Death anxiety in older adults: A quantitative review
Abstract
This literature review quantitatively summarized 49 published and unpublished research studies concerning the relationship between death anxiety and age, ego integrity, gender, institutionalization, physical and psychological problems, and religiosity in older adults. Results indicated that lower ego integrity, more physical problems, and more psychological problems are predictive of higher levels of death anxiety in elderly people. A suggestive but equivocal relationship was found for the predictor institutionalization. Furthermore, the review statistically demonstrated the importance of using sound methods for measuring death anxiety and sampling from the elderly population. It has been said that we may learn looking backward - we live looking forward. A person's thinking and behavior may be influenced more than we recognize by his views, hopes and fears concerning the nature and meaning of death. (Feifel,1959,p.116)
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Higher religious beliefs and practices are not necessarily associated with lower death anxiety.
“higher religious beliefs and practices are not necessarily associated with lower death anxiety”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Fortner & Neimeyer, 1999
Higher education and socioeconomic status are moderately associated with lower death anxiety.
“higher education and socioeconomic status are moderately associated with lower death anxiety”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Fortner & Neimeyer, 1999
Good physical health is associated with lower death anxiety.
“good physical health is associated with lower death anxiety”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Fortner & Neimeyer, 1999
More psychological problems are associated with higher levels of death anxiety.
“more psychological problems are associated with higher levels of death anxiety”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Fortner & Neimeyer, 1999
Females typically report higher death anxiety than males.
“females typically report higher death anxiety than males”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Fortner & Neimeyer, 1999
Older people do not typically report higher death anxiety than younger people.
“older people do not typically report higher death anxiety than younger people”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Fortner & Neimeyer, 1999
Death anxiety is related to low self-esteem.
“Other studies have indicated that death anxiety is related to low self-esteem [2, 29].”
From Relationship between meaning in life and death anxiety in the elderly: self-esteem as a mediator (2019) · cites this paper as [2]
Cites
Perry, J. B., & Erikson, E. H. (1965) · Journal of Marriage and the Family · doi:10.2307/349827 · Cited by 3,847 · see citing works
From hospital to community psychiatry
Jones, M. (1970) · Community Mental Health Journal · doi:10.1007/bf01435915 · Cited by 2,055 · see citing works
(1997) · Choice Reviews Online · doi:10.5860/choice.35-1209 · Cited by 1,433 · see citing works
The Handbook of Research Synthesis
Hanka, R. (1994) · BMJ · doi:10.1136/bmj.309.6952.488a · Cited by 1,064 · see citing works
Erikson, E. H., Erikson, J. M., & Kivnick, H. Q. (1989) · Medical Entomology and Zoology · Cited by 786 · see citing works
Ammons, C. H. (2014) · Encyclopedia of Special Education · doi:10.1002/9781118660584.ese1973 · Cited by 703 · see citing works
FRANK, J. B. (1987) · JAMA · doi:10.1001/jama.1987.03400020110044 · Cited by 496 · see citing works
Effects of family and marital psychotherapies: a meta-analysis.
Shadish, W., Montgomery, L. M., Wilson, P., Wilson, M. R., Bright, I., & Okwumabua, T. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.6.992 · Cited by 320 · see citing works
Gesser, G., Wong, P. T. P., & Reker, G. T. (1988) · OMEGA - Journal of Death and Dying · doi:10.2190/0dqb-7q1e-2ber-h6yc · Cited by 269 · see citing works
Psychological Perspectives on Death
Kastenbaum, R., & Costa, P. T. (1977) · Annual Review of Psychology · doi:10.1146/annurev.ps.28.020177.001301 · Cited by 218 · see citing works
Meta-Analysis for Explanation: A Casebook
Spilker, B. (1993) · JAMA · doi:10.1001/jama.1993.03500230123042 · Cited by 199 · see citing works
Feifel, H., & Branscomb, A. B. (1973) · Journal of Abnormal Psychology · doi:10.1037/h0034519 · Cited by 188 · see citing works
Correlates of Death Anxiety: A Review of Empirical Studies
Pollak, J. M. (1980) · OMEGA - Journal of Death and Dying · doi:10.2190/4kg5-hbh0-nnme-dm58 · Cited by 145 · see citing works
Death anxiety: Age, sex, and parental resemblance in diverse populations.
