• The Journal of the Korea Contents Association
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• v.12 no.5
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• pp.243-255
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• 2012

This study is intended to find out the effect and differences of individual characteristic of the death attitude on death anxiety. The college students who study in the area of Chonan, Yongin, and Asan and the adults who live in the area of Chonan and Asan enrolled for this study. We analyzed the survey data from 325 responses finally. The results are summarized in three ways: First, adults are more positive than college students, religious people are more positive than nonreligious people, female are more positive than male, and married people are more positive than unmarried people in the death attitude. Second, college students are more positive than adults, nonreligious people are more positive than religious people, female are more positive than male, and unmarried people are more positive than married people in the death anxiety. Third, there is a correlation between the death anxiety and the death attitude. The fear on death has negative correlation on all subvariables of the death anxiety. Avoidance on death has positive correlation on the physical change anxiety, and openness on death has positive correlation on the cognitive and affective anxiety. Finally, It showed that the death attitude are affected by the death anxiety. The death anxiety was not much, if the fear on death are more little, the death anxiety was much, if the avoidance on death are much.

• Korean Journal of Human Ecology
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• v.20 no.5
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• pp.917-926
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• 2011

The purpose of this study is to identify the influence of ego integrity on death anxiety of the elderly, mediated by depression based on Erikson theory(1963). For this study, 313 elderly over 60 years old in Daegu city participated in a survey. The data of the survey was analyzed using SPSS 15.0 and Structural Equation Modeling(SEM) with AMOS 7.0. The results of the study are as follows: ego integrity of the elderly does not influence death anxiety due to the suppressing effect of depression. However, depression does mediate the relation between ego integrity and death anxiety fully. Such findings suggest that the Erikson theory can also be applied to elderly Korean citizens. A practical benefit derived from the study's results is the proposition to implement a reminiscence program, reinforce depression treatment and prevention systems, and augment a death awareness movement for elderly.

• Journal of East-West Nursing Research
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• v.25 no.1
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• pp.26-32
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• 2019

Purpose: The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of Templer's death anxiety scale among older adults. Methods: The translated Korean scale was administered to 203 older people who aged over 65 years. Exploratory factor analysis was utilized to assess the factor structure of the scale. Internal consistency of the scale was determined using Cronbach's ${\alpha}$ and Guttman's split-half coefficient. Results: Factor loadings of the scale ranged from .43 to .86. The scale showed good internal consistencies of both total scale (13 items, ${\alpha}=.83$) and three sub-scales: meaning of death (6 items, ${\alpha}=.77$), death-related event (5 items, ${\alpha}=.72$), and time of death (2 items, ${\alpha}=.80$). The concurrent validity compare with Fear of Death Scale was significant. The Cronbach's alpha and Guttman's split-half coefficient were .83 and .80, respectively. Conclusion: The findings of this study demonstrate that the Korean version of Templer's death anxiety scale had satisfactory validity and reliability to measure death anxiety among Korean older people.

• Journal of Korean Public Health Nursing
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• v.27 no.3
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• pp.480-489
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• 2013

Purpose: The purpose of this study was to examine self-transcendence, spiritual well-being, and death anxiety of elderly. Method: This was a descriptive survey study. Data were collected from March to June, 2013, from 243 elderly persons. Questionnaires were used in order to solicit information on self-transcendence, spiritual well-being, and death anxiety. Descriptive statistics, Pearson's correlation, and stepwise multiple regression were used in analysis of data. Results: Average scores were 2.96 for self-transcendence, 4.19 for spiritual well-being, and 3.08 for death anxiety. Statistically significant negative correlations were observed between self-transcendence and death anxiety, spiritual well-being and death anxiety. However, from the statistical point of view, significantly positive correlation was observed between self-transcendence and spiritual well-being.. Spiritual well-being, health status, and gender were significant predictors of self-transcendence. Conclusion: This study will provide basic information for use in development of a program to encourage a healthy lifestyle for elderly persons.

• Research in Community and Public Health Nursing
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• v.18 no.3
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• pp.400-409
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• 2007

Purpose: This study was performed to investigate the level of subjective health status, religiosity and the fear of death of the elderly and to identify the relationships among them. Methods: This study was a cross-sectional descriptive study using a questionnaire. Fear of Death Scale that was made by Loo & Shea (1996) and translated and revised by Kim(2003) was used to measure the fear of death. The data was analyzed using SPSS. Results: The subject was 128 community dwelling elders who had a religion. Of the respondents, 50% felt 'not healthy', and 69.5% was moderately religious. The mean score of FODS was 3.18 (out of 5). The mean score of each subcategory of FODS was as follows: Death anxiety about the death of self was 3.00. Death anxiety about the dying of self was 3.18. Death anxiety about the death of others was 3.31 and death anxiety about the dying of others was 3.23. There was a statistically significance correlation between the level of religiosity and FODS (F=3.29, p= .040). Conclusion: Health professionals may make efforts to learn about healthy attitudes toward death and aid for the elderly and to comfort them. Death education programs are needed for the elderly.

