ArticleBMC psychology2025
Relationship between perceived stress and death anxiety with mediating role of self-transcendence among older patients with myocardial infarction.
Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Effects of Death Anxiety Experienced by Individuals with Myocardial Infarction: A Phenomenological Approach.Healthcare (Basel, Switzerland) · 2026Article
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4 authors.
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Abstract
backgroundDeath anxiety represents a persistent form of anxiety experienced by patients with Myocardial Infarction (MI), even after receiving medical treatment. Recognizing the critical role of self-transcendence in managing emotions and anxiety, this study aims to investigate the relationship between perceived stress and death anxiety with the mediating role of self-transcendence among older patients with MI.
methodsThis descriptive and correlational study, conducted in 2023, included 252 older patients with MI. Participants were selected through a convenience sampling method. Data was collected using the Templer Death Anxiety Scale, the Cohen Perceived Stress Scale, and the Reed Self-Transcendence questionnaires. Structural equation modeling (SEM) was employed to examine the mediating role of self-transcendence in the relationship between perceived stress and death anxiety.
resultsThe study comprised 252 older patients with a mean age of 66.98 ± 6.92 years. The majority of participants were male (n = 188, 74.6%) and married (n = 191, 75.8%). The mean scores for perceived stress, death anxiety, and self-transcendence were 29.48 ± 4.30, 8.86 ± 3.28, and 41.81 ± 6.29, respectively. The results of SEM analysis revealed a significant association between perceived stress and death anxiety (β = 0.16, P = 0.04), with self-transcendence playing a mediating role (β = 0.20, P < 0.001), in this relationship.
conclusionsBased on the mediating role of self-transcendence, clinically, healthcare providers should assess for and facilitate self-transcendent practices as a component of routine cardiac rehabilitation. Policymakers and program directors should fund and integrate evidence-based interventions like meaning-centered psychotherapy or mindfulness-based stress reduction, which are known to cultivate self-transcendence, into standard post-MI care pathways to directly target the reduction of death anxiety.
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