. Scholer K. The everything world's religions Book: Explore the beliefs, traditions, and cultures of ancient and modern religions. Avon, Massachusetts: Adams Media; 2010.
  27. Park J, Roh S, Yeo Y. Religiosity, social support, and life satisfaction among elderly Korean immigrants. Gerontologist. 2012; 52(5):641-9. doi: 10.1093/geront/gnr103
  28. Hajizade Meimandi M, Zare Shahabadi A, Marvinam N, Abotorabi Zarchi F. [A survey of the relationship between religiosity and life satisfaction among elderly women in Yazd (Persian)]. Womens Strategic Studies. 2012; 15(58):191-235.
  29. Rabani R, Behesgti SS. [An empirical study of the relationship between religiosity and life satisfaction (Persian)]. Oloom-e Ejtemaei. 2011; 8(1):79-102.
  30. Aliakbari Dehkordi M, Oraki M, Barghi Irani Z. [Relation betweereligious orientation with anxiety about death, and alienation in aged peoples (seniors) in Tehran (Persian)]. Social Psychology Research. 2011; 1(2):140-59.
  31. Amani R. [The effectiveness of structured group reminiscence on the enhancement of elderly’s positive self-concept (Persian)]. Journal of Aging Psychology 2015; 1(1):1-9.
  32. Khabaz M, Behjati Z, Naseri M. [Relationship between social support and coping styles and resiliency in adolescents (Persian)]. Journal of Applied Psychology 2011; 5(4):108-123.
  33. Ebrahimighavam S. [Check the validity of the three concepts of locus of control, self-esteem and social support (Persian)] [MSc. thesis]. Tehran: Islamic Azad University; 1992.
  34. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. Journal of Personality Assessment. 1985; 49(1):71–5. doi: 10.1207/s15327752jpa4901_13
  35. Bayani A, Mohammad Koocheky A, Goodarzi H. [The reliability and validity of the satisfaction with life scale (Persian)]. Developmental Psychology. 2007; 3(11):259-265.
  36. John Bozorgi, M. [Evaluate the effectiveness of psychotherapy with or without religious orientation of the anxiety and stress. (Persian)] [PhD thesis]. Tehran: University of Tarbiat Modaress; 1998.
  37. Shkolnik T, Weiner C, Malik L, Festinger Y. The effect of Jewish religiosity of elderly Israelis on their life satisfaction, health, function and activity. Journal of Cross-Cultural Gerontology. 2001; 16(3):201-19. doi: 10.1023/a:1011917825551
  38. Van Ness PH, Kasl SV. Religion and cognitive dysfunction in an elderly cohort. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2003; 58(1):S21-S29. doi: 10.1093/geronb/58.1.s21
  39. Chen YY, Koenig HG. Do people turn to religion in times of stress? An examination of change in religiousness among elderly, medically ill patients. Journal of Nervous and Mental Disease. 2006; 194(2):114-20. doi: 10.1097/01.nmd.0000198143.63662.fb
  40. Diener E, Suh EM, Lucas RE, Smith HL. Subjective well-being: Three decades of progress. Psychological Bulletin. 1999; 125(2):276–302. doi: 10.1037/0033-2909.125.2.276
  41. Lotfabadi H. [Development Psychology (2) Adolescence, youth and adults (Persian)]. Tehran: SAMT; 2005.
  42. Lee EK, Sharpe T. Understanding religious/spiritual coping and support resources among African American older adults: A mixed-method approach. Journal of Religion, Spirituality & Aging. 2007; 19(3):55-75. doi: 10.1300/j496v19n03_05
Type of Study: Research | Subject: Clinical
Received: 2017/07/15 | Accepted: 2017/12/03 | Published: 2018/04/01

References
1. World Health Organization. Ageing and life course. Geneva: World Health Organization; 2015.
2. Hojati H, Hojati H, Sharifnia SH, Salmasi A, Hoseinzadeh A, Farhadi S. [Comparison of loneliness, belonging and life satisfaction in the elderlies living at home with the nursing home residents (Persian)]. Journal of Health & Care. 2012; 14(3):9-15.
3. Nakahara J. Effects of social activities outside the home on life satisfaction among elderly people living alone. International Journal of Psychological Stud-ies. 2013; 5(1):112-20. doi: 10.5539/ijps.v5n1p112 [DOI:10.5539/ijps.v5n1p112]
4. Shamsaei F, Oshtorani F, Oshtorani A. [Comparison of life satisfaction in blind and deaf students with normal students of Hamadan's schools in 2014 (Persian)]. Pajouhan Scientific Journal. 2014; 13(1):52-60.
