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Original Article

Correlation between Self-esteem, Death Anxiety, and Spiritual Wellbeing in Korean University Students

Korean Journal of Adult Nursing 2015;27(3):367-374.
Published online: June 30, 2015

1Department of Nursing Science, Sun Moon University, Asan

2Department of Nursing, College of Nursing and Health, Kongju National University, Gongju, Korea

Corresponding author: Cho, Ok-Hee Department of Nursing, College of Nursing and Health, Kongju National University, 56 Gongjudeahak-ro, Gongju 314-701, Korea. Tel: +82-41-850-0306, Fax: +82-41-850-0315, E-mail: ohcho@kongju.ac.kr
• Received: March 30, 2015   • Accepted: June 11, 2015

Copyright © 2015 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    This study aimed at understanding the correlation between self-esteem, death anxiety, and spiritual wellbeing in university students.
  • Methods
    Cross-sectional method was used 671 students in South Korea. This study used the Self-esteem developed by Rosenberg, the Fear of Death Scale revised by Lester and Abdel-Khalek, and Spiritual wellbeing developed by Paloutzian and Ellison.
  • Results
    Relationships between self-esteem, death anxiety, and spiritual wellbeing revealed an inverse correlation between self-esteem and death anxiety, and a direct correlation between self-esteem and spiritual wellbeing.
  • Conclusion
    In order for students of establishing identity to lead a healthy life, there is a need for studies aiming at developing, implementing, and evaluating the results of consultation and education programs for maintaining spiritual wellbeing such as psychological counseling and logotherapy at the university or regional community level.
Table 1.
General Characteristics of Participants (N=671)
Characteristics Categories n (%)
Gender Male 413 (61.6)
Female 258 (38.4)
Grade freshmen 129 (19.2)
sophomores 169 (25.2)
juniors 218 (32.5)
seniors 155 (23.1)
Economic status Poor 108 (16.1)
Moderate 500 (74.5)
Good 63 (9.4)
Religion Yes 227 (33.8)
No 444 (66.2)
Place of residence Alone 106 (15.8)
Dormitory 307 (45.8)
With the family 258 (38.4)
Indirect death experience Yes 469 (69.9)
No 202 (30.1)
Suicidal ideation Yes 125 (18.6)
No 546 (81.4)
Table 2.
Self-esteem, Death anxiety and Spiritual Wellbeing according to Characteristics of the Participants (N=671)
Characteristics Categories Self-esteem Death anxiety Spiritual wellbeing
M±SD t or F (p) M±SD t or F (p) M±SD t or F (p)
Gender Male 30.15±4.88 5.01 89.98±19.64 -1.03 73.10±14.33 3.30
Female 28.23±4.70 (<.001) 91.56±18.73 (.303) 69.65±12.37 (.001)
Grade Freshmen 28.33±4.78a 3.56 92.17±21.39 1.93 69.28±13.39a 5.33
Sophomores 29.60±5.10b (.014) 88.15±18.95 (.123) 69.55±12.63a (.001)
Juniors 30.05±4.81b a<b 89.99±19.96   73.61±14.26b a<b
Seniors 29.21±4.79   92.78±16.50   73.70±13.72b  
Economic status Poor 28.44±4.90a 9.67 95.65±21.90a 4.54 68.97±14.26a 4.41
Moderate 29.32±4.78a (<.001) 89.51±18.78b (.010) 71.94±13.39 (.013)
Good 31.76±5.18b a<b 90.48±17.38b a>b 75.29±14.45b a<b
Religion Yes 29.34±4.63 -0.26 89.72±17.84 -0.83 78.48±14.08 9.23
No 29.45±5.04 (.793) 91.03±20.00 (.405) 68.34±12.16 (<.001)
Place of residence Alone 29.31±4.77 1.69 95.24±17.21a 4.29 69.21±13.39a 7.19
Dormitory 29.77±5.03 (.185) 88.91±20.21b (.014) 73.90±13.81b (.001)
With the family 29.02±4.79   90.69±18.74b a>b 70.30±13.37b a<b
Indirect death experience Yes 29.58±4.92 1.39 91.94±18.53 2.77 71.31±13.86 -1.34
No 29.01±4.85 (.166) 87.47±20.68 (.006) 72.86±13.30 (.180)
Suicidal ideation Yes 29.60±4.74 5.22 98.57±17.66 -4.03 67.37±12.98 -7.39
No 30.06±4.71 (<.001) 88.76±19.20 (<.001) 72.78±13.68 (<.001)
Total   29.41±4.90   90.59±19.30   71.77±13.70  

