Death anxiety and its association with severity of mental illness in patients with depression and schizophrenia

Background Death and the anxiety of it becomes more apparent when confronted with a chronic disease. The aim of this study was to determine the level of death anxiety among patients with depression and schizophrenia, and the relationship between severity of the symptoms and death anxiety in these p...

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Main Authors: Hamidreza Shahraki Mojahed, Somayeh Nakhaei
Format: Article
Language:English
Published: Faculty of Medicine Trisakti University 2022-03-01
Series:Universa Medicina
Subjects:
Online Access:https://univmed.org/ejurnal/index.php/medicina/article/view/1285
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author Hamidreza Shahraki Mojahed
Somayeh Nakhaei
author_facet Hamidreza Shahraki Mojahed
Somayeh Nakhaei
author_sort Hamidreza Shahraki Mojahed
collection DOAJ
description Background Death and the anxiety of it becomes more apparent when confronted with a chronic disease. The aim of this study was to determine the level of death anxiety among patients with depression and schizophrenia, and the relationship between severity of the symptoms and death anxiety in these patients. Methods A cross-sectional study was conducted on 29 patients with a depressive disorder, 18 with schizophrenia spectrum disorder and 31 healthy subjects, through face-to-face interviews. The general severity of the psychiatric disorder was measured using the Clinical Global Impression Scale (CGI). The severity of depressive symptoms was measured using the Beck Depression Inventory (BDI). Psychosocial performance was measured using the personal and social performance scale (PSP). To evaluate death anxiety, the Bochum Questionnaire on attitude to death and death anxiety 2.0 (BOFRETTA 2.0) was used. One-way ANOVA and Pearson correlation tests were used to analyze the data. Results Regarding the BOFRETTA attitude scale, the schizophrenic patients (23.1±9.12) showed significantly higher scores than healthy subjects (18.4 ±4.56) and depressive patients (19.8 ± 5.20) (p<0.050). The healthy controls achieved the least scores of BOFRETTA anxiety scale followed by depressive (30.67±10.33) and schizophrenic patients (31.30±12.18). However, there were no significant between-group differences regarding this scale. We found significant correlations of all BOFRETTA dimensions (attitude, anxiety, sum score) with CGI, PSP and BDI. Conclusion There was a significant relationship between the severity of symptoms and death anxiety in both depressed and schizophrenic patients. However, the latter showed a more negative attitude towards death.
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spelling doaj.art-ff43f51c282a4bd1bc41cc317309957a2022-12-21T19:00:18ZengFaculty of Medicine Trisakti UniversityUniversa Medicina1907-30622407-22302022-03-0141110.18051/UnivMed.2022.v41.56-63Death anxiety and its association with severity of mental illness in patients with depression and schizophreniaHamidreza Shahraki Mojahed0Somayeh Nakhaei1PhD program in the Clinical Psychology, Department of Psychology, Islamic Azad University, Zabol Branch, ZabolAssistant Professor of Psychology, Faculty of Human Sciences, Zabol Branch, Islamic Azad University, Zabol Background Death and the anxiety of it becomes more apparent when confronted with a chronic disease. The aim of this study was to determine the level of death anxiety among patients with depression and schizophrenia, and the relationship between severity of the symptoms and death anxiety in these patients. Methods A cross-sectional study was conducted on 29 patients with a depressive disorder, 18 with schizophrenia spectrum disorder and 31 healthy subjects, through face-to-face interviews. The general severity of the psychiatric disorder was measured using the Clinical Global Impression Scale (CGI). The severity of depressive symptoms was measured using the Beck Depression Inventory (BDI). Psychosocial performance was measured using the personal and social performance scale (PSP). To evaluate death anxiety, the Bochum Questionnaire on attitude to death and death anxiety 2.0 (BOFRETTA 2.0) was used. One-way ANOVA and Pearson correlation tests were used to analyze the data. Results Regarding the BOFRETTA attitude scale, the schizophrenic patients (23.1±9.12) showed significantly higher scores than healthy subjects (18.4 ±4.56) and depressive patients (19.8 ± 5.20) (p<0.050). The healthy controls achieved the least scores of BOFRETTA anxiety scale followed by depressive (30.67±10.33) and schizophrenic patients (31.30±12.18). However, there were no significant between-group differences regarding this scale. We found significant correlations of all BOFRETTA dimensions (attitude, anxiety, sum score) with CGI, PSP and BDI. Conclusion There was a significant relationship between the severity of symptoms and death anxiety in both depressed and schizophrenic patients. However, the latter showed a more negative attitude towards death. https://univmed.org/ejurnal/index.php/medicina/article/view/1285Death anxietyschizophreniadepressionseveritymental illness
spellingShingle Hamidreza Shahraki Mojahed
Somayeh Nakhaei
Death anxiety and its association with severity of mental illness in patients with depression and schizophrenia
Universa Medicina
Death anxiety
schizophrenia
depression
severity
mental illness
title Death anxiety and its association with severity of mental illness in patients with depression and schizophrenia
title_full Death anxiety and its association with severity of mental illness in patients with depression and schizophrenia
title_fullStr Death anxiety and its association with severity of mental illness in patients with depression and schizophrenia
title_full_unstemmed Death anxiety and its association with severity of mental illness in patients with depression and schizophrenia
title_short Death anxiety and its association with severity of mental illness in patients with depression and schizophrenia
title_sort death anxiety and its association with severity of mental illness in patients with depression and schizophrenia
topic Death anxiety
schizophrenia
depression
severity
mental illness
url https://univmed.org/ejurnal/index.php/medicina/article/view/1285
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