Templer, D. I., Ruff, C. F., & Franks, C. M. (1971) · Developmental Psychology · doi:10.1037/h0030389 · Cited by 136 · see citing works
Death anxiety in adult life—theoretical perspectives
Tomer, A. (1992) · Death Studies · doi:10.1080/07481189208252594 · Cited by 107 · see citing works
Improving measurement of death anxiety
McMordie, W. R. (1979) · Psychological Reports · doi:10.2466/pr0.1979.44.3.975 · Cited by 96 · see citing works
Stratum Contrasts and Similarities in Attitudes Toward Death
Bengtson, V. L., Cuellar, J. B., & Ragan, P. K. (1977) · Journal of Gerontology · doi:10.1093/geronj/32.1.76 · Cited by 95 · see citing works
Future time, death anxiety, and life purpose among older adults
Rappaport, H., Fossler, R. J., Bross, L. S., & Gilden, D. (1993) · Death Studies · doi:10.1080/07481189308252631 · Cited by 76 · see citing works
Fear of Death of Suicidal Persons
Lester, D. (1967) · Psychological Reports · doi:10.2466/pr0.1967.20.3c.1077 · Cited by 62 · see citing works
Hickson, J. H., Housley, W. F., & Boyle, C. (1988) · The International Journal of Aging and Human Development · doi:10.2190/e5ck-thbm-qvqg-c3dn · Cited by 53 · see citing works
Religious Behaviors and Death Anxiety in Later Life
Koenig, H. G. (1988) · The Hospice Journal · doi:10.1080/0742-969x.1988.11882612 · Cited by 53 · see citing works
Perspectives on Death: A Developmental Study
Keller, J. W., Sherry, D., & Piotrowski, C. (1984) · The Journal of Psychology · doi:10.1080/00223980.1984.9923628 · Cited by 50 · see citing works
Determination of optimal stock levels for manufacturing components using discrete event simulation
Waters, C., Ballesteros, L., & O'Keane, G. (1982) · Omega · doi:10.1016/0305-0483(82)90091-3 · Cited by 50 · see citing works
Productivity measurement at the plant level
Roll, Y., & Sachish, A. (1981) · Omega · doi:10.1016/0305-0483(81)90064-5 · Cited by 46 · see citing works
Templer, D. I., Lester, D., & Ruff, C. F. (1974) · Psychological Reports · doi:10.2466/pr0.1974.35.1.530 · Cited by 44 · see citing works
Death Anxiety Scales: A Dialogue
Lester, D., & Templer, D. (1993) · OMEGA - Journal of Death and Dying · doi:10.2190/f6gx-kxgx-pfr8-2hfd · Cited by 42 · see citing works
The role of age in death attitudes
Kalish, R. A., & Reynolds, D. K. (1977) · Death Education · doi:10.1080/07481187708252892 · Cited by 39 · see citing works
Death anxiety among nursing home residents: A comparison of the young-old and the old-old
Mullins, L. C., & Lopez, M. A. (1982) · Death Education · doi:10.1080/07481188208252117 · Cited by 37 · see citing works
Assessment of Attitudes toward Death and Dying: A Critical Review of Some Available Methods
Kurlychek, R. T. (1979) · OMEGA - Journal of Death and Dying · doi:10.2190/3lhv-102f-hmlv-w7wf · Cited by 35 · see citing works
The Relationship between Death Anxiety and the Subjective Experience of Time in the Elderly
Quinn, P. K., & Reznikoff, M. (1986) · The International Journal of Aging and Human Development · doi:10.2190/57d4-nujq-g4k1-nbc7 · Cited by 29 · see citing works
Trent, C., Glass, J. C., & McGee, A. Y. (1981) · Death Education · doi:10.1080/07481188108252089 · Cited by 24 · see citing works
Davis, R. E., Thorson, J. A., & Copenhaver, J. H. (1990) · Psychological Reports · doi:10.2466/pr0.1990.67.1.263 · Cited by 23 · see citing works
