Mortality salience and helping behavior amidst public crisis: cross-sectional evidence during COVID-19

Background

As a real mortality salience, a public crisis would have a major impact on individual minds, behaviors, and lifestyles. COVID-19 provides us with a stark real-world example to understand these implications. Previous research has revealed that some individuals become more willing to help the infected at the risk of their own lives, while others become more self-centered and indifferent during COVID-19. To explain this paradoxical phenomenon, our study used two rival mediators in the relationship between mortality salience and helping behavior during COVID-19: death anxiety and death reflection.

Methods

A cross-sectional survey was conducted among Chinese college students (N = 684) during the pandemic. We used a parallel mediation model to explore the mediating roles of death anxiety and death reflection in the relationship between mortality salience and helping behavior during COVID-19.

Results

The results of our study indicate two key findings. First, mortality salience is negatively related to helping behavior during COVID-19 via death anxiety. This suggests that individuals with higher levels of mortality salience experienced increased death anxiety, which in turn led to a decrease in helping behavior. Second, mortality salience is positively related to helping behavior during COVID-19 via death reflection. This indicates that individuals with higher levels of mortality salience engaged in deeper reflection on death, which subsequently resulted in an increase in helping behavior.

Conclusion

Our study provides valuable insights into the complex relationship between mortality salience and helping behaviors in the time of public crisis, and can help lead to more positive attitudes toward public crisis events such as COVID-19.

Who follows through? Different factors predict initial commitment vs. Following through in a national survey of organ donor registration

OBJECTIVE

Little research has investigated factors that determine whether people falter in the face of an obstacle or successfully follow through on an initial commitment to act. We integrated multiple theories (the Reasoned Action Approach [RAA], Prototype Willingness Model, and anticipated regret theory) to test which factors predict initial commitment to register as an organ donor and to discover whether different factors predict initial commitment vs. following through with registration.

METHODS

Participants from a nationally representative UK sample (N = 1,008) reported their beliefs about organ donation and indicated their decision to register. An obstacle that participants could not foresee was that they had to complete registration in a second survey 3 days after making their initial commitment.

RESULTS

Findings showed that 14.8% of participants followed through, 19.7% demonstrated initial commitment, and 65.5% declined to register. Linear discriminant function analysis derived two functions that distinguished these registration patterns. The first function discriminated participants who declined to register from the other groups. The declined group had lower scores on RAA variables compared to their counterparts. The second function distinguished participants who made an initial commitment to register from those who followed through. Follow-through was associated with less anticipated negative affect, more favorable descriptive norms, and stronger identification with organ donors.

CONCLUSIONS

The present findings indicate that even modest friction leads to a large reduction in follow-through. Moreover, different factors influence initial commitment vs. following through. Whereas RAA variables predicted initial commitment, following through was a function of anticipated negative affect and social processes.

"It's been a double-edged sword": An online qualitative exploration of the impact of COVID-19 on individuals with spinal cord injury in the US with comparisons to previous UK findings

OBJECTIVE

The impact of COVID-19 lockdowns and social distancing for persons with spinal cord injury (SCI) are poorly understood. This exploratory online qualitative study collected self-reported COVID-19 experiences from persons with SCI in the United States (US). To enrich understanding, these data were compared to similar previously-published data from a sample of SCI participants from the United Kingdom (UK).

DESIGN

Explorative, online qualitative study. Participants completed an online survey of open-ended qualitative questions pertaining to their experiences during the pandemic. Thematic analysis was utilized to generate themes from the US data. These themes were compared to our previously-published thematic analysis of data from the UK.

SETTING

Community-based sample of persons with SCI in the US.

PARTICIPANTS

Participants were recruited via SCI-focused research registries and social media outlets serving the SCI community, using convenience sampling (n = 36). Key themes identified in the US data were compared to themes identified in a similar sample from the UK (n = 42) collected at the same time and published previously.

RESULTS

Analysis resulted in three themes from the US data, each containing positive and negative qualitative reflections. Themes included (1) health and access to care, (2) making sense of the pandemic, and (3) daily life during the pandemic. Each theme captured common facets of life during the pandemic, often shared by those without physical disabilities, but included accounts particularly relevant to persons with disabilities. Comparisons to thematic findings from the UK study revealed similarities (e.g. healthcare access challenges, isolation) and differences (e.g. importance of previous SCI experiences).