a, b, c: Bonferroni t-test (means with the same le etter are not signifi cantly differen nt).

Table 3.
Correlation between Self-esteem, Death Anxiety and Spiritual Wellbeing (N=671)
Variables Self-esteem Death anxiety Spiritual wellbeing
r (p) r (p) r (p)
Self-esteem   -.31 (<.001) .50 (<.001)
Death anxiety     -.25 (<.001)
  • 1.Lee Y. The relationship of spiritual wellbeing and involvement with depression and perceived stress in Korean nursing students. Global Journal of Health Science. 2014;6(4):169-76. http://dx.doi.org/10.5539/gjhs.v6n4p169.
  • 2.Taliaferro LA, Rienzo BA, Pigg RM, Miller MD, Dodd VJ. Spiritual wellbeing and suicidal ideation among college students. Journal of American College Health. 2009;58(1):83-90. http://dx.doi.org/10.3200/JACH.58.1.83-90.
  • 3.Jo KH, An GJ, Sohn KC. Qualitative content analysis of suicidal ideation in Korean college students. Collegian. 2011;18(2):87-92. http://dx.doi.org/10.1016/j.colegn.2010.11.001.
  • 4.Statistics Korea. 2013 Annual report on the cause of death statistics [Internet]. Seoul: Statistics Korea; 2014. [cited 2015 January 20]. Available from:.http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&bSeq=&aSeq=330181&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=.
  • 5.Birndorf S, Ryan S, Auinger P, Aten M. High self-esteem among adolescents: longitudinal trends, sex differences, and protective factors. The Journal of Adolescent Health. 2005;37(3):194-201. http://dx.doi.org/10.1016/j.jadohealth.2004.08.012.
  • 6.Dubois DL, Flay BR. The healthy pursuit of self-esteem: comment on and alternative to the Crocker and Park (2004) formulation. Psychological Bulletin. 2004;130(3):415-20. http://dx.doi.org/10.1037/0033-2909.130.3.415.
  • 7.Lyke J. Associations among aspects of meaning in life and death anxiety in young adults. Death Studies. 2013;37(5):471-82. http://dx.doi.org/10.1080/07481187.2011.649939.
  • 8.Adams TB, Bezner JR, Drabbs ME, Zambarano RJ, Steinhardt MA. Conceptualization and measurement of the spiritual and psychological dimensions of wellness in a college population. Journal of American Colledge Health. 2000;48(4):165-73. http://dx.doi.org/10.1080/07448480009595692.
  • 9.Papazisis G, Nicolaou P, Tsiga E. Christoforou T, Sapountzi-Krepia D. Religious and spiritual beliefs, self-esteem, anxiety, and depression among nursing students. Nursing & Health Sciences. 2014;16(2):232-8. http://dx.doi.org/10.1111/nhs.12093.
  • 10.Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39:175-91. http://dx.doi.org/10.3758/BF03193146.
  • 11.Rosenberg MSociety and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965.
  • 12.Lee JY, Nam SK, Lee MK, Lee SM. Rosenberg' self-esteem scale: analysis of item-level validity. The Korean Journal of Counseling and Psychotherapy. 2009;21(Suppl. 1):173-89.
  • 13.Seo HKAn introduction to elderly death. Seoul: Kyungchunsa; 2009.
  • 14.Lester D, Abdel-Khalek A. The Collett-Lester Fear of Death Scale: a correction. Death Study. 2003;27(Suppl. 1):81-5. http://dx.doi.org10.1080/07481180302873.
