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Death Anxiety in the Context of Religion, Personality and Life Meanings. 宗教、性格和人生意义背景下的死亡焦虑。
IF 1.3 Pub Date : 2026-02-01 Epub Date: 2023-08-31 DOI: 10.1177/00302228231199872
Paraskevi Mavrogiorgou, Burhan Akinci, Norbert Murer, Simone Efkemann, Erhan Akinci, Luc Turmes, Georg Juckel

Previous studies on the context between death anxiety and religion do not provide any clear evidence regarding "anxiety buffer" function. In this explorative study, death anxiety and attitude to death were determined in the context of mood, personality and meaning of life among groups of Muslims (n = 60) and Christian Protestants (n = 60). Death anxiety and attitude to death were assessed using the Bochum questionnaire for recording death anxiety and attitudes to death. Death anxiety was mild to moderate in our healthy Participants of Muslim and Christian faith. Attitude towards death was therefore much more pronounced among Muslim members than Christians. The influence of religious beliefs on the fear of death does not appear to be direct and linear. Sources that provide meaning in life and emotional stability can contribute to a reduction in death anxiety and a less problematic attitude towards death.

以往有关死亡焦虑与宗教信仰之间关系的研究并未提供有关 "焦虑缓冲 "功能的明确证据。在这项探索性研究中,死亡焦虑和死亡态度是在穆斯林(n = 60)和基督教新教徒(n = 60)群体的情绪、个性和生命意义的背景下确定的。死亡焦虑和对死亡的态度是通过记录死亡焦虑和对死亡的态度的波鸿问卷进行评估的。我们的穆斯林和基督教健康参与者的死亡焦虑程度为轻度到中度。因此,穆斯林成员对死亡的态度要比基督徒明显得多。宗教信仰对死亡恐惧的影响似乎并不是直接和线性的。提供生命意义和情绪稳定的来源有助于减少死亡焦虑和对死亡的态度。
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引用次数: 0
Support After Suicide: A Thematic Analysis of Siblings' Experience. 自杀后的支持:对兄弟姐妹经历的专题分析。
IF 1.3 Pub Date : 2026-02-01 Epub Date: 2023-08-13 DOI: 10.1177/00302228231195922
Paul Blaze, Rachel M Roberts

Suicide is a worldwide phenomenon resulting in the deaths of more than 700,000 people each year. For every suicide, there are those left behind. The research on sibling's experiences of grief and the support they require after the loss of their sibling is limited. This study explored the experiences of grief and the support siblings bereaved through suicide experienced. Support groups passed on study information to individuals they felt were suitable for participation. Ten adult siblings were interviewed for the study. Thematic analysis was used to find three themes, shared understanding, holding space for grief, and relationships. The findings indicate that siblings desire support from other siblings bereaved through suicide, as well as social support free from stigma that is willing to listen. The relationship between the suicided sibling and the living sibling had effects on the grief experience, as well as parentification, and effects from organisational interaction.

自杀是一种世界性现象,每年导致 70 多万人死亡。每一起自杀事件都会留下一些人。有关兄弟姐妹失去亲人后的悲痛经历及其所需的支持的研究十分有限。本研究探讨了因自杀而丧亲的兄弟姐妹的悲痛经历和所获得的支持。支持团体将研究信息传递给他们认为适合参与的个人。本研究采访了十名成年兄弟姐妹。通过主题分析,我们发现了三个主题:共同的理解、保持悲伤的空间和人际关系。研究结果表明,兄弟姐妹希望得到其他因自杀而丧亲的兄弟姐妹的支持,以及愿意倾听、没有污名化的社会支持。自杀的兄弟姐妹与在世的兄弟姐妹之间的关系会对悲伤体验产生影响,同时也会对亲子关系和组织互动产生影响。
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引用次数: 0
Meaning of Life Therapy: A Pilot Study of a Novel Psycho-Existential Intervention for Palliative Care in Cancer. 生命治疗的意义:癌症姑息治疗新的心理存在干预的初步研究。
IF 1.3 Pub Date : 2026-02-01 Epub Date: 2023-10-26 DOI: 10.1177/00302228231209654
Ana Rita Cardoso, Sónia Remondes-Costa, Elisa Veiga, Vera Almeida, José Rocha, Ricardo João Teixeira, Gerly Macedo, Manuela Leite

