The structure of death anxiety: a factor analytic study.

University students in Canada (n = 255) and Northern Ireland (n = 315), graduate nursing students (n = 124), funeral service students (n = 79), and members of the Unitarian Fellowship (n = 83) completed Templer's Death Anxiety Scale (DAS). The responses of each group were subjected to principal components factor analysis using varimax rotational procedures and the factor scores derived from this analysis were then contrasted using multiple discriminant function analysis. Results indicated that there was more commonality than uniqueness in the factor patterns for these groups. Four common death anxiety patterns were classified as follows: (a) cognitive-affective concerns; (b) concern about physical alterations; (c) concern about the passage of time; and (d) concern about stressors and pain. These factors are consistent with and extend the views expressed in previous research (i.e., Pandy, 1974-75; Pandy & Templer, 1972.     

Death Anxiety Among University Students in Northern Ireland and Canada

Male and female university students in Northern Ireland (n = 315) and Canada (n = 255) completed Templer's Death Anxiety Scale (DAS) and the Taylor Manifest Anxiety Scale (MAS). Results of a discriminant function analysis indicated that Canadian students showed more concern about being afraid to die and thoughts of death, while students from the North of Ireland were more concerned about getting cancer, the shortness of life, and the viewing of a corpse. However, total DAS scores failed to show significance between group differences (p >.10). Correlations between DAS and MAS total scores were r =.34 for Northern Ireland and r =.31 for Canadian students.     

Identity and death anxiety

Sixty-three male Caucasian undergraduates were involved in a study examining possible relationships between death anxiety and Erikson's concept of ego identity. Participants were administered Marcia's Ego Identity Status Interview and Templar's Death Anxiety Scale (DAS) in counterbalanced order. A one-way analysis of variance revealed a significant main effect of ego identity status on DAS scores. One identity status, moratorium, was associated with significantly higher DAS scores than the other three statuses. Diffusion, foreclosure, and achievement statuses did not significantly differ on DAS scores.     

Comparison of death anxiety in two groups tested during and after (1986 and 1991) the Lebanese Civil War

Death anxiety was assessed in two groups, one during the civil war in Lebanon (1986) and one after the cessation (1991). For two samples (n1=673, n2=616) of Lebanese male and female secondary school and university students no significant mean between-group (time) differences were found. However, the females had higher mean scores on death anxiety in all comparisons     

Attitudes towards the old and death,and spiritual well-being

The purpose of this research was to determine the interrelationship of attitudes towards older people, death attitudes, and the spiritual well-being of 300 nursing students. Instruments employed were Kogan's Old People Scale, the Death Anxiety Scale, the Death Depression Scale, and the Spiritual Well-being Scale. Pearson product-moment correlation coefficients and multiple-regression analysis were used to test the hypotheses. Hypotheses were supported predicting an inverse relationship between attitudes towards older people and death anxiety and death depression (p<.01), and a positive relationship between spiritual well-being and negative attitude towards older people (p<.01). Data did not support the hypothesis that death attitudes and spiritual well-being would account for greater variance in attitudes towards older people than either single variable alone. From a step-wise multiple-regression analysis, race/ethnicity and death attitudes together accounted for 21% of the variance in attitudes towards older people. Study results demonstrated that Caucasian nursing students hold positive attitudes toward older people. Implications for health care are discussed with particular emphasis on potential strategies for education.     

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.     

Attitude towards euthanasia in relation to death anxiety among a sample of 343 nurses in India

Scores on Attitude towards Euthanasia were correlated with scores on Death Anxiety among 343 female nurses in India using Templer's Death Anxiety Scale and the authors' 24-item attitude scale. No significant correlation was found between the two sets of scores (r = -.09) or a nonlinear score on relation. Age of nurses was not significantly related to Attitude towards Euthanasia (r = .07) or Death Anxiety (r = .11). As measured, death anxiety has no bearing on attitude about euthanasia.     

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.     

