End of life care and the approach of death.
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826 to 850 of 969An Investigation Into the Unconscious Influence of Mortality Salience Upon Sentencing Decisions.
This study aimed to explore if unconscious awareness of death influences the harshness of offender sentencing. According to Terror Management Theory death is anxiety-provoking, and self-esteem and a belief in a shared cultural worldview keep anxiety at bay. When these factors are challenged then death awareness increases. These dynamics could be relevant in a court setting in which judges have to make decisions regarding offenders who may have different world views and in cases that trigger the awareness of mortality. We used subliminal priming to activate the awareness of death and recorded the effect it had on decision-making against a hypothetical offender. Participants (N = 303) were recruited and randomly assigned to either an experimental mortality condition or a neutral control condition. Analysis revealed that death-related subliminal priming brought about harsher sentencing effe…
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How young cancer patients cope with death anxiety: a qualitative study based on terror management theory.
Purpose: Young cancer patients face unique challenges and heightened death anxiety. This study explored how they experience and cope with death anxiety based on terror management theory (TMT).
Methods: This study employed face-to-face, semi-structured interviews with 20 young cancer patients aged 20-49 years. The interview outline was informed by TMT, and the data were analyzed using thematic analysis. The reporting adhered to the COREQ guideline.
Results: Four categories encompassing 10 themes emerged: (1) mortality salience (i.e., catastrophizing cognition, treatment-related distress, economic survival anxiety, and future uncertainty); (2) avoidance coping (i.e., cognitive avoidance and attention diversion, reflecting proximal defenses in TMT); (3) adaptive coping (i.e., achieving attachment security and maintaining self-esteem); and (4) meaning-bolstering coping (i.e., searching for m…
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The relationship between death anxiety and self-esteem: A protocol for a systematic review and meta-analysis.
Background: Death anxiety is fast becoming recognised as a transdiagnostic construct across myriad mental health conditions. Though existing clinical treatments of death anxiety, such as Cognitive Behaviour Therapy type interventions, have been shown to be effective, Terror Management Theory (TMT) proposes self-esteem as a protective factor against death anxiety by endowing individuals with a feeling of significance in life and helping them to process the nature of death and its inevitability. Despite the centrality of self-esteem to TMT, however, extant research examining its relationship with death anxiety has yet to be synthesised. The current study aims to systematically review peer-reviewed, quantitative research examining the association between death anxiety and self-esteem and, where possible, to test the strength of these associations through meta-analysis.
Method: A systematic …
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Thoughts and emotions evoked by thinking about own death: American versus Japanese undergraduates.
The prompts "What emotions does the thought of your own death arouse in you?" and "What will happen to you when your body dies?" have been used to induce anxiety in Terror Management Theory. The current study investigated how the responses to these prompts may reveal cross-national differences by using a text-mining approach. Undergraduates in the US (n = 298) and Japan (n = 212) participated in the study. Across both groups, anxiety was the most common emotion. Cross-national differences also emerged, such that students in the US were more likely to mention sadness, funeral, and religiosity for the first prompt, and acceptance, spiritual change, and religiosity for the second prompt. Students in Japan were more likely to mention regret for the first, and sadness, emptiness, and funeral for the second prompt. Results revealed differences and similarities in thoughts and emotions people a…
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Starving off death: Mortality salience impacts women's body image and disordered eating.
From a Terror Management perspective, the pursuit of thinness that characterizes eating disorders (EDs) is arguably a culturally endorsed way to mitigate death anxiety. In the present studies, we used the mortality salience (MS) paradigm to examine whether priming death increases ED symptoms. We recruited two samples of women from undergraduate (Study 1, N = 120), and clinically relevant (Study 2, N = 154) populations. After priming, participants completed measures of potential confounds (e.g., neuroticism, affect). Next, we assessed ED attitudes and behavior using a portion size estimation task, and measures of body dissatisfaction and eating intention. Study 1 findings were inconsistent with the claimed role of death anxiety in ED related behavior. However, in Study 2, MS priming led to increased dissatisfaction with current thinness and smaller portion sizes for high-fat compared to l…
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Spontaneous war weddings as a reaction to a national trauma: A terror management theory perspective.
