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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 6 Issue 7, November-December 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1269
Impact of Spirituality on Well-Being among Aged People
Dr. M. Punitha1
, Mr. G. Vivek2
1
Head & Professor, 2
Ph.D, Research Scholar,
1,2
PG & Research Department of Social Work,
Hindusthan College of Arts and Science, Coimbatore, Tamil Nadu, India
ABSTRACT
The purpose of the current study was to determine how spirituality
affected older people's wellbeing. Positive correlations between
spirituality and different measures of life satisfaction, psychosocial
wellbeing, and both physical and emotional state are encouraged.
Given the loss, physical disease, incapacity, and mortality that adults
must face, understanding a person's spiritual perspective becomes
more and more crucial. One attribute of the mind, heart, and soul that
is considered to be spiritual. It deals with personal, subjective
experiences that are occasionally shared with others. In Indian
society, spirituality is important at all ages. The researcher adopted
Descriptive research design and consequently the sampling method
adopted for this study was non-probability sampling. For this study
the researcher used purposive sampling method to gather data from
respondents. A sample size of 60 was collected using interview
schedule. The result showed that (63%) of the respondents had good
level of spirituality, (20.3%) of the respondents had moderate level of
spirituality and (16.7%) of the respondents had poor level of
spirituality.
KEYWORDS: Spirituality, Well-being & Aged people
How to cite this paper: Dr. M. Punitha |
Mr. G. Vivek "Impact of Spirituality on
Well-Being among Aged People"
Published in
International Journal
of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-6 |
Issue-7, December
2022, pp.1269-1272, URL:
www.ijtsrd.com/papers/ijtsrd52596.pdf
Copyright © 2022 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
The lives of the elderly community place a high value
on spirituality. One of the most important sources of
power and guidance in people's lives is their
spirituality. It is a condition that affects almost
everyone individually. Spiritual life is the
development of one's inner resources and self-
awareness via individual effort and decision. People
who practice spirituality can maintain their good
health. It can keep them grounded and help them deal
with pressure from daily life. The public can use
spirituality to cope with psychological discomfort and
mental illness. Spirituality gives you a connection to
something greater than yourself and a means of
coping. The term "spirituality" is typically used to
refer to a number of beneficial internal attributes and
perceptions without implying any rigid, dogmatic
beliefs or religious observances (Wulff, 1996). A
profound sense of meaning and purpose in life could
be used to define spirituality or beliefs. It is about
inclusion, acceptance, and wholeness. Everyone must
follow it, even those who reject the existence of God
or a "higher being." In times of emotional stress,
physical and mental illness, loss, and mourning, their
spiritual, religious, or personal views may also be
very significant. People's spiritual and religious
experiences and beliefs might evolve over the course
of their life and are typically different from those of
their families of origin.
DEFINITION
Spirituality
“The spirituality that involves understanding faith and
feelings of divine surroundings is an unusual of the
bodily parts of living.”
Well-being
Happiness or wellness is the condition of a human
being or group. A superior level of well-being means
that in some intelligence the persons or group's state
is more optimistic.
Aged people
Aged human being means a person who is 60 years
aged or elder, who requirements or needs to live with
other aged persons in a group setting, but who is
accomplished of livelihood independently.
IJTSRD52596
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1270
Characteristics of seniors during the Maturation
Process
Older adults who focus on spiritual issues may:
Take additional time to reproduce on the
importance of measures
Feel hopelessness over the injustice and evils in
the globe
Long to make peace with imminent death and
their beliefs about death
Struggle to understand why so many good people
suffer
Seek a complete and more fulfilling personal
attitude
Yearn for solitude and silence
Seek to communicate unspoken love to others
Identify the require for a greater intelligence of
group of people
Question beliefs about death and the afterlife.
REVIEW OF LITERATURE
Eisenhandler (2005), identifies spirituality as a
theme evolving in late life due to either the
individual’s lifetime commitment of
spiritual/religious beliefs or to newly developed
beliefs due to late life experiences. Furthermore, the
author found that many participants shared a
transcendent perspective on life as being connected to
all others, nature, and something greater than oneself.
