A longitudinal survey of death anxiety in patients with newly diagnosed cancer / 中国心理卫生杂志

Objective:To investigate the level of death anxiety and its related factors in patients with newly diagnosed cancer at different stages.Methods:A total of 266 cancer patients in a tertiary oncology hospital were se-lected and investigated at admission(Tl),discharge(T2),and 1 month after discharge(T3).They were assessed with the self-compiled general information questionnaire,Templer's Death Anxiety Scale(T-DAS),Acceptance and Action Questionnaire Second Edition(AAQ-Ⅱ.),and the Chinese version of the Meaning in Life Questionnaire(C-MLQ).The Kruskal-Wallis H test and generalized estimating equation were used to analyze the level of death anxi-ety and its influencing factors in cancer patients at different time points.Results:The Kruskal-Wallis H test showed that the total T-DAS scores and the difference in the scores of the four dimensions were statistically significant at three time points(Ps＜0.01),with the highest T1 score and the lowest T3 score.The results of generalized estima-ting equation showed that male gender(β=1.25),junior high school education(β=2.59),worker(β=1.46),farmer(β=1.67),respiratory(β=1.74),digestive system tumor(β=2.51),and AAQ-Ⅱ score(β=0.23)posi-tively predicted death anxiety in patients with cancer.Head and neck(β=-1.73),breast tumors(β=-1.84),stage Ⅰ(β=-2.58)and stage Ⅱ tumors(β=-2.11),and C-MLQ score(β=-0.15)negatively predicted death anxiety in patients with cancer.Conclusion:Death anxiety in patients with newly diagnosed cancer is highest on ad-mission and gradually relieves after discharge.

Relationship between dyslexia syndrome and death anxiety in patients with primary liver cancer undergoing transcatheter arterial chemoembolization surgery: based on latent profile analysis / 中国实用护理杂志

Objective:To analyze the characteristics of demoralization in patients with primary liver cancer undergoing transcatheter arterial chemoembolization (TACE) and the differences of death anxiety among these types using latent profile analysis.Methods:Based on the cross-sectional design, 216 patients with primary liver cancer undergoing TACE of the First Affiliated Hospital of Zhengzhou University were selected by convenient sampling method from July 2018 to May 2021, and were investigated by using the general data questionnaire, Demoralization Scale and Templer′s Death Anxiety Scale.Results:A total of 139 cases (64.4%) with high demoralization and 120 cases (55.6%) with high death anxiety were detected. The patients were divided into four subtypes: 67 cases(31.0%) in the emotional distress group, 52 cases(24.1%) in the high risk group, 72 cases (33.3%) in the sense loss group, and 25 cases (11.6%) in the low risk group. Tumor stage and working status were the main factors affecting the characteristic classification of demoralization ( β=2.615, 2.085, both P<0.05). There were significant differences in death anxiety among different subtypes of patients ( H=77.00, P<0.01). Conclusions:The level of death anxiety is higher in patients with primary liver cancer after TACE surgery, and there are differences in different subtypes of patients with demoralization. Medical staff should formulate targeted intervention measures for different subtypes of patients to reduce their symptoms of demoralization and death anxiety.

The mediating effect of attentional bias of negative information between fatalism and death anxiety in lung neoplasms patients / 中国实用护理杂志

Objective:To explore the mediating effect of attentional bias of negative information between fatalism and death anxiety in lung neoplasms patients.Methods:This study was a cross-sectional study. It was convenient to select 312 lung neoplasms patients treated in the Department of Oncology, First Affiliated Hospital and Second Affiliated Hospital of Air Force Military Medical University the Chinese People′s Liberation Army, from April 2021 to April 2022 as the research subjects. Questionnaires were conducted with Fatalism Scale, Attention to Negative Information Scale, and Templer′s Death Anxiety Scale. Structural equation model were constructed based on self-regulatory executive function models.Results:The total score of fatalism, attentional bias of negative information, and death anxiety of 312 lung neoplasms patients were (61.68 ± 11.92) points, (39.57 ± 5.19) points, and (61.23 ± 9.30) points, respectively. Attentional bias of negative information was significantly positively correlated with fatalism ( r = 0.594, P<0.01). Death anxiety was significantly positively correlated with fatalism and attentional bias of negative information ( r = 0.494, 0.558, both P<0.01). Attentional bias of negative information played a partial mediating role between fatalism and death anxiety, and the mediating effect accounted for 37.7% of the total effect. The value of each fitness index of the mediation effect model was within the acceptable range. Conclusions:Attentional bias of negative information is an intermediary variable between fatalism and death anxiety of lung neoplasms patients. Nursing staff should pay attention to the level of attentional bias of negative information of lung neoplasms patients and carry out targeted nursing interventions from the emotional processing process to reduce the level of death anxiety in patients with lung neoplasms.

