Indeed Death is nearer; Moderating Role of Resilience in the Relationship between Fear of COVID-19 and Death Anxiety
DOI:
https://doi.org/10.47672/ajp.1185Keywords:
COVID-19, death anxiety, resilience, fear of COVID-19, SARSAbstract
Purpose: To determine the moderating effect of resilience for Fear of COVID-19 in predicting death anxiety among COVID sufferers and general population of Pakistan.
Methodology: A cross-sectional study was conducted on adults (N=300), COVID-19 sufferers (n=150) and general population (n=150) from 24th September 2021 to 10th June 2022. All participants who fulfilled the inclusion/exclusion criteria were included. Data collection was done by purposive sampling technique from different universities, institutions and hospitals of Pakistan. The questionnaires were filled out by participants, for this purpose revised death anxiety (RSAD), Connor-Davidson resilience (CD-RISC) and Fear of COVID-19 (FCV-19S) scales were used to access death anxiety, resilience and Fear of COVID-19. After data collection, data were used for further analysis using SPSS 21. Descriptive measurements were calculated for scales and subscales. Moderation analysis was used to find out moderating effect of resilience for fear of COVID-19 in predicting death anxiety among COVID-19 sufferers and general population.
Findings: The alpha coefficient of all scales and subscales ranged from .64 to .93. Mean, standard deviation and skewness, kurtosis values fulfilled the assumption of normal distribution of data. Moderating effect of resilience for fear of COVID-19 in predicting death anxiety, showed significant interaction effect of resilience and fear of COVID-19 on death anxiety only among COVID-19 sufferers, the interaction effect found to be explain 3.4% variance on death anxiety. The computation of slopes of model graph for these results indicates that t=1.34 (p>.001) for lower level of resilience, t=4.81 (p<.001) for middle level and t=5.67 (p<.001) for higher level. Values shows significance of moderation for middle and higher level of resilience among COVID-sufferers. A significant increase was observed in death anxiety with respect to increase in fear of COVID-19 at moderate and higher level of resilience. But moderating effect of resilience for fear of COVID-19 in predicting death anxiety among general population was non-significant.
Recommendations: Providing training about prevention strategies of COVID-19 through media can help people to deal with it. Various strategies such as acceptance of anxiety and negative emotions, maintaining a healthy lifestyle, social contacts and fostering self-efficacy should be recommended to include in psychological interventions for treatment of death anxiety and effectively cope up with fear of COVID-19. It would be beneficial to include more targeted variables that were not available in this study, such as social benefits, social support, use of health, and welfare services.
Downloads
References
Ahorsu, D. K., et al. (2020). The fear of COVID-19 scale: development and initial validation. International Journal of Mental Health and Addiction, 1-9. https://doi.org/10.1007/s11469-020-00270-8
Alkozei A, Smith R, Killgore WDS. 2018. Gratitude and subjective wellbeing: A proposal of two causal frameworks. Journal of Happiness Studies: An Interdisciplinary Forum on Subjective Well-Being 19(5), 1519-1542. https://psycnet.apa.org/doi/10.1007/s10902-017-9870-1
Asmundson, G. J., & Taylor, S. (2020). How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. Journal of anxiety disorders, 71, 1-6. https://doi.org/10.1016/j.janxdis.2020.102211
Blazer, J. A. (1973). Relationship between meaning in life and fear of death. Psychology, 10(2), 33-34.
