The death distress construct and scale

The purpose of this research was to construct a short scale to assess the death distress construct, that is, death anxiety, death depression, and death obsession as derivatives from the already existing scales. A sample of 630 volunteer undergraduates responded to scales of death anxiety, death depression, and death obsession. A Pearson correlation matrix was computed using the 51 individual items of the three scales. A forced three-factor principal components analysis with orthogonal varimax rotation was carried out. Eight items with factor loading > 0.5 on each scale was determined. The eight items with highest factor loadings on Factor I were with "Death obsession," whereas the Factors II and III were labeled: "Death anxiety," and "Death depression." Their alpha reliabilities ranged from 0.83 to 0.93, indicating high internal consistency. One week test retest reliability ranged between 0.76 and 0.91, indicating temporal stability. A single high-loaded factor of death distress was disclosed, demonstrating the discriminant validity of the death distress construct and scale. Women obtained a significantly higher mean scores on all three factors. It was concluded that the aforementioned three factors were sufficiently independent to justify their use in assessing partially distinct sub-constructs as sub-components of the generic high-order factor of death distress, with empirical and clinical implications.     

Death anxiety in Kuwaiti middle-aged personnel

The present study aimed to examine the level of death anxiety, the sex-related differences among a middle-aged Kuwaiti personnel sample, and to explore the replicability of the Arabic Scale of Death Anxiety (ASDA) factors. A sample of 236 volunteer Kuwaiti personnel took part in the study. The mean ages of men and women were 41.5 (SD = 7.5) and 40.9 (SD = 7.1), respectively. The alpha reliability of the ASDA was found to be high (.93). Women had a significantly higher mean total score on the ASDA as well as on 17 out of its 20 items. Middle-aged personnel had a significantly lower mean ASDA total score than younger college students (M age = 22). The factor analysis of the ASDA items yielded three factors: fear of dead people and tombs; fear of postmortem events; and fear of lethal disease. These factors were highly replicable with previous factors extracted from a Kuwaiti college student sample. On the basis of the present findings, there are three general conclusions as follows: death anxiety is negatively associated with age; the sex-related differences on death anxiety are salient in the Arab samples; and the ASDA has a highly replicable factor structure.     

A cross-cultural comparison of death anxiety: a brief note

Data are reported from samples of undergraduates around the world who have been administered Templer's Death Anxiety Scale. Data from 24 American samples and from 16 nations were identified. Strong sex differences were found and an association between the scores of men and women.     

Work, pregnancy, and distress

Increasing numbers of pregnant women are working throughout much, if not all, of their pregnancies. In this secondary analysis of existing longitudinal data on family health, pregnant women were grouped according to employment status: 126 homemakers, 70 employed part-time, and 135 employed full-time. There were no significant differences between the groups in measures of distress, including depression, trait and state anxiety, and perception of negative life events. Homemakers were significantly younger, less educated, and had lower family incomes than either group of employed women. There was also a non-significant trend towards higher distress scores among homemakers. Overall, among these women, it was the similarities which were more striking than the differences, which supports recent research findings about distress among pregnant women.     

Are cross-cultural comparisons of norms on death anxiety valid?

Cross-cultural comparisons of norms derived from research on Death Anxiety are valid as long as they provide existential validity. Existential validity is not empirically derived like construct validity. It is an understanding of being human unto death. It is the realization that death is imminent. It is the inner sense that provides a responder to death anxiety scales with a valid expression of his or her sense about the prospect of dying. It can be articulated in a life review by a disclosure of one's ontology. This article calls upon psychologists who develop death anxiety scales to disclose their presuppositions about death before administering a questionnaire. By disclosing his or her ontology a psychologist provides a means of disclosing his or her intentionality in responding to the items. This humanistic paradigm allows for an interactive participation between investigator and subject. Lester, Templer, and Abdel-Khalek (2006-2007) enriched psychology with significant empirical data on several correlates of death anxiety. But all scientists, especially psychologists, will always have alternative interpretations of the same empirical fact pattern. Empirical data is limited by the affirmation of the consequent limitation. A phenomenology of language and communication makes existential validity a necessary step for a broader understanding of the meaning of death anxiety.     

