Group identification alleviates death anxiety in military medical students: chain mediating role of self-esteem and collective self-esteem

Yingcan ZHENG; Zhuoya YANG; Mengyin ZHU; Guoyu YANG

doi:10.16016/j.2097-0927.202305073

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Group identification alleviates death anxiety in military medical students: chain mediating role of self-esteem and collective self-esteem

Medical Psychology | 更新时间：2026-01-09

- Group identification alleviates death anxiety in military medical students: chain mediating role of self-esteem and collective self-esteem
- Journal of Army Medical University Vol. 46, Issue 16, Pages: 1920-封3(2024)
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)医学心理系军人发展心理学教研室
  2.400038 重庆，陆军军医大学(第三军医大学)医学心理系基础心理学教研室
- 作者简介：
- 基金信息：
  
  the Project of Doctoral Social Science Program of Chongqing(2019BS082)
- DOI：10.16016/j.2097-0927.202305073
  CLC： R192;R395.1;R395.6
- Received：04 May 2023，
  
  Revised：2023-09-04，
  
  Published：30 August 2024
- 稿件说明：
移动端阅览
Yingcan ZHENG, Zhuoya YANG, Mengyin ZHU, et al. Group identification alleviates death anxiety in military medical students: chain mediating role of self-esteem and collective self-esteem[J]. Journal of Army Medical University, 2024, 46(16): 1920-封3.
DOI：

Yingcan ZHENG, Zhuoya YANG, Mengyin ZHU, et al. Group identification alleviates death anxiety in military medical students: chain mediating role of self-esteem and collective self-esteem[J]. Journal of Army Medical University, 2024, 46(16): 1920-封3. DOI： 10.16016/j.2097-0927.202305073.

摘要

目的

探讨军校医学生群体认同对死亡焦虑的影响，以及个体自尊和集体自尊在其中的链式中介效应。

方法

于2021年7月采用整群抽样的方法开展心理测评，通过问卷星收集360名某军校学员数据。测评工具包括死亡焦虑量表(Templer Death Anxiety Scale，T-DAS)、群体认同量表(Organizational Identification Questionnaire)、罗森博格自尊量表(Rosenberg Self-Esteem Scale-Revised

RSES-R)、集体自尊量表(Collective Self-Esteem Scale)。

结果

① 死亡焦虑得分为1.00~4.33分(

=2.60)。②群体认同、个体自尊和集体自尊与死亡焦虑均呈显著负相关(

=-0.56 ~-0.21

0.01)；群体认同、个体自尊和集体自尊两两之间呈显著正相关(

=0.42~0.68

0.01)。③群体认同显著负向预测死亡焦虑(

=-0.21，

=0.02，

0.001)。④群体认同和死亡焦虑之间存在3种中介效应：群体认同→个体自尊→死亡焦虑、群体认同→集体自尊→死亡焦虑、群体认同→个体自尊→集体自尊→死亡焦虑，总间接效应为-0.17。

结论

群体认同能够负向预测军校医学生的死亡焦虑，且个体自尊和集体自尊在两者间起链式中介作用。

Abstract

Objective

To investigate the effects of group identification on death anxiety among military medical students and the chain mediating effects of self-esteem and collective self-esteem.

Methods

Cluster sampling was conducted to survey the students in a military medical university in July

2021

and finally survey data from 360 participants were collected through WeChat Mini Program

Questionnaire Star. The Questionnaires included Templer Death Anxiety Scale (T-DAS)

Organizational Identification Questionnaire

Rosenberg Self-Esteem Scale-Revised (RSES-R)

Collective Self-Esteem Scale and a self-designed general information questionnaire.

Results

① The score of death anxiety in the participants ranged from 1.00 to 4.33 (

=2.60). ②The scores of group identification

self-esteem and collective self-esteem were negatively correlated with death anxiety (

=-0.56~-0.21

0.01). Significantly positive correlations were observed in any 2 scores among the above 3 scores (

=0.42~0.68

0.01). ③ Group identification significantly negatively predicted death anxiety (

=-0.21

=0.02

0.001). ④ There were 3 mediation effects between group identification and death anxiety: group identification→self-esteem→death anxiety

group identification→collective self-esteem→death anxiety

group identification→self-esteem→collective self-esteem→death anxiety

with a total indirect effect of -017.