Attachment Styles And Death Anxiety Among Pregnant Women In Pakistan

@#The present study was designed to investigate the attachment styles and death anxiety among pregnant women. In order to meet the study objectives sample of (n=62) was recruited from hospitals of Rawalpindi (i.e., Maryam Memorial and Cantonment Hospital) and Islamabad (i.e., Shifa Medicine Hospital and Poly Clinic). Age range of the sample was 18 to 45 years. Attachment styles were assessed by Experience in Close Relationship Revised-Questionnaire (ECR-R) and death anxiety was assessed with Death Anxiety Scale. The findings revealed that there was significant positive correlation between attachment styles and death anxiety (p<0.05) and it was found that pregnant women scored low on secure attachment style. Younger pregnant women were high on preoccupied, fearful and dismissing attachment style as compare to older age pregnant women. Women with first pregnancy scored high on anxious, dismissing, and fearful attachment style as compare to women with second and third pregnancy. Pregnant women had pregnancy loss feel more death anxiety as compare to pregnant women with no history of pregnancy loss. ASEAN Journal of Psychiatry, Vol. 22 (2): March 2021: 1-10.

The hierarchical structure of fear of personal death: from the general factor to specific forms

Abstract Purpose In the present study, we aimed to integrate unidimensional and multidimensional perspectives of the construct of the fear of personal death (FOPD). It has been assumed that (a) there is one general factor of FOPD, reflecting the unidimensional perspective and that (b) FOPD assumes a hierarchical structure reflecting the multidimensional perspective. Methods We administered the Death and Dying Anxiety Inventory (FVTS, Ochsmann, 1993) to 1217 Polish participants (602 women and 615 men) aged between 18 and 89 ( M Age = 31.13; SD Age = 12.65). Results The results of the bi-factor model of the confirmatory factor analysis proved the existence of a FOPD general factor. Using the bass-ackwards approach, we provided evidence on the hierarchical structure of FOPD, which stresses that specific types of FOPD distinguished in the FVTS, which, on a higher level, make up the factors of threats to self-fulfilling existence, threats to well-being and threats of physical destruction, which in turn depend on the subject's perspective: the physical self and/or the symbolic self. Conclusion The current study demonstrates that unidimensional and multidimensional approaches to FOPD do not necessarily exclude one another. The unidimensional approach to FOPD seems to be most appropriate for studying the intensity of FOPD, while the multidimensional approach seems to be more suitable for studying the individual differences in how people give meaning to FOPD.

Phenomenological study on death anxiety in elderly inpatients with chronic diseases / 中国实用护理杂志

Objective To explain the true experience of death anxiety in elderly inpatients with chronic diseases, and provide a theoretical basis for hospice care. Methods The phenomenological study method was used to deeply interview the true feelings of death anxiety in 13 elderly inpatients with chronic diseases. Results Through analysis, collation and refinement, the five themes of death anxiety, life regret, death attitude, death reminder and final decision power. Conclusions As clinical medical workers, we must always pay attention to the death anxiety of elderly inpatients with chronic diseases and strengthen the assessment of death anxiety. In particular, patients with cancer and patients at the end of life are provided with personalized care to remind them of the meaning of life and reduce the anxiety level of death.

Phenomenological study on death anxiety in elderly inpatients with chronic diseases / 中国实用护理杂志

Objective@#To explain the true experience of death anxiety in elderly inpatients with chronic diseases, and provide a theoretical basis for hospice care.@*Methods@#The phenomenological study method was used to deeply interview the true feelings of death anxiety in 13 elderly inpatients with chronic diseases.@*Results@#Through analysis, collation and refinement, the five themes of death anxiety, life regret, death attitude, death reminder and final decision power.@*Conclusions@#As clinical medical workers, we must always pay attention to the death anxiety of elderly inpatients with chronic diseases and strengthen the assessment of death anxiety. In particular, patients with cancer and patients at the end of life are provided with personalized care to remind them of the meaning of life and reduce the anxiety level of death.