Death: the ultimate social construction of reality

Using Berger and Luckmann's thesis (1966) on the social construction of reality as rationale, this research analyzes the death drawings of 946 university students enrolled in a Death and Dying course between 1985 and 2004 to investigate the basic constructs elicited by the word "death": dying, moment of death, after death, after life, and bereavement. Consistent with earlier research, gender, race, religion, and religiosity proved to be significant factors. As expected, personal experience with grief was strongly correlated with drawings focused on bereavement. In contrast to earlier studies, fear of death was not significantly related to a particular construct. Implications for research, education, and counseling are discussed.     

The relationship of subjective distress and emergency response experience to the effective use of protective equipment

A total of 11 1 chernical emergency response team members were evaluated on the effective use ofpersonal protective equipment (PPE) and self-contained breathing apparatus (SCBA) whde participating in a series of simulated hazardous material accidents. Performance ratings of PPE and SCBA use were conducted via behaviourally anchored rating scales (BARS), self-estimates of effectiveness, and cohort ratings. Subjective distress was assessed via the Subjective State Change Measure (SSCM), State-Trait Anxiety Inventory, and the Framingham Type A Behaviour Scale. Results indicated that effective use ofprotective breathing apparatus was correlated with prior emergency response experience and state anxiety. BARS scores were negatively related to state anxiety when controlling for experience. Self-ratings for effectiveness was positively related to both type A behaviour pattern and state anxiety.     

Night work and symptoms of anxiety and depression among nurses: A longitudinal study

Over the last few decades, night work has been found to be associated with negative somatic consequences; however, there is less knowledge about its impact on mental health. In a sample of 633 Norwegian nurses, we investigated by means of latent growth curve modelling whether different work schedules predicted differences in baseline values of anxiety and depressive symptoms, and trajectories of these over a two-year span. All participants completed the Hospital Anxiety and Depression Scale as part of a larger survey conducted during the winters of 2009, 2010 and 2011. The results revealed that night workers and nurses who changed from day work to night work during the study period did not differ from day workers either in terms of baseline symptoms of anxiety or depression, or in terms of trajectories of these symptoms. However, nurses who changed from night work to day work reported a significant decrease in symptoms of both anxiety and depression over time compared to day workers. Furthermore, supporting previous work, languidity was related to higher anxiety and depression and hardiness to lower levels of those symptoms. Possible mechanisms underlying the results are discussed.     

Quality insights of university students on dying, death, and death education--a preliminary study in Hong Kong

Death is a subject seldom studied in school and often misunderstood and feared by many people. Children often learn about death from their family and mass media. From the literature review on dying, death, and death education, it may be concluded that people are generally ignorant about the issues of death and dying. There is a need to investigate what young people, such as university students, know about death and dying, and their attitudes toward them. Eight university students were recruited for this study. Most participants have had death experiences. They seldom talked about death and loss. Some of these experiences were quite pleasant but some of them were not. Most participants addressed the need to have "life and death" education in schools at their young age. Such a need is further supported by the incidents of two participants who attempted suicide unsuccessfully when they encountered a life problem which they could not solve.     

Distinguishing traumatic, vicarious and routine operational stressor exposure and attendant adverse consequences in a sample of police officers

Problems in studying occupational stress within the police service are identified and the paucity of work on operational duties as potential stressors are discussed. The present study reports the results of a factor analysis of operational stressors (N = 601 serving British police officers) that revealed three factors: exposure to death and disaster; violence and injury; sexual crime. These were demonstrated to be reliable scales and were included in logistic regression models together with a range of demographic and psychological variables. Models were applied to men and women separately, which showed there to be different predictors of the likelihood of suffering distress (measured by the General Health Questionnaire, GHQ) in terms of the officer's gender and operational role. Overall the model for women officers was better at predicting psychological distress than that for men. These findings are related to aspects of the police occupational culture. Further discussion is offered that conceptualizes police operational stressors as traumatic, routine and vicarious. Finally, some implications are drawn for the provision of stress intervention in the light of this differentiation.     

Exploring death anxiety among elderly people: a literature review and empirical investigation

Given the growing number of elderly persons in society and concerns about their health and well-being, the aim was to review the available literature on their death anxiety, and to explore features of this experience among a small sample of older men and women in care facilities. In both the review and empirical parts of this study, components and correlates of death anxiety were investigated. The review revealed limited research focus on death anxiety among the elderly, particularly among those in institutions, but suggested both components and correlates for inclusion in our empirical study. Results showed that, among our elderly participants in an assisted living facility (N = 49; age range: 60-96 years), there were higher levels of fear for others and of the dying process than for fear of the unknown. Notably, among the correlates identified, fear for significant others was associated with poor physical health; fear of the dying process was related to low self-esteem, little purpose in life, and poor mental well-being. Gender differences in death anxiety were found: women showed greater fear for the death of loved ones and for the consequences of their own death on these loved ones, than did men. These patterns are discussed in the light of concerns about the welfare of elderly persons; scientific implications are also considered.     