Conclusion

Group identification can negatively predict death anxiety among military medical students

and self-esteem and collective self-esteem play a chain mediating role between them.

关键词

Keywords

references

中华人民共和国教育部. 关于政协十三届全国委员会第三次会议第1275号(教育类118号)提案答复的函[EB/OL ] . (2020-12-09)[2023-03-10 ] . http://www.moe.gov.cn/jyb_xxgk/xxgk_jyta/jyta_szs/202101/t20210119_510327.html http://www.moe.gov.cn/jyb_xxgk/xxgk_jyta/jyta_szs/202101/t20210119_510327.html .

Ministry of Education of the People's Republic of China. Letter of reply to Proposal No. 1275 (Education Category No. 118) of the Third Session of the 13th CPPCC National Committee[EB/OL ] . (2020-12-09)[2023-03-10 ] . http://www.moe.gov.cn/jyb_xxgk/xxgk_jyta/jyta_szs/202101/t20210119_510327.html http://www.moe.gov.cn/jyb_xxgk/xxgk_jyta/jyta_szs/202101/t20210119_510327.html .

KOLA L, KOHRTB A, HANLON C, et al . COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health[J ] . Lancet Psychiatry, 2021, 8(6): 535-550. DOI: 10.1016/S2215-0366(21)00025-0.

NASERA Y, DAHMASH E Z, AL-ROUSAN R, et al . Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: a cross-sectional study[J ] . Brain Behav, 2020, 10(8): e01730. DOI: 10.1002/brb3.1730.

MORENO C, WYKES T, GALDERISI S, et al . How mental health care should change as a consequence of the COVID-19 pandemic[J ] . Lancet Psychiatry, 2020, 7(9): 813-824. DOI: 10.1016/s2215-0366(20)30307-2.

ÖZERÖ, ÖZKAN O, ÖZMEN S, et al . Investigation of the effect of COVID-19 perceived risk on death anxiety, satisfaction with life, and psychological well-being[J ] . Omega, 2023, 87(2): 572-590. DOI: 10.1177/00302228211026169.

周仁会, 郭成, 杨满云, 等. 死亡焦虑对生活满意度的影响: 链式中介模型及其性别差异[J]. 中国临床心理学杂志, 2019, 27(1): 143-147. DOI: 10.16128/j.cnki.1005-3611.2019.01.029.

ZHOU R H, GUO C, YANG M Y, et al . Effects of death anxiety on life satisfaction: a chain mediating model and its gender difference[J ] . Chin J Clin Psychol, 2019, 27(1): 143-147. DOI: 10.16128/j.cnki.1005-3611.2019.01.029.

JUHL J, ROUTLEDGE C. Putting the terror in terror management theory[J]. Curr Dir Psychol Sci, 2016, 25(2): 99-103. DOI: 10.1177/0963721415625218.

LUO S Y, ZHU Y Y, FAN L Y, et al . Resting-state brain network properties mediate the association between the oxytocin receptor gene and interdependence[J ] . Soc Neurosci, 2020, 15(3): 296-310. DOI: 10.1080/17470919.2020.1714718.

吴利平, 陈利平, 徐晔. 医学生死亡焦虑及生命意义感问题调研及对策研究[J]. 中国卫生事业管理, 2022, 39(6): 467-470.

WU L P, CHEN L P, XU Y. Investigation on the issues and countermeasures of death anxiety and sense of life meaning of medical college students[J]. Chin Health Serv Manag, 2022, 39(6): 467-470.

王俊晖, 陈禹, 姚之涵, 等. 高死亡唤醒职业人群的死亡态度调查研究[J]. 华南师范大学学报(社会科学版), 2016(3): 88-92.

WANG J H, CHEN Y, YAO Z H, et al . Investigation and study on death attitude of occupational population awakened by high death[J ] . J South China Norm Univ Soc Sci Ed, 2016(3): 88-92.

HOGG M A, SHERMAN D K, DIERSELHUIS J, et al . Uncertainty, entitativity, and group identification[J ] . J Exp Soc Psychol, 2007, 43(1): 135-142. DOI: 10.1016/j.jesp.2005.12.008.

