Pub Date : 2025-12-29DOI: 10.1177/00302228251410306
Shakila Moradi, Maryam Baharluoei, Ali Ruhani, Bahar Amini Lari, Saba Samadian Sarbisheh, Maedeh Karami
In Iran, Islamic jurisprudence, cultural norms, and legal restrictions have traditionally discouraged the ownership of companion animals, particularly in public spaces. Despite this, the prevalence of companion animal ownership, especially in urban centers such as Tehran, has significantly increased. This shift has introduced new emotional experiences, particularly among the younger population, who now confront profound grief following the death of these animals. In our study, we aim to underscore the significant role of companion animals in the lives of young adults in Iran and explore how participants cope with the deep sadness and grief of losing a companion animal. This research was conducted using a qualitative approach and thematic analysis method. Participants were selected using theoretical sampling. We conducted in-depth interviews with 32 participants who had experienced such a loss. After analyzing the data, seven main themes were explored: spectrum of care, presence of death, profound emotional trauma, longing for shared memories, social support, normalization, and symbolic replacement. These findings highlight how mourning the loss of a companion animal introduces young people to the concept of death, shaping their emotional landscape and posing complex challenges during the adaptation and recovery process.
{"title":"A Qualitative Study of Iranian Youth's Experience of Grieving and Coping With the Loss of a Companion Animal.","authors":"Shakila Moradi, Maryam Baharluoei, Ali Ruhani, Bahar Amini Lari, Saba Samadian Sarbisheh, Maedeh Karami","doi":"10.1177/00302228251410306","DOIUrl":"https://doi.org/10.1177/00302228251410306","url":null,"abstract":"<p><p>In Iran, Islamic jurisprudence, cultural norms, and legal restrictions have traditionally discouraged the ownership of companion animals, particularly in public spaces. Despite this, the prevalence of companion animal ownership, especially in urban centers such as Tehran, has significantly increased. This shift has introduced new emotional experiences, particularly among the younger population, who now confront profound grief following the death of these animals. In our study, we aim to underscore the significant role of companion animals in the lives of young adults in Iran and explore how participants cope with the deep sadness and grief of losing a companion animal. This research was conducted using a qualitative approach and thematic analysis method. Participants were selected using theoretical sampling. We conducted in-depth interviews with 32 participants who had experienced such a loss. After analyzing the data, seven main themes were explored: spectrum of care, presence of death, profound emotional trauma, longing for shared memories, social support, normalization, and symbolic replacement. These findings highlight how mourning the loss of a companion animal introduces young people to the concept of death, shaping their emotional landscape and posing complex challenges during the adaptation and recovery process.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251410306"},"PeriodicalIF":1.3,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-24DOI: 10.1177/00302228251411398
Nick Becker, Roman Kaspar
Self-perceptions of aging (SPA) may influence very old adults' death attitudes, yet evidence is limited. This study examined the relationship between SPA and death attitudes. Data are from a representative sample of very old German adults from the NRW80+ study (N = 1,863). SPA was measured using the Awareness of Age-Related Change scale (AARC-10SF). Death attitudes included mortality salience, fear of own death and dying (FDD) and death acceptance. Women reported higher mortality salience and greater fear of dying than men. Higher chronological age was related to greater death acceptance. Structural equation modeling showed that higher scores on both AARC-Gains and AARC-Losses were associated with higher mortality salience. Moreover, AARC-Losses showed a positive association with death acceptance, which in turn was associated with lower FDD. These findings highlight SPA as a double-edged phenomenon: they may intensify mortality salience while perceived AARC-Losses may accompany acceptance processes related to reduced FDD.