Daily reports of distress: Not for women only

A context-dependence paradigm was developed for research into effects of the menstrual cycle in women. This involved the investigation of situational effects on self-reported distress in both men and women. For 35 consecutive days, 25 women and 36 men working in two occupations that varied in degree of situational stress completed Body Awareness Questionnaires (modified menstrual distress questionnaires) and daily subjective stress ratings. After controlling for contraceptive use, age range, and percentage of body fat, the following variables were selected for a multiple regression analysis as predictors of distress: (a) job stress, (b) feminine values, (c) life stress, (d) subjective stress, (e) type of job, (f) sex, (g) job experience, and (h) history of menstrual distress. Women working in the high-stress job (military police) reported significantly more distress than all the other groups. Life stress was identified as the dominant predictor of distress. In a separate analysis of daily distress scores and menstrual cycle phases for all the women, there was no interaction between the type of job and the menstrual cycle phase on reports of distress. A similar analysis of the effects on sex and shift revealed shift effects in distress for men but not women. Sources of variability for both sexes (shift-work rotation and cycle phase) are discussed.     

Bank Loan Officers' Perceptions of Business Owners: The Role of Gender

There is a widely held belief that banks may be discriminating against female business owners. This study was designed to explore the perceptions held by bank loan officers of male and female business owners, using Bourdieu's theory of practice and Kelly's personal construct methodology. The research literature might lead to an expectation that the characteristics of the business owners would be relatively homogenous but that men and women business owners would be construed differently (for example women might be seen to lack drive). However, the results demonstrate heterogeneity in the constructs held by bank loan officers, and a particular concern with the character of the business owner. Significant gender differences were observed in only 20 of the 325 constructs elicited from 35 bank loan officers. Female bank loan officers were as likely as male bank loan officers to draw gender distinctions between business owners. Detailed multivariate analyses confirmed no evidence of systematic gender differences in the constructs held by bank loan officers of business owners.     

Why does zeno the stoic hold his breath? "Zenoism" as a new variable for studying suicide

A single misfortune may be seen as just that, or may be interpreted as Zeno the Stoic did, as a "sign" of cosmic proportion (zenoizing), which paradoxically provides a missing meaning structure. This article presents two studies testing out this new variable (zenoism): in Study One (n = 233), we explore the moderating effects of religiosity and gender on zenoism, depression, demoralization, and suicidality. In Study Two (n = 137), we explore these same moderating effects on zenoism, fear of dependency, value of life, and favorability toward physician-assisted suicide (PAS). Results indicate: 1) men and non-religious respondents (especially men) zenoize more than women and religious respondents; 2) non-religious respondents, (especially men) are more generally favorable to PAS and more suicidal; 3) Zenoism is negatively related to depression, demoralization, and value of life for non-religious respondents, and for men; 4) Zenoism is positively related to favorability toward PAS toward one's self and overall suicidality; and finally 5) general and self-specific favorability toward PAS are distinct, but both relate to overall suicidality.     

Daily reports of distress: Not for women only

Abstract

A context-dependence paradigm was developed for research into effects of the menstrual cycle in women. This involved the investigation of situational effects on self-reported distress in both men and women. For 35 consecutive days, 25 women and 36 men working in two occupations that varied in degree of situational stress completed Body Awareness Questionnaires (modified menstrual distress questionnaires) and daily subjective stress ratings. After controlling for contraceptive use, age range, and percentage of body fat, the following variables were selected for a multiple regression analysis as predictors of distress: (a) job stress, (b) feminine values, (c) life stress, (d) subjective stress, (e) type of job, (f) sex, (g) job experience, and (h) history of menstrual distress. Women working in the high-stress job (military police) reported significantly more distress than all the other groups. Life stress was identified as the dominant predictor of distress. In a separate analysis of daily distress scores and menstrual cycle phases for all the women, there was no interaction between the type of job and the menstrual cycle phase on reports of distress. A similar analysis of the effects on sex and shift revealed shift effects in distress for men but not women. Sources of variability for both sexes (shift-work rotation and cycle phase) are discussed.     

