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Bottaro R, Faraci P. The Beck Hopelessness Scale's psychometric features: A new short form based on item response theory. J Affect Disord 2024; 361:457-464. [PMID: 38897306 DOI: 10.1016/j.jad.2024.06.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 05/31/2024] [Accepted: 06/15/2024] [Indexed: 06/21/2024]
Abstract
BACKGROUND The assessment of hopelessness plays a significant role in preventing various psychological disorders and major life events within the general population. However, the psychometric properties of the Beck Hopelessness Scale (BHS) have been a subject of controversy, primarily studied in clinical groups. The aim of the present study was to gain new psychometric insights and propose a new short version of the BHS for the general population using the Item Response Theory (IRT) approach. METHODS A total of 2164 Argentinean individuals completed the BHS alongside the Inventory of Suicide Orientation-30. We compared IRT models with two and three parameters for the original BHS version, exploring the removal of redundant and less informative items. Convergent and discriminant validity was also examined. RESULTS Our results support the 2PL model for the BHS-19. In addition, the BHS-10 short version adequately depicted the same range of the measured trait as the original version, showing reasonable measurement accuracy in the middle-high levels of the trait (marginal reliability = 0.70, Cronbach's α = 0.86). Notably, a positive correlation was found between the factorial score of BHS-10, BHS-19, and suicide orientation. CONCLUSIONS In conclusion, our findings support the use of a simplified version as a practical and valuable tool for both research and clinical practice in the future.
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Affiliation(s)
- Rossella Bottaro
- Department of Human and Social Sciences, Psychometrics Laboratory, University of Enna "Kore", Italy.
| | - Palmira Faraci
- Department of Human and Social Sciences, Psychometrics Laboratory, University of Enna "Kore", Italy.
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Ki M, Lapierre S, Gim B, Hwang M, Kang M, Dargis L, Jung M, Koh EJ, Mishara B. A systematic review of psychosocial protective factors against suicide and suicidality among older adults. Int Psychogeriatr 2024; 36:346-370. [PMID: 38305360 DOI: 10.1017/s104161022300443x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2024]
Abstract
BACKGROUND Research on suicide rarely focuses on protective factors. The goal of this systematic review was to assess the evidence of the associations between protective factors and reduced suicidality among older adults. METHOD First, a scoping review was conducted to identify pertinent terms that refer to various protective factors against suicidality. A systematic review, following the PRISMA guidelines, was then conducted on a selection of 15 protective factors (e.g., perceived control, well-being and quality of life, life satisfaction, purpose-in-life, resilience, coping, religiosity, hope, self-regulation, sense of belonging, mattering, positive relationship, social support, social connectedness, and social participation), with separate searches performed on each factor in five databases. Empirical studies were eligible if participants were adults aged 60 years and over, and if the studies reported predictive statistical analysis. RESULTS A total of 70 studies were retained for the review. Suicidal ideation was the main outcome measure (91%). Significant associations were consistently observed between all protective factors and reduced suicidal ideations or behaviors, particularly for purpose-in-life, resilience, and positive relationships, indicating that these are solid components for suicide prevention. Using scales, instead of a single item, to measure protective factors (e.g. life satisfaction) was more efficient to capture the associations. On the other hand, results were similar whether studies used subjective (e.g., sense of belonging) or objective (e.g., social connectedness) measures. CONCLUSION Protective factors were inversely associated with suicidal ideation. Improving protective factors is essential for the development of late-life suicide prevention and interventions, instead of merely focusing on risk factors.