CONCLUSION

We detailed common experiences of COVID-19 pandemic lockdowns and their impact on people with SCI, while contrasting these with sense-making positive reflections and social benefits that appeared to be helpful in managing distress and coping with the pandemic.

The general public's attitude towards accepting payment for kidney donation

Introduction

Kidney transplantation has become the most cost-effective treatment for patients with end-stage kidney disease (ESKD) and offers them the highest quality of life. Yet, kidney donation is often inaccessible due to cultural and traditional beliefs about organ donation. The goal of our study is to assess the value of kidney donation using the Willingness to Accept (WTA) technique. We also aim to understand the factors influencing an individual's willingness to donate an organ.

Methods

A self-administered survey was completed by 985 participants from the general public. The quantitative method and survey design that were chosen used descriptive, correlational, nonparametric, and multivariate statistical tests.

Results

Most of the respondents, 895 (90.9%) are not willing to donate a kidney while alive. Four hundred and five (41.1%) of the respondents are not willing to donate a kidney after their death, while the rest are willing to donate their kidney after their death without financial compensation. The same attitude applies to the donation of a kidney from their relatives. Significant predictors from the results of the logistic regression model in predicting the lowest (minimal) amount that will encourage donation of one kidney after death were: Marital status; Nationality; Adi card holder; Knowing people who need a kidney donation; confidence in the medical staff; and consideration of the family's opinions regarding organ donation.

Discussion

Using cost benefit analysis (CBA), with the aim of evaluating the willingness of individuals to accept payment for innovative medical procedures, such as kidney donation, allows an assessment of the perceived value of the medical procedure and enables policymakers to decide whether to allocate funds or offer subsidies for kidney donation, given the limited healthcare resources available. During our research, we found that most participants did not support the commercialization of organs. Our recommendation for policymakers and health professionals is to continue providing adequate funding for kidney donations and to implement educational programs aimed at improving attitudes towards organ donation.

The Effect of Perceived Environmental Uncertainty on University Students' Anxiety, Academic Engagement, and Prosocial Behavior

Uncertainty, as the predominant characteristic of the contemporary landscape, poses significant challenges and exerts profound influence on individual decision making and behaviors; however, there remains a limited understanding of its impact on university student behavior. Building upon the uncertainty management theory, this study presents a conceptual framework to investigate the impact of perceived environmental uncertainty on university students' anxiety levels and behaviors, including academic engagement and prosocial behavior. Additionally, our model proposes that the intolerance of uncertainty moderates a mediating effect on anxiety. These hypotheses are empirically tested using a sample of 221 Chinese university students. The results reveal a positive relationship between perceived environmental uncertainty and anxiety among university students; subsequently, anxiety exerts a negative influence on both academic engagement and prosocial behavior. Furthermore, we find that anxiety serves as a psychological mediator between perceived environmental uncertainty and both academic engagement and prosocial behavior. This research also underscores the significance of the intolerance of uncertainty in shaping university students' involvement in academic pursuits when confronted with anxiety stemming from perceived environmental uncertainty. Consequently, these findings have practical implications for facilitating university students' adaptive coping strategies in uncertain contexts and mitigating the negative effects of anxiety on their behavioral responses.

Exploring the relationship between exposure to COVID-19 and donations during the COVID-19 pandemic: The mediating roles of emotions and risk perception

Objective

Public emergency events like the COVID-19 pandemic are special occasions that need immediate massive funding from public donations. Thus, understanding the determinants of donation behaviors under public emergencies is important for both researchers and practitioners. This study investigated the effect of personal and local exposure to incidences of COVID-19 on donation behaviors. Specifically, we examined the mediating effects of risk perception and emotions on the relationship between exposure to COVID-19 and donation behaviors.

Methods

The data were from a survey distributed in China between March 20 and 30th, 2020. Participants' donation choice at the end of the survey was used to measure their donation behaviors. Participants' emotions, risk perception, and personal exposure were assessed in the questionnaire. Local exposure was the 30-day confirmed cases obtained from the National Health Commission of the People's Republic of China. A total of 8,720 participants (Mean age = 28.91, 43.6% females) completed the online survey.

Results

Based on the results from the mediation analysis, we found that people with stronger positive and negative emotions, higher risk perception, and more personal exposure to COVID-19 were more likely to donate. Furthermore, the effects of both personal and local exposure on donations are mediated by risk perception and negative emotion. Both higher personal and local exposure led to stronger negative emotions and higher risk perception, which in turn led to more donation behaviors.

