Association of Ageism With Death Anxiety, Self-Esteem, Interpersonal Reactivity, and Symbolic Immortality Among Nurses

According toterror management theory (TMT), older adults may often be a reminder of death for younger adults. Therefore, dealing with older adults may be associated with increased levels of death anxiety and decreased levels of self-esteem, interpersonal reactivity, and symbolic immortality, leading younger adults to develop ageist attitudes and behaviors in defense. However, to date, these associations have not been empirically examined, especially among nurses. Self-report questionnaires were used on a sample of 163 nurses to explore the issue of ageism among nurses from the TMT perspective. The results indicated that, after controlling for sociodemographic variables, high levels of death anxiety and low levels of self-esteem, interpersonal reactivity, and symbolic immortality were associated with increased levels of ageism among nurses. Thus, the current study uses TMT to explain ageism among nurses, and the study findings may contribute to the development of psychological interventions aimed at reducing nurses’ ageism.

Autonomy, Meaning, and the Mediating Role of Symbolic Immortality

The present work built on self-determination theory, terror management theory, and related existential and humanistic perspectives to test the mediating role of symbolic immortality in the association between autonomy and meaning in life. In two samples (Sample 1, n = 1,414; Sample 2, n = 882), autonomy was significantly associated with symbolic immortality, which in turn was significantly associated with meaning in life. Moreover, in both samples, multiple regression analyses supported the view that autonomy is a unique and significant predictor of symbolic immortality, and the proposed indirect effect remained significant after controlling for self-esteem. These results extend prior work addressing autonomy and meaning in life and point to interesting empirical directions for further understanding the existential role of autonomy in managing death-related concerns.

Bequest Provision Preferences in Commercial Annuities: An Experimental Test of the Role of Mortality Salience

Recent research demonstrates that personal mortality salience from annuity contemplation generates an avoidance response, reducing interest in purchasing annuities. However, theoretical models of mortality salience also predict an increased desire for investment in the future circumstances of surviving others (“symbolic immortality”), such as that provided by bequest provisions in an annuity contract. An experimental test confirms that those exposed to higher levels of personal mortality reminders exhibit a greater preference for an annuity paying lower income but with a bequest provision. Thus, the effects of mortality salience can drive annuity decisions, not only at the extensive margin (avoidance of any purchase), but also at the intensive margin (purchasing lower income by including a bequest provision).

Existential Meaning and Terror Management

Terror management theory (TMT) posits that the uniquely human awareness of death engenders potentially debilitating existential terror that is “managed” by subscribing to cultural worldviews providing a sense that life has meaning as well as opportunities to obtain self-esteem, in pursuit of psychological equanimity in the present and literal or symbolic immortality in the future. In empirical support of TMT, research has demonstrated that: self-esteem serves to buffer anxiety in general, and about death in particular; reminders of death increase defense of the cultural worldview and efforts to bolster self-esteem; threats to the cultural worldview or self-esteem increase the accessibility of implicit death thoughts; conscious and non-conscious thoughts of death instigate qualitatively different defensive processes; death reminders increase hostility toward people with different beliefs, affection for charismatic leaders, and support for political and religious extremism; and death reminders magnify symptoms of psychological disorders.