Abstract
(a) To compare the levels of death anxiety between the Jewish and Arab population in Israel after the Second Lebanon War and the Casting Lead Operation. (b) To compare the levels of death anxiety between three families’ generations: elderly parents, their adult children and their adult grandchildren and (c) to learn about the relationship between background characteristics and death anxiety in times of war. The sample included 172 trios of elderly parents (ages 65 and up), their middle aged children (ages 41–64) and, their young adult children (ages 20–40) living at the northern and southern of Israel. Three quarters of the participants were Jews and the others were Arabs (including Muslims, Christians and Druze). Participants answered a self-report questioner. Death anxiety levels were measured by the Carmel and Mutran’s instrument (1999). In general, the highest levels of death anxiety were found among the elderly parents (p < 0.01). Regarding the nationality and the gender variables, the highest levels of death anxiety were found among the adult Jewish daughters’ group (p < 0.001). Nationality was found to be the most contributive variable for predicting death anxiety levels among the three generations; the sense of mastery was the second contributor, to predict death anxiety levels among the three generations’ participants. Elderly population, Arab population and women, are at high risk to suffer from high levels of death anxiety in times of war in Israel. Special attention should be given to this population groups.
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References
Abdel-Khalek, A. M. (2004). Does war affect death anxiety level? seven readings of measurements (1988–2002) before and after the Iraqi invasion of Kuwait. Omega: Journal of Death and Dying, 49(4), 287–297.
Abdel-Khalek, A. M., & Al-Kandari, Y. (2007). Death anxiety in Kuwaiti middle-aged personnel. Omega: Journal of Death and Dying, 55(4), 297–310.
Aciemo, R., Ruggiero, K. J., & Kipatrick, D. G. (2006). Risk and protective factors for psychopathology among older versus younger adults after the 2004 Florida hurricanes. American Journal of Geriatric Psychiatry, 14, 1051–1059.
Al-Sabwah, M. N., & Abdel-Khalek, A. M. (2006). Religiosity and death distress in Arabic college students. Death Studies, 30(4), 365–375.
Alvarado, K. A., Templer, D. I., Bresler, C., & Thomas-Dobson, S. (1995). The relationship of religious variables to death depression and death anxiety. Journal of Clinical Psychology, 51(2), 202–204.
Azaiza, F., Ron, P., Gagini, I., & Shoham, M. (2010). Death and dying anxiety among elderly Arab Muslims in Israel. Death Studies, 34(4), 351–364.
Bar-Yosef, R. W., & Padan-Eisenstark, D. (1977). Role system under stress: Sex-roles in war. Social Problems, 25(2), 135–145.
Benight, C. C., & Harper, M. L. (2002). Coping self-efficacy perceptions as a mediator between acute stress response and long-term distress following natural disasters. Journal of Traumatic Stress, 15(3), 177–186.
Ben-Zur, H. (2008). Personal resources of mastery-optimism, and communal support beliefs, as predictors of posttraumatic stress in uprooted Israelis. Anxiety, Stress and Coping, 21(3), 295–307.
Besser, A., Neria, Y., & Haynes, M. (2009). Adult attachment, perceived stress, and PTSD among civilians continuously exposed to terrorism in southern Israel. Personality and Individual Differences, 47, 851–857.
Bleich, A., Gelkopf, M., Melamed, Y., & Solomon, Z. (2006). Mental health and resiliency following 44 months of terrorism: A survey of an Israeli national representative sample. BMC Medicine, 4(21), 1–11.
Bleich, A., Gelkopf, M., & Solomon, Z. (2003). Exposure to terrorism, stress-related mental health symptoms, and coping behaviors among a nationally representative sample in Israel. Journal of American Medical Association, 290(5), 612–620.
Bonanno, G. A., Rennicke, C., & Dekel, S. (2005). Self-enhancement among high-exposure survivors of the September 11th terrorist attack: Resilience or social maladjustment? Journal of Personality and Social Psychology, 88(6), 984–998.
Broun-lewensohn, O., & Sagy, S. (2014). Community resiliency and sense of coherence as protective factor in explaining stress reactions during missiles attacks: Comparing cities and rural communities. Community Mental Health, 50(2), 229–234.
Broun-lewensohn, O., Sagy, S., & Roth, G. (2010). Coping strategies among adolescents: Israeli Jews and Arabs facing missile attacks. Anxiety, Stress and Coping, 23(1), 35–51.
Buzzanga, V. L., Miller, H. R., Perne, S. E., Sander, J. A., & Davis, S. F. (1989). The relationships between death anxiety and level of self-esteem: A reassessment. Bulletin of the Psychonomic Society, 27(6), 570–572.
Carmel, S., & Mutran, E. (1997). Wishes regarding the use of life-sustaining treatments among elderly persons in Israel: An explanatory model. Social Science and Medicine, 45(11), 1715–1727.