Ross (1997), found that older people's needs are
related to religion, love and belonging, morality,
death and dying. If spiritual requirements are met for
a human being, it may contribute to their intelligence
of happiness.
Methodology of the Study
Objectives of the Study
To find out personal profile of the respondents.
To assess the level of spirituality and well- being
of the respondents.
To find out association between personal profiles
and spirituality and well- being of the
respondents.
To find out the relationship between personal
profile and spirituality and well- being of the
respondents.
To valuable suggestion about spirituality and
well- being of the respondents.
Research design: The researcher followed
descriptive research design for the study.
Universe of the study: The universe of the present
study is among the aged people who reside in
Peelamedu area of Coimbatore district.
Sampling: 60 Respondents were selected for data
collection. The sampling method adopted for the
present study is non-probability sampling. For the
present study the researcher used purposive
sampling method to collect data from respondents.
Tools for data collection: The researcher used
structured questionnaire consisting of 5 point scale on
spirituality and well- being, author of the scale is
Daniel S. Halpérin et al., Geneva, (1996).The scale
consists of 27 items, the items were scored as strongly
disagree-1, disagree-2, undecided-3, agree-4, strongly
agree-5 and for false keyed items, the reverse of the
true keyed items were used.
The data were analyzed using various statistical tools
like simple percentage, independent t-test, and
ANOVA.
Findings of the Study
Factors Medium Frequency Percent
Age 65-Above 48 80%
Gender Male 40 67%
Type of family Nuclear Family 48 80%
Well- Being status Moderate 42 70%
Family income Rs.15001-Rs.20000 47 78%
Occupation Private employment 07 12%
Simple Percentage Analysis
Majority (80%) of the respondents were in the age group of 65 years and above.
More than half (67%) of the respondents were male.
Majority (80%) of the respondents were from nuclear family.
Majority (70%) of the respondents well-being status were moderate level.
Majority (78%) of the respondents’ family income was found to be Rs. 15001-20000/-.
Less than half (12%) of the respondents were employed in private concern.
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1271
DISTRIBUTION OF THE RESPONDENTS BY LEVEL OF SPIRITUALITY AMONG AGED PEOPLE
S. No Level of Spirituality No. of Respondents Percentage (%)
1 High 38 63.0
2 Moderate 12 20.3
3 Low 10 16.7
TOTAL 60 100
INTERPRETATION
The above table depicts that (63%) of the respondents had high level of spirituality, (20.3%) of the respondents
had moderate level of spirituality and (16.7%) of the respondents had low level of spirituality.
Influence of personal profile and spirituality and well- being of the respondents
There is significant difference between the age and spirituality & well- being of the respondents.
There is no significant difference between the gender and spirituality & well- being of the respondents.
There is significant difference between the type of family and spirituality & well- being of the respondents.
There is significant difference between the well- being and spirituality & well- being of the respondents.
There is no significant difference between the occupation and spirituality & well- being of the respondents.
There is no significant difference between the income and spirituality & well- being of the respondents.
Recommendations
A healthy spiritual practice may include examples
of volunteerism, social contributions, belonging
to a group, fellowship, optimism, forgiveness and
expressions of compassion.
Spiritual wellness provides aged people with
trust, beliefs, morals, ethics, principles and
morality.
Spiritual wellness allows one to realize his or her
own belief and moral systems and establish one’s
feeling of purpose and find meaning in life
events.
Spiritual interventions may include activities such
as spiritual counseling, meaning-focused
meditation, or psychotherapy.
Increased levels of spirituality may be associated
with improved resilience.
Promoting better diet and exercise or easier
access to a General Practitioner to improve
overall health and well‐being.
Appreciation of spiritual and moral values
increases the life span of the older person.
CONCLUSION
Professionals in social work play different
responsibilities at different stages of managing
geriatric care. There is evidence that suggests there is
a link between spirituality and wellbeing. The results
of this study showed that spirituality has a positive
effect on and a relationship with well-being in older
adults. People who are spiritual are often happy and
fit along with society. High spirituality among the
elderly helped them better control their well-being.
People typically grow too near to God as they age
because they no longer seek things like sex, success,
or status.