5. Lu M, Yang G, Skora E, Wang G, Cai Y, Sun Q, et al. Self-esteem, social support,and life satisfaction in Chineseparents of children with autism spectrum disorder. Research in Autism Spectrum Disorders. 2015; 17:70–77. doi: 10.1016/j.rasd.2015.05.003 [DOI:10.1016/j.rasd.2015.05.003]
6. Pilar Matud M, Bethencourt JM, Ibá-ez I. Relevance of genderroles in life satisfaction in adult people. Personality and Individual Differences. 70: 206–211. doi: 10.1016/j.paid.2014.06.046 [DOI:10.1016/j.paid.2014.06.046]
7. Barrera M, Sandler IN, Ramsay TB. Preliminary development of a scale of social support: Studies on college students. American Journal of Community Psychology. 1981; 9(4):435–47. doi: 10.1007/bf00918174 [DOI:10.1007/BF00918174]
8. Hamren K, Chungkham HS, Hyde M. Religion, spirituality, social support and quality of life: Measurement and predictors CASP-12(v2) amongst older Ethiopians living in Addis Ababa. Aging & Mental Health. 2014; 19(7):610–21. doi: 10.1080/13607863.2014.952709 [DOI:10.1080/13607863.2014.952709]
9. Ingersoll B, Silverman A. Comparative group psychotherapy for the Aged. The Gerontologist. 1978; 18(2):201–6. doi: 10.1093/geront/18.2.201 [DOI:10.1093/geront/18.2.201]
10. Farhadi A, Obeidavi Z, Movahedi Y, Rahimi M, Mobasher A. [The comparison and relationship of social support and stress with life satisfaction among the elderly of Khorramabad city in 2013 (Persian)]. yafte. 2015; 17(2):14-22
11. Crimmins EM, Preston SH, Cohen B. The role of social networks and social integration. In: Crimmins EM, Preston SH, Cohen B, editors. Explaining diver-gent levels of longevity in high-income countries. Washington, D.C.: National Academies Press; 2011.
12. Muckenhuber J, Stronegger WJ, Freidl W. Social capital affects the health of older people more strongly than that of younger people. Ageing and Society. 2012; 33(5):853–70. doi: 10.1017/s0144686x12000219 [DOI:10.1017/S0144686X12000219]
13. Lee EO. Religion and spirituality as predictors of wellbeing among Chinese American and Korean American older adults. Journal of Religion, Spirituality & Aging. 2007; 19(3):77-100. doi: 10.1300/j496v19n03_06 [DOI:10.1300/J496v19n03_06]
14. Fardinejad Z, Ahadi H. [The relationship of general health and perceived social support with life satisfaction in elderly people (Persian)]. Journal of Behav-ioral Sciences. 2013; 5(15):87-100.
15. Hoseini SM, Rezaei A, Keykhosravi Z. [A comparison of old men and women's social support, life satisfaction, happiness and depression (Persian)]. Soci-ology of Women. 2011; 2(4):143-61.
16. Ghaedi GH, Yaaghoobi H. [A study on the relationship between different dimensions of perceived social support and different aspects of wellbeing (Per-sian)]. Armaghan-e- Danesh. 2008; 13(2):69-81.
17. Parpoochi B, Ahmadi M, Sohrabi F. [The relationship of religiousness and social support with life satisfaction among university students (Persian)]. Knowledge & Research in Applied Psychology. 2013; 14(3):60-68.
18. Masoudi R, Soleimani MA, Qorbani M, Hasheminia AM, Pour Dehkordi AH, Bahrami N. [The effect of family centered empower-ment model on the quality of life in elderly people (Persian)]. Journal of Qazvin University of Medical Sciences. 2010; 1(14):51-64.
19. Krause N. Common facets of religion, unique facets of religion, and life satisfaction among older African Americans. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2004; 59(2):S109–17. doi: 10.1093/geronb/59.2.s109 [DOI:10.1093/geronb/59.2.S109]
20. Levin JS, Chatters LM, Taylor RJ. Religious effects on health status and life satisfaction among black Americans. The Journals of Gerontology Series B: Psy-chological Sciences and Social Sciences. 1995; 50B(3):S154–63. doi: 10.1093/geronb/50b.3.s154 [DOI:10.1093/geronb/50B.3.S154]
21. Moberg DO. Disabilities, spirituality, and well-being inlate life: Research foundations for study and practice. Journal of Religion, Spirituality & Aging. 2008; 20(4):313-40. doi: 10.1080/15528030802232379 [DOI:10.1080/15528030802232379]
22. Yoon DP, Lee EKO. The impact of religiousness,spirituality, and social support on psychological well-being among older adults in rural areas. Journal of Gerontological Social Work. 2007; 48(3-4):281–98. doi: 10.1300/j083v48n03_01 [DOI:10.1300/J083v48n03_01]
23. Roh S, Lee KH, Yoon DP. General well-being of Korean immigrant elders: The significance of religiousness/spirituality and social support. Journal of So-cial Service Research. 2013;39(4):483–97. doi: 10.1080/01488376.2012.709451 [DOI:10.1080/01488376.2012.709451]
24. Hazan H. Antropology of aging. In: Bergman S, Margulec I, editors. Aging in Israel: Selected topics in gerontology. Tel Aviv: Publishing House; 1984.