Discussion

This study extends our knowledge of donation behaviors during public emergencies. Our results suggest that policymakers and charity organizations should elicit stronger emotions and risk perception by exposing the severity of the disaster in advertisements to promote donations.

Body Donation Registration in Taiwan: Reasons and Associated Psychological Factors

Dissection is an essential element of medical training and depends on the availability of cadavers. However, traditional Chinese culture widely regards the body as a gift from one’s parents that should remain intact after death, resulting in a shortage of cadavers for medical training and research. This situation changed in Taiwan when Master Cheng Yen, the founder of the Buddhist Tzu Chi Medical Foundation, supported the donation of bodies to medical science. This study aimed to investigate the current situation of body donation in Taiwan, including donors’ motivation and psychological characteristics. A questionnaire was conducted with 681 adult participants, including 336 people who pledged to donate their bodies to medical science after death and a control group comparable in age, gender, and level of education. All participants answered questions regarding anxiety over death, purpose in life, gratitude, altruism, and life satisfaction. In addition, the registered donor group answered questions regarding the motivation for donating their bodies to science. The main influencing factors were to help advance medical science, make a positive contribution to society, and release attachment from the body. Further, many male participants indicated the desire to reduce trouble and expenses that their families would incur in making funeral and burial or cremation arrangements. The main predictors of donating one’s body to medical science were low anxiety concerning death, a high level of altruism, and gratitude.

More Relaxed but Less Helpful: The Relationship between Stress, Age, and Self-Reported Prosocial Behavior during the COVID-19 Pandemic

(1) Background: The COVID-19 pandemic has collectively increased stress levels, with individuals making difficult choices between protecting themselves and helping others. Previous research has shown that people engage in more prosocial, or helping, behavior as they age and in moments of acute stress, but it is unclear how c stress has influenced perceived changes in prosocial behavior in the later stages of the pandemic and whether this varies across the lifespan. (2) Methods: The current study explored how perceived stress, age, and gender impact participants’ reports of perceived changes in their prosocial behavior due to the pandemic using survey questions administered through an online subject pool (n = 201). (3) Results: Hierarchical linear regression results revealed results indicated a significant main effect of perceived stress (β = −0.166, p = 0.021) and age (β = −0.217, p = 0.003) but not gender (β = −0.062, p = 0.370) on perceptions of how one’s prosocial behavior was affected by the COVID-19 pandemic. (4) Conclusions: Study findings showed that older adults and individuals with higher levels of perceived stress reported a decrease in their prosocial behavior, which supported our hypotheses. These findings provide unique insight into the influence of a long-term health crisis on different groups of people’s participation in prosocial behavior, with implications for mental health and community engagement during a pandemic.

Examining the Effect of Self-Determined Appeal Organ Donation Messages and Respective Underlying Mechanism

This study examined how intrinsic motivation and its respective underlying mechanism influence people's attitude and intentions of organ donation. The findings revealed the importance of meeting people's customized psychological needs. For the general population, especially non-organ donors, autonomous appeal message will be more effective in promoting their intention of becoming an organ donor. For registered organ donors, competence-based organ donation messages are more effective in increasing their promotion and seeking behavior of organ donation. This study also discovered underlying mechanisms of intrinsic motivation, such as self-integrity, pride, and sympathy. Pairing underlying mechanism with competence-based messages can maximize the message impact.

Understanding user responses to the COVID-19 pandemic on Twitter from a terror management theory perspective: Cultural differences among the US, UK and India

This study uses a new approach to understand people's varied responses to the COVID-19 pandemic. Heightened media coverage and surging death tolls undoubtedly increase individuals' death-related thoughts. Thus, this study draws on terror management theory to analyze the general public's reactions during which mortality is salient. Twitter data were collected from three countries-the US, the UK, and India. Topic modeling analysis using Latent Dirichlet Allocation identified a total of seven themes reflecting two types of defenses: proximal defenses and distal defenses. Proximal defenses included calls for behavioral changes in response to COVID-19. Distal defenses included searching for meaning, political polarization and government incompetence, racial division, and sharing up-to-date information. During a prolonged crisis, anxiety-buffering systems can be undermined and lead to either maladaptive defenses (i.e., psychological distress) or new forms of defenses (i.e., adjusting to the new normal). The analysis highlights cultural differences in defenses across the three countries. Theoretical and practical implications for public health practitioners and social media platform managers are then discussed.