The Influence of Death Anxiety and Terminal Care Stress on Job Satisfaction of New Nurses / 산업간호학회지

PURPOSE: This study aimed to investigate the correlation between death anxiety, terminal care stress, and job satisfaction of new nurses, as well as to identify factors affecting job satisfaction using descriptive correlations.METHODS: This study included 143 new nurses who had 3 to 12 months of experience in terminal care. Data were collected from January to February 2018, and were analyzed using descriptive statistics, t-test, ANOVA, Scheffé́ test, Pearson's correlation coefficient, and hierarchical regression analysis.RESULTS: There was a negative correlation between job satisfaction and terminal care stress (r=−.170, p=.043), while death anxiety and terminal care stress were positively correlated (r=.284, p=.001). The following findings demonstrated a significant effect on job satisfaction: lesser the clinical career experience, the lower the job load causing death anxiety and terminal care stress, and the higher the job satisfaction. Furthermore, the explanatory power of these factors was 15.1%.CONCLUSION: To assist new nurses within three months of joining in clinical adaptation, it is necessary to provide them with appropriate knowledge regarding terminal care through training, and with counseling opportunities for the psychological burdens they experience while caring for dying patients.

The Farsi translation, reliability and validity of the Death Concern Scale / Tradução, confiabilidade e validade da Death Concern Death para a língua persa

Abstract Introduction: Death concern is a conscious contemplation of the reality of death combined with a negative evaluation of that reality. The Death Concern Scale (DCS) is related to thinking, and death fear or anxiety about death. The aim of the present study was to develop a Farsi version of the DCS and to explore its psychometric properties in a sample of Iranian nurses. Methods: A cross-sectional study was conducted to investigate the reliability, validity, and factorial structure of the Farsi version of the DCS in a convenience sample of 106 Iranian nurses in two hospitals in Tehran, Iran. The nurses completed the DCS, the Collett-Lester Fear of Death Scale (CLFDS), the Death Anxiety Scale (DAS), the Reasons for Death Fear Scale (RDFS), the Death Depression Scale (DDS), and the Death Obsession Scale (DOS). Results: For the DCS, Cronbach's α was 0.77, the Spearman-Brown coefficient 0.63, the Guttman split-half coefficient 0.62, and two-week test-retest reliability 0.77. The DCS correlated at 0.51 with the CLFDS, 0.52 with the DAS, 0.34 with the RDFS, 0.40 with the DDS, and 0.48 with the DOS, indicating good construct and criterion-related validity. The results of an exploratory factor analysis for the DCS identified seven factors, accounting for 64.30% of the variance and indicating considerable heterogeneity in the content of the items. Conclusions: The Farsi version of the DCS has good validity and reliability, and it can be used in clinical, educational, and research settings to assess death concerns in the Iranian society.

Resumo Introdução: A preocupação com a morte é uma contemplação consciente da realidade da morte combinada com uma avaliação negativa dessa realidade. A Death Concern Scale (DCS) aborda o pensamento, o medo da morte ou a ansiedade em relação à morte. O objetivo deste estudo foi desenvolver uma versão da DCS na língua persa e explorar suas propriedades psicométricas em uma amostra de enfermeiros iranianos. Métodos: Um estudo transversal foi conduzido para investigar a confiabilidade, validade e estrutura fatorial da versão persa da DCS em uma amostra de conveniência de 106 enfermeiros iranianos em dois hospitais de Teerã, no Irã. Os enfermeiros completaram os seguintes instrumentos: DCS, Collett-Lester Fear of Death Scale (CLFDS), Death Anxiety Scale (DAS), Reasons for Death Fear Scale (RDFS), Death Depression Scale (DDS) e Death Obsession Scale (DOS). Resultados: Para a DCS, o α de Cronbach foi 0,77, o coeficiente de Spearman-Brown 0,63, o coeficiente split-half de Guttman 0,62 e a confiabilidade teste-reteste de duas semanas 0,77. A DCS apresentou correlação de 0,51 com CLFDS, 0,52 com DAS, 0,34 com RDFS, 0,40 com DDS e 0,48 com a DOS, indicando a qualidade do construto e a validade dos critérios relacionados. Os resultados de uma análise fatorial exploratória para a DCS identificaram sete fatores, respondendo por 64,30% da variância e indicando uma heterogeneidade considerável no conteúdo dos itens. Conclusões: A versão persa da DCS tem boa validade e confiabilidade e pode ser usada em contextos clínicos, educacionais e de pesquisa para avaliar preocupação com a morte na sociedade iraniana.