XIAO Z L, ZHAO Y F, ZHENG Y C, et al . The effect of group identification on death anxiety: the chain mediation role of close relationships and self-esteem[J ] . Int J Environ Res Public Health, 2022, 19(16): 10179. DOI: 10.3390/ijerph191610179.

BECKER E. Thedenial of death[M]. California: University of California Press, 2019: 125. DOI: 10.1525/9780520949454-050.

CHITTARO L, SIONI R, CRESCENTINI C, et al . Mortality salience in virtual reality experiences and its effects on users' attitudes towards risk[J ] . Int J Hum Comput Stud, 2017, 101: 10-22. DOI: 10.1016/j.ijhcs.2017.01.002.

LUHTANEN R, CROCKER J. A collective self-esteem scale: self-evaluation of one's social identity[J]. Pers Soc Psychol Bull, 1992, 18(3): 302-318. DOI: 10.1177/0146167292183006.

GUPTA T, ROGERS-SIRIN L, OKAZAKI S, et al . The role of collective self-esteem on anxious-depressed symptoms for Asian and Latino children of immigrants[J ] . Cultur Divers Ethnic Minor Psychol, 2014, 20(2): 220-230. DOI: 10.1037/a0035022.

HASSAN G, ROUSSEAU C, MOREAU N. Ethnic and religious discrimination: the multifaceted role of religiosity and collective self-esteem[J]. Transcult Psychiatry, 2013, 50(4): 475-492. DOI: 10.1177/1363461513495586.

TEMPLER D I. The construction and validation of a Death Anxiety Scale[J]. J Gen Psychol, 1970, 82(2d Half): 165-177. DOI: 10.1080/00221309.1970.9920634.

杨红, 李艳琳, 姚秋丽, 等. 中文版死亡焦虑量表的应用及对死亡教育的启示[J]. 护理学杂志, 2013, 28(21): 64-67. DOI: 10.3870/hlxzz.2013.21.064.

YANG H, LI Y L, YAO Q L, et al . Application of the Chinese version of Templer-Death Anxiety Scale: enlightenment for death education[J ] . J Nurs Sci, 2013, 28(21): 64-67. DOI: 10.3870/hlxzz.2013.21.064.

STEPHAN W G, BONIECKI K A, YBARRA O, et al . The role of threats in the racial attitudes of blacks and whites[J ] . Pers Soc Psychol Bull, 2002, 28(9): 1242-1254. DOI: 10.1177/01461672022812009.

ROSENBERG M. Society and the adolescent self-image[M]. Princeton, NJ: University Press, 1965. DOI: 10.2307/2575639.

李永鑫, 薛松. 集体自尊量表在大学新生中的信度、效度检验[J]. 中国行为医学科学, 2008, 17(8): 2. DOI: 10.3760/cma.j.issn.1674-6554.2008.08.041.

LI Y X, XUE S. Reliability and validity of the collective self-esteem scale in freshman[J]. Chin J Behav Med Sci, 2008, 17(8): 2. DOI: 10.3760/cma.j.issn.1674-6554.2008.08.041.

HAYES A F. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach[M]. New York: Guilford Press, 2013.

周浩, 龙立荣. 共同方法偏差的统计检验与控制方法[J]. 心理科学进展, 2004, 12(6): 942-950. DOI: 10.3969/j.issn.1671-3710.2004.06.018.

ZHOU H, LONG L R. Statistical remedies for common method biases[J]. Adv Psychol Sci, 2004, 12(6): 942-950. DOI: 10.3969/j.issn.1671-3710.2004.06.018.

万英, 李兵, 刘友琴, 等. 基于结构方程模型的贵阳市女大学生死亡焦虑影响因素分析[J]. 中国卫生事业管理, 2022, 39(1): 61-65.

WAN Y, LI B, LIU Y Q, et al . Analysis of the influencing factors of death anxiety among female college students in Guiyang based on structural equation modeling[J ] . Chin Health Serv Manag, 2022, 39(1): 61-65.

史素娟, 刘琰, 王安冉, 等. 医学生自尊与死亡焦虑的关系: 希望感的中介作用[J]. 心理月刊, 2020, 15(22): 1-4. DOI: 10.19738/j.cnki.psy.2020.22.001.