Carmel, S., & Mutran, E. (1999). Fear of death and fear of dying: Structure and sociometric features of the measures. Gerontology, 28(3–4), 133–154 (In Hebrew).
Chung, M. C., Preveza, E., Papandreou, K., & Prevezas, N. (2006). Spinal cord injury, posttraumatic stress, and locus of control among the elderly: A comparison with young and Middle–Aged patients. Psychiatry: Interpersonal and Biological Processes, 69(1), 69–80.
Cicirelli, V. G. (2002). Fear of death in older adults: Predictions from terror management theory. Journal of Gerontology: Psychological Sciences, 57, P358–P366.
Clipp, E. C., & Elder, G. H. (1996). The aging veteran of World War II: psychiatric and life course insights. In P. E. Ruskin, & J. A. Talbott (Eds.), Aging and posttraumatic stress disorder (pp. 19–51). Washington, DC: American Psychiatric Press.
Cohen, S. (1981). Measuring the functional components of social support. Social Support: Theory, Research and Applications, 24, 73–94.
Dekel, R., & Hobfoll, S. E. (2007). The impact of resource loss on holocaust survivors facing war and terrorism in Israel. Aging and Mental Health, 11(2), 159–167.
Ennis, N. E., Hobfoll, S. E., & Schroder, K. E. (2000). Money doesn’t talk, it swears: How economic stress and resistance resources impact inner-city women’s depressed mood. American Journal of Community Psychology, 28(2), 149–173.
Falsetti, S. A., Resick, P. A., & Davis, J. L. (2003). Changes in religious beliefs following trauma. Journal of Traumatic Stress, 16(4), 391–398.
Farhood, L., Dimassi, H., & Lehtinen, T. (2006). Exposure to war-related traumatic events, prevalence of PTSD, and general psychiatric morbidity in a civilian population from southern Lebanon. Journal of Transcultural Nursing, 17(4), 333–340.
Farmer, M. M., & Ferraro, K. F. (1997). Distress and perceived health: Mechanisms of health decline. Journal of Health and Social Behavior, 38(3), 298–311.
Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219–239.
Fortner, B. V., & Neimeyer, R. A. (1999). Death anxiety in older adults: A quantitative review. Death Studies, 23(5), 387–411.
Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., et al. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346(13), 982–987.
Gill, J. M., Szanton, S., Taylor, T. J., Page, G. G., & Campbell, J. C. (2009). Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women. Journal of Women’s Health, 18(2), 261–267.
Goenjian, A. K., Najarian, L. M., Pynoos, R. S., Steinberg, A. M., Manoukian, G., Tavosian, A., et al. (1994). Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. American Journal of Psychiatry, 151(6), 895–901.
Graziano, R. (2003). Trauma and Aging. Journal of Gerontological Social Work, 40(4), 3–21.
Harding, S. R., Flannelly, K. J., Weaver, A. J., & Costa, K. G. (2005). The influence of religion on death anxiety and death acceptance. Mental Health, Religion and Culture, 8(4), 253–261.
Hobfoll, S. E., Canetti-Nisim, D., Johnson, R. J., Palmieri, P. A., Varley, J. D., & Galea, S. (2008). The association of exposure, risk and resiliency factors with PTSD among Jews and Arabs exposed to repeated acts of terrorism in Israel. Journal of Traumatic Stress, 21(1), 9–21.
Kaplan, Z., Matar, M. A., Kamin, R., Sadan, T., & Cohen, H. (2005). Stress-related responses after 3 years of exposure to terror in Israel: Are ideological-religious factors associated with resilience? The Journal of Clinical Psychiatry, 66(9), 1146–1154.
Knight, K. H., & Elfenbein, M. H. (1993). Relationship of death education to the anxiety, fear, and meaning associated with death. Death Studies, 17(5), 411–425.
Lowery, R. (1965). Male–female differences in attitudes toward death. Unpublished Doctoral Dissertation, Brandies University.
McMordie, W. R. (1981). Religiosity and fear of death: Strength of belief system. Psychological Reports, 49(3), 921–922.
Mghir, R., & Raskin, A. (1999). The psychological effects of the war in Afghanistan on young Afghan refugees from different ethnic backgrounds. International Journal of Social Psychiatry, 45(1), 29–40.
Monahan, K., & Lurie, A. (2007). Reactions of senior citizens to 9/11: Exploration and practice guidelines for social workers. Social Work in Health Care, 45(1), 33–47.
Murthy, R. S., & Lakshminarayana, R. (2006). Mental health consequences of war: A brief review of research findings. World Psychiatry, 5(1), 25–30.
Neimeyer, R. A. (1997). Death anxiety research: The state of the art. Omega: Journal of Death and Dying, 36(2), 97–120.
Neimeyer, R. A., Bagley, K. J., & Moore, M. K. (1986). Cognitive structure and death anxiety. Death Studies, 10(3), 273–288.