{"title":"Awareness of Age-Related Change is Associated With Attitudes Toward Death and Dying in Older Adults.","authors":"Nick Becker, Roman Kaspar","doi":"10.1177/00302228251411398","DOIUrl":"https://doi.org/10.1177/00302228251411398","url":null,"abstract":"<p><p>Self-perceptions of aging (SPA) may influence very old adults' death attitudes, yet evidence is limited. This study examined the relationship between SPA and death attitudes. Data are from a representative sample of very old German adults from the NRW80+ study (<i>N</i> = 1,863). SPA was measured using the Awareness of Age-Related Change scale (AARC-10SF). Death attitudes included mortality salience, fear of own death and dying (FDD) and death acceptance. Women reported higher mortality salience and greater fear of dying than men. Higher chronological age was related to greater death acceptance. Structural equation modeling showed that higher scores on both AARC-Gains and AARC-Losses were associated with higher mortality salience. Moreover, AARC-Losses showed a positive association with death acceptance, which in turn was associated with lower FDD. These findings highlight SPA as a double-edged phenomenon: they may intensify mortality salience while perceived AARC-Losses may accompany acceptance processes related to reduced FDD.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251411398"},"PeriodicalIF":1.3,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-24DOI: 10.1177/00302228251410992
Dianne Cameron
The death of a beloved animal can lead to profound grief, akin to the loss of a human loved one. Yet, it is often minimized by societal norms, resulting in disenfranchised grief for many pet guardians and animal caregivers. This qualitative phenomenological study, grounded in meaning reconstruction theory, explored the emotional and mental health impacts of such grief, support interventions perceived as most helpful, and the validation needs of grieving individuals. Semi-structured interviews with 31 animal caregivers underwent thematic analysis, revealing three central themes: The Psychological Toll of Disenfranchised Grief, highlighting emotional burden and isolation; Meaning-Making and Continued Bonds After Loss, describing remembrance, transformation, and connection; and The Restorative Role of Social Recognition, emphasizing healing through validation. Findings underscore the importance of social context, continued bonds, and meaning-making, with implications for psychologists, counselors, educators, and organizations to acknowledge and validate grief that is not culturally or professionally recognized.
{"title":"Disenfranchised Grief and Meaning Reconstruction in the Wake of Animal Loss.","authors":"Dianne Cameron","doi":"10.1177/00302228251410992","DOIUrl":"https://doi.org/10.1177/00302228251410992","url":null,"abstract":"<p><p>The death of a beloved animal can lead to profound grief, akin to the loss of a human loved one. Yet, it is often minimized by societal norms, resulting in disenfranchised grief for many pet guardians and animal caregivers. This qualitative phenomenological study, grounded in meaning reconstruction theory, explored the emotional and mental health impacts of such grief, support interventions perceived as most helpful, and the validation needs of grieving individuals. Semi-structured interviews with 31 animal caregivers underwent thematic analysis, revealing three central themes: The Psychological Toll of Disenfranchised Grief, highlighting emotional burden and isolation; Meaning-Making and Continued Bonds After Loss, describing remembrance, transformation, and connection; and The Restorative Role of Social Recognition, emphasizing healing through validation. Findings underscore the importance of social context, continued bonds, and meaning-making, with implications for psychologists, counselors, educators, and organizations to acknowledge and validate grief that is not culturally or professionally recognized.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251410992"},"PeriodicalIF":1.3,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-24DOI: 10.1177/00302228251407938
Heidi Markelin, Nur Atikah Mohamed Hussin, Anna Liisa Aho
The traumatic death of a child profoundly disrupts parents' lives, challenging their sense of meaning and purpose. Despite its significance in understanding parental grief, this topic remains underexplored. This study addresses this gap by examining how Finnish parents reconstruct life purpose and meaning following the loss of a child. Data were collected through an open-ended online questionnaire, distributed via grief support organizations in Finland, and in-depth telephone interviews. Sixty-six parents completed the questionnaire, and 17 (15 women and 2 men, aged 30-70 years) participated in interviews. The interview data were analyzed using inductive content analysis. Parents described redefined life purposes that included living a meaningful everyday life, nurturing physical and mental well-being, building a purposeful life, utilizing experiential expertise, fostering family-centeredness, and processing grief. Their understanding of life's meaning encompassed shifts in worldview and values, renewed belief in the goodness of life, stronger emphasis on family and relationships, experiences of personal growth, spiritual transformation, and conversely a diminished sense of joy. These findings underscore that bereaved parents experience both constructive and adverse changes after a child's death. Tailored support is therefore essential to help parents navigate these complex transformations and safeguard their long-term well-being.
