Death Anxiety as a Function of Aging Anxiety

To assess how different facets of aging anxiety contributed to the prediction of tangible and existential death anxiety, 167 Americans of various Christian denominations completed a battery of questionnaires. Multiple regression analyses, controlling for demographic variables and previously demonstrated predictors of death anxiety, revealed that the aging anxiety dimensions of physical appearance concern and fear of losses each positively predicted tangible death anxiety. In addition, the aging anxiety dimension of fear of losses predicted existential death anxiety. Results are discussed with respect to the multifaceted nature of death anxiety and how different forms of aging anxiety contribute to anxieties about death.     

Death anxiety in brain tumour patients and their spouses

When a person is diagnosed with a severe disease, it seems plausible that existential questions and death anxiety are easily intensified. The aims of this study were to explore whether this is the case, to what extent patients and their next of kin experience death anxiety, and how these experiences are expressed. Following a purposive sampling technique, 20 patients with brain tumours and 15 of their next of kin took part in interviews. A content and context analysis were performed using a hermeneutic approach, in order to identify and analyse main categories. Six main categories common to patients and their next of kin emerged during the process: (1) emotional reactions that could be related to death anxiety and included general anxiety, anguish, sadness, hope and despair; (2) existential fear, existential anxiety and existential pain; (3) contradictions; (4) trigger situations; (5) coping strategies related to death anxiety; and (6) new values for life. Besides these categories, a further category emerged, experiences characteristic of the next of kin. The study shows that both the patients and their next of kin are preoccupied with existential thoughts and death anxiety. The problems are easily overlooked as the death anxiety is not always expressed directly. Staff need to be more aware of these situations in order to provide existential support.     

Individual defenses against death anxiety

Early deprivation experiences, trauma, separation anxiety, and the corresponding development of psychological defenses set the stage fm an individual's method of coping with death anxiety. Thereafter, people accommodate to the fear of death to varying degrees, through the withdrawal of energy and emotional investment in life-affirming activities and close, personal relationships. The author proposes that death anxiety is related to the degree of individuation and self-actualization. Concerns about death increase as people relinquish defenses, reach new levels of differentiation of self, and expand their lives and persanal power Therapeutic progress poses an existential dilemma an that it increases one's feeling and investment in life and enlarges one's perception, freedom of choice, and personal experience. However simultaneously, one experiences the poignant pain surrounding the anticipated loss of a life that has become me meaningful and valuable.     

Death anxiety and attitudes toward the elderly among older adults: the role of gender and ethnicity

The article investigated the relationship between death anxiety, attitudes toward older adults, and personal anxiety toward one's own aging in a group of 197 older men and women. As predicted, negative attitudes toward other older adults were predicted by personal anxieties about aging and death, and, more specifically, fear of the unknown. In addition, several distinctive anxieties were noted for particular subgroups of respondents. Older women scored higher on the Fear of the Dead subscale of the Multidimensional Fear of Death Scale (MFODS) than did men. Caucasian participants displayed higher Fear of the Dying Process than did older African American participants. Lastly, older African American participants reported higher levels of death anxiety on 3 of the subscales of the Multidimensional Fear of Death Scale (Fear of the Unknown, Fear of Conscious Death, and Fear for the Body after Death) when compared with older Caucasian participants and also tended to accord less social value to the elderly. These findings are interpreted in terms of patterns of socialization, and their implications for end-of-life care preferences are noted.     

Relationship of death education tothe anxiety, fear, and meaningassociated with death

The present study compared the death anxiety and fear of death levels expressed by 29 students who had completed a death and dying course with a comparison group of 74 students. The results indicated that those enrolled in the than atology class reported significantly higher death anxiety at the end of the semester as measured by the Templer-McMordie Death Anxiety Scale (DAS), the Death Anxiety Questionnaire (DAQ), and the fear of death/dying factor of the Death Attitude Profile (DAP) scale. Than atology course participants who reported decreased death anxiety also reported that death provided more meaning than did those for whom death anxiety increased. The results suggest the different effect that a than atology course can have on individuals who purportedly share the same experience.     

Towards a definition of death anxiety

There is currently no consensus about what the notion of death anxiety means. This commentary explores the complexity of death anxiety, asserts the distinction between anxiety and fear, and attempts a definition that encompasses the many facets associated with the term.     

Death concern and attitudes toward the elderly in nursing home personnel

The present project investigated the relationship between death fear and threat, attitudes toward the elderly, and personal anxiety toward one's own aging in a group of 145 nursing home employees and a matched comparison group of 130 individuals who worked in non-death related occupations. Contrary to predictions, nursing home personnel did not have higher levels of death threat when compared to controls; in fact, control group subjects had higher levels of death concern on two dimensions of death fear (fear of the dead and fear of significant others dying). However, the results also indicated that increasing levels of death concern were associated with greater anxiety toward aging, especially in the nursing home sample, and nursing personnel displayed significantly fewer positive attitudes toward the elderly than did controls.     