• Asian Journal for Public Opinion Research
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• v.6 no.1
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• pp.18-30
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• 2018

Patients with advanced cancer cope with various issues, especially psychological symptoms, such as anxiety about death. Previous research from various countries indicates that most advanced cancer patients perceive distress before death, which means they cannot accept death peacefully. The purpose of this study was to examine the factors associated with death acceptance of Thai patients with advanced cancer. The participants were 242 adult patients with advanced cancer from three tertiary hospitals in Bangkok, Thailand. The research instruments consisted of 7 questionnaires: a personal information questionnaire, the death anxiety questionnaire, Buddhist beliefs about death questionnaire, the unfinished task questionnaire, general self-efficacy scale, family relationship questionnaire, and death acceptance scale. These instruments were tested for their content validity by a panel of experts. All instruments except the first one were tested for reliability, and their Cronbach's alpha coefficient were .86, .72, .74, .74, .89, and .70, respectively. Descriptive statistics, Pearson's correlation, Point-biserial correlation coefficient, and stepwise multiple regression were used to analyze the data. The results revealed that a total of 42% of variance of death acceptance among Thai patients with advanced cancer was explained by death anxiety, Buddhist beliefs about death, and self-efficacy. Knowing these factors provides further information for nurses to help patients to cope with their death. From this crucial knowledge, nurses can develop interventions in decreasing or controlling anxiety about death, promoting Buddhist beliefs about death, and enhancing self-efficacy of advanced cancer patients. Therefore, a better quality of life and good death can be achieved.

• 한국노년학
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• v.41 no.4
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• pp.491-504
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• 2021

This study investigated the effect of death anxiety on the sense of self-integration in the elderly and verified the mediating effect of psychological well-being in the relationship between death anxiety and self-integration. For this study, a questionnaire was conducted from September 1, 2020 to November 30, 2020, targeting 254 elderly people aged 65 to 94 who live in elderly-related facilities in Seoul and Gyeonggi-do. As measurement tools, the death anxiety scale, psychological well-being scale, and self-integration scale were used, and Baron·Kenny (1986)'s three-step mediating effect analysis method was used. The results of the study first, The influence of death anxiety on self-integration was statistically significant. Second, the results of using the three-stage mediating effect analysis method proposed by Baron and Kenny (1986), In the relationship between death anxiety and self-integration, psychological well-being was found to have a mediating effect. In conclusion, the results of this study suggest that in order to effectively and positively deal with the elderly's self-integration problem, the elderly's psychological well-being as well as the elderly's death anxiety must not be overlooked.

• Journal of Hospice and Palliative Care
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• v.26 no.4
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• pp.160-170
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• 2023

Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

• 한국노년학
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• v.39 no.1
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• pp.21-35
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• 2019

The purpose of this study was to empirically verify the effects of spousal bereavement and complicated grief level on death anxiety of the elderly. The sample consisted of 1,998 adults who were aged 65 or older. Dependent variable was measured with the Death Anxiety Scale-Korean version (DAS-K). Independent variable was measured with both spousal bereavement and the Inventory of Complicated Grief-Korean version (ICG-K). Multiple regression analysis was performed using SPSS 23.0, adjusting for demographics, psycho-social and health variables. The results indicated that death anxiety level was lower among the bereaved with normal grief (p<.01) than non-bereaved. In contrast, death anxiety level was higher among the bereaved with complicated grief than non-bereaved (p<.01). The study result suggests that the most risky factor for death anxiety is complicated grief rather than the bereavement. Although the bereavement can be a universal experience, the severity and duration of symptoms after the bereavement may not be general. The unhealed emotional and physical pain after the bereavement stimulates death anxiety, and senior citizens who suffer from complicated grief often fail to integrate the bereavement and loss into reality, therefore, may not accept the death phenomenon itself. Anxiety and fear of death can emerge when they cannot acknowledge the bereavement. To manage complex sorrows and mitigate death anxiety, intervention programs should be provided to increase adaptability to the bereavement.

• Korean Journal of Adult Nursing
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• v.27 no.3
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• pp.367-374
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• 2015

Purpose: This study aimed at understanding the correlation between self-esteem, death anxiety, and spiritual wellbeing in university students. Methods: Cross-sectional method was used 671 students in South Korea. This study used the Self-esteem developed by Rosenberg, the Fear of Death Scale revised by Lester and Abdel-Khalek, and Spiritual wellbeing developed by Paloutzian and Ellison. Results: Relationships between self-esteem, death anxiety, and spiritual wellbeing revealed an inverse correlation between self-esteem and death anxiety, and a direct correlation between self-esteem and spiritual wellbeing. Conclusion: In order for students of establishing identity to lead a healthy life, there is a need for studies aiming at developing, implementing, and evaluating the results of consultation and education programs for maintaining spiritual wellbeing such as psychological counseling and logotherapy at the university or regional community level.