Death anxiety in Egyptian samples

The present research was an attempt to determine the Egyptian death anxiety level and correlates, and to compare such data with those of Americans. The sample consisted of 673 Egyptian males and 770 females in 13 subgroups. The Arabic version of the Templer's Death Anxiety Scale (DAS) was administered. Testing bilingual Ss, test-retest reliability and factorial validity of the DAS in Egyptian Ss has been adequately demonstrated. However, split-half reliability was not high. The mean DAS scores for Egyptians were a little higher than those of Americans. Egyptian females had higher DAS scores than males. The DAS correlates significantly with the Manifest Anxiety Scale and State-Trait Anxiety Inventory. However, DAS correlates with Trait Anxiety more than with State Anxiety. There is a significant correlation between the DAS and the Neuroticism subscale of the Eysenck Personality Questionnaire. Death anxiety and general anxiety constitute two distinct factors.     

Death anxiety in Japan and Australia

This study compared death anxiety ratings as measured by the Templer Death Anxiety Scale (Templer, 1970) in 121 Japanese and 139 Australian subjects. Japanese subjects had significantly higher death anxiety scores than their Australian counterparts. Australian women scored significantly higher than Australian men, but no sex differences were found in the Japanese sample. A slight but statistically significant positive correlation was found between age and death anxiety scores. This study contradicted other research that indicated that Eastern cultural attitudes mitigated anxiety about death. These findings are discussed in relation to the complex relationship between culture and death anxiety as well as in relation to problems inherent in our current conception of death anxiety.     

Death anxiety and death depression in Spanish nurses

This study examined the dimensional structure of Tomás-Sábado and Gómez-Benito's Death Anxiety Inventory and Templer, et al.'s Death Depression Scale-Revised. The responses of 244 Spanish nurses to the Spanish forms of both scales were evaluated by means of a principal axis factor analysis with direct Oblimin rotation. Five significant factors were identified: Internally Generated Death Anxiety, Death Depression, Externally Generated Death Anxiety, Death Threat, and Death Sadness, accounting for 51.6% of the variance. The distribution of the factor loadings for the items of both scales on the five factors supported the discriminant validity of the constructs specific to each of the scales and justified their use in evaluating death anxiety and death depression independently.     

Death anxiety in Spain and five Arab countries

The present study compared death anxiety among volunteer undergraduates from Spain and five Arab countries, i.e., Egypt, Kuwait, Qatar, Lebanon, and Syria. The Templer Death Anxiety Scale was used in its Spanish and Arabic forms, respectively. The Mean for the Spanish sample was lower than that of their Arabic counterparts in the five countries, whether the subjects were men or women.     

Death anxiety and death obsession in Spanish students

This study examined the dimensional structure of Templer's Death Anxiety Scale and Abdel-Khalek's Death Obsession Scale. The responses of 289 Spanish students to the Spanish forms of both scales were evaluated by means of a principal components analysis with varimax rotation. Three significant factors were identified: Death Obsession, Cognitive-Affective, and Death Anxiety. The distribution of the factor loadings for the items of both scales on Factors 1 and 3 supported the discriminant validity of the constructs specific to each of the scales, while Factor 2 showed a common component in both scales characterized by cognitive and affective aspects in relation to the idea of death.     

Death anxiety, dissent, and competence

A total of 64 male undergraduates were administered a multistage interview which was structured to assess (a) their level of overtly expressed death anxiety, (b) covert (GSR) arousal to death stimuli (c) self-perceived competence, and (d) agreement with or dissent from life threatening national policies. The analyses that followed were concerned with examining the relationships among these variables. In previous studies of this kind it had been typically found that (1) self-perceived competence and magnitude of expressed death concern are inversely related and (2) overt expressions of death concern and covert physiological arousal to death cues are inversely related. Psychodynamic formulations centering on the ego-defensive nature of inhibited expressions of death anxiety have been cited to explain these past data. The current investigation proposed that the magnitude of expressed death concern would bear an inverse relationship to both felt competence and covert death arousal only when the level of overt concern was not contingent upon the individual's attitudes concerning the imminence of real life threatening circumstances in the environment. The rationale behind these predictions inheres in the notion that the neurotic components of strongly expressed death anxiety derive from its lack of anchoring in "real" external threats. Conversely, the expression of low death fear can only be regarded as "defensive" when real threats are perceived and acknowledged. The obtained results strongly support this rationale and the discussion centers on the impact of social conditions on psychodynamic processes.     

Anticipation of interoceptive threat in highly anxiety sensitive persons

Anticipatory anxiety plays a major role in the etiology of panic disorder. Although anticipatory anxiety elicited by expectation of interoceptive cues is specifically relevant for panic patients, it has rarely been studied. Using a population analogue in high fear of such interoceptive arousal sensations (highly anxiety sensitive persons) we evaluated a new experimental paradigm to assess anticipatory anxiety during anticipation of interoceptive (somatic sensations evoked by hyperventilation) and exteroceptive (electric shock) threat. Symptom reports, autonomic arousal, and defensive response mobilization (startle eyeblink response) were monitored during threat and matched safe conditions in 26 highly anxiety sensitive persons and 22 controls. The anticipation of exteroceptive threat led to a defensive and autonomic mobilization as indexed by a potentiation of the startle response and an increase in skin conductance level in both experimental groups. During interoceptive threat, however, only highly anxiety sensitive persons but not the controls exhibited a startle response potentiation as well as autonomic activation. The anticipation of a hyperventilation procedure thus seems a valid paradigm to investigate anticipatory anxiety elicited by interoceptive cues in the clinical context.     