Analysis and Countermeasures of Medical Student' s Cognition of Death / 中国医学伦理学

Objective: To understand the cognition of death among medical students and put forward some countermeasures .Methods:Stratified sampling was used to select 730 medical students in Fujian .A self -de-signed cognition of death questionnaire and Fear of Death Scale ( FODS) were adopted to conduct the survey .Re-sults:The general cognition of death among medical students was normal (84.8%).Fear of death, either towards themselves or their families , was significantly different in participants ' gender (χ2 =29 .552 , P<0 .001 ) , major (χ2 =6.343,P=0.042), and grade (χ2 =13.979, P=0.030).Thinking of death towards themselves was signif-icantly different in participants' living places (χ2 =10.110, P=0.006), bereavement experience (χ2 =7.353, P=0 .025 ) , religion (χ2 =16 .307 , P=0 .003 ) .Meanwhile , statistical significances were found in the thinking of death towards their families among different bereavement experience (χ2 =14.962, P=0.001) and religion (χ2 =12.359, P=0.015).Grade and religion greatly affected the attitudes towards death of families , while bereavement experience and grade had the great impact on the attitudes towards death of respondent themselves .In the fear of death for participant themselves and their families , gender made the biggest difference .Conclusion: Medical students have a high level of death anxiety .Medical universities and colleges should strengthen death education in medical students and improve its course system in the future .

Discussion on the Characteristics of Death Anxiety of the People in Mainland China / 中国医学伦理学

At present , the death anxiety of people in mainland China presents the main characteristics of col -lective avoidance , instantaneous outbreak , the vulnerability of death anxiety buffer system , and load social prob-lems of death anxiety .The taboo of death is linked to collective avoidance of death anxiety , and the avoidance to death causes the extrusion and deformation of most people ' s death anxiety .When people ' s death anxiety encoun-ters serious "death reminder", it will instantly break out .Due to the vulnerability of death anxiety buffer system and the impact of current social problems in mainland China , people ' s death anxiety presents a characteristic of brutal want on spread .

Analysis and Countermeasures of Medical Student' s Cognition of Death / 中国医学伦理学

Objective: To understand the cognition of death among medical students and put forward some countermeasures .Methods:Stratified sampling was used to select 730 medical students in Fujian .A self -de-signed cognition of death questionnaire and Fear of Death Scale ( FODS) were adopted to conduct the survey .Re-sults:The general cognition of death among medical students was normal (84.8%).Fear of death, either towards themselves or their families , was significantly different in participants ' gender (χ2 =29 .552 , P<0 .001 ) , major (χ2 =6.343,P=0.042), and grade (χ2 =13.979, P=0.030).Thinking of death towards themselves was signif-icantly different in participants' living places (χ2 =10.110, P=0.006), bereavement experience (χ2 =7.353, P=0 .025 ) , religion (χ2 =16 .307 , P=0 .003 ) .Meanwhile , statistical significances were found in the thinking of death towards their families among different bereavement experience (χ2 =14.962, P=0.001) and religion (χ2 =12.359, P=0.015).Grade and religion greatly affected the attitudes towards death of families , while bereavement experience and grade had the great impact on the attitudes towards death of respondent themselves .In the fear of death for participant themselves and their families , gender made the biggest difference .Conclusion: Medical students have a high level of death anxiety .Medical universities and colleges should strengthen death education in medical students and improve its course system in the future .

Discussion on the Characteristics of Death Anxiety of the People in Mainland China / 中国医学伦理学

At present , the death anxiety of people in mainland China presents the main characteristics of col -lective avoidance , instantaneous outbreak , the vulnerability of death anxiety buffer system , and load social prob-lems of death anxiety .The taboo of death is linked to collective avoidance of death anxiety , and the avoidance to death causes the extrusion and deformation of most people ' s death anxiety .When people ' s death anxiety encoun-ters serious "death reminder", it will instantly break out .Due to the vulnerability of death anxiety buffer system and the impact of current social problems in mainland China , people ' s death anxiety presents a characteristic of brutal want on spread .

