This study aimed at investigating the dream themes of Chinese elderly people during COVID-19 and its relationship with death anxiety. In this study, 264 participants from four cities in different regions of China were interviewed through one-on-one interviews. Nielsen's Typical Dream Questionnaire (TDQ) and Death Anxiety Scale (DAS) were also administered. The dream recall rate of the elderly was 48.48%; there were differences in TDQ35 and TDQ1 between the experimental group (EG) and control group (CG); the most common emotion in elderly people's dreams was fear; TDQ21 (flood) and TDQ28 (see Yourself Die) were two higher frequent dream themes in the high death anxiety group. The results support the dream continuity hypothesis and threat simulation theory (TST), dreams may help coping with death anxiety, and future research directions are also suggested.

This study aimed at investigating death anxiety and its related factors in Chinese elderly people during COVID-19. This study totally interviewed 264 participants from four cities in different regions of China. Death anxiety scale (DAS), NEO-Five-Factor Inventory (Neo-FFI) and Brief COPE were scored on the basis of one-on-one interviews. Quarantine experience didn’t make significant difference in death anxiety among the elderly; Elderly people with high death anxiety had higher scores of neuroticism, and were more likely to use a Behavior Disengagement coping strategy; Multiple linear regression analysis showed that neuroticism, openness and COVID impact predicted 44.6% of the variance in the death anxiety among elderly people. The results support both theories of vulnerability-stress model and terror management theory (TMT). In the post-epidemic era, we suggest to pay attention to the mental health status of elderly people with personality susceptibility to handling the stress of infection badly.