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Affiliation(s)
- Myung Ki
- Department of Public Health, Korea University Graduate School, Seoul, South Korea
- Brain Korea 21 Four Research and Education Center, Korea University, Seoul, South Korea
- Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea
| | - Sylvie Lapierre
- Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
- Centre for Research and Intervention on Suicide, Ethical Issues and End of Life Practices, Université du Québec à Montréal, Montréal, Canada
| | - Boeun Gim
- Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea
| | - Minji Hwang
- Department of Public Health, Korea University Graduate School, Seoul, South Korea
- Brain Korea 21 Four Research and Education Center, Korea University, Seoul, South Korea
| | - Minku Kang
- Department of Public Health, Korea University Graduate School, Seoul, South Korea
- Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea
| | - Luc Dargis
- Centre for Research and Intervention on Suicide, Ethical Issues and End of Life Practices, Université du Québec à Montréal, Montréal, Canada
| | - Myoungjee Jung
- Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea
| | - Emily Jiali Koh
- Department of Public Health, Korea University Graduate School, Seoul, South Korea
| | - Brian Mishara
- Centre for Research and Intervention on Suicide, Ethical Issues and End of Life Practices, Université du Québec à Montréal, Montréal, Canada
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Moreira-Neto A, Neves LM, Miliatto A, Juday V, Marquesini R, Lafer B, Cardoso EF, Ugrinowitsch C, Nucci MP, Silva-Batista C. Clinical and neuroimaging correlates in a pilot randomized trial of aerobic exercise for major depression. J Affect Disord 2024; 347:591-600. [PMID: 38092282 DOI: 10.1016/j.jad.2023.12.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 06/30/2023] [Accepted: 12/08/2023] [Indexed: 01/08/2024]
Abstract
BACKGROUND Aerobic exercise (AE) combined with pharmacotherapy is known to reduce depressive symptoms; however, studies have not focused on long-term AE for volumetric changes of brain regions (amygdala, thalamus, and nucleus accumbens [NAcc]) linked to the control of affective responses and hopelessness in individuals with major depression (MD). In addition, AE with motor complexity (AEMC) would be more effective than AE in causing brain plasticity. We compared the effects of 24 weeks of AE and AEMC combined with pharmacotherapy on clinical and volumetric outcomes in individuals with MD. METHODS Forty medicated individuals with MD were randomly assigned to nonexercising control (C), AE, and AEMC groups. The training groups exercised for 60 min, twice a week for 24 weeks. Clinical and volumetric outcomes were assessed before and after the 24 weeks. Effect size (ES) and confidence interval (CI) were calculated for within-group and between-groups changes. RESULTS AE and AEMC reduced hopelessness (ES = -0.73 and ES = -0.62, respectively) and increased affective responses (ES = 1.24 and ES = 1.56, respectively). Only AE increased amygdala (ES = 0.27 left and ES = 0.34 right), thalamus (ES = 0.33 left and ES = 0.26 right) and left NAcc (ES = 0.54) volumes. AE was more effective than the C group in reducing hopelessness and causing brain plasticity. The changes in the right amygdala volume showed a strong trend in explaining 72 % of the changes in affective responses following AE (p = 0.06). LIMITATION Lack of posttraining follow-up and small sample size. CONCLUSION These preliminary data indicate that AE combined with pharmacotherapy can cause clinical improvement and brain plasticity in individuals with MD.
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Affiliation(s)
- Acácio Moreira-Neto
- Laboratory of Magnetic Resonance in Neuroradiology - LIM- 44, University of São Paulo Faculty of Medicine Clinics Hospital, São Paulo, Brazil; Exercise Neuroscience Research Group, University of São Paulo, São Paulo, Brazil
| | - Lucas Melo Neves
- Laboratory of Neuromuscular Adaptations to Strength Training, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil; Bipolar Disorder Program (PROMAN), Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil; Post-Graduate Program in Health Sciences, Santo Amaro University, São Paulo, Brazil
| | - Angelo Miliatto
- Exercise Neuroscience Research Group, University of São Paulo, São Paulo, Brazil
| | | | - Raquel Marquesini
- Laboratory of Neuromuscular Adaptations to Strength Training, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | - Beny Lafer
- Bipolar Disorder Program (PROMAN), Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
| | - Ellison Fernando Cardoso
- Laboratory of Magnetic Resonance in Neuroradiology - LIM- 44, University of São Paulo Faculty of Medicine Clinics Hospital, São Paulo, Brazil
| | - Carlos Ugrinowitsch
- Laboratory of Neuromuscular Adaptations to Strength Training, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | - Mariana Penteado Nucci
- Laboratory of Magnetic Resonance in Neuroradiology - LIM- 44, University of São Paulo Faculty of Medicine Clinics Hospital, São Paulo, Brazil
| | - Carla Silva-Batista
- Exercise Neuroscience Research Group, University of São Paulo, São Paulo, Brazil; Department of Neurology, Oregon Health & Science University, Portland, OR, United States of America
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Hennecke M, Fuths S. Levels of goal adjustment in late adulthood. Curr Opin Psychol 2024; 55:101730. [PMID: 38006625 DOI: 10.1016/j.copsyc.2023.101730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 11/02/2023] [Accepted: 11/06/2023] [Indexed: 11/27/2023]
Abstract
In this review, we argue that in late adulthood adults adjust their goals at three levels to cope with age-related challenges: At the highest level, they narrow their goal systems by selectively pursuing fewer goals from important life domains that are mutually supportive, by abandoning goals, and by focusing on agency protection. At the mid-level of individual goals, older adults show changes in goal content, goal importance, goal orientation, and goal focus, indicating, for example, a relative increase in intrinsic goals. Finally, but worthy of future investigation, older adults may show adjustments on the level of means and strategies for goal pursuit. Individual differences in such adaptations also contribute to differences in goal commitment, well-being, and psychopathology in late adulthood.
