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This study employed a descriptive and correlational research design to examine the relationship between death anxiety, hope, and psychological well-being in individuals diagnosed with cancer. Conducted in 2024 with 188 patients receiving treatment at an education and research hospital in Turkey, the study collected data using the Personal Information Form, the Death Anxiety Scale, the Dispositional Hope Scale, and the Psychological Well-Being Scale. Findings indicated that the mean total score of the Death Anxiety Scale was 7.32 ± 2.53. Death anxiety scores differed significantly by gender, marital status, educational level, cancer type, cancer stage, treatment type, hope, and psychological well-being (p < 0.05), but not by employment status, income level, or social security (p > 0.05). No significant association was found between age and death anxiety (p > 0.05). Moderate negative correlations were observed between death anxiety and hope, as well as between death anxiety and psychological well-being (p < 0.05). These results suggest that increases in death anxiety are associated with decreases in both hope and psychological well-being. Future research is recommended to further explore the influence of death anxiety on psychological health outcomes and to identify additional contributing factors.

The traumatic death of a child imposes profound biopsychosocial challenges on parents, disrupting their emotional, relational, and spiritual well-being. Forgiveness has been identified as a potential pathway to post-traumatic growth, yet little is known about how bereaved parents experience and construct forgiveness in the aftermath of such a loss. This qualitative study explored the meanings and processes of forgiveness among ten parents who had endured the traumatic death of their child. Using thematic analysis, four overarching themes were identified which are forgiveness as a religious imperative, forgiveness as a mutual process, and the unanticipated role of forgiveness in grieving. The findings reveal the complex and often paradoxical nature of forgiveness in parental bereavement, illuminating how forgiveness functions both as an individual and relational process, shaped by cultural, spiritual, and interpersonal contexts. This study underscores the importance of developing sensitive, contextually grounded interventions to support bereaved parents, particularly in addressing unresolved emotional struggles that extend beyond the scope of conventional professional support.

Extensive research documents the far-reaching consequences of social class, yet one fundamental question remains underexplored: Does social class shape how people construe death? We examine whether subjective social class is associated with distinct death attitudes and whether those attitudes, in turn, are related to suicidal ideation. Across Studies 1a and 1b, lower subjective social class was associated with greater escape acceptance, which involves viewing death as relief from life's hardships. By contrast, neutral acceptance, approach acceptance, fear of death, and death avoidance showed no consistent association with social class. In Study 2, lower subjective social class was indirectly associated with greater suicidal ideation through higher escape acceptance, even after adjusting for depressive symptoms and exposure to threatening life events. Taken together, these findings reveal an overlooked implication of perceived social standing: Social class is linked not only to how people live but also to how they make meaning of death.

The death of a relative in an intensive care unit (ICU) represents a major psychological burden. During the first COVID-19 lockdown in France, strict visiting restrictions profoundly altered end-of-life experiences and bereavement. In this context, our University Hospital implemented OLAF, a temporary ICU-psychiatry liaison phone-support service for relatives. We conducted a one-year prospective follow-up study of relatives bereaved after an ICU death. The primary outcome was the prevalence of Prolonged Grief Disorder (PGD) at 12 months. Secondary analyses explored the association between grief severity and early posttraumatic stress symptoms. Among 25 bereaved relatives, 5 (20%) met criteria for probable PGD at 12 months. Grief severity at 1 year was strongly associated with posttraumatic stress symptom severity measured three months after the loss. These findings highlight the close relationship between traumatic stress and prolonged grief and provide a descriptive illustration of an ICU-psychiatry liaison model implemented under crisis conditions.