{"title":"Reconstructing Purpose: Parents' Meaning in Life After Traumatic Child Loss.","authors":"Heidi Markelin, Nur Atikah Mohamed Hussin, Anna Liisa Aho","doi":"10.1177/00302228251407938","DOIUrl":"https://doi.org/10.1177/00302228251407938","url":null,"abstract":"<p><p>The traumatic death of a child profoundly disrupts parents' lives, challenging their sense of meaning and purpose. Despite its significance in understanding parental grief, this topic remains underexplored. This study addresses this gap by examining how Finnish parents reconstruct life purpose and meaning following the loss of a child. Data were collected through an open-ended online questionnaire, distributed via grief support organizations in Finland, and in-depth telephone interviews. Sixty-six parents completed the questionnaire, and 17 (15 women and 2 men, aged 30-70 years) participated in interviews. The interview data were analyzed using inductive content analysis. Parents described redefined life purposes that included living a meaningful everyday life, nurturing physical and mental well-being, building a purposeful life, utilizing experiential expertise, fostering family-centeredness, and processing grief. Their understanding of life's meaning encompassed shifts in worldview and values, renewed belief in the goodness of life, stronger emphasis on family and relationships, experiences of personal growth, spiritual transformation, and conversely a diminished sense of joy. These findings underscore that bereaved parents experience both constructive and adverse changes after a child's death. Tailored support is therefore essential to help parents navigate these complex transformations and safeguard their long-term well-being.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251407938"},"PeriodicalIF":1.3,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-20DOI: 10.1177/00302228251408568
Hayoung Jung, Isak Kim, Gahyun Park, Donghun Lee
This study explored the longitudinal relationships among post-traumatic stress disorder (PTSD) symptoms, non-suicidal self-injury (NSSI) severity, and suicidality in at-risk Korean adolescents. Using a two-wave dataset (Wave 1: March-June 2022; Wave 2: August 2022-January 2023), a cross-lagged panel model was employed to investigate bidirectional and mediating pathways among these variables. The sample consisted of 203 adolescents with histories of both traumatic experiences and NSSI. Results indicated that PTSD symptoms significantly predicted increases in both NSSI severity and suicidality over time. Additionally, earlier suicidality predicted heightened PTSD symptoms at a later time point, suggesting a cyclical and reciprocal relationship among trauma-related symptoms and self-destructive behaviors. These findings highlight the complex interplay between PTSD, NSSI, and suicidality in adolescents and underscore the need for integrated intervention approaches.
{"title":"Longitudinal Relationships Among Post-Traumatic Stress Disorder Symptoms, Non-Suicidal Self-Injury Severity, and Suicidality in Korean Adolescents: A Cross-Lagged Panel Analysis.","authors":"Hayoung Jung, Isak Kim, Gahyun Park, Donghun Lee","doi":"10.1177/00302228251408568","DOIUrl":"https://doi.org/10.1177/00302228251408568","url":null,"abstract":"<p><p>This study explored the longitudinal relationships among post-traumatic stress disorder (PTSD) symptoms, non-suicidal self-injury (NSSI) severity, and suicidality in at-risk Korean adolescents. Using a two-wave dataset (Wave 1: March-June 2022; Wave 2: August 2022-January 2023), a cross-lagged panel model was employed to investigate bidirectional and mediating pathways among these variables. The sample consisted of 203 adolescents with histories of both traumatic experiences and NSSI. Results indicated that PTSD symptoms significantly predicted increases in both NSSI severity and suicidality over time. Additionally, earlier suicidality predicted heightened PTSD symptoms at a later time point, suggesting a cyclical and reciprocal relationship among trauma-related symptoms and self-destructive behaviors. These findings highlight the complex interplay between PTSD, NSSI, and suicidality in adolescents and underscore the need for integrated intervention approaches.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251408568"},"PeriodicalIF":1.3,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-09DOI: 10.1177/00302228251396327
{"title":"Retraction: Book Review: Anxiety: The Missing Stage of Grief.","authors":"","doi":"10.1177/00302228251396327","DOIUrl":"https://doi.org/10.1177/00302228251396327","url":null,"abstract":"","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251396327"},"PeriodicalIF":1.3,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-06DOI: 10.1177/00302228251407444
Haojian Li, Chengfang Wang, Ping Hu
Obituaries have long served as an important source in recording memories and social values in the United States. However, prior research has focused primarily on celebrities or specific groups, often overlooking the narratives of ordinary citizens and neglecting broader discussions of their collective memories. This study addresses these gaps by applying large-scale data analysis and computational methods. We collected 39,449 obituaries from 2022-2023 and employed BERTopic topic modeling along with semantic network analysis to identify shared latent themes across individual obituaries. The findings suggest that, compared with celebrity obituaries, those of ordinary people are less scripted and more authentic in representing life details, yet still reveal identifiable latent "master narratives." Salient themes include family relationships, religion, military service, and alumni identity, alongside a noticeable shift toward portraying a middle-class ideal of life. Overall, this study contributes new insights to obituary research and introduces a novel framework for examining collective memory through large-scale commemorative texts.