25. Zahednejhad SH, Fazeli Y, Rezayi H, Haghighizadeh MH. [Association of coping strategies and religiosity with life satisfaction of old people living in nursing homes of Ahvaz city, Iran. (Persian)]. Salmand. 2016; 10(4):30-39.
26. Scholer K. The everything world's religions Book: Explore the beliefs, traditions, and cultures of ancient and modern religions. Avon, Massachusetts: Ad-ams Media; 2010.
27. Park J, Roh S, Yeo Y. Religiosity, social support, and life satisfaction among elderly Korean immigrants. Gerontologist. 2012; 52(5):641-9. doi: 10.1093/geront/gnr103 [DOI:10.1093/geront/gnr103]
28. Hajizade Meimandi M, Zare Shahabadi A, Marvinam N, Abotorabi Zarchi F. [A survey of the relationship between religiosity and life satisfaction among elderly women in Yazd (Persian)]. Womens Strategic Studies. 2012; 15(58):191-235.
29. Rabani R, Behesgti SS. [An empirical study of the relationship between religiosity and life satisfaction (Persian)]. Oloom-e Ejtemaei. 2011; 8(1):79-102.
30. Aliakbari Dehkordi M, Oraki M, Barghi Irani Z. [Relation betweereligious orientation with anxiety about death, and alienation in aged peoples (seniors) in Tehran (Persian)]. Social Psychology Research. 2011; 1(2):140-59.
31. Amani R. [The effectiveness of structured group reminiscence on the enhancement of elderly's positive self-concept (Persian)]. Journal of Aging Psychology 2015; 1(1):1-9.
32. Khabaz M, Behjati Z, Naseri M. [Relationship between social support and coping styles and resiliency in adolescents (Persian)]. Journal of Applied Psy-chology 2011; 5(4):108-123.
33. Ebrahimighavam S. [Check the validity of the three concepts of locus of control, self-esteem and social support (Persian)] [MSc. thesis]. Tehran: Islamic Azad University; 1992.
34. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. Journal of Personality Assessment. 1985; 49(1):71–5. doi: 10.1207/s15327752jpa4901_13 [DOI:10.1207/s15327752jpa4901_13]
35. Bayani A, Mohammad Koocheky A, Goodarzi H. [The reliability and validity of the satisfaction with life scale (Persian)]. Developmental Psychology. 2007; 3(11):259-265.
36. John Bozorgi, M. [Evaluate the effectiveness of psychotherapy with or without religious orientation of the anxiety and stress. (Persian)] [PhD thesis]. Tehran: University of Tarbiat Modaress; 1998.
37. Shkolnik T, Weiner C, Malik L, Festinger Y. The effect of Jewish religiosity of elderly Israelis on their life satisfaction, health, function and activity. Journal of Cross-Cultural Gerontology. 2001; 16(3):201-19. doi: 10.1023/a:1011917825551 [DOI:10.1023/A:1011917825551]
38. Van Ness PH, Kasl SV. Religion and cognitive dysfunction in an elderly cohort. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2003; 58(1):S21-S29. doi: 10.1093/geronb/58.1.s21 [DOI:10.1093/geronb/58.1.S21]
39. Chen YY, Koenig HG. Do people turn to religion in times of stress? An examination of change in religiousness among elderly, medically ill patients. Jour-nal of Nervous and Mental Disease. 2006; 194(2):114-20. doi: 10.1097/01.nmd.0000198143.63662.fb [DOI:10.1097/01.nmd.0000198143.63662.fb]
40. Diener E, Suh EM, Lucas RE, Smith HL. Subjective well-being: Three decades of progress. Psychological Bulletin. 1999; 125(2):276–302. doi: 10.1037/0033-2909.125.2.276 [DOI:10.1037/0033-2909.125.2.276]
41. Lotfabadi H. [Development Psychology (2) Adolescence, youth and adults (Persian)]. Tehran: SAMT; 2005.
42. Lee EK, Sharpe T. Understanding religious/spiritual coping and support resources among African American older adults: A mixed-method approach. Journal of Religion, Spirituality & Aging. 2007; 19(3):55-75. doi: 10.1300/j496v19n03_05 [DOI:10.1300/J496v19n03_05]

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