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Cited by 68Palliative Care and End-of-Life IssuesPalliative and Oncologic CareDeath, Funerary Practices, and Mourning

Fear of Death and Good Death Among the Young and Elderly with Terminal Cancers in Taiwan

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Tsai, Jaw-Shiun, Wu, Chih-Hsun, Chiu, Tai-Yuan, Hu, Wen-Yu, Chen, Ching-Yu·2005·Journal of Pain and Symptom Management
DOI 10.1016/j.jpainsymman.2004.07.013
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Abstract

Fear of death is a common characteristic among palliative care patients. We might think that the elderly display a higher degree of acceptance of the inevitability and less fear in the face of death. This study was aimed at investigating the relationship between the death fear level and the good-death scale in two age groups. The study was conducted in 224 patients with terminal cancers admitted to the Palliative Care Unit in National Taiwan University Hospital during the period of January 1 through October 31, 2001. The mean age was 62.13 +/- 15.47 years. The duration of admission in the elderly group was shorter than that of the younger group (P < 0.05). The severity of death fear decreased gradually in both groups after being admitted to the hospice (P < 0.05). However, the elderly (> or = 65 years of age) displayed higher levels of death fear than the younger group at two days before death (P < 0.05). A significant negative correlation was observed between the degree of death fear and the total good death score in both groups at two days before death (P < 0.05). The comprehensive care in the palliative care unit might relate to the relief of the death fear of terminal cancer patients. There is a need for psychological and spiritual care in elderly patients.

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  • Individuals with terminal illnesses who report higher levels of death anxiety tend to have fewer characteristics associated with a good death.

    “Furthermore, individuals with terminal illnesses who report higher levels of DA tend to have fewer characteristics associated with a good death, such as being aware of their impending death, accepting death peacefully, being surrounded by loved ones and experiencing physical comfort.11”

    From Psychological adjustment to death anxiety: a qualitative study of Chinese patients with advanced cancer (2024) · cites this paper as [11]

    The Discussion reports that, among hospice patients with terminal cancer, lower death fear was associated with higher good-death scores in both age groups. The Results link death fear to awareness and peaceful acceptance in the younger group and physical comfort in the elderly group. The sentence goes beyond the study by describing patient-reported anxiety and being surrounded by loved ones: the paper used hospice-team assessments and did not measure loved ones’ presence as a good-death characteristic. (LLM, conf=0.88)

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Research works printed but not linked: 6

  1. Cheng SY, Chiu TY, Hu WY, et al. A pilot study of good death in terminal cancer patients. Chin J Fam Med 1996;6:83-92.
  2. Bhikkhuni TT, Bhikkhuni MS, Chen CY, et al. Spiritual care for terminal patients with head and neck cancer [in Chinese]. Taiwan J Hospice Palliat Care 2002;7:269-282.
  3. Chen CY, Chiu TY, Bhikkhuni TT, et al. Influenc- ing factors of death fear in terminal cancer patients. Taiwan J Hospice Palliat Care 2003;8(2):134-142.
  4. Chen CY, Chiu TY, Bhikkhuni TT, Bhikkhu HM. The indigenous culture of spiritual care in Taiwan [in Chinese]. Taiwan J Hospice Palliat Care 2002; 7:20-32.
  5. Hsu HC, Hu WY, Chuang RB, Chiu TY, Chen CY. Symptoms in the elderly with terminal cancer: A study in Taiwan [in Chinese]. Formosan J Med 2002;6:465-473.
  6. Tang CS, Wu AM, Yan EC. Psychosocial corre- lates of death anxiety among Chinese college stu- dents. Death Stud 2002;26(6):491-499.

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Authors
Tsai, J.-S., Wu, C.-H., Chiu, T.-Y., Hu, W.-Y., & Chen, C.-Y.
Affiliations
National Taiwan University (TW)
Corresponding author
Chen, Ching-Yu
ORCID
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2005-04
Volume
29
Issue
4
Pages
344-351
ISSN
0885-3924 (ISSN-L)
DOI
10.1016/j.jpainsymman.2004.07.013
OpenAlex
W2118638564
Cited by
68
References
27
Citations by year
2025: 4 · 2024: 5 · 2022: 8 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 12
FWCI
2.09
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain and Symptom Management (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Science Council (NSC 91-2314-B-002-224)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
Keywords
fear of death, good death, terminal cancer, palliative care, elderly patients, age differences, hospice admission, psychological and spiritual care, end-of-life care
MeSH terms
Attitude to Death, Fear, Female, Humans, Male, Middle Aged, Neoplasms, Palliative Care, Risk Factors, Taiwan, Incidence, Age Distribution, Risk Assessment

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