Intervention in Palliative Care aims to provide physical, psychosocial, and spiritual relief for patients and family members. Brief interventions with a psycho-existential approach have shown positive responses; however, cultural adaptations are needed. This pilot study aimed to develop the Meaning of Life Therapy (MLT), a novel psycho-existential intervention, rooted in the Dignity Therapy, Life Review, and Meaning-Centered Psychotherapy. MLT was culturally adapted to the Portuguese context to include questions about forgiveness, apology, reconciliation, farewell, and a legacy document, i.e., the Life Letter. Nine PC cancer patients answered a 14-question MLT protocol, intended to help patients find purpose and meaning in life. Eight themes emerged: Family, Preservation of Identity, Life Retrospective, Clinical Situation, Achievements, Socio-Professional Valorization, Forgiveness/Apology/Reconciliation, and Saying Goodbye. MLT has proved its ability to respond to the psycho-existential needs of PC patients. Further studies should be conducted to gain extensive knowledge of the effectiveness of culturally responsive interventions.

姑息治疗干预旨在为患者和家庭成员提供身体、心理和精神上的救济。采用心理-存在主义方法进行的简短干预显示出积极的反应;然而,文化适应是必要的。这项试点研究旨在开发生命意义疗法(MLT),这是一种新颖的心理存在干预措施,植根于尊严疗法、生命回顾和以意义为中心的心理疗法。MLT在文化上适应了葡萄牙的背景,包括关于宽恕、道歉、和解、告别和遗产文件,即《生活信》的问题。九名癌症PC患者回答了一项14个问题的MLT协议,该协议旨在帮助患者找到生活的目标和意义。出现了八个主题:家庭、身份保护、生活回顾、临床情况、成就、社会职业价值、宽恕/道歉/和解和说再见。MLT已经证明它有能力满足PC患者的心理生存需求。应进行进一步的研究,以广泛了解文化响应干预措施的有效性。
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引用次数: 0
Evolution of the English Language, Nonfiction, Near Death Experience Book Genre Over the Past Fifty Years. 英语语言的演变,非小说类,近50年的濒死体验书类型。
IF 1.3 Pub Date : 2026-02-01 Epub Date: 2023-11-13 DOI: 10.1177/00302228231209859
Stephanie Bosco-Ruggiero

This study looks at the evolution of the nonfiction English language near death experience (NDE) book genre over the past 50 years. The key research aim was to identify subgenres of NDE books to better understand how the epistemology of NDEs has been shaped by the popular literature. The study employed a qualitative methodology and was both inductive and deductive. World Cat and Library of Congress databases were used to identify printed and digital books, as well as textbooks, published on the NDE topic. Each book was coded to classify it within a specific subgenre. Findings showed that the largest subgenre of English language NDE books has been the experiencer account, whether written in an autobiographical or biographical format. Other large subgenres have included scientific investigations, religiously oriented books (especially Christian), and books exploring the personal aftereffects of NDEs. Subgenres that have emerged in recent decades include compilations of "lessons" from NDEs, books written by neuroscientists, and books written by medical practitioners about patient experiences. The author concludes that public knowledge about NDEs has been greatly shaped by experiencer accounts published in books. Furthermore, the emergence of new subgenres of NDE books, and the growth of others, signals ongoing change in the epistemology of the phenomenon. Reflexive practice was central to the development of the final manuscript. Reflexivity is seamlessly integrated throughout the paper and demonstrates how the author's familiarity with the book genre, and the NDE subject in general, shaped the development and conduct of this study.