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Affiliation(s)
- Marie Hennecke
- Department of Psychology, Ruhr-Universität Bochum, Universitätsstr. 150, 44780 Bochum, Germany.
| | - Sabrina Fuths
- Department of Psychology, Ruhr-Universität Bochum, Universitätsstr. 150, 44780 Bochum, Germany.
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Gajšak T, Milovac Ž, Gereš N, Sučić S, Zoričić Z, Filipčić I. The effect of deep repetitive transcranial magnetic stimulation with an H1 coil on hopelessness in patients with major depressive disorder: A randomized controlled trial. World J Biol Psychiatry 2024; 25:16-25. [PMID: 37727902 DOI: 10.1080/15622975.2023.2251055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 08/16/2023] [Indexed: 09/21/2023]
Abstract
OBJECTIVES To assess the efficacy of repetitive transcranial magnetic stimulation (rTMS) with an H1 coil as a treatment for hopelessness in patients with major depressive disorder (MDD). METHODS We conducted a randomised controlled trial in a tertiary psychiatric institution in Croatia, including patients diagnosed with MDD without psychotic symptoms and with clinically relevant hopelessness. High-frequency (18 Hz) rTMS with an H1 coil was administered over four weeks on the left dorsolateral prefrontal cortex. We examined changes in the Beck Hopelessness Scale (BHS) scores. RESULTS We randomly assigned 51 participants to the intervention group (rTMS plus standard therapy) and 52 to the control group (standard therapy). The mean (SD) ages were 50 (12.3) and 50 (10.4) years, and 47% and 52% of the participants were females in the intervention and control groups, respectively. Following treatment, the BHS scores decreased (unadjusted bivariate analysis, p = 0.043; false discovery rate (FDR) >5%). Multivariate analysis revealed that the BHS score was reduced by 10.8% (95% confidence interval (CI: -17.8% to -3.9%) in the rTMS group and 0.7% (95% CI: 7.5% -6.1%) in the control group (p = 0.037; FDR < 5%). CONCLUSIONS rTMS with an H1 coil improved the symptoms of hopelessness in patients with MDD.
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Affiliation(s)
| | | | - Natko Gereš
- Psychiatric Clinic 'Sveti Ivan', Zagreb, Croatia
- Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
| | | | - Zoran Zoričić
- Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
- School of Dental Medicine, University of Zagreb, Croatia
| | - Igor Filipčić
- Psychiatric Clinic 'Sveti Ivan', Zagreb, Croatia
- Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
- School of Medicine, University of Zagreb, Zagreb, Croatia
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Segev-Jacubovski O. Functional Ability, Psychological Factors, and Rehabilitation Outcomes After Elective Total Hip Replacement. Can J Occup Ther 2023; 90:405-412. [PMID: 37072927 PMCID: PMC10647893 DOI: 10.1177/00084174231168018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023]
Abstract
Background. The role of positive psychological factors in acute rehabilitation after total hip replacement (THR) is unclear. Purpose. (a) Examine the trajectory of functional ability among older adults after THR from presurgery to discharge from acute rehabilitation and (b) determine which physical and psychological factors at admission would predict functional ability at discharge and length of stay in rehabilitation. Methods. This prospective cohort study included 30 participants (age M = 76.20 years) from an inpatient geriatric rehabilitation center. They completed the Geriatric Depression Scale and Positive Affect questionnaire. The FIM® Motor domain of Functional Independent Measure (mFIM) was recorded presurgery, at admission, and upon discharge. Findings. Functional ability improved at discharge; however, the presurgery functional ability was not regained. Positive affect explained the length of stay in rehabilitation above and beyond the presurgery mFIM. Implications. Occupational therapists should improve ways to enhance self-care and positive affect in acute rehabilitation.