  • 15.Paloutzian RF, Ellison CWLoneliness, spiritual wellbeing and the quality of life. New York: John Wiley & Sons; 1982.
  • 16.Cheung SD, Lee JB, Park HB, Kim JS, Bai DS, Lee KH, et al. A study on reliability and validity of the Korean version of spiritual well being scale. Journal of Korean Neuropsychiatry Association. 2001;40(2):230-42.
  • 17.Kim KH, Kim KD, Byun HS, Chung BY. Spiritual wellbeing, self esteem, and attitude to death among nursing students. Asian Oncology Nursing. 2010;10(1):1-9.
  • 18.Croghan IT, Bronars C, Patten CA, Schroeder DR, Nirelli LM, Thomas JL, et al. Is smoking related to body image satisfaction, stress, and self-esteem in young adults? American Journal of Health Behavior. 2006;30(3):322-33. http://dx.doi.org/10.5993/AJHB.30.3.10.
  • 19.Lawrence J, Ashford K, Dent P. Gender differences in coping strategies of undergraduate students and their impact on self-esteem and attainment. Active Learning in Higher Education. 2006;7(3):273-81. http://dx.doi.org/10.1177/1469787406069058.
  • 20.Lee YJ, Ko JJ. An effect of college students' stress, coping strategies and self-esteem on suicidal ideation. Korean Association of Human Ecology Seminar. 2010;1:154-5.
  • 21.Creemers DHM, Scholte RHJ, Engels RCME, Prinsteinc MJ, Wiersd RW. Implicit and explicit self-esteem as concurrent predictors of suicidal ideation, depressive symptoms, and loneliness. Journal of Behavior Therapy and Experimental Psychiatry. 2012;43(1):638-46. http://dx.doi.org/10.1016/j.jbtep.2011.09.006.
  • 22.Russac RJ, Gatliff C, Reece M, Spottswood D. Death anxiety across the adult years: an examination of age and gender effects. Death Studies. 2007;31(6):549-61. http://dx.doi.org/10.1080/07481180701356936.
  • 23.Mooney DC. Tactical reframing to reduce death anxiety in undergraduate nursing students. The American Journal of Hospice & Palliative Care. 2005;22(6):427-32. http://dx.doi.org/10.1177/104990910502200607.
  • 24.Andrés AR, Halicioglu F. Determinants of suicides in Denmark: evidence from time series data. Health Policy. 2010;98(issues 2-3):263-9. http://dx.doi.org/10.1016/j.healthpol.2010.06.023.
  • 25.Waite L, Das A. Families, social life, and wellbeing at older ages. Demography. 2010;47(Suppl.):S87-109. http://dx.doi.org/10.1353/dem.2010.0009.
  • 26.Shear MK, Skritskaya NA. Bereavement and anxiety. Current Psychiatry Reports. 2012;14:169-75. http://dx.doi.org/10.1007/s11920-012-0270-2.
  • 27.Wu YW, Su YJ, Chen CK. Clinical characteristics, precipitating stressors, and correlates of lethality among suicide attempters. Chang Gung Medical Journal. 2009;32(5):543-52.
  • 28.Wnuk M, Marcinkowski JT. Do existential variables mediate between religious-spiritual facets of functionality and psychological wellbeing. Journal of Religion and Health. 2014;53(1):56-67. http://dx.doi.org/10.1007/s10943-012-9597-6.
  • 29.Koenig HFaith and mental health: religious resources for healing. Philadelphia: Templeton Foundation Press; 2005.
  • 30.Routledge C. Failure causes fear: the effect of self-esteem threat on death-anxiety. The Journal of Social Psychology. 2012;152(6):665-9. http://dx.doi.org/10.1080/00224545.2012.691915.

