Death Anxiety in a National Sample of United States Funeral Directors and its Relationship with Death Exposure,Age,and Sex

Abstract

The purpose of this study is to examine the relationship between the level of death anxiety among a national sample of United States funeral directors with varying levels of death exposure, age, and sex. Utilizing the Multidimensional Fear of Death Scale (MFODS), the results showed a significant, but weak negative relationship between levels of death anxiety and the participants' reported number of funerals attended per year. The correlation between death anxiety scores and the number of reported embalming cases performed yearly was, however, not significant. We found a significant negative correlation between death anxiety and age in both men and women funeral directors. The difference in the death anxiety scores between men (n = 166) and women (n = 38) funeral directors was not significant. There was a significant negative correlation with age in both men and women in several fears of death including fear of the dying process, fear for significant others, and fear of premature death. The significant negative correlations were stronger for women than men across all three subscales. Results, direction for further research, and implications of the findings for mental health workers are discussed.

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References

Abdel-Khalek

(1998). Death, anxiety, and depression in Lebanese undergraduates. Omega: Journal of Death & Dying, 37, 289–302.

Abdel-Khalek

(2001). Death, anxiety, and depression in Kuwaiti undergraduates. Omega: Journal of Death & Dying, 42, 309–320.

Abdel-Khalek

(2002). Death, anxiety, and depression: A comparison between Egyptian, Kuwaiti, and Lebanese undergraduates. Omega: Journal of Death & Dying, 45, 277–287.

Abdel-Khalek

A. M.

, & Al-Kandari

(2007) Death anxiety in Kuwaiti middle-aged personnel. Omega: Journal of Death & Dying, 55, 297–310.

Alreck

P. L.

, & Settle

R. B.

(1995). The survey research handbook (2nd ed.). Boston: Irwin/McGraw-Hill.

Ardelt

(2000). Intellectual versus wisdom-related knowledge: The case for a different kind of learning in the later years of life. Educational Gerontology, 26, 771–789.

Barriball

K. L.

, & While

A. E.

(1999). Non-response in survey research: A methodological discussion and development of an explanatory model. Journal of Advanced Nursing, 30, 677–686.

Cassem

N. H.

(1976). The first three steps beyond the grave. In Pine

V. R.

Kutscher

A. H.

Peretz

Slater

R. C.

DeBellis

Volk

R. J.

, & Cherico

D. J.

(Eds.), Acute grief and the funeral (pp. 13–22). Springfield, IL: Bannerstone.

Collett

, & Lester

(1969). The fear of death and the fear of dying. Journal of Psychology, 72, 179–181.

10.

Connick

G. P.

(2003). The times they are a changing. American Funeral Director, 126, 36–42.

11.

Dattel

A. R.

, & Neimeyer

R. A.

(1990). Sex difference in death anxiety: Testing the emotional expressive hypothesis. Death Studies, 14, 1–11.

12.

Davis

S. F.

Bremer

S. A.

Anderson

B. J.

, & Tramill

J. L.

(1983). The interrelationships of ego strength, self-esteem, death anxiety, and sex in undergraduate college students. The Journal of General Psychology, 108, 55–59.

13.

DePaola

S. J.

Neimeyer

R. A.

Lupfer

M. B.

, & Fiedler

(1994). Death concerns and attitudes toward the elderly in nursing home personnel. In Neimeyer

R. A.

(Ed.), Death anxiety handbook: Research, instrumentation, and application (pp. 201–215). Washington, DC: Taylor & Francis.

14.

Dey

E. L.

(1997). Working with low survey response rates: The efficacy of weighting adjustments. Research in Higher Education, 38, 215–227.

15.

Dickinson

G. E.

, & Pearson

A. A.

(1980). Death, education and physicians attitudes towards dying patients. Omega: Journal of Death & Dying, 11, 167–174.

16.

Fortner

B. V.

, & Neimeyer

R. A.

(1999). Death anxiety in older adults: A quantitative review. Death Studies, 23, 387–412.

17.

Gamino

L. A.

Easterling

L. W.

Stirman

L. S.

, & Sewell

K. W.

(2000). Grief adjustment as influenced by funeral participation and occurrence of adverse funeral events. Omega: Journal of Death & Dying, 41, 79–92.

18.

Gilliland

J. C.

, & Templer

D. I.

(1985). Relationship of death anxiety scale factors to subjective states. Omega: Journal of Death & Dying, 16, 155–167.

19.

Habenstein

R. W.

, & Lamers

W. M.

(1985). The history of American funeral directing (2nd rev. ed.). Milwaukee: National Funeral Directors Association.