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Affiliation(s)
- Orit Segev-Jacubovski
- Orit Segev-Jacubovski, Occupational Therapy Department, Ariel University, 35 Nizanim st, Hod-Hasharon, Israel.
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7
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Lin Y, Xu N, Zhang B. Body image and hopelessness in older adults: The intervening roles of aging self-stereotypes and marital status. Psych J 2023; 12:727-734. [PMID: 37454695 DOI: 10.1002/pchj.666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 06/07/2023] [Indexed: 07/18/2023]
Abstract
The aim of the current study was to examine the association between body image and hopelessness as well as the roles of aging self-stereotypes and marital status in this association in older adults. There were 821 older adults who participated in the present study and completed questionaries about body image, aging self-stereotypes, hopelessness, demographic information (age and sex), marital status, and health status. The results showed that body image was associated with hopelessness in older adults, and aging self-stereotypes mediated the link between body image and hopelessness. Moderated analyses further indicated that the path from body image to aging self-stereotypes was stronger for single older adults than for those who were married. The results emphasize that older adults' dissatisfaction with their body image can enhance negative aging self-stereotypes, which then result in more severe hopelessness. Marital relationships can alleviate the negative effect of body image on aging self-stereotypes in older adults.
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Affiliation(s)
- Yao Lin
- School of Psychology, Shaanxi Normal University, Xi'an, China
| | - Nawei Xu
- School of Psychology, Shaanxi Normal University, Xi'an, China
| | - Baoshan Zhang
- School of Education, Suzhou University of Science and Technology, Suzhou, China
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8
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McCarthy J, Higgins A, McCarthy B, Flynn AV, Gijbels H. Family members' perspectives of hope when supporting a relative experiencing mental health problems. Int J Ment Health Nurs 2023; 32:1405-1415. [PMID: 37332254 DOI: 10.1111/inm.13185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 05/26/2023] [Accepted: 06/01/2023] [Indexed: 06/20/2023]
Abstract
Current research views hope as a process that plays a positive role in the recovery of individuals with mental health problems. However, little attention has been given to the role of hope in the lives of their families. We aimed to address that gap. We deployed a qualitative descriptive design and carried out individual interviews with nine family members who supported a relative with mental health problems. A cross-comparison of the data generated three major themes: understandings of hope; factors that diminish hope and factors that nurture hope. The participants viewed hope as a positive and productive feeling or attitude that was life-affirming, and empowering. They also associated it with behaviours and dispositions such as attentiveness and empathy and the possibility of a return to a more stable and 'normal' life. The participants experienced hope as initially eroded when their relative was first diagnosed and institutionalized. Hope was further diminished due to the poor communication practices of some mental health professionals and the stress of the caring role itself. On the other hand, hope was nurtured through the support of other family members, friends, neighbours and peers. Acquiring knowledge and understanding about the relative's state of mental health nurtured hope and enabled the participants to have a more meaningful role in their recovery process. Practices of self-care such as independent activities and counselling also strengthened hope and some mental health professionals played a positive role in supporting these. Most striking about the reports of many of the participants was their assertion of their abiding love for their relative. Their account of their ability to see beyond the illness of their relative was an insight that we did not find in other accounts of the experiences of family members. We highlight the need for family members to have timely access to relevant information about their relatives' illness. We conclude that hope is relational at its core because of the interplay of intrapersonal, interpersonal and social factors that diminish or nurture it over time. Specifically, we propose that friends, neighbours and peer support groups as key actors in nurturing the hope of both family members and their relatives.