REFERENCES
[1] As in Journal of Economic Literature Health,
education, and welfare JEL: I Subcategories at
JEL: I3 -Welfare and Poverty.
[2] Dalby P: Is there a process of spiritual change
or development associated with ageing? A
critical review of research. Aging Ment.
Health10, 4–12 (2006).
Variables
Statistical
tool
Value Result
Age and spirituality and well- being of the respondents ANOVA
F= .040
T<0.05
Significant
Gender and spirituality and well- being of the respondents t-test
t = 1.051
p>0.55
Not-Significant
Type of family and spirituality and well- being of the
respondents
ANOVA
F= .000
T<0.05
Significant
Well- being and spirituality of the respondents t-test
t = .050
p<0.05
Significant
Occupation and spirituality and well- being of the respondents ANOVA
F= .353
P>0.35
Not-Significant
Income and spirituality and well- being of the respondents ANOVA
F= .943
P>0.45
Not-Significant
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1272
[3] Diener, E., Suh, E. M., Lucas, R. E. & Smith,
H. L. (1999). Subjective well-being: Three
Decade of progress. Psychological Bulletin,
125(2): 276-302
[4] Jang, E. & Kim, S. (2003). Study on spiritual
happiness of aged people in the people. Journal
of Korean erotological nursing, 5(2): 193-204.
[5] King, Y. & Seidlitz, L. (2013). Faith,
Spirituality and psychological wellbeing:
results from a national study of English
households. Journal of psychiatry, 202(1), 68-
73.
[6] Koenig HG, McCullough ME, Larson DB:
Handbook of Religion and Health. Oxford
University Press, NY, USA (2001). Impact of
Spirituality on Well-Being among Old Age
People
[7] Koenig HG: Research on religion and aging: an
annotated bibliography. Westport CT (Ed.).
Greenwood Press, Buckinghamshire, UK
(1995).
[8] Lee, M. K. (2002). Relationship between
Perceived Family Support and Spiritual Well-
Being in Elderly Master Thesis, Yonsei
University, Korea.
[9] Lee, S. (2003). the connection of Spiritual
Well-Being, aloneness and living Satisfaction
of the Elderly in Local Church. Master Thesis,
Kosin University, Korea.
[10] Miller, W. R. and Thorenson, C. e. (2000)
spirituality and health. In miller, W. R. (Ed.)
integrating spirituality into treatment,
Washington, D. C.: American Psychological
Association, 3-18.
[11] Moberg DO: Research in spirituality, religion
and aging. J. Gerontol. Soc. Work45, 11–40
(2005).
[12] Moberg DO: Aging and Spirituality: Spiritual
Dimensions of Aging Theory, Research,
Practice, and Policy. The Haworth Pastoral
Press. Binghamton, NY, USA (2006).
[13] Reed, P. G. (1992). An up-and-coming
paradigm for the investigation of spirituality in
nurture. Research in Nursing and Health. 15:
349-347.
[14] Swinton, J. (2001). Spirituality and
psychological health care: Rediscovering a
‘forgotten’ dimension. Jessica Kingsley
Publishers; London and Philadelphia
[15] Tanyi, R. A. (2002). Towards clarification of
the meaning of spirituality. Journal of
Advanced Nursing, 39(5): 500-509
[16] Wright, L. M. (2005). Spirituality, Suffering
and Illness: Ideas for healing. Lisa B. Deitch.
[17] WHO Regional Office for the Western Pacific
(2000, June 26) Social Development and
Ageing: Crisis or Opportunity. Retrieved
November, 9, 2006 from http:
//www.who.int/ageing/publications/developme
nt/alc_social_development.pdf
[18] Wullf, D. M. (1996). the psychology of
religion: an overview. In E. P. Shapraspe (Ed.)
Religion and clinical practice of psychology,
Washington, D. C.: American psychological
association, pp. 43-70.
[19] Daaleman TP, Frey BB. (2004). the spirituality
directory of happiness: A new implement for
health-related quality of living. Annals of
Family Medicine, 2: 499–503.
[20] Haase, J. E., Britt, T., Coward, D. D., Keidy, N.