20.

Holness

D. L.

, & Nethercott

J. R.

(1989). Health status of funeral service workers exposed to formaldehyde. Archives of Environmental Health, 44(7), 222–228. Retrieved February 20, 2004 from the Ebsco Host Research Database.

21.

Hoelter

J. W.

(1979). Multidimensional treatment for fear of death. Journal of Consulting and Clinical Psychology, 47, 996–999.

22.

Howarth

, & Leaman

(Eds.). (2001). Encyclopedia of death and dying. New York: Routledge.

23.

Hyland

, & Morse

J. M.

(1995). Orchestrating comfort: The role of funeral directors. Death Studies, 19, 453–474.

24.

Illinois Funeral Directors Association. (2003). Women in funeral service. Illinois Director, 2, 15.

25.

Irion

P. E.

(1990). Changing patterns of ritual response to death. Omega: Journal of Death & Dying, 22, 159–172.

26.

Kastenbaum

R. J.

(1986). Death, society, and human experience (3rd ed.). Columbus: Merrill.

27.

Kastenbaum

, & Aisenberg

(1972). The psychology of death. New York: Springer.

28.

Keith

P. M.

(1996). Feelings of deprivation, death anxiety, and depressive symptoms among funeral directors. Omega: Journal of Death & Dying, 34, 107–115.

29.

Keith

P. M.

(1998). Investigation of a typology of life and death as an indicator of quality of life. Omega: Journal of Death & Dying, 37, 151–165.

30.

Kirchberg

T. M.

, & Neimeyer

R. A.

(1991). Reactions of beginning counselors to Situations involving death and dying. Death Studies, 15, 603–610.

31.

Koenig

H. G.

(1988). Religious behaviors and death anxiety in later life. Hospice Journal—Physical, Psychosocial, & Pastoral Care of the Dying, 4, 3–24.

32.

Krieger

S. R.

Epting

F. R.

, & Hayes

L. H.

(1979). Validity and reliability of provided constructs in assessing death threat. Omega: Journal of Death & Dying, 20, 87–95.

33.

Krieger

S. R.

Epting

F. R.

, & Leitner

L. M.

(1974). Personal constructs, threat, and attitudes toward death. Omega: Journal of Death & Dying, 5, 299–310.

34.

Kroshus

Swarthout

, & Tibbetts

(1995). Critical incident stress among funeral directors: Identifying factors relevant for mental health. Journal of Mental Health Counseling, 17, 441–451.

35.

Lang

F. R.

(1997). Death anxiety and clinical practice. London: Karnac.

36.

Lattanner

, & Hayslip

(1984). Occupational-related differences in levels of death anxiety. Omega: Journal of Death & Dying, 15, 53–66.

37.

Leming

M. R.

, & Dickinson

G. E.

(1990). Understanding dying, death, and bereavement (2nd ed.). Fort Worth: Holt, Rinehart and Winston.

38.

Lester

Templer

D. I.

, & Abdel-Khalek

(2007). A cross-cultural comparison of death anxiety: A brief note. Omega: Journal of Death & Dying, 54, 255–260.

39.

Lewis

J. G.

Espe-Pfeifer

, & Blair

(2000). A comparison of death anxiety and denial in death-risk and death-exposure occupations. Omega: Journal of Death & Dying, 40, 421–434.

40.

Lonetto

, & Templer

D. I.

(1986). Death anxiety. The series in health psychology and behavioral medicine. Cambridge: Hemisphere.

41.

Mead

(1972). Twentieth century faith hope and survival. New York: Harper and Row.

42.

Mead

(1973). Ritual in social crisis. In Sharghnessy

(Ed.), Roots of ritual (pp. 89–90). Grand Rapids: Eerdmans.

43.

Morgan

J. D.

(1995). Living our dying and our grieving: Historical and cultural attitudes. In Wass

& Neimeyer

R. A.

(Eds.), Dying: Facing the facts (3rd ed., pp. 25–34.). Washington, DC: Taylor & Francis.

44.

National Funeral Directors Association. (2002). NFDA fact sheet. Retrieved December 17, 2003, from http://www.nfda.org/page.php?pID=7

45.

Neimeyer

R. A.

(1994). The threat index and related methods. In Neimeyer

R. A.

(Ed.), Death anxiety handbook: Research, instrumentation, and application (pp. 61–101). Washington, DC: Taylor & Francis.

46.

Neimeyer

R. A.

, & Fortner

B. V.

(1995). Death anxiety in the elderly population. In Maddox

(Ed.), Encyclopedia of aging (2nd ed.). New York: Springer.