On 7 October 2023, 3,000 Hamas terrorists from the Gaza Strip infiltrated Israel. Over 1,300 people were killed on that day, and over 240 were abducted to Gaza. On October 8, Israel declared war on Hamas. The current study delves into the prevailing phenomenon of spontaneous war weddings held in military settings during the war. Drawing from Terror Management Theory (TMT) and utilizing an ethnographic approach, we analyze published media reports of these weddings. We suggest that this phenomenon is a sign of three terror management anxiety buffer mechanisms activated in view of current national and personal mortality salience: the validation of cultural worldviews; the enhancement of self-esteem; and the pursuit of proximity, in the form of a sense of closeness to attachment figures. All three anxiety-buffer mechanisms contribute to the fortification of psychological defenses, the denial…
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Death perceptions, grief, and distress in Ultra-Orthodox Jews who witnessed the 2021 Meron disaster.
On April 29, 2021, during an Ultra-Orthodox annual communal event in Meron, a crowd rush resulted in the deaths of 45 individuals. Experiencing such events may intensify death proximity (subjective nearness to death, SNtD) and death anxiety, and increase distress. Furthermore, the experience of grief following the trauma may disrupt defense mechanisms that reduce death-related anxieties. Thus, we examined the mediating role of death anxiety on the association between SNtD and distress, and the possible moderating role of grief experiences on this model. Ultra-Orthodox Israeli Jews who experienced the Meron disaster (N = 168) responded to scales assessing demographics, SNtD, death anxiety, and psychological distress. Death anxiety mediated the SNtD-distress link and grief was a significant moderator. Specifically, for individuals low in grief, the association between high death anxiety an…
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Religious Coping Strategies of Mothers Who Lost Their Children to Cancer in Türkiye: A Qualitative Study.
Perceptions of death can greatly impact the ability to cope with grief, making it either easier or unbearable. Research on the importance of religion and spirituality in the field of oncology, particularly among parents who have lost a child to cancer, is still in its emerging stage. This study aimed to describe the religious coping strategies of Muslim mothers who lost their children to cancer. We conducted semi-structured interviews with 18 mothers and analyzed the data using reflexive thematic analysis. The findings show that resignation to the 'Will of God', being more religious, and belief in life after death are common coping strategies used by mothers who are grieving the loss of their child. Mothers in pediatric oncology place great importance on religious coping strategies to manage their grief.
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Relationship Between Attachment and Fear of Death: The Mediating Role of Religious Coping.
In this research, the link between attachment, religious coping, and fear of death were examined in a sample of 224 Turkish Muslim adults. Data were gathered by Experiences in Close Relationship Scale, Religious Coping Scale, and Multidimensional Mortality Awareness Measure. Positive religious coping was adversely related to avoidant and anxious attachments. When compared to anxious attachment, which was positively related to both negative religious coping and fear of death, avoidant attachment was not correlated with any of these variables. Fear of death correlated positively with negative religious coping. Furthermore, the link between anxious attachment and fear of death was partially mediated by negative religious coping. Findings imply that negative religious coping is important in the relationship between fear of death and anxious attachment.
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Death Anxiety During COVID-19 and its Related Factors among Chinese Elderly People.
This study aimed at investigating death anxiety and its related factors in Chinese elderly people during COVID-19. This study totally interviewed 264 participants from four cities in different regions of China. Death anxiety scale (DAS), NEO-Five-Factor Inventory (Neo-FFI) and Brief COPE were scored on the basis of one-on-one interviews. Quarantine experience didn't make significant difference in death anxiety among the elderly; Elderly people with high death anxiety had higher scores of neuroticism, and were more likely to use a Behavior Disengagement coping strategy; Multiple linear regression analysis showed that neuroticism, openness and COVID impact predicted 44.6% of the variance in the death anxiety among elderly people. The results support both theories of vulnerability-stress model and terror management theory (TMT). In the post-epidemic era, we suggest to pay attention to the m…
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Can Machiavellianism Not be Prosocial? Roles of Empathy and Death Anxiety.
