Emotion Regulation Mediates the Associations of Loneliness and Empathy with Death Anxiety in the Elderly

Ahmadimajd, Roya

doi:10.18502/ehj.v10i1.15963

Volume 10, Issue 1 (June 2024) Elderly Health Journal 2024, 10(1): 27-34 | Back to browse issues page

‎ 10.18502/ehj.v10i1.15963

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Ahmadimajd R. Emotion Regulation Mediates the Associations of Loneliness and Empathy with Death Anxiety in the Elderly. Elderly Health Journal 2024; 10 (1) :27-34
URL: http://ehj.ssu.ac.ir/article-1-306-en.html

Emotion Regulation Mediates the Associations of Loneliness and Empathy with Death Anxiety in the Elderly

Roya Ahmadimajd ^*

Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran , ahmadimajdr@gmail.com

Abstract: (290 Views)

Introduction: In old age, diseases and frailty can be minimized through proper care and understanding, paving the way for healthy and normative aging. The present study aimed to investigate the mediating role of emotion regulation in the relationship between loneliness and empathy with death anxiety in the elderly.
Methods: This study utilized structural equation modeling. The statistical population included all elderly residents of Ahvaz, Iran, in 2023. Convenient sampling was employed to select 108 elderly individuals. The research instruments included the Death Anxiety Scale, UCLA Loneliness Scale, Interpersonal Reactivity Index, and Cognitive Emotion Regulation Questionnaire. Pearson correlation coefficient and structural equation modeling were adopted for data analysis.
Results: There was a direct relationship between loneliness and adaptive emotion regulation and maladaptive emotion regulation in the elderly. Additionally, there was a direct relationship between empathy and death anxiety, adaptive emotion regulation, and maladaptive emotion regulation. Moreover, a positive relationship was observed between maladaptive emotion regulation and death anxiety, while a negative relationship existed between adaptive emotion regulation and death anxiety in the elderly (p < 0.001). The results revealed an indirect relationship between loneliness and death anxiety mediated by emotion regulation. There was also an indirect relationship between empathy and death anxiety mediated by emotion regulation (p < 0.001).
Conclusion: The proposed model exhibited a good fit. Therefore, raising awareness and implementing measures to empower the elderly in emotion regulation concerning the relationship between loneliness and empathy can play a key role in reducing their death anxiety.

Corresponding Author: Roya Ahmadimad
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Keywords: Aged, Emotions, Loneliness, Empathy, Anxiety

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Type of Study: Research | Subject: General
Received: 2024/01/26 | Accepted: 2024/04/9 | Published: 2024/06/21

References

1. Isaacowitz DM. What do we know about aging and emotion regulation?. Perspectives Psychological Science. 2022; 17(6): 1541-55.

2. Farmani F, Gholami Sehchek S, Sarmadi M, Jahanshahloo M. The prediction of quality of life - based on personality traits and spiritual intelligence in the elderly. Elderly Health Journal. 2022; 8(2): 75-81.

3. Musich S, Wang SS, Kraemer S, Hawkins K, Wicker E. Purpose in life and positive health outcomes among older adults. Population Health Management. 2018; 21(2): 139-47.

4. Hatcher D, Chang E, Schmied V, Garrido S. Exploring the perspectives of older people on the concept of home. Journal of Aging Research. 2019; 2019: 1-10.

5. Hatamian P, Rasoolzadeh Tabatabaei SK. Effectiveness of mindfulness-based cognitive therapy and meta-cognitive therapy based on training on emotion regulation and anxiety sensitivity in elderly with heart disease. Elderly Health Journal. 2020; 6(2): 78-4.

6. Greenblatt-Kimron L, Kestler-Peleg M, Even-Zohar A, Lavenda O. Death anxiety and loneliness among older adults: role of parental self-efficacy. International Journal of Environmental Research and Public Health. 2021; 18: 1-11.

7. Ebrahimi B, Hosseini M, Rashedi V. The relationship between social support and death anxiety among the elderly. Elderly Health Journal. 2018; 4(2): 37-42.

8. Rayatpisheh F, Torabizadeh C, Najafi Kalyani M, Farsi Z. Relationship between resilience and death anxiety of the older adults during the coronavirus disease 2019 (COVID-19) pandemic. BMC Geriatrics. 2023; 23(1): 1-7.

9. Rashedi V, Ebrahimi B, Sharif Mohseni M, Hosseini M. Death anxiety and life expectancy among older adults in Iran. Journal of Caring Sciences. 2020; 9(3): 168-72.

10. Raziani Y, Mahdavi A, Ngoc Huy DT, Mutlak DA, Le K, Laila A, et al. Death anxiety in the Iranian elderly: A systematic review and meta-Analysis study. Omega: Journal of Death & Dying. 2022: 1-18.

11. Guner TA, Erdogan Z, Demir I. The effect of loneliness on death anxiety in the elderly during the COVID-19 pandemic. OMEGA-Journal of Death and Dying. 2023; 87(1): 262-82.