SHI S J, LIU Y, WANG A R, et al . The relationship between self-esteem and death anxiety: the mediating effect of sense of hope[J ] . Psychologies, 2020, 15(22): 1-4. DOI: 10.19738/j.cnki.psy.2020.22.001.

SANI F, HERRERA M, BOWE M. Perceived collective continuity and ingroup identification as defence against death awareness[J]. J Exp Soc Psychol, 2009, 45(1): 242-245. DOI: 10.1016/j.jesp.2008.07.019.

HERRERA M, SANI F. Whydoes ingroup identification shield people from death anxiety?[J]. Soc Psychol, 2013, 44(5): 320-328. DOI: 10.1027/1864-9335/a000128.

HOHMANZ P, HOGG M A. Fear and uncertainty in the face of death: the role of life after death in group identification[J]. Euro J Social Psych, 2011, 41(6): 751-760. DOI: 10.1002/ejsp.818.

KHOO B L Z, SEE Y H M. Mortality salience and evaluations of in-group versus out-group critics: the role of criticism legitimacy and perceived threat[J]. Euro J Social Psych, 2014, 44(3): 242-254. DOI: 10.1002/ejsp.2012.

LINK J, SAVANI K, ILIES R. Doing good, feeling good? The roles of helping motivation and citizenship pressure[J]. J Appl Psychol, 2019, 104(8): 1020-1035. DOI: 10.1037/apl0000392.

邹珉玥, 孙永健, 赵玉芳. 群体认同预测群际威胁: 个体自尊与集体自尊的作用[J]. 保健医学研究与实践, 2016, 13(4): 4-9. DOI: 10.11986/j.issn.1673-873X.2016.04.001.

ZOU M Y, SUN Y J, ZHAO Y F. Group identity predicts intergroup threat: roles of individual self-esteem and collective self-esteem[J]. Health Med Res Pract, 2016, 13 (4): 4-9. DOI: 10.11986/j.issn.1673-873X.2016.04.001.

郭玮, 张兵华, 付友兰, 等. 老年人生命意义、自尊对死亡焦虑的影响[J]. 护理研究, 2020, 34(5): 922-924. DOI: 10.12102/j.issn.1009-6493.2020.05.043.

GUO W, ZHANG B H, FU Y L, et al . Influence of life meaning and self-esteem on death anxiety in the elderly[J ] . Chin Nurs Res, 2020, 34(5): 922-924. DOI: 10.12102/j.issn.1009-6493.2020.05.043.

周立娜, 吴金道, 郭韵. 肝胆外科护士死亡焦虑现状调查及影响因素分析[J]. 中国医药导报, 2021, 18(35): 58-62. DOI: 10.3969/j.issn.1672-9676.2020.18.010.

ZHOU L N, WU J D, GUO Y. Investigation on death anxiety of nurses in hepatobiliary surgery and analysis of influencing factors[J]. China Med Her, 2021, 18(35): 58-62. DOI: 10.3969/j.issn.1672-9676.2020.18.010.

HARMON-JONES E, SIMON L, GREENBERG J, et al . Terror management theory and self-esteem: evidence that increased self-esteem reduces mortality salience effects[J ] . J Pers Soc Psychol, 1997, 72(1): 24-36. DOI: 10.1037//0022-3514.72.1.24.

谢金泉. 死亡凸显效应下内隐自尊对死亡焦虑的影响[D]. 成都: 四川师范大学, 2018.

XIE J Q. The influence of implicit self-esteem on death anxiety under the effect of death prominence[D]. Chengdu: Sichuan Normal University, 2018.

陈淑娟, 胡成文, 丁娜, 等. 肺癌病人自尊与死亡焦虑的相关性研究[J]. 护理研究, 2018, 32(4): 661-664. DOI: 10.3969/j.issn.1009-6493.2018.04.053.

CHEN S J, HU C W, DING N, et al . Correlative research between self-esteem and death anxiety in patients with lung cancer[J ] . Chin Nurs Res, 2018, 32(4): 661-664. DOI: 10.3969/j.issn.1009-6493.2018.04.053.

HOHMANZ P, HOGG M A. Mortality salience, self-esteem, and defense of the group: mediating role of in-group identification[J]. J Appl Soc Psychol, 2015, 45(2): 80-89. DOI: 10.1111/jasp.12277.

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