Risk-taking, death anxiety, and dreaming

Dream characteristics of 29 women from a graduate program were correlated with scores on the Sensation-Seeking and Death Anxiety scales. Significant positive correlations were obtained between Sensation Seeking and dream frequency (.38), meaningful dreams (.38), and Openness and depth of dreaming (.39) as well as between Thrill-seeking and dream frequency (.41) and meaningful dreams (.41). Death Anxiety scores positively related to the occurrence of nightmares (.37), representations of death in dreams (.55), and recurring nightmares (.38), but no support was found for a relationship between death anxiety and Sensation Seeking.     

Decreased approach motivation in depression

The present study examined relations between choice preference and reaction time to emotionally valenced words, dysphoric symptoms (BDI), and dysfunctional attitudes (DAS) in clinically depressed (CD; n= 61), previously depressed (PD; n= 42), and never depressed controls (ND; n= 46). The results showed: (1) NDs and PDs exhibited a choice preference for the relatively more positive words and differed significantly from CDs; (2) PDs and CDs exhibited longer reaction time and differed significantly from NDs; and (3) BDI and DAS were positively associated with reaction time to positively valenced words, whereas no associations were found for reaction time to negatively valenced words. The increased reaction time, in PDs and CDs, is discussed as a possible vulnerability factor to depression, which may be related to decreased approach motivation.     

The development and validation of a Fear of Death Scale based on the cognitive approach of Avicenna

ABSTRACT

The aim of this study was to develop a culturally sensitive approach assessment instrument that measures cognitive beliefs related to Iranian Muslim salient fear of death. This paper discusses the development and validation of Avicenna Fear of Death Scale (AFDS). The results of confirmatory factor analysis resulted in an instrument (AFDS) consisting of five cognitive concerns related to the fear of death including complete annihilation, severe pain of death, consequences of sins, interpersonal attachment, and attachment to estate. Twenty-two statements overall were offered using a Likert scale to measure related cognitive beliefs. Results from a convenience sample of 291 college students, showed the AFDS to have favourable psychometric properties (e.g., adequate reliability and validity). The total alpha coefficient was .85, suggesting that the items have relatively high internal consistency and the item-total correlation between .28 and .63 (p<.001) indicates that the items are discriminating well. Overall, results suggest that cross-cultural differences render a culturally sensitive approach to assessment and diagnosis essential, and therefore a culture-based scale like Avicenna AFDS might be fruitful extensions of the current death anxiety scales like Templer Death Anxiety Scale within the context of Iranian-Islamic culture. This diagnostic tool can help in the cognitive treatment of fear of death.     

Death anxiety and sexual risk-taking: different manifestations of the process of defense

College students(n = 162) completed measures of death anxiety and sexual risk-taking, with a thought listing procedure in-between. Those who completed the death anxiety measure first (Death Salient condition) reportedgreater willingness to engage in high-risk sexual behavior than the Non-Death Salient group. This result was consistent with the hypothesis that evoking death anxiety would produce denial-based defensive activity. Also, Death Salient participants reporting more death thoughts were lower on risk-taking, as predicted. Interestingly, Death Salient participants reporting stressful thoughts about issues unrelated to personal mortality (displacement) were also less willing to engage in high-risk sexual behavior. The results are discussed in relation to a new, avowal-based model of the process of psychological defense.     

Death anxiety and sexual risk-taking: different manifestations of the process of defense

College students(n = 162) completed measures of death anxiety and sexual risk-taking, with a thought listing procedure in-between. Those who completed the death anxiety measure first (Death Salient condition) reportedgreater willingness to engage in high-risk sexual behavior than the Non-Death Salient group. This result was consistent with the hypothesis that evoking death anxiety would produce denial-based defensive activity. Also, Death Salient participants reporting more death thoughts were lower on risk-taking, as predicted. Interestingly, Death Salient participants reporting stressful thoughts about issues unrelated to personal mortality (displacement) were also less willing to engage in high-risk sexual behavior. The results are discussed in relation to a new, avowal-based model of the process of psychological defense.     