The Underlying Process of Prosocial Behavior Among Soldiers: A Terror Management Theory Perspective

The mortality salience (MS) hypothesis postulates that anxiety elicited by mortality awareness leads people to develop negative emotions toward those who hold values inconsistent with their worldview faith. We explored this hypothesis in a sample of 76 Israeli combat soldiers, who were asked to reflect on either their mortality or dental pain. Subsequently, participants reported their motivation to help a father in need who was either an Arab (outgroup) or a Jewish Israeli (ingroup), as well as their perceptions of threat by Arab Israelis. Regression analysis indicated that mortality reminders intensified soldiers’ perception of threat by the outgroup, leading to an increased desire to assist a Jewish-Israeli father, and a decreased motivation to help an Arab-Israeli one. The findings demonstrate the pronounced effects of MS on soldiers involved in frequent combat actions in terms of evoking negative emotions leading to reluctance to help unarmed civilian outgroup members. Recommendations for soldiers’ pre-deployment psychoeducation sessions are provided.

The Effect of the Number and Identification of Recipients on Organ-Donation Decisions

We examined how presentations of organ donation cases in the media may affect people’s decisions about organ donation issues. Specifically, we focused on the combined effect of the information about the number of recipients saved by the organs of one deceased person (one vs. four) and the identifiability of the donor and the recipient(s) in organ donation descriptions, on people’s willingness to donate the organs of a deceased relative. Results suggest that reading about more people who were saved by the organs of a deceased donor does not increase willingness to donate. Replicating earlier research, we found that reading about a case of organ donation involving an identified deceased donor, deceased willingness to donate. However, this effect was attenuated when participants read about more recipients who were saved by the donation. Importantly, the presentation that prompted the greatest willingness to donate a deceased relative’s organs was the one that featured an unidentified donor and only one identified recipient. Finally, an explorative investigation into participants’ subconscious thoughts of death following the organ donation story revealed that identifying a deceased organ donor prompts more thoughts of death in the perceiver (regardless of the number of recipients).

How Perceived Similarity Moderates Sympathy and Pride Appeal in Organ Donation Messages

BACKGROUND

Organ transplantation is the only medical procedure that can save a person who is suffering from organ failure. However, the shortage of transplantable organs remains a universal problem. Although more than 90% of the America population supports the concept of organ donation, less than half are registered as donors.

METHODS

An online experiment (N = 224) was conducted to examine how perceived similarity moderates pride and sympathy appeal messages for organ donation. Participants were recruited from Amazon Mechanical Turk. Emotional appeal messages were respectively manipulated through emphasizing patient's suffering (sympathy) and organ donor's achievements (pride). A pretest was also performed on Amazon Mechanical Turk to ensure the effectiveness of emotional appeal message. Perceived similarity was achieved by presenting a picture of either a male or female individual with a neutral emotion to participants.

RESULTS

The study showed that perceived similarity was a positive predictor of intentions to become an organ donor. Furthermore, perceived similarity can moderate the effects of both sympathy and pride appeal messages on attitudes and intentions of organ donation.

CONCLUSIONS

This study found that perceived similarity could change people's behavioral intentions to become organ donors. Therefore, this study can inform potential strategies to persuade people to become organ donors through emphasizing perceived similarity and using emotional appeals.

Does self-esteem inflation mitigate mortality salience effects on suicide attitudes?

INTRODUCTION

Suicide stigma is a major barrier to prevention and intervention efforts. Using terror management theory as the guiding framework, the present study examined whether enhancing self-esteem would buffer against suicide stigma and lead to prosocial attitudes and behavior.

METHODS

Experimental methods were utilized in the present study. After being primed with death-related thoughts, participants were randomly assigned to one of two conditions: (1) positive feedback (experimental group) and (2) no feedback (control group). The dependent variables included (1) evaluations of a suicide decedent, (2) intentions to intervene against suicide, and (3) charitable donation behavior toward a suicide prevention organization.

RESULTS

The most consistent findings for the self-esteem boost hypothesis were for the interaction effects of death anxiety and self-esteem boost for the donation allocation task and intentions to intervene against suicide. For participants who were reminded of death, the self-esteem boost intervention mitigated the negative impact of death anxiety on donation behavior (i.e., an average difference of $16.37). Positive feedback for participants with reported low self-esteem also led to increased willingness to intervene against suicide.