Levels of death anxiety: a comparison of American and Lithuanian health and social service personnel

Globalization, coupled with increased attention to issues surrounding death, highlights the need to explore cultural influences on the social, personal, and psychological consequences of death. This study compared the responses of 82 American and 119 Lithuanian health and social service personnel on seven subscales of the Multidimensional Fear of Death Scale. Lithuanian participants were more likely to express fear of the dying process and fear of the unknown and were less likely to fear the dead than were Americans. The findings suggest that different historical and environmental experiences with death may influence anxiety about various dimensions of death. Cultural differences in the dimensions of death anxiety among health and social service providers in the two nations suggest the importance of differential training based on specific cultural knowledge to improve the quality of care.     

Correlates of death anxiety in Pakistan

To ascertain the effect of gender, age, and religiosity on death anxiety, 132 participants were interviewed using Templer Death Anxiety Scale and Collett-Lester Fear of Death Scale (CLS). Women, older participants, and less religious participants were found to be more scared of their impending death. Gender effect was more pronounced, however, on the CLS. Women and less religious people reported to experience greater anxiety than their respective counterparts about different dimensions of death, for example, the shortness of life, total isolation of death, fear of not being, and disintegration of body after dying. The findings of the current work indicate that the general predictors of death anxiety, gender, age, and religiosity reported in Western, predominantly Christian samples also hold in an Eastern, Muslim sample.     

Fear of falling and its relationship with anxiety, depression, and activity engagement among community-dwelling older adults

OBJECTIVE. This study examined (1) the relationship of fear of falling to depression, anxiety, activity level, and activity restriction and (2) whether depression or anxiety predicted fear of falling, activity level, activity restriction, or changes in activity level. METHOD. We administered the Survey of Activities and Fear of Falling in the Elderly; the Geriatric Depression Scale-30; and the Hamilton Anxiety Scale, IVR Version, during a one-time visit to 99 community-dwelling adults ≥55 yr old. RESULTS. We found significant relationships between (1) fear of falling and depression, anxiety, and activity level; (2) depression and anxiety; and (3) activity restriction and depression. Activity level was negatively correlated with activity restriction, fear of falling, depression, and anxiety. Anxiety predicted both fear of falling and activity level. Both anxiety and depression predicted activity restriction because of fear of falling and for other reasons. CONCLUSION. Occupational therapy practitioners should consider screening their older adult clientele for fear of falling, anxiety, and depression because these states may lead to fall risk and activity restriction.     

The existential effects of traumatic experiences: a survey of young adults

This study examined the relation between exposure to trauma and attitudes toward existential issues. Participants were 504 undergraduate students (average age = 19.67) who answered questions on exposure to trauma, fear of death, overall distress, and meaning in life. Results indicated that those with a history of trauma exposure had higher levels of overall distress, but there were no differences in death anxiety or meaning in life. The results suggest that the positive outcomes (less fear of death and increased meaning in life) associated with exposure to traumatic events may be relatively rare, especially amongst younger adults.     

Differential dimensions of death anxiety in nursing students with and without nursing experience

Researchers have demonstrated death anxiety in nursing professionals; however, it is unclear as to when this anxiety develops. This study used a multidimensional measure to investigate death anxiety in a group of experienced (n = 53) and inexperienced (n = 49) nursing students and a control group of non-nursing students (n = 50). Experienced nursing students reported significantly more fear of the dying process than inexperienced nursing students and controls whereas both experienced and inexperienced nursing students reported more fear of the unknown than controls. The results suggest that death anxiety may develop early in a nurse's training.     

Death anxiety,perceived social support,and demographic correlates of patients with breast cancer in Pakistan

Abstract

Among several forms of miseries experienced by cancer patients, one of the significant experiential problems is the inevitable fear of death. The present study aimed at exploring the relationship between death anxiety, perceived social support, and different demographic variables. A sample of 80 breast cancer patients was recruited from different departments of oncology in Pakistan. Research findings revealed that death anxiety was negatively associated with social support. Moreover, it was found that education and marital status were associated with death anxiety among patients with breast cancer. Results suggest that social support assist in reducing death anxiety and enhance their recovery course.     

Social support and its relation to fear and anxiety in patients awaiting coronary artery bypass grafting

The purpose of this study was to ascertain social support resources available for patients awaiting coronary artery bypass grafting (CABG) and the effect of social support on their fear and anxiety. A postal questionnaire was sent to 270 patients awaiting CABG in one hospital, 207 of whom responded. Norbeck's Social Support Questionnaire (NSSQ) was used. The quality of basic cardiac information (QBCI) and the social support wanted (WSS) by patients were measured with an instrument developed for this study. Fear was measured with the Bypass Grafting Fear Scale (BGFS) developed for this study. Anxiety was measured with Spielberger's State-Trait Anxiety Inventory (STAI). The results were analysed using frequency and percentage distributions, cross-tabulation, non-parametric tests and logistic regression. Heart patients' spouses provided the most emotional and tangible aid. Low emotional support from the social network was associated with high anxiety. Half the patients rated the quality of basic information as good or excellent. Those who perceived the quality of information to be excellent experienced mild fear. Those who displayed high fear wanted informational support from nurses more often than patients with lower fear. We conclude that the fear and anxiety of patients awaiting CABG are connected with their social support resources.     