Machiavellianism has always been notorious, as it is egotistical and manipulative. This study aims to explore whether Machiavellian individuals would increase prosocial behavior to buffer death anxiety, based on Terror Management Theory. A total of 420 Chinese volunteers completed a survey regarding Machiavellianism, empathy (cognitive empathy, affective empathy), death anxiety, and prosocial behavior tendencies. The results indicated that affective empathy mediated the relationship between Machiavellianism and some types of prosocial behavior (total, altruistic, anonymous, compliant, dire and emotional), and the mediating effect was moderated by death anxiety. This finding revealed that although individuals with high levels of Machiavellianism were supposed to be callous, when suffering from death anxiety, they became more affective-empathetic, and thus more prosocial. Our study enriche…
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Further Hierarchies of Loss: Tracking Relationality in Pregnancy Loss Experiences.
The article extends Robson and Walter's concept of hierarchies of loss by describing further factors which afford differential social legitimacy to death-related losses. Drawing on our separate research with women in England who have experienced pre-viability pregnancy loss through different types of miscarriage and termination for foetal anomaly, we note that closeness of relationship to the object of loss does hierarchise pregnancy loss. However, other relational elements are also implicated, including ontological positions on what it was which was lost, in relation to other individually and socially experienced losses. Hierarchies are both imposed and agentially used by those who are implicated. This wider analysis extends the concept of hierarchies of loss so it can include experiences which do and do not involve grief and bereavement, and experiences of social recognition alongside …
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Associations of Death Anxiety, Inclusion of Smartphone in the Self, and Affiliation Motivation with Smartphone use and Addiction: A Multiple Mediation Study.
This study is the first to apply terror management theory to understanding smartphone addiction by examining the potential indirect effect of death anxiety on smartphone addiction via inclusion of smartphone in the self (i.e., self-expansion), affiliation motivation (the desire to connect with others) for emotional support, and smartphone use. The sample consisted of 1483 Chinese university students between the ages of 18 and 24 (M = 19.14, SD = 1.03) who voluntarily completed an anonymous questionnaire survey. As hypothesized, death anxiety, inclusion of smartphone in the self, affiliation motivation, and smartphone use were directly, positively correlated with smartphone addiction. In addition, death anxiety exerted significant indirect effects via various pathways, including (i) affiliation motivation for emotional support and smartphone use and (ii) inclusion of smartphone in the sel…
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Death Anxiety and COVID-19 Anxiety. The Mediating Role of Religious Relational Identification and the Impact of Emotional Regulation Strategies.
Management theory of terror (TMT) explains the way disease and death anxiety (DA) are managed through religion during crisis (i.e., COVID-19 pandemic). 344 women students completed self-reported questionnaires regarding death and COVID-19 anxiety, religious relational identification, and emotional regulation. Results show positive relation between religious relational identification and death anxiety, and COVID-19 anxiety. The interaction between death anxiety and emotional regulation shows that both cognitive reappraisal and expressive suppression are dysfunctional for COVID-19 anxiety. A moderated mediation effect is significant, showing that COVID-19 anxiety is not decreasing due to usual and natural ways of coping (i.e., religious relational identification and cognitive reappraisal).
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Disentangling effects of the COVID-19 pandemic and Black Lives Matter protests on implicit anti-Black bias.