Oyserman, D., Kemmelmeier, K., & Coon, H. M. (2002). Cultural psychology, A new look: Reply to Bond (2002), Fiske (2002), Kitayama (2002), and Miller (2002). Psychological Bulletin 128(1), 110–117
Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22(4), 337–356.
Pierce, J. D., Cohen, A. B., Chambers, J. A., & Meade, R. M. (2007). Gender differences in death anxiety and religious orientation among US high school and college students. Mental Health, Religion and Culture, 10, 143–150.
Pinquart, M. (2001). Correlates of subjective health in older adults: A meta-analysis. Psychology and Aging, 16(3), 414–426.
Ron, P. (2009). Elderly people’s death anxiety and dying anxiety in Israel: A comparison between before and after the second Lebanon war. European Psychiatry, 24, 264–265.
Ron, P. (2010a). Elderly people’s death and dying anxiety: A comparison between elderly living within the community and in nursing homes in Israel. Illness, Crisis and Loss, 18(1), 3–17.
Ron, P. (2010b). Northern Israeli elderly people’s death anxiety after the second Lebanon war. In N. Nachmias, F. Azaiza & M. Cohen (Eds.), Preparedness of health, education, and welfare services to communities under fire: Lesson learned from the Second Lebanon War (pp. 27–91). Tel-Aviv: Pardes Publication (in Hebrew).
Ron, P. (2011). Intergenerational transmission, attitudes, and post-traumatic stress disorder in times of war: A comparison between elderly people and their adult offspring after the Second Lebanon War (2006) and Cast Led Operation (208). Illness, Crisis & Loss, 19(4), 329–349.
Ron, P. (2014). Post-traumatic stress disorder among three-generations families in times of war: A comparison between Israeli Jewish and Arabs after the Second Lebanon war and Cast Lead Operation. Traumatology, 20(4), 269–276.
Ron, P., & Shamai, M. (2013). The impact of ongoing national terror on nurses in Israel. Community Mental Health, 50(3), 354–361.
Rosemberg, M. (1965). Society and the adolescent self-image. Princeton: Princeton University Press.
Roshdieh, S., Templer, D., Cannon, G., & Canfield, M. (1998–1999). The relationships of death anxiety and death depression to religion and civilian war-related experiences in Iranians. Omega: Journal of Death and Dying, 38, 201–210.
Shamai, M., & Kimhi, S. (2007). Teenager’s response to threat of war and terror: The impact of gender and social systems. Community Mental Health Journal, 43, 359–374.
Silver-Cohen, R. C., Holman, E. A., McIntosh, D. N., Poulin, M., & Gil-Rivas, V. (2002). Nationwide longitudinal study of psychological responses to September 11. Journal of American Medical Association, 288(10), 1235–1244.
Solomon, Z. (1995). Coping with War-induced stress: The Gulf War and Israeli response. NewYork, NY: Plenum Press.
Suhail, K., & Akram, S. (2002). Correlates of death anxiety in Pakistan. Death Studies, 26(1), 39–50.
Templer, D. I. (1971). Death anxiety as related to depression and health of retired persons. Journal of Gerontology, 26(4), 521–523.
Thorson, J. A., & Powell, F. C. (1988). Elements of death anxiety and meanings of death. Journal of Clinical Psychology, 44(5), 691–701.
Thorson, J. A., & Powell, F. C. (1990). Meanings of death and intrinsic religiosity. Journal of Clinical Psychology, 46(4), 379–391.
Thorson, J. A., & Powell, F. C. (2000). Death anxiety in younger and older adults. In A. Tomer (Ed.), Death attitudes and the older adult: Theories, concepts and applications (pp. 123–136). New-York, NY: Psychology Press.
Tomer, A. (1992). Death anxiety in adult life—theoretical perspectives. Death Studies, 16(6), 475–506.
Trautman, R., Tucker, P., Pfefferbaum, B., Lensgraf, S. J., Doughty, D. E., Buksh, A., & Buksh, A. (2002). Effects of prior trauma and age on posttraumatic stress symptoms in asian and middle eastern immigrants after terrorism in the community. Community Mental Health Journal, 38(6), 459–474.
World Health Organization. (2001). World Health Report 2001- Mental health: new understanding, new hope. Geneva: Switzerland.
Yahav, R., & Cohen, M. (2007). Symptoms of acute stress in Jewish and Arab Israeli citizens during the second Lebanon war. Social Psychiatry and Psychiatric Epidemiology, 42(10), 830–836.
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Ron, P. The Relationship Between Background Characteristics and Death Anxiety in Times of War: A Comparison Between Three Generations Arab and Jewish Families in Israel. Community Ment Health J 52, 1123–1132 (2016). https://doi.org/10.1007/s10597-016-0021-7
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DOI: https://doi.org/10.1007/s10597-016-0021-7