The reliability and validity of revised Collett-Lester Fear of Death Scale (version 3) in a Nigerian population

The purpose of the study was to assess the reliability and validity of the Collett-Lester Fear of Death Scale in a Nigerian population. A cross-sectional survey was conducted among medical students using the Collett-Lester fear of death questionnaire, demographic variables were also obtained. A total of 175 students completed the questionnaire. Reliability score was good and convergent validity was also good. We concluded that the scale has good validity and reliability score among this population.     

The four-dimensional symptom questionnaire (4DSQ): measuring distress and other mental health problems in a working population

In non-clinical (working) populations it is important to differentiate between general distress, on the one hand, and psychiatric symptoms—depression, anxiety and somatization—on the other hand. The Four-Dimensional Symptom Questionnaire (4DSQ) is a new instrument that measures these four symptom dimensions (Terluin, ). This study aimed to investigate the psychometric properties of the 4DSQ in a working population. A postal stress and health survey was sent to all employees of a Dutch telecom company, 51% of whom responded (N=3852). The mailing included the 4DSQ, a set of questionnaires concerning job stress (e.g. psychological demands), coping style (e.g. problem-focused coping, avoidant coping), and indicators of strain (e.g. emotional exhaustion, fatigue). Cronbach's α for the four sub-scales of the 4DSQ ranged from .79 to .90. Factor analysis showed four factors corresponding to the four scales of the 4DSQ: distress, depression, anxiety, and somatization. The validity of the 4DSQ was assessed using (partial) correlations with job stress, coping, and strain. As expected, the distress scale showed the strongest correlations with the indicators of strain, as well as with job stress and coping. In conclusion, the 4DSQ is a reliable and valid instrument that can be used in a working population to distinguish between stress-related symptoms and psychiatric illness.     

Lifestyle habits,substance use and predictors of job burnout in professional working women

Abstract

This study explores differences in self-reported lifestyle habits, substance use (alcohol, drugs and smoking) and predictors of job burnout in a sample of 879 professional working women employed in dental health ofices in a cross-sectional design. Job burnout was measured using the Maslach Burnout Inventory (MBI) and self-reported substance use and lifestyle habits were assessed using the Stress Assessment Profile. Self-reported drinking, smolung and drug use were only modestly correlated with each other in this sample. Employed women with higher levels of drinking reported significantly lower quality overall lifestyle practices, eating/nunition habits, and more frequent use of avoidant coping strategies in the face of work and life hassles compared to non-drinkers. Women who smoked also reported significantly lower overall lifestyle practices and eating/nutrition habits. Those who reported using drugs for recreational purposes reported significantly greater hassles, poorer lifestyle habits, a less hardy outlook on life, and more frequent use of dysfunctional coping strategies. Although women who reported using drugs experienced significantly higher interpersonal burnout (depersonalization) compared to non-drug users, in general, self-reported substance use was not significantly related to job burnout. After controlling for age and psychological distress, perceived stress, type A behaviour, cognitive hardiness and lifestyle habits significantly contributed to predictions of job burnout in multiple regression analyses. Despite methodological limitations, the prevalence of substance use found in this study supports previous research findings. Professional working women who practise poor lifestyle and health habits appear to be at risk of experiencing job burnout.     

Bereavement and depression: possible changes to the diagnostic and statistical manual of mental disorders: a report from the Scientific Advisory Committee of the Association for Death Education and Counseling

The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is being revised. A proposed revision hotly debated is to remove what is known as the exclusionary criterion and allow clinicians to diagnose a person with a major depressive episode within the early days and weeks following a death. The Executive Committee of the Association for Death Education and Counseling (ADEC) commissioned its Scientific Advisory Committee (SAC) to examine the debate over removing the exclusionary criterion and provide a written report. The DSM-IV-TR classifies bereavement as a clinical condition that is not a mental disorder. The exclusionary criterion states that within the first 2 months of the onset of bereavement a person should not be diagnosed as having major depression unless certain symptoms not characteristic of a normal grief reaction are present. We note these symptoms when discussing the exclusionary criterion. In the report we identify the features that comprise the exclusionary criterion, examine reasons (including research conclusions and clinical concerns) given for retaining and for eliminating the exclusionary criterion, offer extensive comments from experienced licensed clinicians about the issues involved, discuss diagnostic and treatment implications, and offer specific recommendations for ADEC to implement.