This study examined the sequential mediating effects of spiritual well-being and self-acceptance in the relationship between attitudes toward death (death avoidance and death acceptance) and meaning of life among middle-aged adults. Surveys were condu...
This study examined the sequential mediating effects of spiritual well-being and self-acceptance in the relationship between attitudes toward death (death avoidance and death acceptance) and meaning of life among middle-aged adults. Surveys were conducted with 318 participants aged 40 to 64 using the Death Attitude Profile, Spiritual Well-being Scale, Self-acceptance Scale, and Meaning of Life Scale. Data analysis included reliability testing, descriptive statistics, and correlation analysis using SPSS 29.0 and mediation analysis was conducted using SPSS PROCESS macro 4.2 with Model 4, while sequential mediation analysis was performed using Model 6. PROCESS macro 4.2. As the study results, first, death avoidance was negatively correlated, and death acceptance was positively correlated, with spiritual well-being, self-acceptance, and meaning of life respectively. Second, spiritual well-being mediated in the relationship between death attitude (death avoidance and death acceptance) and meaning of life. Third, self-acceptance showed a mediating effect in the relationship between death attitude (death avoidance and death acceptance) and meaning of life. Fourth, spiritual well-being and self-acceptance sequentially mediated in the relationship between death attitude and meaning of life. Death avoidance negatively affected spiritual well-being, self-acceptance and meaning of life but indirectly influenced meaning of life positively through spiritual well-being. Death acceptance had a positive effect on spiritual well-being, which strengthened self-acceptance and enhanced meaning of life. In other words, the direct paths of death avoidance and death acceptance to spiritual well-being, self-acceptance and meaning of life showed different aspects, but the sequential paths from spiritual well-being to meaning of life through self-acceptance were identical. Based on the results, implications, limitations of this study and future research directions were discussed.