Terror Management Theory (TMT) holds that mortal threats bolster people's desire to support their worldviews, which may contribute to increased outgroup bias. In 2020, two events likely increased mortality salience and death anxiety: COVID-19 and the Black Lives Matter (BLM) protests that followed George Floyd's murder. We used Project Implicit data to investigate their impact on implicit anti-Black bias, controlling for demographic variables. Study 1 (N = 82,639) found a decrease in anti-Black bias from April 1-May 20, 2020 compared to the same period in 2019, indicating that increased mortality salience amid the pandemic failed to increase anti-Black bias. Study 2 (N = 96,957) examined anti-Black bias and death anxiety across two seven-week periods prior to (April 1-May 20, 2020) and during the BLM protests (May 27-July 15, 2020). Death anxiety increased during the protests, while anti…
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Spiritual orientation and mental health: an SEM analysis of meaning and death attitudes as mediators in Turkish religious officials.
This study examines the relationships between spiritual orientation, meaning in life, attitudes towards death, and indicators of psychological health (depression, anxiety, and stress) among 348 Muslim religious officials in Turkey (28% female). Using structural equation modelling (SEM), the results showed that spiritual orientation directly and indirectly reduces psychological distress by enhancing personal meaning and fostering more accepting attitudes towards death. Results showed a moderate positive association between spiritual orientation and meaning in life, and weak but significant negative associations between meaning/attitudes towards death and psychological symptoms. As one of the first empirical studies to examine the mediating role of death attitudes in this population, the research highlights the theoretical relevance of existential frameworks such as logotherapy. The study …
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The Power of Death Valence: A Revised Terror Management Process.
Terror management strategies (TMS) are assumed to affect social prejudice. In a prior study, positive death valence in wave 1 reduced gender-related stereotypes in wave 2. Psychosocial intervention against prejudice requires a deeper understanding of the terror management process. We investigated the relationships between death anxiety, death valence, mortality salience and TMS in a mixed method study. Participants showed complex emotions in the face of death, including fear, anxiety, sadness and ambivalent calm. Positive death valence was associated with more conscious fear, but with less implicit death anxiety, while negative death valence was associated with more death denial. In conclusion, we propose death anxiety as a distal precursor and death valence as a proximate precursor of the plural TMS that are triggered by mortality salience.
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When meaning in life protects against fear of death: The moderating role of self-alienation.
Objective: A sense of meaning in life (MIL) is thought to help protect people against experiencing explicit anxiety about death. However, the experience of meaning is complex and subjective and may relate to death anxiety in nuanced ways. We examine how self-alienation-a feeling of not knowing/being disconnected from one's self-might moderate the relationship between MIL and death anxiety.
Method: Across five studies, we tested the hypothesis that MIL would negatively predict death anxiety more strongly for people relatively low in self-alienation. These studies were similar in design and included exploratory, confirmatory, and pre-registered tests.
Results: A meta-regression across our five studies (N = 2001) provided clear evidence that MIL was most strongly associated with lower death anxiety at low self-alienation. We also observed that MIL was positively associated with death anxiet…
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Understanding posthumous sperm retrieval during war through a terror management theory perspective.
Terror Management Theory (Tmt, solomon et al., 1991) claims that individuals use three anxiety buffer mechanisms to regulate their death awareness - cultural worldviews, self-esteem, and proximity seeking. In this article, we use these three TMT anxiety buffers to explain the phenomenon of posthumous sperm retrieval, requested by spouses or parents, usually of young soldiers who died during their military service. Whereas this phenomenon has been known for some time, it increased dramatically in the initial days following the massacre conducted by the Hamas terrorist organization in Israel on October 7, 2023. We claim that this was an immediate reaction to this terror event, which posed a direct, existential threat to those who were exposed to the massacre and the soldiers who defended the country, but also to the entire Israeli society, as well as for Jews around the globe. We use inter…
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Of Love and Death: Death Anxiety, Attachment, and Suicide as Experienced by College Students.
Drawing from the mental health crisis present on college campuses, we investigate the psychological processes associated with suicidal ideation among undergraduate students. Specifically, we used Terror Management Theory to investigate how individuals who have a history of suicidal ideation handle traditional death anxiety in coordination with Benjamin's theory underlying Interpersonal Reconstructive Therapy to explore specific attachment-based mechanisms that may allow for exceptions to the perceived meaning of death. Results show it was the fantasy of suicide itself, including its relevance in the lives of others, that was used to alleviate fear of death among the suicidal.