{"title":"Together We Remember: Using Topic Modeling and Semantic Networks to Study Obituaries and Collective Memories of Contemporary United States.","authors":"Haojian Li, Chengfang Wang, Ping Hu","doi":"10.1177/00302228251407444","DOIUrl":"https://doi.org/10.1177/00302228251407444","url":null,"abstract":"<p><p>Obituaries have long served as an important source in recording memories and social values in the United States. However, prior research has focused primarily on celebrities or specific groups, often overlooking the narratives of ordinary citizens and neglecting broader discussions of their collective memories. This study addresses these gaps by applying large-scale data analysis and computational methods. We collected 39,449 obituaries from 2022-2023 and employed BERTopic topic modeling along with semantic network analysis to identify shared latent themes across individual obituaries. The findings suggest that, compared with celebrity obituaries, those of ordinary people are less scripted and more authentic in representing life details, yet still reveal identifiable latent \"master narratives.\" Salient themes include family relationships, religion, military service, and alumni identity, alongside a noticeable shift toward portraying a middle-class ideal of life. Overall, this study contributes new insights to obituary research and introduces a novel framework for examining collective memory through large-scale commemorative texts.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251407444"},"PeriodicalIF":1.3,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-06DOI: 10.1177/00302228251406745
Avanish Bhai Patel
Police personnel in India today are facing various problems, such as administrative, political and social, due to their work culture. These problems are causing severe stress among police personnel. Their mental health is affected by stressful situations, which contribute to feelings of suicidal tendencies and self-harm among them. Consequently, many police personnel across the country are dying by suicide today. The present study aims to understand the nature and causes of suicide among police personnel in India using stress theory. The author has applied secondary data obtained from news content to examine police suicide using content analysis. The author has pointed out in the present study that the nature of suicide found in police personnel is more due to problems arising from their occupation. It has been found in the study that most policemen have died by suicide due to depression and frustration.
{"title":"Linkage Between Suicide Risk and Stress: A Study of Police Personnel in India.","authors":"Avanish Bhai Patel","doi":"10.1177/00302228251406745","DOIUrl":"https://doi.org/10.1177/00302228251406745","url":null,"abstract":"<p><p>Police personnel in India today are facing various problems, such as administrative, political and social, due to their work culture. These problems are causing severe stress among police personnel. Their mental health is affected by stressful situations, which contribute to feelings of suicidal tendencies and self-harm among them. Consequently, many police personnel across the country are dying by suicide today. The present study aims to understand the nature and causes of suicide among police personnel in India using stress theory. The author has applied secondary data obtained from news content to examine police suicide using content analysis. The author has pointed out in the present study that the nature of suicide found in police personnel is more due to problems arising from their occupation. It has been found in the study that most policemen have died by suicide due to depression and frustration.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251406745"},"PeriodicalIF":1.3,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-02DOI: 10.1177/00302228251405635
Emma M Mock
This literature review bridges the gap between research on the therapeutic benefits of engaging with textiles and the known benefits of art and narrative driven engagements for individuals and communities navigating grief. The prominence of textiles within historical and cultural contexts shows the way textiles are often key components in mourning rituals and have long been used as expressions of grief, despite its absence within the field thanatology. This article explores how the vast and varied ways people ritualize, memorialize, and engage with textiles have specific therapeutic benefits and support the frameworks within prevalent grief theory. This body of research encourages the application of textiles within personal and collective grief experiences, clinical settings, educational, and counsel spheres by establishing a body of research that addresses the breadth of textile's value as tools for navigating life after loss.
