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The Role of Religion for Hospice Patients and Relatively Healthy Older Adults

As older adults approach the end of life, they frequently experience death anxiety and a decline in subjective well-being that are not always alleviated by increased religious participation. One possible explanation is the differential influences of intrinsic and extrinsic religiosity. The present study examined the effects of religious orientation and spiritual activities on subjective well-being and death attitudes among 103 relatively healthy older adults and 19 hospice patients (aged 61 and older). The results of path analyses showed that a sense of purpose in life rather than religiosity had a direct positive effect on subjective well-being and a direct negative effect on death fear after controlling for physical health and demographic characteristics. Intrinsic religiosity had an indirect positive effect on subjective well-being and a strong direct positive effect on approach acceptance of death. Extrinsic religiosity, however, was positively related to death anxiety and, for hospice patients, negatively related to approach acceptance of death.