Purpose in Life and Death Concern
Bolt, M. (1978) · The Journal of Genetic Psychology · doi:10.1080/00221325.1978.10533327 · Cited by 22 · see citing works
A Study of Subjective Time and Death Anxiety in the Elderly
Bascue, L. O., & Lawrence, R. E. (1977) · OMEGA - Journal of Death and Dying · doi:10.2190/dp6u-8c14-u42b-enuc · Cited by 17 · see citing works
Life Satisfaction and Death Anxiety in Elderly Nursing Home and Public Housing Residents
Given, J. E., & Range, L. M. (1990) · Journal of Applied Gerontology · doi:10.1177/073346489000900208 · Cited by 17 · see citing works
Psychosocial Aspects of Death among the Elderly: A Review of the Literature
Wass, H., & Myers, J. E. (1982) · The Personnel and Guidance Journal · doi:10.1002/j.2164-4918.1982.tb00299.x · Cited by 14 · see citing works
Similarities and Dissimilarities in Attitudes toward Death in a Population of Older Persons
Wass, H., Christian, M., Myers, J. E., et al. (1979) · OMEGA - Journal of Death and Dying · doi:10.2190/5whp-u116-fh35-0wqe · Cited by 14 · see citing works
Age denial: Death denial in the elderly
Baum, S. K., & Boxley, R. L. (1984) · Death Education · doi:10.1080/07481188408252479 · Cited by 11 · see citing works
Roth, N. (1978) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1978.32.4.552 · Cited by 9 · see citing works
Perceptions of Time Remaining and Distance from Death
Keith, P. M. (1982) · OMEGA - Journal of Death and Dying · doi:10.2190/h2cw-vwu5-3m21-hbpa · Cited by 9 · see citing works
Assessment of Attitudes Toward Death: Techniques and Instruments for Use With Older Persons
Wass, H., & Forfar, C. S. (1982) · Measurement and Evaluation in Guidance · doi:10.1080/00256307.1982.12022314 · Cited by 9 · see citing works
Saul, S. R., & Saul, S. (1973) · OMEGA - Journal of Death and Dying · doi:10.2190/6x3t-t6ab-xjf4-734l · Cited by 8 · see citing works
The personal construct theory of death and loss: Toward a more individually oriented grief therapy
Viney, L. L. (1991) · Death Studies · doi:10.1080/07481189108252419 · Cited by 7 · see citing works
DAVIS, R. E. (1990) · Psychological Reports · doi:10.2466/pr0.67.5.263-266 · Cited by 7 · see citing works
Death Attitudes of Residential and Non-Residential Rural Aged Persons
Myska, M. J., & Pasewark, R. A. (1978) · Psychological Reports · doi:10.2466/pr0.1978.43.3f.1235 · Cited by 6 · see citing works
Older People's Anxiety about Afterlife
Baum, S. K. (1983) · Psychological Reports · doi:10.2466/pr0.1983.52.3.895 · Cited by 6 · see citing works
Death Education for the Elderly
Wangsness, S. (1981) · Issues in Mental Health Nursing · doi:10.3109/01612848109140859 · Cited by 3 · see citing works
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Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct
Iverach, L., Menzies, R. G., & Menzies, R. E. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.09.002 · Cited by 459 · see citing works
“…lower death anxiety; good physical health is associated with lower death anxiety; and more psychological problems are associated with higher levels of death anxiety (Abdel-Khalek & Lester, 2009; Eshbaugh & Henninger, 2013; Fortner & Neimeyer, 1999; Furer & Walker, 2008; Kastenbaum, 2000).”
