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Death anxiety has been implicated in the development and continuation of various psychiatric conditions, although few studies have focused on the relationship between death anxiety and psychosis. The present study investigated whether this relationship extends to positive schizotypy, thus exploring death anxiety as a risk factor along a psychosis continuum. The study also explored whether the relationship is moderated by maladaptive coping. Relationships between death anxiety, maladaptive coping and positive schizotypy were investigated in a non-clinical sample ( N  = 61). As hypothesised, hierarchical regression analysis showed that death anxiety significantly predicted positive schizotypy. Furthermore, this relationship was moderated by maladaptive coping. That is, there was a significantly stronger positive association between death anxiety and positive schizotypy at higher versus lower levels of maladaptive coping. These novel findings indicate that a relationship between death anxiety and psychosis may exist along a psychosis continuum; and this is especially pronounced for those who more often engage in maladaptive coping strategies. The findings are discussed within the framework of Terror Management Theory. Future experimental research is required to inform an accurate model of the role of death anxiety in the development of psychosis, thereby guiding effective interventions for those at risk.

Exploring fear of death and psychosis proneness: positive schizotypy as a function of death anxiety and maladaptive coping