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Qi J (2023)MEDLINE-indexed journal, not yet read by usPersonality & social psychology bulletin5 citations The Terror Management Function of Descendent Continuity: Evidence That Descendent Continuity Acts as a Distal and Proximal Defense.
Previous researches showed that offspring can function as a distal defense, we presented seven studies to further explore the role of offspring in terror management for Chinese people based on their unique fertility culture. Both Studies 1a and 1b found that mortality salience increased desire for children. Study 2 showed that offspring salience reduced the effect of mortality salience on social transgressions judgments. Study 3 revealed that disruption of procreation strivings increased death-thought accessibility. Study 4 demonstrated that conscious responses to worldview threats overwhelmed the unconscious compensation effect of worldview threats on desire for children. Study 5a and Study 5b found that offspring salience decreased death anxiety for parents and nonparents. Taken together, these findings expand terror management theory, emphasizing descendent continuity not only as a re…
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Perceived Similarity of the Self to Animals, Creativity, and Anxiety-: A Terror Management Analysis.
According to terror management theory, humans avoid death anxiety by embedding themselves within cultural worldviews that allow them to perceive themselves as more than mortal animals. However, individuals also differ in their trait-like tendency to dissociate from other animals. In six studies, we tested whether individuals who perceive themselves as more similar to animals (high-perceived similarity of the self to animals [PSSA]) invest more in creativity for terror management than low-PSSA individuals, but are also more vulnerable to experiencing anxiety and existential concerns. Supporting our hypotheses, PSSA was associated with investment in creativity and arts, especially after death primes (Studies 3 and 4). High-PSSA individuals had heightened trait anxiety and death-thought accessibility (Studies 5 and 6), and showed increased state anxiety following a negative feedback about t…
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When the times get tough the toughs get funny: Means by which humor buffers against death anxiety emerged during COVID-19 outbreak.
According to Terror Management Theory (TMT), there are three common buffers that minimize the anxiety of mortality salience: affirmation of a) one's cultural worldview, b) the self and one's personal values, and c) one's significance in the context of close personal relationships. The current study aimed at examining the contents of memes, which were distributed on social media during the COVID-19 outbreak, to explore the means by which humor buffers against death anxiety. A deductive and inductive thematic analysis captured three means by which humor buffers against death anxiety, a) humor as a means for connecting to cultural worldviews; b) humor as a means for inclusion in group; c) humor as a means to gain a sense of control. These findings are discussed through the theoretical lens of TMT.
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"Out of the Depths Have I Called Thee": Jewish Israeli Undertakers' Management of Death Anxiety.
According to Terror Management Theory, there are three common buffers that minimize the anxiety of mortality salience: affirmation of one's cultural worldview, the self and one's personal values, and one's significance in the context of close personal relationships. The current study aimed to explore the manner by which Jewish Israeli undertakers manage their constant exposure to death and buffer against death anxiety. A deductive and inductive thematic analysis captured a dialectical movement between, and within, two conflicting worldviews participants were engaged in, in their attempt to manage the mortality salience effect they experience and buffer against death anxiety.
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Subjective Nearness-To-Death and Retirement Anxiety Among Older Workers: A Three-Way Interaction With Work Group Identification.
Retirement anxiety represents a major challenge for older workers who hold negative expectations and concerns regarding the consequences of their future retirement. Although prior studies suggest that retirement is an age-related transition that may serve as a reminder that life is nearing its end, little is known about how subjective nearness-to-death is related to retirement anxiety, and the role of work group identification as a boundary condition. The current study draws on terror management and social identity theories to hypothesize and investigate these relationships. A three-way interaction model was tested on a sample of 327 Israeli older workers. We found a positive association between subjective nearness-to-death and retirement anxiety. Further, we demonstrated that the positive relationship between subjective nearness-to-death and retirement anxiety was more prominent for old…
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