With the increasing demand for high-quality end-of-life care in acute settings, it has become essential to identify the factors that influence nurses' terminal care performance. This study aimed to examine the predictors of terminal care performance among 174 nurses working in hospitals in South Korea, with a focus on physical, psychological, and spiritual domains. Using a cross-sectional survey and multiple linear regression analysis, the study found that higher terminal care stress (β = .272), a positive attitude toward terminal care (β = .273), and working in an intensive care unit (ICU) (β = .316) significantly predicted overall terminal care performance, together explaining 19.5% of the variance. Stress and attitude were associated with physical and psychological care, while spiritual care was influenced only by ICU experience and hospital size. Notably, performance in spiritual care remained lower than in other domains. These findings highlight the need for targeted educational and organizational strategies to enhance holistic terminal care.

Early involvement in palliative care in coordination with the cancer care regimen seems to be possible and acceptable in patients with advanced cancer. The need arises to explore the experiences of cancer patients and their caregivers regarding their mental well-being at the point of diagnosis in order to provide them with the necessary support to help improve the quality of end-of-life care. This paper attempted to uncover the experience of the mental well-being of patients with cancer and their caregivers nearing the end-of-life in Jordan. A qualitative, descriptive phenomenological research approach was utilized. Semi-structured in-depth interviews were carried out among a sample population consisting of 15 participants, who were taken from a comprehensive palliative care setting. The interviews were audio-recorded, transcribed in detail, and translated in both the forward and reverse methods rigorously, and data analysis was conducted with the use of Colaizzi's phenomenological technique in relation to the derivation of the themes that describe and reflect the experiences of the participants. Findings from this study have enhanced the understanding of psychological well-being through the presentation that illustrates the process by which the meanings of the participants' experiences, coping with suffering, and relationship activities in the Jordanian cultural context construct the process by which patients and caregivers in end-of-life cancer services, in Jordan, can be provided with holistic approaches that include the integration of psychological, spiritual, and family support services to improve the quality of end-of-life cancer services.

To determine how often care is limited at the end of life and the factors that are associated with this decision, we reviewed the medical records of all patients that passed away in the intensive care units (ICU) of Aga Khan University. We found that a majority of patients had Do-Not-Resuscitate orders in place at the time of death. Our analysis yielded 6 variables that were associated with the decision to limit care. These are patient age, sex, duration of mechanical ventilation, Glasgow Coma Scale (GCS) ≤8 at any point during ICU stay, GCS ≤8 in the first 24 hours following ICU admission, and mean arterial pressure <65 mm of Hg while on vasopressors in the first 24 hours following ICU admission. These variables require further study and should be carefully considered during end of life discussions to allow for optimal management at the end of life.

The present study aimed to evaluate the measurement invariance of the Obsession with COVID-19 Scale (OCS) among seven Latin American countries: Bolivia, Brazil, Cuba, El Salvador, Guatemala, Paraguay, and Uruguay. Although the OCS has been used in several countries and languages, there is a need for approaches that better integrate the cross-cultural equivalence of the scale. A total of 3185 people participated in the study. The results indicated the presence of a unidimensional structure and good reliability indices for the OCS in each country. The alignment method indicated that the OCS is an invariant measure of COVID-19 obsession among the populations of seven Latin American countries. The findings based on IRT analysis indicated that all OCS items had adequate discrimination and difficulty parameters. The findings contribute to the understanding of the internal structure of the scale in different countries at the same time, something that has been pending evaluation.

This study investigates perceived interactions with the deceased, a phenomenon reported across societies, with 30-34% of individuals likely experiencing at least one ADC in their lifetime. Despite this prevalence, studies examining the impact of ADCs' on those who have lost partners are limited. We present data from 70 individuals reporting partner ADCs via an online survey. Forty percent reported accelerated recovery and 42.9% confirm the ADCs' significant influence in their grieving, with 61% expressing a desire for continued contact. ADCs, interestingly, didn't worsen their pain. The influence on grief-related sadness varied: 41% noted no change, while 40% reported reduced sadness. Forty-seven percent acknowledged ADCs eased their loss acceptance. The data highlight ADCs' substantial, potentially therapeutic role in grief and healing, despite varying effects on sadness and recovery. This study underscores the ADCs' possible positive influence on bereaved partners, advocating for a deeper understanding of this phenomenon in the grieving process.