Analysis on Death Anxiety of the Elderly in Macau / 中国医学伦理学

Objective:To explore the death anxiety of the elderly in Macau and identify the relevant factors and the content of death anxiety.Methods:A descriptive cross-sectional study was conducted and the Chinese Version of Templer's Death Anxiety Scale (CTDAS) was used to investigate 400 old people in seven elderly centers by trained investigators.Results:Totally 400 questionnaires were returned and the death anxiety in Macau elderly was at a relatively low level (4.38 ± 3.20).Gender,age,and perceived health status were related to death anxiety (P ＜ 0.05).The majority of Macau elderly were not afraid of death (83.7％) but were anxious about the pains and sufferings in the dying process (61.8％).Conclusion:The elderly in Macau are open and positive towards death,which is conducive to further exploring the coping style of death anxiety and the preparation for their own death.

A Comparative Study of Body Image and Coping Style in Breast Cancer Patients.

Background: Breast cancer is one of the most common malignancies and leading cause of death in women. It not only encompasses physical but also social and psychological implications because of the importance of the breast in feminity, sexuality and motherhood. It leads to the fear of disfigurement, disability, dependence and disruption of relationships. Very few studies assessed the psychological aspect of cancer causing altered feminity and fear of death. Aims and Objectives: To assess the coping skills, death anxiety and body image in breast cancer patients, who have undergone mastectomy and who have been treated nonsurgically. Methods: 45 female in the age group of 25 years to 55 years who were aware of their diagnosis and had undergone mastectomy or treated nonsurgically between three months to twelve months at the time of inclusion were assessed on body image index, coping strategy checklist and death anxiety scale. Results and Conclusion: There were no significant differences in total coping scores between two groups but denial was used significantly higher by the patient of mastectomy group. Body image was found to be significantly better in joint family patients while patients with nuclear family had higher psychological distress. Thus types of treatment, socioeconomic and family status have important psychological implication in breast cancer patients.

Study on the cross-cultural adjustment and application of the Death Anxiety Scale / 中国实用护理杂志

Objective To study on the cross-cultural adjustment and application of the Death Anxiety Scale based on the national culture and establish the Chinese version of this scale.Methods Through cross-cultural adaptation and formal investigation,the Chinese version of Death Anxiety Scale was established.A cross-sectional study was conducted among 450 medical college students and 50 hospice workers with multiple diagnoses to validate the Chinese version of the Templer's Death Anxiety Scale (T-DAS),after 7to 10 days,60 of them were retested.Reliability and validity of the Chinese version of Templer's Death Anxiety Scale (T-DAS)were evaluated according to the data.Results The Chinese version of the Templer's Death Anxiety Scale(T-DAS)was easy to understand.Most respondents finished the whole scale in 5 to10 minutes,and the effective recover rate of the scale was 97.4％.The correlation between the T-DAS and the single item test for the death anxiety was 0.516.Structural equation models and factor analysis displayed good construction of the T-DAS.The internal consistency reliability evaluated by Cronbach'α was 0.71 for the whole 15 items.The retest reliability was 0.831.Conclusions Based on the analysis,the Chinese version of the T-DAS has good reliability and validity,and should be a good instrument for the evaluation of the death anxiety.

Death Anxiety in Manic Depressive Patients.

Aim — The purpose of the study was to asses the differences between manic depressive patients and control subject on death anxiety scale. Method — Sample- 100 clinically diagnosed manic depressive patients taken from the mental hospital Varanasi and 100 well equated/matched control of the study. The age was 18-65years, and mean of the age was 41.5 years. A number of extraneous variable like the age, gender, academic qualification, social economic status were recorded. Tool — Thakur and thakur’s (1985) death anxiety scale was used.. This scale was reliable and valid. Procedure — The subjects were individually approached and personal profiles prepared. The first of all, the demographic information was completed and there after, given instruction. The purpose of the study was explained as an exploration of their personal views on topics related to death. The filled questioner was check and response endorsement and the items were scrutinized and error if any, control and incorporated in consultation with the subject. Result — The result of the present study was manic depressive patients score high on death anxiety scale than control subjects. Some more result to be discussed at the time of presentation.