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    Correlation between Self-esteem, Death Anxiety, and Spiritual Wellbeing in Korean University Students
    Korean J Adult Nurs. 2015;27(3):367-374.   Published online June 30, 2015
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    Correlation between Self-esteem, Death Anxiety, and Spiritual Wellbeing in Korean University Students
    Correlation between Self-esteem, Death Anxiety, and Spiritual Wellbeing in Korean University Students

    General Characteristics of Participants (N=671)

    Characteristics Categories n (%)
    Gender Male 413 (61.6)
    Female 258 (38.4)
    Grade freshmen 129 (19.2)
    sophomores 169 (25.2)
    juniors 218 (32.5)
    seniors 155 (23.1)
    Economic status Poor 108 (16.1)
    Moderate 500 (74.5)
    Good 63 (9.4)
    Religion Yes 227 (33.8)
    No 444 (66.2)
    Place of residence Alone 106 (15.8)
    Dormitory 307 (45.8)
    With the family 258 (38.4)
    Indirect death experience Yes 469 (69.9)
    No 202 (30.1)
    Suicidal ideation Yes 125 (18.6)
    No 546 (81.4)

    Self-esteem, Death anxiety and Spiritual Wellbeing according to Characteristics of the Participants (N=671)

    Characteristics Categories Self-esteem Death anxiety Spiritual wellbeing
    M±SD t or F (p) M±SD t or F (p) M±SD t or F (p)
    Gender Male 30.15±4.88 5.01 89.98±19.64 -1.03 73.10±14.33 3.30
    Female 28.23±4.70 (<.001) 91.56±18.73 (.303) 69.65±12.37 (.001)
    Grade Freshmen 28.33±4.78a 3.56 92.17±21.39 1.93 69.28±13.39a 5.33
    Sophomores 29.60±5.10b (.014) 88.15±18.95 (.123) 69.55±12.63a (.001)
    Juniors 30.05±4.81b a<b 89.99±19.96   73.61±14.26b a<b
    Seniors 29.21±4.79   92.78±16.50   73.70±13.72b  
    Economic status Poor 28.44±4.90a 9.67 95.65±21.90a 4.54 68.97±14.26a 4.41
    Moderate 29.32±4.78a (<.001) 89.51±18.78b (.010) 71.94±13.39 (.013)
    Good 31.76±5.18b a<b 90.48±17.38b a>b 75.29±14.45b a<b
    Religion Yes 29.34±4.63 -0.26 89.72±17.84 -0.83 78.48±14.08 9.23
    No 29.45±5.04 (.793) 91.03±20.00 (.405) 68.34±12.16 (<.001)
    Place of residence Alone 29.31±4.77 1.69 95.24±17.21a 4.29 69.21±13.39a 7.19
    Dormitory 29.77±5.03 (.185) 88.91±20.21b (.014) 73.90±13.81b (.001)
    With the family 29.02±4.79   90.69±18.74b a>b 70.30±13.37b a<b
    Indirect death experience Yes 29.58±4.92 1.39 91.94±18.53 2.77 71.31±13.86 -1.34
    No 29.01±4.85 (.166) 87.47±20.68 (.006) 72.86±13.30 (.180)
    Suicidal ideation Yes 29.60±4.74 5.22 98.57±17.66 -4.03 67.37±12.98 -7.39
    No 30.06±4.71 (<.001) 88.76±19.20 (<.001) 72.78±13.68 (<.001)
    Total   29.41±4.90   90.59±19.30   71.77±13.70  

    a, b, c: Bonferroni t-test (means with the same le etter are not signifi cantly differen nt).

    Correlation between Self-esteem, Death Anxiety and Spiritual Wellbeing (N=671)

    Variables Self-esteem Death anxiety Spiritual wellbeing
    r (p) r (p) r (p)
    Self-esteem   -.31 (<.001) .50 (<.001)
    Death anxiety     -.25 (<.001)
    Table 1. General Characteristics of Participants (N=671)

    Table 2. Self-esteem, Death anxiety and Spiritual Wellbeing according to Characteristics of the Participants (N=671)

    a, b, c: Bonferroni t-test (means with the same le etter are not signifi cantly differen nt).

    Table 3. Correlation between Self-esteem, Death Anxiety and Spiritual Wellbeing (N=671)

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