47.

Neimeyer

R. A.

, & Moore

M. K.

(1994). Validity and reliability of multidimensional fear of death scale. In Neimeyer

R. A.

(Ed.), Death anxiety handbook: Research, instrumentation, and application (pp. 103–119). Washington, DC: Taylor & Francis.

48.

Palgi

(1983). Reflections on some creative modes of confrontation with the phenomenon of death. International Journal of Social Psychiatry, 29, 29–37.

49.

Rasmussen

C. H.

, & Brems

(1996). The relationship of death anxiety with age and psychosocial maturity. The Journal of Psychology, 130, 141–144.

50.

Rasmussen

C. H.

, & Johnson

M. E.

(1994). Spirituality and religiosity: Relative relationships to death anxiety. Omega: Journal of Death & Dying, 29, 313–318.

51.

Reyes

(1997). If trend continues, women will dominate funeral service business. Community College Week, 9, 1–3.

52.

Richardson

Berman

, & Piwowarski

(1983). Projective assessment of the relationships between the salience of death, religion, and age among adults in America. The Journal of General Psychology, 109, 149–156.

53.

Rockwell

F. P. A.

(1981). Death anxiety: Comparison of psychiatrists, psychologists, suicidologists, and funeral directors. Psychological Reports, 49, 979–982.

54.

Sax

L. J.

Gilmartin

S. K.

, & Bryant

S. K.

(2003). Assessing response rates and nonresponse bias in Web and paper surveys. Research in Higher Education, 44, 409–435.

55.

Schell

B. H.

, & Zinger

J. T.

(1984). Death anxiety scale means and standard deviations for Ontario undergraduates and funeral directors. Psychological Reports, 54, 439–446.

56.

Shapiro

E. R.

(1994). Grief as a family process: A developmental approach to clinical practice. New York: Guildford Press.

57.

Suhail

, & Akram

(2002). Correlates of death anxiety in Pakistan. Death Studies, 26, 39–50.

58.

Templer

D. I.

(1970). The construction and validation of a death anxiety scale. Journal of General Psychology, 82, 165–177.

59.

Templer

D. I.

(1991). Comment on large sex difference on death anxiety in Arab countries. Psychological Reports, 69, 1186.

60.

Templer

D. I.

, & Ruff

C. F.

(1971). Resemblance of parent-child death anxiety as a function of age and sex of child. Psychological Reports, 31, 750.

61.

Templer

D. I.

Ruff

C. F.

, & Ayers

(1976). The death anxiety of those who work in funeral homes. In Vanderlyn

& Pine

(Ed.), Acute grief and the funeral. Springfield, IL: Bannerstone.

62.

Templer

D. I.

Ruff

C. F.

, & Franks

C. M.

(1971). Death anxiety: Age, sex, and parental resemblance in diverse populations. Developmental Psychology, 4, 108.

63.

The National Yellow Book of Funeral Directors. (2004). Youngstown: Nomis. Author.

64.

Thorson

J. A.

, & Perkins

(1977). A factor-analytic study of a scale designed to measure death anxiety. Paper presented at the 30th annual scientific meeting of the Gerontological Society, San Francisco.

65.

Thorson

J. A.

, & Powell

F. C.

(1984). Revision and factor analysis of a death anxiety scale abstract. Paper presented at the annual scientific meeting of the Gerontological Society, San Antonio, New Mexico.

66.

Thorson

J. A.

, & Powell

F. C.

(1988). Elements of death anxiety and meanings of death. Journal of Clinical Psychology, 44, 691–701.

67.

Thorson

J. A.

, & Powell

F. C.

(1993). Personality, death anxiety, and sex. Bulletin of the Psychonomic Society, 31, 589–590.

68.

Thorson

J. A.

, & Powell

F. C.

(1996). Undertakers' death anxiety. Psychological Reports, 78, 1228–1230.

69.

Tomer

, & Eliason

(1996). Toward a comprehensive model of death anxiety. Death Studies, 20, 343–365.

70.

Turner

S. B.

Kunches

L. M.

Gordon

K. F.

Travers

P. H.

, & Mueller

N. E.

(1989). Occupational exposure to human immunodeficiency virus (HIV) and hepatitis B virus (HBV) among embalmers: A pilot seroprevalence study. American Journal of Public Health, 79, 1425–1426.

71.

U.S. Department of Labor. (2004). Bureau of Labor Statistics. Occupational outlook handbook. Retrieved August 31, 2004 from http://bls.gov/oco/ocos011.htm