{"title":"Mending Our Souls: The Role of Textiles in Death, Loss, and Navigating Grief.","authors":"Emma M Mock","doi":"10.1177/00302228251405635","DOIUrl":"https://doi.org/10.1177/00302228251405635","url":null,"abstract":"<p><p>This literature review bridges the gap between research on the therapeutic benefits of engaging with textiles and the known benefits of art and narrative driven engagements for individuals and communities navigating grief. The prominence of textiles within historical and cultural contexts shows the way textiles are often key components in mourning rituals and have long been used as expressions of grief, despite its absence within the field thanatology. This article explores how the vast and varied ways people ritualize, memorialize, and engage with textiles have specific therapeutic benefits and support the frameworks within prevalent grief theory. This body of research encourages the application of textiles within personal and collective grief experiences, clinical settings, educational, and counsel spheres by establishing a body of research that addresses the breadth of textile's value as tools for navigating life after loss.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251405635"},"PeriodicalIF":1.3,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to determine the correlation between spirituality, religious attitude, and resilience with death anxiety in cardiovascular patients in Sanandaj, Iran. This study was conducted on 414 cardiovascular patients, who were selected by convenience sampling method. Demographic information forms, Spiritual Well Being Scale, Golriz and Burhani's Religious Attitude, Connor-Davidson Resilience Questionnaire, and Templer's Death Anxiety Scale were used to collect data. Results indicated that compared to urban areas, living in rural areas significantly increased the average score of death anxiety by 0.55 points (p = 0.026). Additionally, a one-unit increase in religious attitude and resilience significantly reduced the mean score of death anxiety by 0.05 (p = 0.003) and 0.13 (p <0.001) on average, respectively. Spearman rank correlation indicated that religious attitudes and resilience were inversely and significantly correlated with death anxiety. Therefore, providing counseling sessions with psychologists and clergy seems necessary for a favorable change in the state of death anxiety in these patients.
{"title":"Evaluating the Correlation of Death Anxiety With Spirituality, Religious Attitude, and Resilience in Patients With Cardiovascular Diseases.","authors":"Hamdieh Aryafard, Fazel Dehvan, Ahmed Najeeb Albatineh, Sahar Dalvand, Reza Ghanei Gheshlagh","doi":"10.1177/00302228231187107","DOIUrl":"10.1177/00302228231187107","url":null,"abstract":"<p><p>This study aimed to determine the correlation between spirituality, religious attitude, and resilience with death anxiety in cardiovascular patients in Sanandaj, Iran. This study was conducted on 414 cardiovascular patients, who were selected by convenience sampling method. Demographic information forms, Spiritual Well Being Scale, Golriz and Burhani's Religious Attitude, Connor-Davidson Resilience Questionnaire, and Templer's Death Anxiety Scale were used to collect data. Results indicated that compared to urban areas, living in rural areas significantly increased the average score of death anxiety by 0.55 points (<i>p</i> = 0.026). Additionally, a one-unit increase in religious attitude and resilience significantly reduced the mean score of death anxiety by 0.05 (<i>p</i> = 0.003) and 0.13 (<i>p</i> <0.001) on average, respectively. Spearman rank correlation indicated that religious attitudes and resilience were inversely and significantly correlated with death anxiety. Therefore, providing counseling sessions with psychologists and clergy seems necessary for a favorable change in the state of death anxiety in these patients.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"653-667"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9699139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}