Encounters with offspring help terminally ill adult patients cope with death anxiety

This overview of recent work drawing on the theories of terror management and symbolic immortality suggests practical ways of helping the terminally ill to cope with death anxiety and its potential effects. The literature review shows that parenthood can act as an anxiety buffer mechanism against the fear of death but that individual differences, including attachment avoidance, moderate this association. Encounters with adult patients’ offspring may help minimize fear of death, improve coping, and increase quality of life and emotional well-being. Practical suggestions for psychologists, social workers and physicians are presented.     

Death anxiety in adult life—theoretical perspectives

This review presents several theoretical approaches relevant to the study of death anxiety in adult and old age. Several philosophical approaches (existential and logical) are considered. The review of psychological approaches includes theories, such as personal construct theory, that have made an important contribution to the study of death anxiety. Other theories, which have been used less extensively, or which have not been used at all in research on death anxiety, are reviewed for their relevance to this area. They include approaches such as the self-concept discrepancy theory or theories of intellectual development in middle and old age. The discussion identifies several challenges faced by researchers in this field: operationalization of vague theoretical concepts, creative application of theories, integration of several approaches, and use of appropriate methods such as longitudinal or experimental designs.     

Psychosocial correlates of death anxiety among Chinese college students

This study aims to explore various psychosocial correlates associated with how Chinese react to death and dying. A total of 282 Chinese college students participated in this study. They completed the Death Anxiety Scale, the Revised Death Anxiety Scale, and the Multidimensional Fear of Death Scale, as well as measures on self-efficacy and health locus of control. Results showed that younger as compared with older participants and women as compared with men tended to be more death anxious.Those with low levels of self-efficacy and external health control orientations were more likely to report a high level of death anxiety. Only a weak association was found between internal health locus of control and fear of conscious death. Limitations of the study were also discussed.     

Death anxiety in young adults as a function of religious orientation, guilt, and separation-individuation conflict

Seventy undergraduate participants between the ages of 19 and 30 were assessed with measures of death anxiety, religious orientation, separation-individuation conflict, and two dimensions of guilt (need for reparation and fear of punishment). A multiple regression with death anxiety as the criterion variable revealed the following variables, listed in order of their contributions to R2, to be significant predictors: fear of punishment, extrinsic religious orientation, need for reparation, and separation-individuation conflict. A model of death anxiety for young adults that addresses the developmental tasks of this stage is proposed.     

When sex hurts, anxiety and fear orient attention towards pain.

Hypervigilance for pain-relevant stimuli has been associated with anxiety, fear of pain and anxiety sensitivity. This attentional bias has been primarily investigated in heterogeneous pain groups or pain-free controls, but has not been examined in pain conditions where anxiety and fear are likely to play a central role. Due to the intimate and interpersonal nature of genital pain experienced during sexual intercourse, Vulvar Vestibulitis Syndrome (VVS) constitutes an ideal sample in which to investigate the role of cognitive and affective factors in pain perception and maintenance. Seventeen women suffering from VVS and an equal number of age and education matched control women completed an emotional Stroop and memory recall task in addition to a series of questionnaires assessing pain-hypervigilance, state and trait anxiety, fear of pain, and anxiety sensitivity. VVS sufferers reported hypervigilance for coital pain and also exhibited a selective attentional bias towards pain stimuli on the emotional Stroop task as compared with controls. This effect was predicted by state and trait anxiety and fear of pain. According to these data, treament strategies for VVS should target anxiety and fear in addition to sensory systems.     

Fear of fear and the anxiety disorders

The responses of 271 outpatients with diagnoses of agoraphobia with panic attacks, panic disorder, generalized anxiety disorder, social phobia, obsessive-compulsive disorder, or depression (major depressive disorder or dysthymic disorder) to the Agoraphobic Cognitions Questionnaire (ACQ) and the Body Sensations Questionnaire (BSQ) were examined. Agoraphobics scored significantly higher than all other groups on fear of body sensations associated with anxiety. In addition, agoraphobics, together with clients with panic disorder, had significantly higher scores on thoughts that physical illness would be caused by their anxiety. All clinical groups scored significantly higher than normal controls on thoughts that their anxiety would lead to social embarrassment or loss of control; there were no significant differences among clinical subjects on this measure, although agoraphobics' scores were higher than those of all other groups. In addition, analyses of data from 364 agoraphobics showed that the ACQ and BSQ predicted an important feature of agoraphobia—namely, self-reported avoidance behavior, even once the common variance of fear of fear with trait anxiety was partialed out. In summary, it appears that fear of fear is an important distinguishing characteristic among clients with anxiety disorders, and one that cannot be reduced to global psychological distress or trait anxiety.The authors wish to thank Aaron T. Beck, Gary Brown, and Gail Steketee, whose cooperation in data collection made this study possible; Nazareth Pantaloni, for his assistance in data analysis; and Carol Glass, for her helpful comments on an earlier draft of this paper.