Bolt, M. (1978). Purpose in life and death concern. The Journal of Genetic Psychology, 132(1), 159-160. https://doi.org/10.1080/00221325.1978.10533327
Bonanno, G.A., et al. (2005). Resilience to loss in bereaved spouses, bereaved parents and bereaved gay men. Journal of Personality and Social Psychology, 88(5), 827-843. https://doi.org/10.10137/0022-3514.88.5.827
Brelsford, G. M., & Ciarrocchi, J. (2013). Spiritual disclosure and ego resiliency: Validating spiritual competencies. Counseling and Values, 58(2), 130-141. https://doi.org/10.1002/j.2161-007X.2013.00029.x
Bulck, J.V., & Custers, K. (2009). Television exposure is related to fear of avian flu, an Ecological Study across 23 member states of the European Union. European Journal of Public Health,19 (4),370-374. https://doi.org/10.1093/eurpub/ckp061
Chao, M., et al. (2020). Media use and acute psychological outcomes during COVID-19 outbreak in China. Journal of Anxiety Disorders,74,2-8. https://doi.org/10.1016/j.janxdis.2020.102248
Chen, Z., et al. (2020). Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. International Journal of Infectious Diseases, 94, 91-95. https://doi.org/10.1016/j.ijid.2020.03.017
Ciernia, J. R. (1985). Death concern and businessmen's mid-life crisis. Psychological reports, 56(1), 83-87. https://doi.org/10.2466%2Fpr0.1985.56.1.83
Connor, K.M., & Davidson, J.R.T.(2003). The Connor-Davidson resilience scale (CD-RISC): development of a new resilience scale. Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
Damirchi, E.S., et al.(2020). The role of self-talk in predicting death anxiety, obsessive-compulsive disorder, and coping strategies in the face of Coronavirus disease (COVID-19). Iranian Journal of Psychiatry, 15(3), 182-188. https://doi.org/10.18502/ijps.v15i3.3810
Durlak, J. A. (1972). Relationship between individual attitudes toward life and death. Journal of Consulting and Clinical Psychology, 38(3), 463. https://psycnet.apa.org/doi/10.1037/h0032854
Fletcher, D., & Sarkar, M. (2013). Psychological resilience: A review and critique of definitions, concepts, and theory. European psychologist, 18(1), 12-23. https://psycnet.apa.org/doi/10.1027/1016-9040/a000124
Gilliland, J. C., & Templer, D. I. (1986). Relationship of death anxiety scale factors to subjective states. OMEGA-Journal of Death and Dying, 16(2), 155-167. https://doi.org/10.2190%2FY9Y8-RG8N-8EUH-VJV4
Hamidein, Z., et al. (2020). How People Emotionally Respond to the News on COVID. Basic and Clinical Neuroscience,11(2),171-178. https://doi.org/10.32598/bcn.11.COVID19.809.2
Hardt, D. V. (1979). Death: The final frontier. Englewood Cliffs, NJ: Prentice-Hall. [Google Scholar]
Henderson, N., & Milstein, M.. (1996). Resilience in schools: making it happen for students and educators. SAGE Publications.
Jungmann, S.M., & Witthöft M.(2020) Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic:which factors are related to coronavirus anxiety?. Journal of Anxiety Disorders,73,2-9. https://doi.org/10.1016/j.janxdis.2020.102239.
Kandemir, D., Yılmaz, A., & Sönmez, B. (2022). Professional and psychological perceptions of emergency nurses during the COVID"19 pandemic: A qualitative study. Japan Journal of Nursing Science, 19(3), 1-14. https://doi.org/10.1111/jjns.12470
Karatas, Z., & Tagay, O. (2020). The relationships between resilience of the adults affected by the COVID pandemic in Turkey and COVID-19 fear, meaning in life, life satisfaction, intolerance of uncertainty and hope. Personality and Individual Differences, 172, 2-7. https://doi.org/10.1016/j.paid.2020.110592
Kirthiga, H. J. (2020). Influence on resilience and death anxiety during COVID-19 lockdown for Indians and foreigners. International Journal of Indian Psychology, 8(2), 93-103. https://doi.org/10.25215/0802.212
Kuperman, S. K., & Golden, C. J. (1978). Personality correlates of attitude toward death. Journal of Clinical Psychology, 34(3), 661-663. https://doi.org/10.1002/1097-4679(197807)34:3%3C661::AID-JCLP2270340316%3E3.0.CO;2-V
Lai. J., et al. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019.JAMA Network Open, 3(3), 1-12. https://doi.org/10.1001/jamanetworkopen.2020.3976
Lai. J., et al. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019.JAMA Network Open, 3(3), 1-12. https://doi.org/10.1001/jamanetworkopen.2020.3976
