believe that merely decoding the loneliness in older adults based on the existence or absence of communication is not enough; what is more important is the quality of communication. 
They showedthat imbalanced interactions increase mental disorders in such a way that older adults who have inappropriate and unusual interactions show more signs of mental disorders when compared with those with balanced, normal,and stable interactions. 
Communication skills education is a tool for helping older adults and their caregivers make more balanced and stable communication,modify their inappropriate behaviors, and prevent destructive interactions.