This study examines the relationship between five dimensions of attitude toward death (fear of death, death avoidance, neutral acceptance of death, approach acceptance of death, and escape acceptance of death) and three selected personal factors (spirituality, emotional support, and religiosity) among American and Chinese older adults. A total of 178 older adults consisting of 91 Americans living in Columbus, Ohio, and surrounding suburban areas, and 87 Chinese living in Taipei, Taiwan, participated in this study. Among Americans, the results reveal that spirituality influences both fear and avoidance of death attitudes, and that spirituality and religiosity contribute to both approach acceptance and escape acceptance of death attitudes. Among Chinese, spirituality influences fear of death attitudes and religiosity influences approach acceptance of death attitudes. For both American and Chinese subjects, neutral acceptance death attitude is not influenced by any selected personal factors and emotional support fails to demonstrate a significant relationship with any death attitude. American and Chinese older adults derive their spirituality in different ways, and their respective religious faiths contribute differently to their attitudes toward death. However, this study clearly indicates that, despite cultural differences, both populations demonstrate that spirituality factor influences the negative dimensions of death attitudes (fear of death and avoidance of death) and the religiosity factor influences the positive dimension of death attitude (acceptance of death).
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References
1.
BerkmanL. F.Leo-SummersL., & HorwitzR. I. (1992). Emotional support and survival after myocardial infarction. Annals of Internal Medicine, 117(12), 1003–1009.
2.
ClementsR., & RoodaL. A. (1999). Factors structure, reliability, and validity of the death attitude profile-revised. Omega, 40(3), 453–463.
3.
ColeM. A. (1978). Sex and marital status differences in death anxiety. Omega, 9(2), 139–147.
4.
CollettL. J., & LesterD. (1969). The fear of death and the fear of dying. The Journal of Psychology, 72, 179–181.
5.
DavisS. F.MartinD. A.WileeC. T., & VoorheesJ. W. (1978). Relationship of fear of death and level of self-esteem in college students. Psychological Reports, 42, 419–422.
6.
DixsonR., & KinlawB. (1983). Belief in the existence and nature of life after death: A research note. Omega, 13, 287–292.
7.
DurlakJ. A. (1972). Relationship between attitudes toward life and death among elderly women. Developmental Psychology, 8, 146.
8.
EriksonE. H. (1985). The life cycle completed.New York: Norton.
9.
FlorianV., & KravetzS. (1983). Fear of personal death: Attribution, structure, and relation to religious belief. Journal of Personality and Social Psychology, 44(3), 600–607.
10.
ForsterL. E., & StollerE. P. (1992). The impact of social support on mortality: A seven-year follow-up of older men and women. The Journal of Applied Gerontology, 11(20), 173–186.
11.
FryC. L. (1995). Cross-cultural research. In MaddoxG. L. (Ed.), The encyclopedia of aging (2nd ed., pp. 245–248). New York: Springer.
12.
GesserG.WongP. T. P., & RekerG. T. (1987–88). Death attitudes across the life-span: The development and validation of the Death Attitude Profile (DAP). Omega, 18(2), 113–125.
13.
GlockC. Y., & StarkR. (1965). Religion and society in tension.Chicago: Rand McNally & Company.
14.
HoelterJ. W. (1979). Multidimensional treatment of fear of death. Journal of Consulting and Clinical Psychology, 47, 996–999.
15.
HogeD. R. (1972). A validated intrinsic religious motivation scale. Journal for the Scientific Study of Religion, 11, 369–376.
16.
ItaD. J. (1995–96). Testing of a causal model: Acceptance of death in hospice patients. Omega, 32(2), 81–92.
17.
JeffersF. C.NicholsC. R., & EisdorferC. (1961). Attitudes of older persons to death. Journal of Gerontology, 16, 53–56.
18.
KalishR. A., & ReynoldsD. K. (1981). Death and ethnicity: A psychocultural study.Amityville, NY: Baywood.
19.