BackgroundWink, P., & Scott, J. (2005) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/60.4.p207 · Cited by 234 · see citing works
Relationship between meaning in life and death anxiety in the elderly: self-esteem as a mediator
Zhang, J., Peng, J., Gao, P., Huang, H., Cao, Y., Zheng, L., & Miao, D. (2019) · BMC Geriatrics · doi:10.1186/s12877-019-1316-7 · Cited by 206 · see citing works
Maxfield, M., Pyszczynski, T., Kluck, B., Cox, C. R., Greenberg, J., Solomon, S., & Weise, D. (2007) · Psychology and Aging · doi:10.1037/0882-7974.22.2.341 · Cited by 181 · see citing works
Exploring Death Anxiety among Elderly People: A Literature Review and Empirical Investigation
Missler, M., Stroebe, M., Geurtsen, L., Mastenbroek, M., Chmoun, S., & Van Der Houwen, K. (2012) · OMEGA - Journal of Death and Dying · doi:10.2190/om.64.4.e · Cited by 111 · see citing works
Death Anxiety among Chinese Elderly People in Hong Kong
Wu, A. M. S., Tang, C. S. K., & Kwok, T. C. Y. (2002) · Journal of Aging and Health · doi:10.1177/089826430201400103 · Cited by 102 · see citing works
Death across the lifespan: age differences in death-related thoughts and anxiety
Chopik, W. J. (2017) · Death Studies · doi:10.1080/07481187.2016.1206997 · Cited by 98 · see citing works
Religiousness, Religious Doubt, and Death Anxiety
Henrie, J., & Patrick, J. H. (2014) · The International Journal of Aging and Human Development · doi:10.2190/ag.78.3.a · Cited by 94 · see citing works
PSYCHOSOCIAL CORRELATES OF DEATH ANXIETY AMONG CHINESE COLLEGE STUDENTS
Tang, C. S.-K., Wu, A. M. S., & W.Yan, E. C. (2002) · Death Studies · doi:10.1080/074811802760139012 · Cited by 72 · see citing works
Sinoff, G. (2017) · Frontiers in Medicine · doi:10.3389/fmed.2017.00011 · Cited by 63 · see citing works
French, C., Greenauer, N., & Mello, C. (2017) · Journal of Social Work in End-of-Life & Palliative Care · doi:10.1080/15524256.2017.1331181 · Cited by 34 · see citing works
Older Adults and the Fear of Death: The Protective Function of Generativity
Major, R. J., Whelton, W. J., Schimel, J., & Sharpe, D. (2016) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980816000143 · Cited by 30 · see citing works
Death Anxiety, Religious Doubt, and Depressive Symptoms across Race in Older Adults
Willis, K. D., Nelson, T., & Moreno, O. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193645 · Cited by 28 · see citing works
The Relationship Between Ego Integrity and Death Attitudes in Older Adults
Parker, D. W. (2013) · American Journal of Applied Psychology · doi:10.11648/j.ajap.20130201.12 · Cited by 27 · see citing works
Factors affecting the death anxiety levels of relatives of cancer patients undergoing treatment
Beydag, K. D. (2012) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2012.13.5.2405 · Cited by 22 · see citing works
Emotional responses to mortality salience: Behavioral and ERPs evidence
Huang, S., Du, H., & Qu, C. (2021) · PLOS ONE · doi:10.1371/journal.pone.0248699 · Cited by 15 · see citing works
Chang, K.-E. (2011) · Korean Journal of Human Ecology · doi:10.5934/kjhe.2011.20.5.917 · Cited by 12 · see citing works
Lessons from Master Hongyi’s Experiences with Impermanence for Death Education
Shi (Hsu-Feng Lee), F. (2024) · Religions · doi:10.3390/rel15050528 · Cited by 3 · see citing works
“…and Neimeyer 1999; Harding et al. 2005). leveraging the DAS consistently reveals that individuals with profound religious spiritual convictions often exhibit significantly lower levels of death anxiety compared to those without such frameworks (Fortner and Neimeyer 1999; Harding et al. 2005).”
Background
- Authors
- V. Fortner, R. A. N.
- Venue
- Death Studies
- Publisher
- Informa UK Limited
- Published
- 1999-06
- Volume
- 23
- Issue
- 5
- Pages
- 387-411
- ISSN
- 0748-1187 (ISSN-L)
- 1091-7683
- OpenAlex
- W2110790515
- Cited by
- 387
- References
- 47
- Citations by year
- 2026: 14 · 2025: 11 · 2024: 24 · 2023: 15 · 2022: 16 · 2021: 24 · 2020: 16 · 2019: 16 · 2018: 21 · 2017: 18 · 2016: 21 · 2015: 20 · 2014: 10 · 2013: 8 · 2012: 15
- FWCI
- 3.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Death Studies (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- fear of death, older adults, ego integrity, age, gender differences, institutionalization, physical health problems, mental illness, religiosity
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Anxiety, Attitude to Death, Ego, Female, Health Status, Humans, Institutionalization, Male, Middle Aged, Regression Analysis, Religion, Sex Factors
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