本研究着眼于近50年来英语非虚构类濒死体验(NDE)书籍类型的演变。研究的主要目的是确定濒死体验书籍的子类型,以更好地理解濒死体验的认识论是如何被大众文学塑造的。该研究采用了定性方法,归纳和演绎兼而有之。世界猫和美国国会图书馆的数据库被用来识别关于濒死体验主题的印刷和数字书籍以及教科书。每本书都被编码成一个特定的子类型。研究结果表明,英语语言NDE书籍中最大的亚类型是体验者的叙述,无论是以自传还是传记形式写的。其他大的子类型包括科学调查、宗教书籍(尤其是基督教书籍)和探索濒死体验的个人后遗症的书籍。近几十年来出现的子类型包括濒死体验的“教训”汇编,神经科学家写的书,以及医生写的关于病人经历的书。作者的结论是,关于濒死体验的公众知识在很大程度上是由书中发表的经验叙述所塑造的。此外,濒死体验书籍的新分支的出现,以及其他分支的增长,标志着这一现象的认识论正在发生变化。反思性实践是最终手稿发展的核心。反身性在整个论文中无缝整合,并展示了作者对书籍类型的熟悉程度,以及一般的濒死体验主题,如何塑造了本研究的发展和实施。
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引用次数: 0
Suicide in Later Life in Uruguay: A Suicide Note Analysis. 乌拉圭晚年自杀:自杀记录分析》。
IF 1.3 Pub Date : 2026-02-01 Epub Date: 2023-08-22 DOI: 10.1177/00302228231196928
Pablo Hein, Ana-María Chávez-Hernández, Gustavo M Padilla, Isabel Valadez Figueroa

Suicide is a significant public health challenge worldwide, with inconsistent behavioral patterns. This study examined the psychological processes underlying 191 suicide notes left by older adults in Uruguay, a country doubling global and regional suicide rates, with the highest prevalence among those aged 60+. Uruguay highlights in the region as a high-income country. Through content analysis with an inter-judge strategy, the notes revealed that loneliness, loss of interest, and loss of meaning for life, were prevalent. Financial hardship was not a primary reason for suicide. Social connectedness was highlighted as a factor for reducing suicide risk in older adults, particularly those with ill health and physical impairment. The study sheds light on the need to expand social services aimed at reducing loneliness and the need to combat ageism and social prejudice towards suicide in Uruguay, providing valuable insights into suicide prevention strategies for older adults in diverse social settings.

自杀是全球面临的一项重大公共卫生挑战,其行为模式并不一致。乌拉圭的自杀率是全球和地区自杀率的两倍,其中 60 岁以上人群的自杀率最高。作为一个高收入国家,乌拉圭在该地区表现突出。通过采用互评策略进行内容分析,研究结果表明,孤独、失去兴趣和失去生活意义是自杀的主要原因。经济困难不是自杀的主要原因。研究强调,社会联系是降低老年人自杀风险的一个因素,尤其是那些健康状况不佳和身体受损的老年人。这项研究揭示了在乌拉圭扩大旨在减少孤独的社会服务的必要性,以及消除年龄歧视和对自杀的社会偏见的必要性,为在不同社会环境中预防老年人自杀的战略提供了宝贵的见解。
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引用次数: 0
The Relationship of Intensive Care Nurses' Attitudes Towards Organ Donation With Their Attitudes Towards Euthanasia and Moral Sensitivity. 重症监护护士对器官捐献的态度与其对安乐死的态度和道德敏感性的关系。
IF 1.3 Pub Date : 2026-02-01 Epub Date: 2023-08-31 DOI: 10.1177/00302228231199882
Seçil Erden Melikoğlu, Berna Köktürk Dalcalı, Semine Aydoğan

Determination of the relationship between nurses' attitudes towards issues, such as end-of-life care that is specific to intensive care, euthanasia, and organ donation and their moral sensitivity levels is one of the important points for working out ethical problems encountered in intensive care units and increasing the quality of care. This study was conducted to determine the relationship between the attitudes of intensive care nurses towards organ donation, euthanasia, and terminal patients and their moral sensitivity. The study was completed with 175 nurses who agreed to participate in the study. Informed consent of the participants was obtained. While nurses' attitudes towards euthanasia, death, and caring for the dying patient did not correlate with their moral sensitivities, their attitudes towards organ donation did.

确定护士对重症监护室特有的临终关怀、安乐死和器官捐献等问题的态度与其道德敏感性水平之间的关系,是解决重症监护室遇到的伦理问题和提高护理质量的重要依据之一。本研究旨在确定重症监护护士对器官捐献、安乐死和临终病人的态度与其道德敏感度之间的关系。共有 175 名护士同意参与这项研究。研究获得了参与者的知情同意。虽然护士对安乐死、死亡和照顾临终病人的态度与她们的道德敏感性无关,但她们对器官捐献的态度却与之相关。
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引用次数: 0
Nurses' Caring Experiences for Dying Patients: A Meta-Synthesis Review. 护士对临终病人的护理经验:Meta Synthesis综述。
IF 1.3 Pub Date : 2026-02-01 Epub Date: 2023-10-14 DOI: 10.1177/00302228231206513
Mozhgan Rahnama, Abdolghani Abdollahimohammad, Elaheh Asadi-Bidmeshki, Hossein Shahdadi