CONCLUSION

These findings provide some promising potential for the self-esteem enhancement intervention to attenuate defensive reactions to suicide.

An investigation into the relationship between climate change anxiety and mental health among Gen Z Filipinos

Climate change and mental health concerns are both defining issues of the generation of today. It has been established that the worsening climate causes many environmental disasters and physical health problems. However, its psychological impacts are still not well understood. Climate change has brought about an emerging psychological phenomenon termed ‘climate anxiety’ or ‘eco-anxiety,’ which has been described as a "chronic fear of environmental doom" (Clayton et al., 2017, p. 68) due to the impact of climate change. This predictive cross-sectional study investigated the link between climate change anxiety and mental health among 433 Filipinos. A total of 145 males and 288 females aged 18 to 26 completed the Climate Change Anxiety Scale and the Mental Health Inventory (MHI-38). Results show a significant relationship between climate change anxiety and mental health, with climate change anxiety predicting 13.5% of the overall Mental Health Index variance. Significantly, climate change anxiety was associated with the MHI-38’s global scale of Psychological Distress but not with the global scale of Psychological Well-being. The findings are discussed concerning the broader context of research on the mental health impacts of climate change.

Prosociality and hoarding amid the COVID-19 pandemic: A tale of four countries

The COVID‐19 pandemic is an unprecedented public health crisis that poses a challenge to humanity. Drawing on the stress and coping literature, we argue that people around the world alleviate their anxiety and stress induced by the pandemic through both prosocial and ‘self‐interested’ hoarding behaviours. This cross‐cultural survey study examined the pushing (threat perception) and pulling (moral identity) factors that predicted prosocial acts and hoarding, and subsequently psychological well‐being. Data were collected from 9 April to 14 May 2020 from 251 participants in the United Kingdom (UK), 268 in the United States (US), 197 in Germany (DE), and 200 in Hong Kong (HK). Whereas threat perception was associated positively with both prosocial acts and hoarding, benevolent moral identity was associated positively with the former but not the latter behaviour. We also observed cross‐cultural differences, such that both effects were stronger in more individualistic (UK, US) countries than less individualistic (HK, DE) ones. The findings shed light on the prosocial vs. self‐interested behavioural responses of people in different cultures towards the same pandemic crisis.

The Impact of Mortality Salience on Organ Donation Attitude, Beliefs, and Behavior

The current study examines the relationship between mortality salience and attitude, beliefs, and behavior toward organ donor registration. Participants (N = 484) completed a laboratory study in a 2 (mortality salience vs. control) x 2 (processing: distal vs. proximal) between-subjects factorial design. Dependent variables included death thought accessibility, attitude, information seeking, and organ donation beliefs (bodily integrity, ick, jinx, and medical mistrust). Differences between conditions were examined with independent samples t-tests and χ2 analyses. Participants in the mortality salience condition reported greater death thought accessibility than those in the control; however, no difference in attitude nor information seeking (non-donors only) was found between the two conditions. No difference in attitude nor information seeking (non-donors only) was observed between participants engaging in distal versus proximal defensive processing. Participants in the mortality salience condition reported higher medical mistrust and bodily integrity than those in the control condition; no difference between ick or jinx was found between the two conditions. Theoretical and practical implications are discussed.

From a terror management perspective: The efficacy of self-affirmation on organ donation-related thoughts and intentions in China

In 2015, the Chinese government officially abolished the practice of harvesting organs from executed prisoners. However, the voluntary donor registration rate among the Chinese population is approximately 2% as of January 2020. Guided by self-affirmation theory and terror management theory, the present investigation examined a number of variables that may be related to donor registration intentions and a method to mitigate death thoughts and misconceptions. An online experiment was conducted in which 352 Chinese participants were randomly assigned to either a self-affirmation (i.e., affirming values that are important to the participants) or a no-affirmation condition. Results revealed that self-affirmation lowered death thoughts among the participants, which in turn were positively related to organ donation misperceptions. Inconsistent with terror management theory, the level of death thoughts was not directly related to participants' intentions to register as organ donors. Instead, the relationship between the two was mediated by misperceptions toward organ donation.