The Comparison of Death Anxiety,Obsession, and Depression Between Muslim Population with Positive and Negative Religious Coping

Death anxiety, obsession, and depression constitute three dimensions of death distress which can be influenced by religious coping in religious individuals. The aim of this study was to compare death anxiety, depression, and obsession between Muslims with positive and negative religious coping. In a cross-sectional study, a sample of 339 participants were selected via stratified random sampling method. The participants were screened using the Brief Religious Coping Scale, in which 60 individuals were identified to have positive religious coping and 62 individuals were recognized as individuals with negative religious coping. They responded to Death Anxiety Scale, Death Obsession Scale, and Death Depression Scale. The data were analyzed using factor analysis and multiple analysis of variance. The results of principal component analysis showed that death anxiety, death obsession, and death depression were separate factors of death distress. The results also revealed that individuals with negative religious coping gained higher scores than those with positive religious coping in all the three variables of death anxiety, obsession, and depression. Consistent with the previous studies and Terror Management Theory, this finding lays emphasis on the role of positive religious coping in reducing death distress and the possible consequent psychopathology.

     

Satisfaction with life and death distress

A convenient sample of 568 Egyptian female nursing undergraduates (M age = 19.5 yr., SD = 1.6) was recruited. Their scores on the Satisfaction with Life Scale were correlated with scores on the Death Anxiety Scale, Arabic Scale of Death Anxiety, Death Depression Scale-Revised, and the Death Obsession Scale. Pearson correlations were significant but small [-.15, -.18, -.14 (p < .01) and -.08 (ns), respectively], indicating their predictive and practical value is negligible.     

Psychometric properties of the Death Anxiety Scale (DAS) among HIV/AIDS patients

AIDS patients and HIV carriers who are aware of their condition are under multiple kinds of stress with adverse effects on their emotional state and personal and social activity. This paper reports the psychometric properties of the DAS (Death Anxiety Scale) using the Spanish version in the clinical setting. The sample is made up of 148 HIV/AIDS patients (109 men and 39 women). The internal consistency of the scale was .72 and its test-retest reliability was .70. Principal components analysis extracted five factors that jointly accounted for 56.5% of the total variance. As, on the whole, these results are very similar to those reported by other authors, it is concluded that the Spanish DAS is a valid instrument for the assessment of death anxiety in Spanish HIV/AIDS patients.     

Assessment of death attitudes: an empirical approach

The Threat Index and the Death Anxiety Scale were administered to 228 subjects. Based on the high/low criterion scores, 105 subjects were assigned to the following four groups: (a) high death threat/high death anxiety, (b) high death threat/low death anxiety, (c) low death threat/high death anxiety, and (d) low death threat/low death anxiety. During the experimental phase of the study, subjects viewed a filmstrip on death rituals in various cultures. A recall test was then administered. Results indicated no significant group differences on recall performance. Initial no-show rates for the second part of the experiment were observed in the four groups reflecting a significant negative relationship between death anxiety and initial no-show rates. The possibility of defensive responding on the Death Anxiety Scale was suggested.     

Intrinsic religious motivation and attitudes toward death among the elderly

Forty-five males and females ages 65 and older completed the Intrinsic Religious Motivation Scale, a measure of faith development (based on Fowler, 1981), and two multidimensional measures of death anxiety (the Collett-Lester Fear of Death Scale-Revised and the Multidimensional Fear of Death Scale). Individuals with intrin-sic religious motivation reported significantly lower levels of various types of death anxiety than did individuals with extrinsic religious motivation. No significant rela-tionships were found between stage of faith and attitudes toward death and dying.     

The Assessment of Marital Adjustment with Chinese Populations: A Study of the Psychometric Properties of the Dyadic Adjustment Scale

This article presents findings from a study of the psychometric properties of the Dyadic Adjustment Scale (DAS) with 63 Chinese-Americans. The analysis revealed high internal consistency for DAS scores. Coefficient alpha for the total DAS score was r = .93. Convergent validity was established with the Locke-Wallis Marital Adjustment Scale (LWMAT) (r = .87) and divergent validity by evidence of an inverse relationship with the Marital Disaffection Scale (MDS) (r = –.79). Correlations with each measure were found to be (p = 0.01). The result of factor analysis fail to support the presence of four separate subscales. Results show that the global DAS score is of potential utility with Asian samples.