Nurses play an important role in caring for dying patients. The ability to face a dying patient is a vital necessity and skill for nurses. Nurses' experiences in dealing with dying patients help to identify the factors affecting nursing care. Therefore, this meta-synthesis explains nurses caring experiences for dying patients. In this meta-synthesis review, English qualitative articles related to nurses' caring experiences with dying patients that were published in Google Scholar, PubMed, Web of Science, Scopus, and CINAHL databases were selected. The results presented in 4 themes and 4 sub-themes, including (i) dual parallel nursing care (patient care and family care), (ii) conflict between nurses' beliefs and care duties, (iii) care reflections on the nurse (positive and negative care reflection, and (iv) coping strategies of nurses. This study shows that nurses provide diverse care to dying patients and their families, which has had positive and negative reflections on their personal and professional lives. Nurses sometimes had a conflict with their beliefs and treatment protocols, which hesitate to perform the treatment. Although nurses use various coping strategies when caring for dying patients and their families, they need more strategies to cope with multi-faceted physical, mental, spiritual, educational, and management issues.

护士在照顾临终病人方面发挥着重要作用。面对垂死病人的能力对护士来说是至关重要的必要条件和技能。护士处理临终病人的经验有助于确定影响护理的因素。因此,这种元综合解释了护士照顾垂死病人的经历。在这篇荟萃综合综述中,选择了发表在Google Scholar、PubMed、Web of Science、Scopus和CINAHL数据库中的与护士对垂死患者的护理经历有关的英文定性文章。研究结果分为4个主题和4个子主题,包括(i)双重平行护理(患者护理和家庭护理),(ii)护士信念和护理职责之间的冲突,(iii)对护士的护理反思(积极和消极的护理反思,以及(iv)护士的应对策略。这项研究表明,护士为垂死的患者及其家人提供多样化的护理,这对他们的个人和职业生活产生了积极和消极的影响。护士有时会与他们的信仰和治疗方案发生冲突,从而对进行治疗犹豫不决。尽管护士在照顾垂死的患者及其家人时使用了各种应对策略,但他们需要更多的策略来应对多方面的身体、心理、精神、教育和管理问题。
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引用次数: 0
Metaphoric and Gestural Descriptions of Out-of-Body Experiences by Persian Subjects. 波斯人对灵魂出窍体验的隐喻和手势描述。
IF 1.3 Pub Date : 2026-01-31 DOI: 10.1177/00302228261423024
Omid Khatin-Zadeh, Zahra Eskandari, Danyal Farsani, Hassan Banaruee

The phenomena of out-of-body experience (OBE) and near-death experience (NDE) have attracted increasing research interest. In this study, we used a set of videos to examine verbal and gestural descriptions of a group of people talking about their OBE experiences. Two chi-square tests were used to find out what type of sentences and what type of gestures were more frequently used to describe normally-possible and normally-impossible OBE events. The results showed that normally-impossible OBE events were described more frequently by metaphoric sentences than literal sentences. Verbal descriptions of normally-impossible events were accompanied more frequently by metaphoric gestures than iconic gestures. Based on these results, we suggest that impossibility, emotional load, and extremeness are key factors in the metaphorical description of normally-impossible OBE events. Therefore, in addition to abstractness and unfamiliarity, these three factors are behind the active use of verbal and gestural metaphors in describing normally-impossible OBE events.

体外体验(OBE)和濒死体验(NDE)现象引起了越来越多的研究兴趣。在这项研究中,我们使用了一组视频来检查一群人谈论他们的出窍经历时的语言和手势描述。两个卡方检验用于找出哪种类型的句子和哪种类型的手势更频繁地用于描述通常可能和通常不可能的出窍事件。结果表明,隐喻句比字面句更频繁地描述通常不可能发生的出窍事件。对正常情况下不可能发生的事件进行口头描述时,往往伴随着隐喻性手势,而不是标志性手势。基于这些结果,我们认为不可能性、情绪负荷和极端性是隐喻性描述通常不可能出窍事件的关键因素。因此,除了抽象性和不熟悉性之外,这三个因素是在描述通常不可能发生的出窍事件时积极使用语言和手势隐喻的原因。
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引用次数: 0
Who Tells the Family? Death Notification Practices in War Zones: A Study of Ukraine. 谁告诉家人?战区的死亡通知做法:乌克兰的研究。
IF 1.3 Pub Date : 2026-01-30 DOI: 10.1177/00302228261423049
Petro Katerynych