KastenbaumR. (1987). Theory, research, and application: Some critical issues for Thanatology. Omega, 18(4), 397–411.
20.
KastenbaumR. (1992). The psychology of death (2nd ed.). New York: Springer.
21.
KastenbaumR. (1996). Death and dying. In BirrenJ. E. (Ed.), Encyclopedia of gerontology (Vol. 1, pp. 367–369). San Diego: Academic Press.
22.
KlenowD. J., & BolinR. C. (1989). Belief in afterlife: A national survey. Omega, 21(1), 63–74.
23.
KoenigH. G. (1988). Religious behaviors and death anxiety in later life. Hospice Journal, 4(1), 3–24.
24.
KoenigH. G. (1994). Aging and God: Spiritual pathways to mental health in midlife and later years (pp. 446–350). New York: Haworth Pastoral.
25.
KoenigH. S.SmileyM., & Ploch GonzalesJ. A. (1988). Religion, health, and aging: A review and theoretical integration.New York: Greenwood.
26.
KrauseN. (1987). Life stress, social support, and self-esteem in an elderly population. Psychology and Aging, 2(4), 349–356.
27.
KrauseN., & MarkidesK. (1990). Measuring social support among older adults. International Aging and Human Development, 30(1), 37–53.
28.
HwaKwang (1991). Traditional Chinese culture in Taiwan: Vol. 20. Philosophy: Chinese philosophical thought (2nd ed.). Taipei, Taiwan: Author.
29.
LevitonD. (1995). Horrendous death: Linking thanatology and public health. In KauffmanJ. (Ed.), Awareness of mortality.Amityville, NY: Baywood.
30.
LonettoR., & TemplerD. I. (1986). Death anxiety.Washington, DC: Hemisphere.
31.
MasonD. (1989, May 20). The ancient rites of Chinese. The Columbus Dispatch, p. 9A.
32.
McDonaldC. W. (1976). Sex, religion, and risk-taking behavior as correlates of death anxiety. Omega, 7, 35–44.
33.
McMordieW. (1981). Religiosity and fear of death: Strength of belief system. Psychological Reports, 49, 921–922.
34.
McMordieW. R., & KumerA. (1984). Cross-culture research on the Templer/McMordie death anxiety scale. Psychological Reports, 54, 959–963.
35.
MobergD. O. (Ed.) (1979). Spiritual well-being: Sociological perspectives.Washington, DC: University Press of America, Inc.
36.
MullenK. D.McDermottR. J.GoldR. S., & BelcastroP. A. (1996). Coming to terms with death and loss: A wellness perspective. In Connections for health (4th ed., pp. 433–456). Madison, WI: Brown & Benchmark.
37.
NeimeyerR. A. (1997–98). Death anxiety research: The state of art. Omega, 36, 97–120.
38.
NeimeyerR. A., & FortnerB. (1995). Death anxiety in the elderly. In MaddoxG. L. (Ed.), The encyclopedia of aging (2nd ed., pp. 252–253). New York: Springer.
39.
NelsonL. D., & NelsonC. C. (1975). A factor analytic inquiry into the multidimensionality of death anxiety. Omega, 10(2), 97–121.
40.
NogasC.SchweitzerK., & GrumetJ. (1974). An investigation of death anxiety, sense of competence, and need for achievement. Omega, 5, 245–255.
41.
PaloutzianR. F., & EllisonC. W. (1982). Loneliness, spiritual well-being and the quality of life. In PeplauL. A. & PerlmanD. (Eds.), Loneliness: A source book of current theory, research and therapy (pp. 224–237). New York: Wiley.
42.
PandeyR. E., & TemplerD. I. (1972). Use of the death anxiety scale in an interracial setting. Omega, 3(2), 127–130.
43.
PapaliaD. E.CampC. J., & FeldmanR. D. (1996). Dealing with death and bereavement. In Adult development and aging (pp. 486–525). New York: McGraw-Hill.
44.
PollakJ. M. (1979–1980). Correlates of death anxiety: A review of empirical studies. Omega, 10(2), 97–121.