K., &Penn, P. E. (1992). Simultaneous thought
psychiatry of spiritual perception, hope, taking
and self-transcendence. likeness: Journal of
Nursing Scholarship, 24, (2), 141-147.
[21] Reed, P. G. (1986). Developmental resources
and depression in the elderly. Nursing
Research, 35(6), 368-374.

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Impact of Spirituality on Well Being among Aged People

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 6 Issue 7, November-December 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1269 Impact of Spirituality on Well-Being among Aged People Dr. M. Punitha1 , Mr. G. Vivek2 1 Head & Professor, 2 Ph.D, Research Scholar, 1,2 PG & Research Department of Social Work, Hindusthan College of Arts and Science, Coimbatore, Tamil Nadu, India ABSTRACT The purpose of the current study was to determine how spirituality affected older people's wellbeing. Positive correlations between spirituality and different measures of life satisfaction, psychosocial wellbeing, and both physical and emotional state are encouraged. Given the loss, physical disease, incapacity, and mortality that adults must face, understanding a person's spiritual perspective becomes more and more crucial. One attribute of the mind, heart, and soul that is considered to be spiritual. It deals with personal, subjective experiences that are occasionally shared with others. In Indian society, spirituality is important at all ages. The researcher adopted Descriptive research design and consequently the sampling method adopted for this study was non-probability sampling. For this study the researcher used purposive sampling method to gather data from respondents. A sample size of 60 was collected using interview schedule. The result showed that (63%) of the respondents had good level of spirituality, (20.3%) of the respondents had moderate level of spirituality and (16.7%) of the respondents had poor level of spirituality. KEYWORDS: Spirituality, Well-being & Aged people How to cite this paper: Dr. M. Punitha | Mr. G. Vivek "Impact of Spirituality on Well-Being among Aged People" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-6 | Issue-7, December 2022, pp.1269-1272, URL: www.ijtsrd.com/papers/ijtsrd52596.pdf Copyright © 2022 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION The lives of the elderly community place a high value on spirituality. One of the most important sources of power and guidance in people's lives is their spirituality. It is a condition that affects almost everyone individually. Spiritual life is the development of one's inner resources and self- awareness via individual effort and decision. People who practice spirituality can maintain their good health. It can keep them grounded and help them deal with pressure from daily life. The public can use spirituality to cope with psychological discomfort and mental illness. Spirituality gives you a connection to something greater than yourself and a means of coping. The term "spirituality" is typically used to refer to a number of beneficial internal attributes and perceptions without implying any rigid, dogmatic beliefs or religious observances (Wulff, 1996). A profound sense of meaning and purpose in life could be used to define spirituality or beliefs. It is about inclusion, acceptance, and wholeness. Everyone must follow it, even those who reject the existence of God or a "higher being." In times of emotional stress, physical and mental illness, loss, and mourning, their spiritual, religious, or personal views may also be very significant. People's spiritual and religious experiences and beliefs might evolve over the course of their life and are typically different from those of their families of origin. DEFINITION Spirituality “The spirituality that involves understanding faith and feelings of divine surroundings is an unusual of the bodily parts of living.” Well-being Happiness or wellness is the condition of a human being or group. A superior level of well-being means that in some intelligence the persons or group's state is more optimistic. Aged people Aged human being means a person who is 60 years aged or elder, who requirements or needs to live with other aged persons in a group setting, but who is accomplished of livelihood independently. IJTSRD52596
