Psychometric Properties of the Chinese Version of the Arabic Scale of Death Anxiety

Qi Qiu, Shengyu Zhang, Xiang Lin, Chunxia Ban, Haibo Yang, Zhengwen Liu, Jingrong Wang, Tao Wang, Shifu Xiao, Ahmed M Abdel-Khalek, Xia Li, Qi Qiu, Shengyu Zhang, Xiang Lin, Chunxia Ban, Haibo Yang, Zhengwen Liu, Jingrong Wang, Tao Wang, Shifu Xiao, Ahmed M Abdel-Khalek, Xia Li

Abstract

Background: Death anxiety is regarded as a risk and maintaining factor of psychopathology. While the Arabic Scale of Death Anxiety (ASDA) is a brief, commonly used assessment, such a tool is lacking in Chinese clinical practice.

Aim: The current study was conducted to develop a Chinese version of the ASDA, i.e., the ASDA(C), using a multistage back-translation technique, and examine the psychometric properties of the scale.

Methods: A total of 1372 participants from hospitals and universities located in three geographic areas of China were recruited for this study. To calculate the criterion-related validity of the ASDA(C) compared to the Chinese version of the longer-form Multidimensional Orientation toward Dying and Death Inventory (MODDI-F/chin), 49 undergraduates were randomly assigned to complete both questionnaires. Of the total participants, 56 were randomly assigned to retake the ASDA(C) in order to estimate the one-week, test-retest reliability of the ASDA(C).

Results: The overall Cronbach's alpha was 0.91 for the whole scale. The one-week, test-retest reliability was 0.96. Exploratory Factor Analysis (EFA) revealed three factors, "fear of dead people and tombs," "fear of lethal disease," and "fear of postmortem events," accounted for 57.09% of the total variance. Factor structure for the three-factor model was sound. The correlation between the total scores on the ASDA(C) and the MODDI-F/chin was 0.54, indicating acceptable concurrent validity.

Conclusions: ASDA(C) has adequate psychometrics and properties that make it a reliable and valid scale to assess death anxiety in Mandarin-speaking Chinese.

Keywords: Arabic Scale of Death Anxiety; Chinese version; psychometric properties.

