Generativity affects fear of death through ego integrity in German,Czech, and Cameroonian older adults |
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| Affiliation: | 1. Hospital Israelita Albert Einstein, São Paulo, Brazil;2. Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark;3. Bispebjerg Hospital, Copenhagen University - Department of Geriatrics;4. Danish Stroke Center, Aarhus University Hospital and Department of Clinical Medicine, Aarhus University, Aarhus, Denmark;1. La Trobe Rural Health School, La Trobe University, Albury Wodonga Campus, University Drive, Wodonga 3690, Australia;2. Rural Aged Care, La Trobe University, Albury Wodonga Campus, University Drive, Wodonga 3690, Australia;1. Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany;2. Faculty II – Institute of Psychology, Developmental Psychology and Clinical Psychology of the Lifespan, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany;3. Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center, Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany;4. Institute of General Practice, Medical Faculty, Kiel University, Christian-Albrechts-Platz 4, 24118 Kiel, Germany;5. Institute of General Practice, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany;6. Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Theodor Kutzer-Ufer 1 – 3, 68167 Mannheim, Germany;7. Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany;8. Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Ritterstraße 26, 04109 Leipzig, Germany;9. Department of Psychiatry, Technical University of Munich, Arcisstraße 21, 80333 Munich, Germany;10. Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany;11. German Center for Neurodegenerative Diseases (DZNE), Venusberg-Campus 1/99, 53127 Bonn, Germany |
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| Abstract: | This cross-cultural study examined a potential direct effect of generativity and indirect effect through ego integrity on fear of death. In sum, 617 adults aged 60–86 from Germany, the Czech Republic, and Cameroon provided self-report information on their generative concern, ego integrity, and fear of death. Whereas it had no direct effect, generativity had an indirect effect on fear of death: It was associated with increased ego integrity which, in turn, was associated with reduced fear of death. This pattern was verified for the three cultural groups via structural equation modeling. Results suggest that generativity is not sufficient in coming to terms with one’s mortality. Instead, generativity contributes to ego integrity which then helps to face death relatively unafraid. |
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| Keywords: | Generativity Ego integrity Fear of death Culture |
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