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1270 Characteristics of seniors during the Maturation Process Older adults who focus on spiritual issues may: Take additional time to reproduce on the importance of measures Feel hopelessness over the injustice and evils in the globe Long to make peace with imminent death and their beliefs about death Struggle to understand why so many good people suffer Seek a complete and more fulfilling personal attitude Yearn for solitude and silence Seek to communicate unspoken love to others Identify the require for a greater intelligence of group of people Question beliefs about death and the afterlife. REVIEW OF LITERATURE Eisenhandler (2005), identifies spirituality as a theme evolving in late life due to either the individual’s lifetime commitment of spiritual/religious beliefs or to newly developed beliefs due to late life experiences. Furthermore, the author found that many participants shared a transcendent perspective on life as being connected to all others, nature, and something greater than oneself. Ross (1997), found that older people's needs are related to religion, love and belonging, morality, death and dying. If spiritual requirements are met for a human being, it may contribute to their intelligence of happiness. Methodology of the Study Objectives of the Study To find out personal profile of the respondents. To assess the level of spirituality and well- being of the respondents. To find out association between personal profiles and spirituality and well- being of the respondents. To find out the relationship between personal profile and spirituality and well- being of the respondents. To valuable suggestion about spirituality and well- being of the respondents. Research design: The researcher followed descriptive research design for the study. Universe of the study: The universe of the present study is among the aged people who reside in Peelamedu area of Coimbatore district. Sampling: 60 Respondents were selected for data collection. The sampling method adopted for the present study is non-probability sampling. For the present study the researcher used purposive sampling method to collect data from respondents. Tools for data collection: The researcher used structured questionnaire consisting of 5 point scale on spirituality and well- being, author of the scale is Daniel S. Halpérin et al., Geneva, (1996).The scale consists of 27 items, the items were scored as strongly disagree-1, disagree-2, undecided-3, agree-4, strongly agree-5 and for false keyed items, the reverse of the true keyed items were used. The data were analyzed using various statistical tools like simple percentage, independent t-test, and ANOVA. Findings of the Study Factors Medium Frequency Percent Age 65-Above 48 80% Gender Male 40 67% Type of family Nuclear Family 48 80% Well- Being status Moderate 42 70% Family income Rs.15001-Rs.20000 47 78% Occupation Private employment 07 12% Simple Percentage Analysis Majority (80%) of the respondents were in the age group of 65 years and above. More than half (67%) of the respondents were male. Majority (80%) of the respondents were from nuclear family. Majority (70%) of the respondents well-being status were moderate level. Majority (78%) of the respondents’ family income was found to be Rs. 15001-20000/-. Less than half (12%) of the respondents were employed in private concern.
  • 3. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1271 DISTRIBUTION OF THE RESPONDENTS BY LEVEL OF SPIRITUALITY AMONG AGED PEOPLE S. No Level of Spirituality No. of Respondents Percentage (%) 1 High 38 63.0 2 Moderate 12 20.3 3 Low 10 16.7 TOTAL 60 100 INTERPRETATION The above table depicts that (63%) of the respondents had high level of spirituality, (20.3%) of the respondents had moderate level of spirituality and (16.7%) of the respondents had low level of spirituality. Influence of personal profile and spirituality and well- being of the respondents There is significant difference between the age and spirituality & well- being of the respondents. There is no significant difference between the gender and spirituality & well- being of the respondents. There is significant difference between the type of family and spirituality & well- being of the respondents. There is significant difference between the well- being and spirituality & well- being of the respondents. There is no significant difference between the occupation and spirituality & well- being of the respondents. There is no significant difference between the income and spirituality & well- being of the respondents. Recommendations A healthy spiritual practice may include examples of volunteerism, social contributions, belonging to a group, fellowship, optimism, forgiveness and expressions of compassion. Spiritual wellness provides aged people with trust, beliefs, morals, ethics, principles and morality. Spiritual wellness allows one to realize his or her own belief and moral systems and establish one’s feeling of purpose and find meaning in life events. Spiritual interventions may include activities such as spiritual counseling, meaning-focused meditation, or psychotherapy. Increased levels of spirituality may be associated with improved resilience. Promoting better diet and exercise or easier access to a