The Utility of a Positive Body Image Among Community-Dwelling Older Adults Who Perceive Death to Be Near and Fear It

Physical changes are an inevitable part of the aging process. However, research has demonstrated inconclusive findings with regard to body image among older adults. This study attempts to clarify the utility of body image among this age-group, by adopting the framework of terror management theory. It is suggested that a positive body image may moderate the connection between two types of death concerns and psychological distress: subjective nearness-to-death and death anxiety. A convenience sample of 386 community-dwelling older adults, aged 60-97, filled scales measuring subjective nearness-to-death, positive body image, psychological distress, and death anxiety. A significant negative association was found between a positive body image and distress. Moreover, positive body image moderated the connection between distress and both subjective nearness-to-death and death anxiety. Thus, holding a positive image of the body seems to be an important resource for older adults when death is perceived to be near.

Subjective nearness-to-death and negative attitudes toward persons with disability: Attachment patterns moderate

We examined whether subjective nearness-to-death is associated with negative attitudes toward people with disabilities, and whether attachment patterns moderate this connection. A total of 462 Israeli adults, average age 57 years, completed scales measuring subjective nearness-to-death, negative attitudes toward people with disability, and attachment patterns. High levels of subjective nearness-to-death were associated with negative attitudes toward people with disability, and attachment patterns were significant moderators. Findings point to the theoretical importance of both perceptions of death and personal resources for coping with subjective nearness-to-death in relation to attitudes toward individuals with disabilities.

Does the mortality salience effect on worldview defence depend on the cultural orientation of Chinese people?

According to the terror management theory, people tend to favour their worldview and in-group members after being reminded of death (i.e., mortality salience [MS] effect). However, inconsistent findings of the MS effect were found among Chinese people. In the present study, we examined the MS effect with Chinese samples and tested whether the effect would depend on participants' cultural orientation and relational self-esteem. In Studies 1 (N = 227) and 2 (N = 221), we examined the roles of participants' cultural orientations and relational self-esteem in their evaluations on moral transgression and/or perceived regard from people around after being primed with mortality (vs. dental pain) salience. We obtained the interaction effects of mortality salience, cultural orientations, and relational self-esteem. The implications of these results are discussed in the context of Chinese culture.

Self-compassion as a buffer against concrete but not abstract threat

Terror management theory posits that validation of self-esteem is a major defense mechanism in keeping mortal concerns at bay. Yet, self-esteem often leads to devaluation of others. Self-compassion (SC) is an alternative, more inclusive construct than self-esteem. We explored among 125 university students whether SC serves as a defense mechanism from abstract and concrete threats responses, utilizing a dot-probe task and mortality salience priming. Although SC was not associated with avoidance of abstract threats, it was associated with avoidance of concrete threats. These findings underscore the potential role of SC in coping with trauma and in shielding from developing post-traumatic symptoms.

The Impact of Mortality Salience on Intergenerational Altruism and the Perceived Importance of Sustainable Development Goals

The Sustainable Development Goals (SDGs), consisting of 17 specific goals such as ending poverty, reducing inequality, and combating climate change, were proposed by the UN member states in 2014 for the ongoing UN agenda until 2030. These goals articulate the growing need for the international community to build a sustainable future. To progress and build a truly sustainable future requires not only the immediate support of individuals for the current SDGs, but also their personal long-term commitment to the needs of future generations (i.e., intergenerational altruism). Reminders of death can influence attitudes, motivation, and behavior in various aspects of our lives. In the current research, we thus explored whether reminding individuals of their own death will influence their intergenerational altruism and perceived importance of the SDGs. Using a three-condition (mortality salience vs. dentist visit vs. neutral) randomized experiment, we found that mortality salience led participants to place a higher priority on the needs of future generations only when compared to the neutral condition. Further, we conducted a factor analysis that generated two SDGs factors (socially related SDGs and ecologically related SDGs). We found that mortality salience reduced participants' perceived importance of the socially related SDGs when compared to both the dentist visit and the neutral conditions, and mortality salience decreased participants' perceived importance of the ecologically related SDGs only when compared to the neutral condition.

Concern and death anxiety during an ongoing terror wave: The moderating role of direct vs. indirect exposure

The current study examined whether emotional concern over one's security situation is connected with death anxiety during an ongoing terror wave, and whether type of exposure (media exposure vs. contact with witnesses) moderates this connection. A total of 345 individuals, aged 18-70, were sampled during an ongoing wave of terror in Israel and filled out scales measuring death anxiety, concern over security situation, and type of exposure. Results indicated that increased concern was connected with enhanced death anxiety. Moreover, this connection was more pronounced among individuals exposed to the events through the media, in comparison with individuals who had first-hand contact with witnesses.