Death notification (DN) in active conflict is constrained by safety, distance, and uncertain identification; however, it can shape early grief and trust. This qualitative study examines wartime DN in Ukraine (2022-2025) through 20 interviews with territorial recruitment officers, frontline medics, military chaplains, and next-of-kin, triangulated with documentary and linguistic analysis. Participants described a conflict-conditioned decision grammar for mode selection (in-person, telephone, secure messenger), recurring ethical trade-offs (timeliness vs. verification; clarity vs. euphemism), and the stabilizing value of plain language, held pauses, and immediate handover to ritual and practical support. Training and debriefing were scarce; the participants repeatedly requested lightweight adaptations of SPIKES/CONNECT and a one-page checklist. Rather than proposing an entirely new framework, we identify conflict-specific adaptations to established DN protocols, focusing on three elements that appear particularly salient under wartime constraints: clear disclosure, empathic containment, and guaranteed follow-up - to reduce preventable harm under constrained resources.

主动冲突中的死亡通知(DN)受到安全、距离和身份不确定的限制;然而,它可以塑造早期的悲伤和信任。本定性研究考察了乌克兰战时DN(2022-2025),通过对领土招募官员、前线医务人员、军事牧师和近亲的20次访谈,结合文献和语言分析进行了三角测量。参与者描述了模式选择的冲突条件决策语法(面对面,电话,安全信使),反复出现的道德权衡(及时性vs.验证;清晰度vs.委婉),以及简单语言的稳定价值,保留停顿,以及立即移交给仪式和实际支持。培训和汇报很少;参与者反复要求对SPIKES/CONNECT进行轻量级修改,并提供一页清单。我们并没有提出一个全新的框架,而是确定了针对冲突的针对已建立的DN协议的调整,重点关注在战时约束下显得特别突出的三个要素:明确披露、共情遏制和有保障的后续行动——在资源有限的情况下减少可预防的伤害。
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引用次数: 0
The Socio-Spiritual Terrain of Young Indian Widowhood: Exploring the Interplay Between Culturally Shaped Realities and the Ethos of Bhakti. 年轻印度寡妇的社会精神地形:探索文化塑造的现实与巴克提精神之间的相互作用。
IF 1.3 Pub Date : 2026-01-30 DOI: 10.1177/00302228261420544
Aanchal Joshi

Despite the recognized importance of spirituality and religiosity in bereavement coping, Indian devotional practices remain underexamined in existing literature. Anchored in the Dual Process Model of coping with bereavement, this study examines the role of bhakti (devotional love) in shaping grief experiences among young Indian widows. Drawing on 28 in-depth, semi-structured interviews with widows aged 21-40, the analysis situates devotional engagement within socio-cultural contexts marked by gendered norms and social constraint. The findings indicate that bhakti does not offer a permanent resolution to grief or structural hardship. Rather, it functions as a multi-dimensional, culturally embedded, and episodic coping resource that facilitates emotional catharsis, communal support, and meaning-making. Through these processes, widows oscillate between loss-oriented and restoration-oriented experiences, highlighting bhakti's role in supporting adaptive engagement with grief without negating its persistence.

尽管精神和宗教信仰在应对丧亲之痛中具有公认的重要性,但印度的虔诚实践在现有文献中仍未得到充分研究。本研究以应对丧亲之痛的双重过程模型为基础,探讨了虔诚之爱在塑造印度年轻寡妇悲伤经历中的作用。通过对年龄在21-40岁之间的寡妇进行28次深入的半结构化访谈,分析了以性别规范和社会约束为标志的社会文化背景下的虔诚参与。研究结果表明,奉爱并不能为悲伤或结构性困难提供永久的解决方案。相反,它是一种多维的、文化嵌入的、情景性的应对资源,促进情感宣泄、社区支持和意义创造。通过这些过程,寡妇在以损失为导向和以恢复为导向的经历之间摇摆,突出了巴克蒂在支持适应悲伤而不否定其持久性方面的作用。
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引用次数: 0
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