General Practitioner to improve overall health and well‐being. Appreciation of spiritual and moral values increases the life span of the older person. CONCLUSION Professionals in social work play different responsibilities at different stages of managing geriatric care. There is evidence that suggests there is a link between spirituality and wellbeing. The results of this study showed that spirituality has a positive effect on and a relationship with well-being in older adults. People who are spiritual are often happy and fit along with society. High spirituality among the elderly helped them better control their well-being. People typically grow too near to God as they age because they no longer seek things like sex, success, or status. REFERENCES [1] As in Journal of Economic Literature Health, education, and welfare JEL: I Subcategories at JEL: I3 -Welfare and Poverty. [2] Dalby P: Is there a process of spiritual change or development associated with ageing? A critical review of research. Aging Ment. Health10, 4–12 (2006). Variables Statistical tool Value Result Age and spirituality and well- being of the respondents ANOVA F= .040 T<0.05 Significant Gender and spirituality and well- being of the respondents t-test t = 1.051 p>0.55 Not-Significant Type of family and spirituality and well- being of the respondents ANOVA F= .000 T<0.05 Significant Well- being and spirituality of the respondents t-test t = .050 p<0.05 Significant Occupation and spirituality and well- being of the respondents ANOVA F= .353 P>0.35 Not-Significant Income and spirituality and well- being of the respondents ANOVA F= .943 P>0.45 Not-Significant
  • 4. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD52596 | Volume – 6 | Issue – 7 | November-December 2022 Page 1272 [3] Diener, E., Suh, E. M., Lucas, R. E. & Smith, H. L. (1999). Subjective well-being: Three Decade of progress. Psychological Bulletin, 125(2): 276-302 [4] Jang, E. & Kim, S. (2003). Study on spiritual happiness of aged people in the people. Journal of Korean erotological nursing, 5(2): 193-204. [5] King, Y. & Seidlitz, L. (2013). Faith, Spirituality and psychological wellbeing: results from a national study of English households. Journal of psychiatry, 202(1), 68- 73. [6] Koenig HG, McCullough ME, Larson DB: Handbook of Religion and Health. Oxford University Press, NY, USA (2001). Impact of Spirituality on Well-Being among Old Age People [7] Koenig HG: Research on religion and aging: an annotated bibliography. Westport CT (Ed.). Greenwood Press, Buckinghamshire, UK (1995). [8] Lee, M. K. (2002). Relationship between Perceived Family Support and Spiritual Well- Being in Elderly Master Thesis, Yonsei University, Korea. [9] Lee, S. (2003). the connection of Spiritual Well-Being, aloneness and living Satisfaction of the Elderly in Local Church. Master Thesis, Kosin University, Korea. [10] Miller, W. R. and Thorenson, C. e. (2000) spirituality and health. In miller, W. R. (Ed.) integrating spirituality into treatment, Washington, D. C.: American Psychological Association, 3-18. [11] Moberg DO: Research in spirituality, religion and aging. J. Gerontol. Soc. Work45, 11–40 (2005). [12] Moberg DO: Aging and Spirituality: Spiritual Dimensions of Aging Theory, Research, Practice, and Policy. The Haworth Pastoral Press. Binghamton, NY, USA (2006). [13] Reed, P. G. (1992). An up-and-coming paradigm for the investigation of spirituality in nurture. Research in Nursing and Health. 15: 349-347. [14] Swinton, J. (2001). Spirituality and psychological health care: Rediscovering a ‘forgotten’ dimension. Jessica Kingsley Publishers; London and Philadelphia [15] Tanyi, R. A. (2002). Towards clarification of the meaning of spirituality. Journal of Advanced Nursing, 39(5): 500-509 [16] Wright, L. M. (2005). Spirituality, Suffering and Illness: Ideas for healing. Lisa B. Deitch. [17] WHO Regional Office for the Western Pacific (2000, June 26) Social Development and Ageing: Crisis or Opportunity. Retrieved November, 9, 2006 from http: //www.who.int/ageing/publications/developme nt/alc_social_development.pdf [18] Wullf, D. M. (1996). the psychology of religion: an overview. In E. P. Shapraspe (Ed.) Religion and clinical practice of psychology, Washington, D. C.: American psychological association, pp. 43-70. [19] Daaleman TP, Frey BB. (2004). the spirituality directory of happiness: A new implement for health-related quality of living. Annals of Family Medicine, 2: 499–503. [20] Haase, J. E., Britt, T., Coward, D. D., Keidy, N. K., &Penn, P. E. (1992). Simultaneous thought psychiatry of spiritual perception, hope, taking and self-transcendence. likeness: Journal of Nursing Scholarship, 24, (2), 141-147. [21] Reed, P. G. (1986). Developmental resources and depression in the elderly. Nursing Research, 35(6), 368-374.