45.
RakowskiW., & WilcoxV. (1994). Integrating self-rated health and social involvement for the examination of mortality among older persons. Omega, 29(2), 95–111.
46.
RasmussenC. H., & JohnsonM. E. (1994). Spirituality and religiosity: Relative relationships to death anxiety. Omega, 29(4), 313–318.
47.
RayJ. J., & NajmanJ. (1974). Death anxiety and death acceptance: A preliminary approach. Omega, 5(4), 311–315.
48.
SchumakerJ. R.WarrenW. G., & Groth-MarnatG. (1991). Death anxiety in Japan and Australia. The Journal of Social Psychology, 131(4), 511–518.
49.
ShermanD. W. (1996–97). Correlates of death anxiety in nurses who provide AIDS care. Omega, 34(2), 117–137.
50.
SuhH. K. (1987). The relationships among life satisfaction, locus of control, and death anxiety as perceived by Korean and American older adults using selected personal demographic variables. Unpublished doctor thesis. The Ohio State University, Columbus.
51.
SwensonW. M. (1961). Attitudes toward death in an aged population. Journal of Gerontology, 16, 49–52.
52.
TemplerD. I. (1972). Death anxiety in religiously very involved persons. Psychological Reports, 32, 361–362.
53.
TemplerD. I., & DotsonE. (1970). Religious correlates of death anxiety. Psychological Reports, 26, 895–897.
54.
ThomasL. E. (1991). Dialogues with three religious renunciates and reflections on wisdom and maturity. International Journal of Aging and Human Development, 32(3), 211–227.
55.
ThomasL. E. (1994). Reflections on death by spiritually mature elders. Omega, 29(3), 177–185.
56.
ThorsonJ. A., & PowellF. C. (1989). Death anxiety and religion in an older male sample. Psychological Reports64(3), 985–986.
57.
ThorsonJ. A., & PowellF. C. (1990). Meanings of death and intrinsic religiosity. Journal of Clinical Psychology, 46, 379–391.
58.
TomerA. (1994). Death anxiety in adult life—Theoretical perspectives. In NeimeyerR. A. (Ed.), Death anxiety handbook: Research, instrumentation, and application (pp. 3–28). Bristol, PA: Taylor & Francis.
59.
TriplettG.CohenD.ReimerW.RinaldiS.HillC.RoshdiehS.StanczakE.SiscoeK., & TemplerD. (1995). Death discomfort differential. Omega, 31(4), 295–304.
60.
VogelL. J. (1995). Spiritual development in later life. In KimbleM. A.McFaddenS. H.EllorJ. W., & SeeberJ. J. (Eds.), Aging, spirituality, and religion: A handbook (pp. 74–86). Minneapolis, MN: Fortress.
61.
WagnerK. D., & LorionR. P. (1984). Correlates of death anxiety in elderly persons. Journal of Clinical Psychology, 40(5), 1235–1241.
62.
WeilandS. (1995). Interpretive social science and spirituality. In KimbleM. A.McFaddenH.EllorJ. W., & SeeberJ. J. (Eds.), Aging, spirituality, and religion: A handbook (pp. 589–612). Minneapolis, MN: Fortress.
63.
WilliamsD. R. (1994). The measurement of religion in epidemiologic studies: Problem and prospects. In LevinJ. S. (Ed.), Religion in aging and health: Theoretical foundations and methodological frontiers.Thousand Oaks, CA: Sage.
64.
WongP. T. P. (1989). Successful aging and personal meaning. Canadian Psychology, 30, 516–525.
65.
WongP. T. P.ReckerG. T., & GesserG. (1994). Death attitude profile-revised: A multidimensional measure of attitudes toward death. In NeimeyerR. A. (Ed.), Death anxiety handbook: Research, instrumentation, and application (pp. 121–144). Bristol, PA: Taylor & Francis.
66.
YoungM., & DanielsS. (1980). Born again status as a factor in death anxiety. Psychological Reports, 47, 367–370.