Malik, S., et al. (2021). Fear of COVID-19 and workplace phobia among Pakistani doctors: A survey study. BMC Public Health, 21(833),2-9. https://doi.org/10.1186/s12889-021-10873-y
McDonald, R. T., & Hilgendorf, W. A. (1986). Death imagery and death anxiety. Journal of clinical psychology, 42(1), 87-91. https://doi.org/10.1002/1097-4679(198601)42:1%3C87::AID-JCLP2270420113%3E3.0.CO;2-S
Menzies, R., & Nimrod, D.I. (2019). The relationship between death anxiety and severity of mental illnesses. British Journal of Clinical Psychology, 58(1),452-467. http://dx.doi.org/10.1111/bjc.12229
Menzies, R.E., et al. (2019). The relationship between death anxiety and severity of mental illnesses. British Journal of Clinical Psychology, 58(4), 452-467. https://doi.org/10.1111/bjc.12229
Ozguc, S., et al.(2021). Death anxiety associated with Coronavirus (COVID-19): a systematic review and meta-analysis. OMEGA-Journal of Death and Dying, 1(1), 1-34. https://doi.org/10.1177/00302228211050503
Paul, D., et al.(2021). Resilience and death anxiety among COVID positive and COVID negative people. Saudi Journal of Humanities and Social Sciences, 6(9), 334-340. https://doi.org/10.36348/sjhss.2021.v06i09.005
Polizzi, C., et al. (2020). Stress and coping in the time of COVID-19: pathways to resilience and recovery. Clinical Neuropsychiatry, 17(2), 59-62. https://doi.org/10.36131/CN20200204
Pyszczynski, T., Greenberg, J., & Solomon, S. (1999). A dual-process model of defense against conscious and unconscious death-related thoughts: an extension of terror management theory. Psychological review, 106(4), 835-845. https://psycnet.apa.org/doi/10.1037/0033-295X.106.4.835
RodrÃguez-Hidalgo, R.J. (2020). Fear of COVID-19, stress and anxiety in university undergraduate students: a predictive model for depression. Frontiers in Psychology, 11, 1-9. https://doi.org/10.3389/fpsyg.2020.591797
Russac, R.J., et al. (2007). Death anxiety across the adult years: an examination of age and gender effects. Death Studies, 31(6), 549-561 https://doi.org/10.1080/07481180701356936
Rutter, M. (2006). Implications of resilience concepts for scientific understanding. Annals of the New York Academy of Sciences, 1094(1), 1-12. https://doi.org/10.1196/annals.1376.002
Salkovskis, P. M., & Warwick, H. M. (1985). Cognitive therapy of obsessive-compulsive disorder: Treating treatment failures. Behavioural and Cognitive Psychotherapy, 13(3), 243-255. https://doi.org/10.1017/S0141347300011095
Sandin, B., et al. (2020). Psychological impact of the COVID-19 pandemic: negative and positive effects in Spanish population during the mandatory national quarantine. Journal of Psychopathology and Clinical Psychology, 25(1), 1-21. https://doi.org/10.5944/rppc.27569
Solomon, S., et al. (2021). Terror management theory and the COVID-19 pandemic. Journal of Humanistic Psychology, 61(2), 173-189. https://doi.org/10.1177%2F0022167820959488
Thorson, J.A., & Powell, F.C. (2007). A revised death anxiety scale. Death Studies, 16(6), 507-521. https://doi.org/10.1080/07481189208252595
Trent, C., Glass Jr, J. C., & McGee, A. Y. (1981). The impact of a workshop on death and dying on death anxiety, life satisfaction, and locus of control among middle-aged and older adults. Death Education, 5(2), 157-173. https://doi.org/10.1080/07481188108252089
Vaishnavi, S., Connor, K., & Davidson, R.T. (2007). An abbreviated version of the Connor-Davidson resilience scale (CD-RISC), the CD-RISC2: psychometric properties and applications in psychopharmacological trials. Psychiatry Research, 152 (2-3), 293-297. https://doi.org.1016/j.psychres.2007.01.006
Wang, C. et al.(2021). The impact of COVID-19 pandemic on physical and mental health of Asian: a study of seven middle-income countries in Asia. PLoS One, 16(2), 1-20. https://doi.org/10.1371/journal.pone.0246824
Wang, C., et al. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, behavior, and immunity, 87, 40-48. https://doi.org/10.1016/j.bbi.2020.04.028
Yalom, I. D. (2008). Staring at the sun: Overcoming the terror of death. The Humanistic Psychologist, 36(3-4), 283-297. https://doi.org/10.1080/08873260802350006
Yıldırım, M., & Güler, A. (2021). Positivity explains how COVID-19 perceived risk increases death distress and reduces happiness. Personality and Individual Differences, 168,2-7 . https://doi.org/10.1016/j.paid.2020.110347
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.