The Impact of Death Education on Fear of Death and Death Anxiety Among Human Services Students

Abstract

Human services professionals will undoubtedly work with the dying and bereaved populations at one time or other. Yet, they are poorly prepared to do so since death education, that is, lessons about the human and emotional aspects of death, its implications, and subsequent bereavement issues, is often not part of their curriculum. This nonequivalent comparison group study (N = 86) examined death fear and death anxiety among human services students before and after receiving death education using the Multidimensional Fear of Death Scale. The results showed a statistically significant decrease in death anxiety among the group of students who participated in death education compared to those who did not.

Keywords

death anxiety death education human services death dying bereavement

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References

Abdel-Khalek

A. M.

(2011) The death distress construct and scale. Omega 64: 171–184.

American Psychiatric Association (APA) (2013) Diagnostic and statistical manual for mental disorders (DSM 5), Arlington, VA: Author.

Barrere

C. C.

Durkin

LaCoursiere

(2008) The influence of end-of-life education on attitudes of nursing students. The International Journal of Nursing Education Scholarship 5: 1–18.

Braun

Gordon

Uziely

(2010) Associations between oncology nurses’ attitudes toward death and caring for dying patients. Oncology Nursing Forum 37: 43–49.

Brown

Smith-Cumberland

(2006) The evaluation of two death education programs for EMTs using the theory of planned behavior. Death Studies 30: 637–647.

Cagle

J. C.

Kovacs

P. J.

(2009) Education: A complex and empowering social work intervention at the end of life. Health and Social Work 34: 17–25.

Campbell

Stanley

(1963) Experimental and quasi-experimental designs for research, Chicago, IL: Rand McNally.

Coppola

K. M.

Strohmetz

D. B.

(2002) How is death and dying addressed in introductory psychology textbooks? Death Studies 26: 689–699.

Csikai

E. L.

Durkin

(2009) Perceived educational needs and preparation of adult protective services workers for practice with end-of-life issues. Gerontology & Geriatrics Education 30: 146–163.

10.

DeSpelder

L. A.

Strickland

A. L.

(2005) The last dance: Encountering death and dying, New York, NY: McGraw-Hill.

11.

Eckerd

L. M.

(2009) Death and dying course offerings in psychology: A survey of nine Midwestern states. Death Studies 33: 762–770.

12.

Erickson

E. H.

(1959) The identity and the life-cycle. Psychological Issues Monograph 1(1): 50–100.

13.

Fortner

B. V.

Neimeyer

R. A.

(1999) Death anxiety in older adults: A quantitative review. Death Studies 23: 387–411.

14.

Harrawood

L. K.

Doughty

E. A.

Wilde

(2011) Death education and attitudes of counselors-in-training toward death: An exploratory study. Counseling and Values 56: 83–95.

15.

Head

B. A.

(2008) Use of the decision case method of teaching a course on death and grief. Journal of Social Work in End-of-Life & Palliative Care 4: 229–251.

16.

Hegedus

Zana

Szabo

(2008) Effect of end of life education on medical students and health care workers’ death attitude. Palliative Medicine 28: 264–269.

17.

Hoelter

J. W.

Hoelter

J. A.

(1978) The relationship between fear of death and anxiety. Journal of Psychology 99: 225–226.

18.

Hurtig

A. H.

Stewin

(1990) The effect of death education and experience on nursing students’ attitude towards death. Journal of Advanced Nursing 15: 29–34.

19.

IBM Corp (2011) IBM SPSS statistics for windows. Version 20.0, Armonk, NY: Author.

20.

Kastenbaum

(2012) Death, society, and human experience, New York NY: Pearson.

21.

Ka-Ying Hui

Harris Bond

Sze Wing Ng

(2007) General beliefs about the world as defensive mechanisms against death anxiety. Omega 54(3): 199–214.

22.

Keigher

S. M.

(2001) Clinical ethics, living and dying: New challenges for changing times. Health and Social Work 26: 131–135.

23.

Kovacs

P. J.

Bronstein

L. R.

(1999) Preparation for oncology settings: What hospice social workers say they need. Health and Social Work 24: 57–63.

24.

Lantz

(2001) Existential theory. In: Lehmann

Coady

(eds) Theoretical perspectives for direct social work practice: A generalist-eclectic approach, New York, NY: Springer, pp. 240–254.

25.

Leming

M. R.

Dickinson

G. E.

(2007) Understanding dying, death, & bereavement, 6th ed. Belmont, CA: Thomson Higher Education.

26.

Luptak

(2004) Social work and end of life care for older people: A historical perspective. Health and Social Work 29: 7–14.

27.

Neimeyer

R. A.

(1994) The threat index and related methods. In: Neimeyer

R. A.

(ed.) Death anxiety handbook: Research, instrumentation, and application, Washington, DC: Taylor and Francis, pp. 61–97.

28.

Neimeyer

R. A.

Moore

M. K.

(1994) Validity and reliability of the multi-dimensional fear of death scale. In: Neimeyer

R. A.

(ed.) Death anxiety handbook: Research instrumentation and application, Washington, DC: Taylor and Francis, pp. 103–120.

29.

Neimeyer

R. A.

Moser

R. P.

Wittkowski

(2003) Assessing attitudes toward dying and death: Psychometric considerations. Omega 47: 45–76.

30.

Russac

R. J.

Gatliff

Reece

Spottswood

(2007) Death anxiety across the adult years: An examination of age and gender effects. Death Studies 31: 549–561.

31.

Schultz

(1979) Death anxiety: Intuitive and empirical perspectives. In: Busen

L. A.

(ed.) Death and dying: Theory/research/practice, Dubuque, IA: William, pp. 66–87.

32.

Smith-Cumberland

Feldman

R. H.

(2005) EMTs’ attitudes toward death before and after a death education program. Prehospital Emergency Care 10: 89–95.

33.

Stillion

J. M.

(1985) Death and the sexes, Washington, DC: Hemisphere/McGraw-Hill.

34.

Thorson

J. A.

(1991) Afterlife constructs, death anxiety, and life reviewing: Importance of religion as a moderating variable. Journal of Psychology and Theology 19(3): 278–284.

35.

Thorson

J. A.

Powell

F. C.

(1991) Life, death, and life after death: Meanings of the relationship between death anxiety and religion. Journal of Religious Gerontology 8(1): 41–56.

36.

Thorson

J. A.

Powell

F. C.

(1994) A revised death anxiety scale. In: Neimeyer

R. A.

(ed.) Death anxiety handbook: Research, instrumentation and application, Washington, DC: Taylor and Francis, pp. 31–43.

37.

Toomer

(1994) Death anxiety in adult life-theoretical perspectives. In: Neimeyer

R. A.

(ed.) Death anxiety handbook: Research, instrumentation and application, Washington, DC: Taylor and Francis, pp. 121–148.

38.

Wong

P. T. P.

(1989) Successful aging and personal meaning. Canadian Psychology 30: 516–525.

39.

Wong

P. T. P.

Reker

G. T.

Gesser

(1994) Death attitude profile—Revised: A multidimensional measure of attitudes toward death. In: Neimeyer

R. A.

(ed.) Death anxiety handbook: Research, instrumentation and application, Washington, DC: Taylor and Francis, pp. 121–148.

40.

Wong

(2009) The growth of death awareness through death education among university students in Hong Kong. Omega 59: 113–128.