Materialism moderates the impact of mortality salience on impulsive tendencies toward luxury brands

Luxury goods have been shown to help individuals coping with death-related anxiety. However, the extent to which the symbolic value allocated to possessions (i.e., materialism) moderates this effect is still unclear. Here, we investigated the impact of materialism on impulsive approach tendencies toward luxury clothing brands in a context of mortality salience. Results showed that the impact of mortality salience was moderated by materialism with lower impulsive approach tendencies toward luxury clothing brands observed in non-materialistic participants. These findings highlight how materialism values may impact luxury consumption through impulsive pathways in a situation of death-related anxiety.

Searching for God: Illness-Related Mortality Threats and Religious Search Volume in Google in 16 Nations

We tested predictions about religiosity and terror management processes in 16 nations. Specifically, we examined weekly variation in Google search volume in each nation for 12 years (all weeks for which data were available). In all 16 nations, higher than usual weekly Google search volume for life-threatening illnesses (cancer, diabetes, and hypertension) predicted increases in search volume for religious content (e.g., God, Jesus, prayer) in the following week. This effect held up after controlling for (a) recent past and annual variation in religious search volume, (b) increases in search volume associated with religious holidays, and (c) variation in searches for a non-life-threatening illness ("sore throat"). Terror management threat reduction processes appear to occur across the globe. Furthermore, they may occur over much longer periods than those studied in the laboratory. Managing fears of death via religious belief regulation appears to be culturally pervasive.

The Existential Underpinnings of Intergroup Helping: When Normative and Defensive Motivations Collide

Five studies examined defensive intergroup helping—when responsibility for an out-group victim’s injury decreases helping, whereas lack of responsibility increases helping when death is salient. In Study 1 ( N = 350), implicit death primes increased petition signings to allow a Palestinian child to receive medical treatment in Israel, when the child was a victim of Palestinian fire. When the child was a victim of Israeli fire, however, death primes decreased petition signings. Study 2 ( N = 200) partially replicated these effects on commitment to donate blood to an injured Palestinian child. Study 3 ( N = 162) found that moral affirmation primes moderate defensive helping effects. Study 4 ( N = 372) replicated defensive helping, but failed to replicate the moral affirmation effect found in Study 3. Study 5 ( N = 243) partially replicated defensive helping and found that different framings of existential threat moderate the effect. Overall, results indicate that self-protective concerns underlie prosocial responses to out-group members in need.

Effect of media presentations on willingness to commit to organ donation

We examine how presentations of organ donation cases in the media may affect people's willingness to sign organ donation commitment cards, donate the organs of a deceased relative, support the transition to an "opt-out" policy, or donate a kidney while alive. We found that providing identifying information about the prospective recipient (whose life was saved by the donation) increased the participants' willingness to commit to organ donation themselves, donate the organs of a deceased relative, or support a transition to an "opt-out" policy. Conversely, identifying the deceased donor tended to induce thoughts of death rather than about saving lives, resulting in fewer participants willing to donate organs or support measures that facilitated organ donation. A study of online news revealed that identification of the donor is significantly more common than identification of the recipient in the coverage of organ donation cases-with possibly adverse effects on the incidence of organ donations.

Re-examining the relationship between mortality salience and prosocial behavior in Chinese context

Given the mixed findings regarding the relationship between mortality salience (MS) and prosocial behavior, the present research retested how MS influences prosocial behaviors in Chinese culture. Results showed that although participants have different levels of death thought accessibility between an organ donation scenario and a general charity scenario, their willingness for prosocial behaviors were not significantly different between the two scenarios, indicating that under the influence of Chinese culture MS did not decrease prosocial behaviors. The findings point to the importance of uncovering the role of Chinese philosophy about death and life in shaping people's positive death reflection.