Comorbid anxiety and mood disorders among persons with social anxiety disorder.

Axis I comorbidity is associated with greater severity of social anxiety disorder. However, the differential effects of comorbid mood and anxiety disorders on symptom severity or treatment outcome have not been investigated. We evaluated 69 persons with uncomplicated social anxiety disorder, 39 persons with an additional anxiety disorder, and 33 persons with an additional mood disorder (with or without additional anxiety disorders). Those with comorbid mood disorders reported greater duration of social anxiety than those with uncomplicated social anxiety disorder. They were also judged, before and after 12 weeks of cognitive-behavioral group treatment and at follow-up, to be more severely impaired than those with no comorbid diagnosis. In contrast, persons with comorbid anxiety disorders were rated as more impaired than those with no comorbid diagnosis on only a single measure. Type of comorbid diagnosis did not result in differential rates of improvement of social anxiety disorder.     

Death anxiety: A hidden factor in countertransference hate

We suggest that when diffucult patients attack our grandiosity and sense of self, we are vulnerable to countertransference anxieties similar, if not identical, to the kind existentialists refer to as ontological. The latter refers specifically to a threat to our psychological equilibrium and is meant to describe the utter ambivalence we associate with death anxiety. In this paper, we are proposing the presence, in certain therapeutic situations, of just such counter-transference reactions to so-called aversive patients. We believe that terms like aversive, obnoxious, or impossible are professional euphemisms used to mask the degree of anxiety we often feel, and that there is a collusion present both within and without our profession, especially in psychotherapeutic and psychoanalytic centers, which keeps us from exploring death-related issues within ourselves as well as in our patients.He is Director of Psychological Services at the Parkside Weight Loss Clinic, an interdisciplinary eating disorders program affiliated with the Lutheran General Health Care System.     

Death anxiety and a Taoist orientation in two cultures

A negative association between having a Taoist orientation to life and death anxiety was found for a sample of 99 American students but not in a sample of 100 Turkish students.     

Death anxiety and counseling skill in the suicide interventionist

In light of recent evidence that suicide intervention workers may experience greater fear of death than the general population, the present study examined the death anxiety of interventionists and its relation to skill in responding to suicidal clients. A sample of 109 suicide prevention workers from three independent crisis centers were administered the Death Anxiety Scale (Templer, 1970) and the Suicide Intervention Response Inventory (Neimeyer & MacInnes, 1981). Compared to 109 matched controls, the interventionists were found to have significantly lower death anxiety, thereby reversing the earlier finding. Moreover, no linear or curvilinear relationship between death anxiety and suicide counseling skill could be identified. Together, these results give some justification to the traditional neglect of death concern as a factor in screening or training crisis intervention personnel.     

Death anxiety as a semantic conditioned suppression paradigm

Death anxiety and more severe forms of thanatophobia are encountered frequently in the clinical population. However, approaches that allow behavioral solutions to these experiences are conspicuously absent in the literature. From an operant perspective, death anxiety arises from repeated exposures to direct and implicit forms of the statement "I will die". It is the semantic equivalent of a conditioned suppression paradigm. Historically, the human organism has attempted to reduce the aversive consequences of this reinforcement schedule by extinguishing one of its three components. The "solutions" characterize the fundamental philosophical and religious treatments of death anxiety. A behavioral semantics approach is proposed as suitable for dealing with death anxiety of a religious, educated young adults, particularly those dying of terminal diseases.     

Death anxiety in cancer survival: a preliminary cross-validation study

In an attempt to cross-validate the results with cancer survivors and to test its sensitivity to illness-related variables, the Death Anxiety Questionnaire (DAQ) was administered with measures of general anxiety, depression, somatization, and global psychological distress to 90 young adult men (60 Hodgkin's disease survivors, 30 testicular cancer survivors). There were no differences between groups on any of the dependent measures. Significant but weak to moderate intercorrelations confirmed that death anxiety is separate but related to general anxiety, depression, somatic distress, and global psychological distress. The DAQ was the most highly correlated with time elapsed since diagnosis, but no measure was significantly associated with extent of the disease at diagnosis (i.e., prognosis). Factor analysis of the DAQ provided confirmation of its multidimensionality and lent partial support to the presence of previously reported specific dimensions. The factor structure of the DAQ in cancer survivors may be different from that in the general population. Further study is needed to examine this aspect.     

Neural systems involved in fear and anxiety measured with fear-potentiated startle

A good deal is now known about the neural circuitry involved in how conditioned fear can augment a simple reflex (fear-potentiated startle). This involves visual or auditory as well as shock pathways that project via the thalamus and perirhinal or insular cortex to the basolateral amygdala (BLA). The BLA projects to the central (CeA) and medial (MeA) nuclei of the amygdala, which project indirectly to a particular part of the acoustic startle pathway in the brainstem. N-methyl-D-aspartate (NMDA) receptors, as well as various intracellular cascades in the amygdala, are critical for fear learning, which is then mediated by glutamate acting in the CeA. Less predictable stimuli, such as a long-duration bright light or a fearful context, activate the BLA, which projects to the bed nucleus of the stria terminalis (BNST), which projects to the startle pathway much as the CeA does. The anxiogenic peptide corticotropin-releasing hormone increases startle by acting directly in the BNST. CeA-mediated behaviors may represent stimulus-specific fear, whereas BNST-mediated behaviors are more akin to anxiety. NMDA receptors are also involved in extinction of conditioned fear, and both extinction in rats and exposure-based psychotherapy in humans are facilitated by an NMDA-partial agonist called D-cycloserine. ((c) 2006 APA, all rights reserved).