12. Chen X, Liu T, Li P, Wei W, Chao M. The relationship between media involvement and death anxiety of self-quarantined people in the COVID-19 outbreak in China: the mediating roles of empathy and sympathy. OMEGA-Journal of Death and Dying. 2022; 85(4): 974-89.

13. Vakili M, Mirzaei M, Modarresi M. Loneliness and its related factors among elderly people in Yazd. Elderly Health Journal. 2017; 3(1): 10-5.

14. Donovan NJ, Blazer D. Social isolation and loneliness in older adults: review and commentary of a national academies report. The American Journal of Geriatric Psychiatry. 2020; 28(12): 1233-44.

15. Berg-Weger M, Morley J. Loneliness in old age: an unaddressed health problem. The Journal of Nutrition, Health and Aging. 2020; 24(3): 243-5.

16. Arslantaş H, Adana F, Abacigil Ergin F, Kayar D, Acar G. loneliness in elderly people, associated factors and its correlation with quality of life: a field study from Western Turkey. Iran Journal of Public Health. 2015; 44(1): 43-50.

17. Fakoya OA, McCorry NK, Donnelly M. Loneliness and social isolation interventions for older adults: a scoping review of reviews. BMC Public Health. 2020; 20: 1-14.

18. Beadle JN, de la Vega CE. Impact of aging on empathy: review of psychological and neural mechanisms. Front Psychiatry. 2019; 10.

19. Guariglia P, Palmiero M, Giannini AM, Piccardi L. The key role of empathy in the relationship between age and social support. Healthcare (Basel). 2023; 11(17): 1-11.

20. Huo M, Fuentecilla JL, Birditt KS, Fingerman KL. Older adults' empathy and daily support exchanges. Journal of Social and Personal Relationships. 2019; 36(11-12): 3814-34.

21. Jack K. Demonstrating empathy when communicating with older people. Nursing Older People. 2022; 34(1): 34-41.

22. Tyra AT, Griffin SM, Fergus TA, Ginty AT. Individual differences in emotion regulation prospectively predict early COVID-19 related acute stress. Journal of Anxiety Disorders. 2021; 81: 1-11.

23. Livingstone KM, Isaacowitz DM. Age and emotion regulation in daily life: Frequency, strategies, tactics, and effectiveness. Emotion. 2021; 21(1): 39-51.

24. Lantrip C, Huang JH. Cognitive control of emotion in older adults: a review. Clinical Psychiatry (Wilmington). 2017; 3(1): 1-10.

25. Izard CE. Emotion theory and research: highlights, unanswered questions, and emerging issues. The Annual Review of Psychology. 2009; 60: 1-25.

26. Kline RB. Principels and practice of structural equation modeling. NY: Guilford Press; 1998.

27. Templer DI. The construction and validation of a Death Anxiety Scale. The Journal of General Psychology. 1970; 82(2d Half): 165-77.

28. Sharif Nia H, Ebadi A, Lehto RH, Mousavi B, Peyrovi H, Chan YH. Reliability and validity of the Persian version of Templer death anxiety scale-extended in veterans of Iran-Iraq warfare. Iranian Journal of Psychiatry and Behavioral Sciences. 2014; 8(4): 29-37.

29. Russell DW. UCLA loneliness scale (version 3): reliability, validity, and factor structure. Journal of Personality Assessment. 1996; 66(1): 20-40.

30. Zarei S, Memari AH, Moshayedi P, Shayestehfar M. Validity and reliability of the UCLA loneliness scale version 3 in Farsi. Educational Gerontology. 2016; 42(1): 49-57.

31. Davis MH. A multidimensional approach to individual differences in empathy. Journal of Personality and Social Psychology. 1980; 10(85): 1-20.

32. Golbabaei S, Barati M, Haromi ME, Ghazazani N, Borhani K. Development and construct validation of a short form of the interpersonal reactivity index in Iranian community. Current Psychology. 2023; 42(16): 14038-50.

33. Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire – development of a short 18-item version (CERQ-short). Personality and Individual Differences. 2006; 41(6): 1045-53.

34. Hasani J, Emadi Chashmi SJ, Zakiniaeiz Y, Potenza MN. Psychometric properties of the Persian version of the cognitive emotion regulation questionnaire-short (CERQ-P-short): Reliability, validity, factor structure, treatment sensitivity, and measurement invariance. Journal of Psychiatric Research. 2024; 170: 1-10.

35. Salmani M, Zoghi L. The relationship between loneliness, spiritual intelligence and general health with death anxiety in the elderly: the mediating role of mindfulness. Psychology. 2022; 8(1): 39-54.

36. Azad Manjiri M, Namani E. The moderating effect of empathy on the relation psychological capital with depression and anxiety among nurses. Journal of Sabzevar University of Medical Sciences. 2020; 27(3): 463-73.

37. Vesali H, Lachini A, Afshani R, MahdoodiZaman M. The relationship between defensive styles and cognitive emotion regulation strategies anxiety death in the elderly. Thoughts and Behavior in Clinical Psychology. 2020; 15(55): 17-26.