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Affiliation(s)
- Joan McCarthy
- School of Nursing and Midwifery, University College Cork, Cork, Ireland
| | - Agnes Higgins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Bridie McCarthy
- School of Nursing and Midwifery, University College Cork, Cork, Ireland
| | - Angela V Flynn
- School of Nursing and Midwifery, University College Cork, Cork, Ireland
| | - Harry Gijbels
- School of Nursing and Midwifery, University College Cork, Cork, Ireland
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Dasgupta J, Furlano JA, Bandler Z, Fittipaldi S, Canty AJ, Yasoda-Mohan A, El-Jaafary SI, Ucheagwu V, McGettrick G, de la Cruz-Góngora V, Nguyen KH, Lawlor B, Nogueira Haas A. Hope for brain health: impacting the life course and society. Front Psychol 2023; 14:1214014. [PMID: 37457094 PMCID: PMC10348811 DOI: 10.3389/fpsyg.2023.1214014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 06/16/2023] [Indexed: 07/18/2023] Open
Abstract
Hope is a cognitive process by which an individual can identify their personal goals and develop actionable steps to achieve results. It has the potential to positively impact people's lives by building resilience, and can be meaningfully experienced at both the individual and group level. Despite this significance, there are sizable gaps in our understanding of the neurobiology of hope. In this perspective paper, the authors discuss why further research is needed on hope and its potency to be harnessed in society as a "tool" to promote brain health across healthy and patient populations. Avenues for future research in hope and the brain are proposed. The authors conclude by identifying strategies for the possible applications of hope in brain health promotion within the areas of technology, arts, media, and education.
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Affiliation(s)
- Jayashree Dasgupta
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Samvedna Care, Gurugram, India
| | - Joyla A. Furlano
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
| | - Zach Bandler
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
| | - Sol Fittipaldi
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
| | - Alison J. Canty
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Wicking Dementia Research and Education Center, College of Health and Medicine, University of Tasmania, Hobart, TAS, Australia
| | | | - Shaimaa I. El-Jaafary
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Neurology Department, Cairo University, Cairo, Egypt
| | - Valentine Ucheagwu
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Department of Psychology, Nnamdi Azikiwe University, Awka, Nigeria
| | | | - Vanessa de la Cruz-Góngora
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Center for Evaluation and Survey Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico
| | - Kim-Huong Nguyen
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Center for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Brian Lawlor
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
| | - Aline Nogueira Haas
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- School of Physical Education, Physiotherapy and Dance, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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10
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Wang J, Xu M, Li X, Ni Y. A latent class analysis of hopelessness in relation to depression and trauma during the COVID-19 pandemic in China. J Affect Disord 2023; 329:81-87. [PMID: 36841301 PMCID: PMC9951088 DOI: 10.1016/j.jad.2023.02.077] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 02/16/2023] [Accepted: 02/18/2023] [Indexed: 02/27/2023]
Abstract
BACKGROUND Hopelessness is closely related to depression, trauma, and some organic diseases. Yet our understanding of the heterogeneity of hopelessness is limited. This study aimed to explore the heterogeneity of hopelessness, how it corresponds to the severity of depression, and the effect of traumatic experiences on it during COVID-19. METHOD The current study measures 28,360 Chinese college students (67.4 % of women) with the Beck Hopelessness Scale (BHS), Trauma Experience Questionnaire, and Patient Health Questionnaire-9 (PHQ-9). The method of latent class analysis (LCA) was used to identify different sub-groups of hopelessness with differences in emotion, motivation, and cognition. Logistic regression and analysis of variance were used to determine the characteristics of different sub-groups. RESULTS Three latent classes were identified: Negative affective cognition class (C1, N = 5940, 20.9 %), Negative thought cognition class (C2, N = 1358, 4.8 %), and Low hopelessness class (C3, N = 21,062, 74.3 %). Gender, only child or not, birthplace, family economic status, and grade are predictors of the latent category of hopelessness. There are significant differences in depression among different latent classes, and C1 > C2 > C3 (p < 0.001). Traumatic experience is a risk factor for the hopeless latent classes (OR > 1, P < 0.001). LIMITATIONS Research findings may not be applied to other populations and rely on subjective reports. Ignore the effects of other protective and risk factors. Lack of longitudinal research, unable to explore causality. CONCLUSIONS The current study provides evidence for the heterogeneity of hopelessness and informs targeted interventions for mental health problems (hopelessness) in college students.