Mortality salience reduces the discrimination between in-group and out-group interactions: A functional MRI investigation using multi-voxel pattern analysis

As a fundamental concern of human beings, mortality salience impacts various human social behaviors including intergroup interactions; however, the underlying neural signature remains obscure. Here, we examined the neural signatures underlying the impact of mortality reminders on in-group bias in costly punishment combining a second-party punishment task with multivariate pattern analysis of fMRI data. After mortality salience (MS) priming or general negative affect priming, participants received offers from racial in-group and out-group proposers and decided how to punish proposers by reducing their payoffs. We revealed that MS priming attenuated in-group bias and dampened the discriminated activation patterns pertaining to group identities in regions previously implicated in costly punishment, including dorsomedial prefrontal cortex, temporo-parietal junction, anterior cingulate cortex, and dorsolateral prefrontal cortex. The group identity represented in multivariate patterns of activity of these regions predicted in-group bias for the control condition, i.e., the stronger discriminative representations of group identities in these regions; the larger was the in-group bias. Furthermore, the in-group bias was reliably decoded by distributed activation patterns in the punishment-related networks but only in the control condition and not in the MS condition. These findings elucidate the neural underpinnings of the effects of mortality reminders on intergroup interaction. Hum Brain Mapp 38:1281-1298, 2017. © 2016 Wiley Periodicals, Inc.

When Death Is Compelling

Abstract. Research on terror management theory has found evidence that people under mortality salience strive to live up to activated social norms and values. Recently, research has shown that mortality salience also increases adherence to the norm of reciprocity. Based on this, in the current paper we investigated the idea that mortality salience influences persuasion strategies that are based on the norm of reciprocity. We therefore assume that mortality salience should enhance compliance for a request when using the door-in-the-face technique – a persuasion strategy grounded in the norm of reciprocity. In a hypothetical scenario (Study 1), and in a field experiment (Study 2), applying the door-in-the-face technique enhanced compliance in the mortality salience condition compared to a control group.

Delay and death-thought accessibility: a meta-analysis

The dual-process component of Terror Management Theory (TMT) proposes that different types of threats lead to increases in death-thought accessibility (DTA) after different delay intervals. Experimental studies of terror management threats' effect on DTA were collected and coded for their use of explicitly death-related (vs. not explicitly death-related) threats, and for their use of delay and task-switching during the delay. Results reveal that studies using death-related threats achieved larger DTA effect-sizes when they included more task-switching or a longer delay between the threat and the DTA measurement. In contrast, studies using threats that were not explicitly death-related achieved smaller DTA effect-sizes when they included more task-switching between the threat and the DTA measurement. These findings provide partial support for the dual-process component's predictions regarding delay and DTA. Limitations and future directions are discussed.

Ageist attitudes block young adults' ability for compassion toward incapacitated older adults

BACKGROUND

Upon encountering older adults, individuals display varying degrees of prosocial attitudes and behaviors. While some display compassion and empathy, others draw away and wish to maintain their distance from them. The current study examined if and how ageist attitudes influence the association between the sight of physical incapacity in older age and compassionate reactions toward them. We predicted that ageist attitudes would interfere with the ability to respond to them with compassion.

METHODS

Young adults (N = 149, ages 19-29) were randomly distributed into two experimental conditions, each viewing a short video portraying different aspects of older adult physicality; one group viewed older adults displaying incapacitated behavior, and the other viewed fit behavior. Participants subsequently filled out scales assessing aging anxieties, and ageist and compassionate attitudes.

RESULTS

Ageism was associated with reduced compassion toward the figures. Moreover, viewing incapacitated older adults led to increased concern toward them and perceived efficacy in helping them. However, significant interactions proved that higher scores of ageism in response to the videos led to increased need for distance and reduced efficacy toward incapacitated adults, an effect not observed among subjects with lower ageism scores.

CONCLUSIONS

Ageism seems to be a factor which disengages individuals from older adults displaying fragility, leading them to disregard social norms which dictate compassion. The results are discussed from the framework of terror management theory, as increased mortality salience and death-related thoughts could have led to the activation of negative attitudes which, in turn, reduce compassion.

‘You have to die first’: Exploring the thoughts and feelings on organ donation of British women who have not signed up to be donors

Four White British women who had not signed up to be organ donors were interviewed in depth to investigate their feelings on organ donation. Transcripts were analysed using Interpretative Phenomenological Analysis to reveal how the ability to detach from the body affects the acceptance of organ donation, how organ donation can trigger difficult thoughts and how the family can be used to explain not having signed up. The findings confirm previous empirical evidence but also offer original insight on the discrepancy between attitudes and behaviours, how fears can inhibit action and the importance of communicating organ donation wishes to family.