Figures

Figure 1.
Figure 1.
Flowchart of the study

References

    1. Furer P, Walker JR. Death anxiety: a cognitive-behavioral approach. J Cog Psychotherapy. 2008; 22(2): 167-182. doi:
    1. Schimel J, Hayes J, Williams T, Jahrig J. Is death really the worm at the core? Converging evidence that worldview threat increases death-thought accessibility. J Pers Soc Psychol. 2007; 92: 789-803. doi:
    1. Iverach L, Menzies RG, Menzies RE. Death anxiety and its role in psychopathology: reviewing the status of a transdiagnostic construct. Clin Psychol Rev. 2014; 34(7): 580-593. doi:
    1. Arndt J, Routledge C, Cox CR, Goldenberg JL. The worm at the core: a terror management perspective on the roots of psychological dysfunction. Appl Prev Psychol. 2005; 11(3): 191-213. doi:
    1. Strachan E, Schimel J, Arndt J, Williams T, Solomon S, Pyszczynski T, et al. Terror mismanagement: evidence that mortality salience exacerbates phobic and compulsive behaviors. Pers Soc Psychol Bull. 2007; 33(8): 1137-1151. doi:
    1. Abdel-Khalek AM, Lester D. Death anxiety as related to somatic symptoms in two cultures. Psychol Rep. 2009; 105(2): 409-410. doi: fpsyg.2014.01379
    1. Hamang A, Eide GE, Rokne B, Nordin K, Oyen N. General anxiety, depression, and physical health in relation to symptoms of heart-focused anxiety: a cross sectional study among patients living with the risk of serious arrhythmias and sudden cardiac death. Health Qual Life Outcomes. 2011; 9: 100. doi:
    1. Stolorow RD. Defensive and arrested developmental aspects of death anxiety, hypochondriasis and depersonalization. Int J Psychoanal. 1979; 60(Pt2): 201-213
    1. Abdel-Khalek AM. Death anxiety in clinical and non-clinical groups. Death Stud. 2005; 29(3): 251-259. doi:
    1. Barrera I, Spiegel D. Review of psychotherapeutic interventions on depression in cancer patients and their impact on disease progression. Int Rev Psychiatry. 2014; 26(1): 31-43. doi:
    1. Greenberg J. Terror Management Theory: From Genesis to Revelations. Washington, DC, US: American Psychological Association; 2012
    1. Peal RL, Handal PJ, Gilner FH. A group desensitization procedure for the reduction of death anxiety. OMEGA-J Death Dying. 1982; 12(1): 61-70
    1. Templer DI. The construction and validation of a Death Anxiety Scale. J Gen Psychol. 1970; 82(2): 165-177. doi:
    1. Lester D. The factorial structure of the revised Collett-Lester Fear of Death Scale. Death Stud. 2004; 28(8): 795-798. doi:
    1. Tomas-Sabado J, Gomez-Benito J, Limonero JT. The Death Anxiety Inventory: a revision. Psychol Rep. 2005; 97(3): 793-796.
    1. Abdel-Khalek AM. The Arabic Scale of Death Anxiety (ASDA): its development, validation, and results in three Arab countries. Death Stud. 2004; 28(5): 435-457. doi:
    1. Wong SH. Does superstition help? A study of the role of superstitions and death beliefs on death anxiety amongst Chinese undergraduates in Hong Kong. Omega (Westport). 2012; 65(1): 55-70.
    1. Wu AMS, Tang CSK, Yan ECW. Assessment of death anxiety among Chinese: A study of reliability and validity. Advances in Psychology Research. 2003; 28: 119-128
    1. Woo J, Lo R, Cheng JO, Wong F, Mak B. Quality of end-of-lifecare for non-cancer patients in a non-acute hospital. J Clin Nurs. 2011; 20(13-14): 1834-1841. doi:
    1. Wittkowski J. The construction of the multidimensional orientation toward dying and death inventory (MODDI-F). Death Stud. 2001; 25(6): 479-495. doi:
    1. Wittkowski J, Ho SM, Chan WC. The Chinese version of the multidimensional orientation toward dying and death inventory (MODDI-F/chin): an introduction. Omega (Westport). 2011; 64(1): 15-27
    1. Abdel-Khalek AM. Death anxiety in Spain and five Arab countries. Psychol Rep. 2003; 93(2): 527-528
    1. Abdel-Khalek AM, Lester D, Maltby J, Tomas-Sabado J. The Arabic scale of death anxiety: some results from east and west. Omega (Westport). 2009; 59(1): 39-50
    1. Brislin RW. Back-translation for cross-cultural research. J Cross Cult Psychol. 1970; 1(3): 185-216. doi:
    1. Neimeyer RA, Chapman KM. Self/ideal discrepancy and fear of death: the test of an existential hypothesis. OMEGA: Journal of Death and Dying. 1980; 11(3): 233-240
    1. Lu YF. [The report of Chinese religious status——According to CFPS(2012) Survey]. Shi Jie Zong Jiao Wen Hua. 2014; 1: 11-25. Chinese
    1. Peters L, Cant R, Payne S, O’Connor M, McDermott F, Hood K, et al. How death anxiety impacts nurses’ caring for patients at the end of life: a review of literature. Open Nurs J. 2013; 7: 14-21. doi:
    1. Henrie J, Patrick JH. Religiousness, religious doubt, and death anxiety. Int J Aging Hum Dev. 2014; 78(3): 203-227. doi:
    1. Abdel-Khalek AM, Al-Kandari Y. Death anxiety in Kuwaiti middle-aged personnel. Omega (Westport). 2007; 55(4): 297-310. doi:
    1. Abdel-Khalek AM, Tomas-Sabado J. Anxiety and death anxiety in Egyptian and Spanish nursing students. Death Stud. 2005; 29(2): 157-169. doi:
    1. Abdel-Khalek AM. Convergent validity of the Templer, Collett-Lester, and Arabic Death Anxiety Scales: rejoinder. Psychol Rep. 2004; 94(3 Pt 2): 1171-1172
    1. Chan K, Lam Z, Chun R, Dai D, Leung A. Chinese patients with terminal cancer. Doyle E, Hanks GWC, MacDonald N. (editors). Oxford Textbook of Palliative Medicine, Second Edition. New York: Oxford; 1998. p. 793-795
    1. Chan C. Death Awareness and palliative care. In: Psychosocial & Palliative Care. Hong Kong: Hong Kong University Press; 2000. p. 213-232
    1. Nienaber K, Goedereis E. Death anxiety and education: a comparison among undergraduate and graduate students. Death Stud. 2015; 39(8): 483-490. doi:

Source: PubMed

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