“…11 , 18 , 19 Recent studies have found that both receiving support from and providing support to adult children or grandchildren can improve the family status of older adults, increase their self-esteem and feelings of commitment to others, and enhance their life satisfaction. 20 , 21 In addition, the size of older adults’ social networks, their frequency of contact with relatives and friends, and the support received from children have all been found to be negatively associated with the sense of loneliness, possibly because sense of loneliness usually stems from feelings of being isolated from significant relationships and being rejected by others. 18 , 22 Sense of loneliness, which is characterized by feelings of depression and anxious response to social isolation, 23 is a distressing problem faced by many older adults.…”