Skip to main content
Log in

The Relationship Between Background Characteristics and Death Anxiety in Times of War: A Comparison Between Three Generations Arab and Jewish Families in Israel

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

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.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Al-Sabwah, M. N., & Abdel-Khalek, A. M. (2006). Religiosity and death distress in Arabic college students. Death Studies, 30(4), 365–375.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Bar-Yosef, R. W., & Padan-Eisenstark, D. (1977). Role system under stress: Sex-roles in war. Social Problems, 25(2), 135–145.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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).

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Cicirelli, V. G. (2002). Fear of death in older adults: Predictions from terror management theory. Journal of Gerontology: Psychological Sciences, 57, P358–P366.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Cohen, S. (1981). Measuring the functional components of social support. Social Support: Theory, Research and Applications, 24, 73–94.

    Google Scholar 

  • 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Falsetti, S. A., Resick, P. A., & Davis, J. L. (2003). Changes in religious beliefs following trauma. Journal of Traumatic Stress, 16(4), 391–398.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Fortner, B. V., & Neimeyer, R. A. (1999). Death anxiety in older adults: A quantitative review. Death Studies, 23(5), 387–411.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Graziano, R. (2003). Trauma and Aging. Journal of Gerontological Social Work, 40(4), 3–21.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Murthy, R. S., & Lakshminarayana, R. (2006). Mental health consequences of war: A brief review of research findings. World Psychiatry, 5(1), 25–30.

    PubMed  PubMed Central  Google Scholar 

  • Neimeyer, R. A. (1997). Death anxiety research: The state of the art. Omega: Journal of Death and Dying, 36(2), 97–120.

    Google Scholar 

  • Neimeyer, R. A., Bagley, K. J., & Moore, M. K. (1986). Cognitive structure and death anxiety. Death Studies, 10(3), 273–288.

    Article  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Pinquart, M. (2001). Correlates of subjective health in older adults: A meta-analysis. Psychology and Aging, 16(3), 414–426.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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).

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Ron, P., & Shamai, M. (2013). The impact of ongoing national terror on nurses in Israel. Community Mental Health, 50(3), 354–361.

    Article  Google Scholar 

  • Rosemberg, M. (1965). Society and the adolescent self-image. Princeton: Princeton University Press.

    Book  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Solomon, Z. (1995). Coping with War-induced stress: The Gulf War and Israeli response. NewYork, NY: Plenum Press.

    Book  Google Scholar 

  • Suhail, K., & Akram, S. (2002). Correlates of death anxiety in Pakistan. Death Studies, 26(1), 39–50.

    Article  PubMed  Google Scholar 

  • Templer, D. I. (1971). Death anxiety as related to depression and health of retired persons. Journal of Gerontology, 26(4), 521–523.

    Article  CAS  PubMed  Google Scholar 

  • Thorson, J. A., & Powell, F. C. (1988). Elements of death anxiety and meanings of death. Journal of Clinical Psychology, 44(5), 691–701.

    Article  CAS  PubMed  Google Scholar 

  • Thorson, J. A., & Powell, F. C. (1990). Meanings of death and intrinsic religiosity. Journal of Clinical Psychology, 46(4), 379–391.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • Tomer, A. (1992). Death anxiety in adult life—theoretical perspectives. Death Studies, 16(6), 475–506.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pnina Ron.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-016-0021-7

Keywords

Navigation