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Affiliation(s)
- Jingqun Wang
- Center of Mental Health Education, Jiangxi Normal University, 99 Ziyang Avenue, Nanchang 330022, China
| | - Mengdi Xu
- School of Psychology, Jiangxi Normal University, 99 Ziyang Avenue, Nanchang 330022, China.
| | - Xiaotong Li
- School of Psychology, Jiangxi Normal University, 99 Ziyang Avenue, Nanchang 330022, China
| | - Yutong Ni
- School of Psychology, Jiangxi Normal University, 99 Ziyang Avenue, Nanchang 330022, China
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11
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Lok N, Aydın Z, Uzun G, Kayaaslan B, Selçuk Tosun A. Relationship of Depression, Hopelessness and Life Satisfaction With Death Anxiety in Individuals Who Have Had COVID-19. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231174602. [PMID: 37161306 PMCID: PMC10183336 DOI: 10.1177/00302228231174602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
The aim of this study was to determine the relationship between depression, hopelessness and life satisfaction with death anxiety and the determinants of death anxiety in individuals who have had COVID-19. This descriptive and correlational study was conducted with 402 adult individuals. Personal Information Form, Thorson-Powell Death Anxiety Scale, Beck Depression Scale, Beck Hopelessness Scale and Satisfaction with Life Scale were used to collect the data. In the study, a positive relationship was found between death anxiety and depression and hopelessness, and a negative relationship was found between death anxiety and life satisfaction (p < .001). As a result, being female, having undergraduate or graduate education, having high levels of depression and hopelessness and low life satisfaction were found to be determinants of death anxiety.
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Affiliation(s)
- Neslihan Lok
- Department of Psychiatric Nursing, Selcuk University Faculty of
Nursing, Konya, Turkey
| | - Zekiye Aydın
- Department of Nursing, Selcuk University Health Sciences
Institute, Konya, Turkey
| | - Gülten Uzun
- Department of Nursing, Selcuk University Health Sciences
Institute, Konya, Turkey
| | - Büşra Kayaaslan
- Department of Nursing, Selcuk University Health Sciences
Institute, Konya, Turkey
| | - Alime Selçuk Tosun
- Department of Public Health
Nursing, Selcuk University Faculty of
Nursing, Konya, Turkey
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12
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Segura A, Cardona D, Segura A, Robledo CA, Muñoz DI. The subjective perception of the happiness of older adult residents in Colombia. Front Med (Lausanne) 2023; 10:1055572. [PMID: 37215723 PMCID: PMC10196204 DOI: 10.3389/fmed.2023.1055572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 02/23/2023] [Indexed: 05/24/2023] Open
Abstract
Introduction Happiness is understood as the perception of subjective well-being, it can be a quality, a result, or a state characterized by well-being or satisfaction that every person wants to achieve. In older adults, this satisfaction is a sum of lifelong achievements and triumphs; However, some factors influence this ideal. Objective Analyze demographic, family, social, personal, and health factors associated with the subjective perception of happiness in older adults, using data from a study conducted in five cities in Colombia, in order to make a theoretical contribution in the search for improvement of their physical, mental and social health. Materials and methods A quantitative, cross-sectional, analytical study was carried out, using primary source information, obtained with 2,506 surveys from voluntary participants aged 60 and over, who had no cognitive impairment, and who reside in urban areas but not in long-term centers. The variable happiness (classified as high or moderate/low) was used for: (1) A univariate explorative characterization of older adult, (2) a bivariate estimation of the relationships with the factors studied, and (3) a multivariate construction of profiles through multiple correspondences. Results 67.2% reported high happiness levels, with differences by city: Bucaramanga (81.6%), Pereira (74.7%), Santa Marta (67.4), Medellín (64%), and Pereira (48.7%). Happiness was explained by the absence of risk of depression and little hopelessness, strengthened psychological well-being, a perception of high quality of life, and living in a functional family. Conclusion This study provided an overview of possible factors that can be enhanced and strengthened with public policies (structural determinant), community empowerment, family strengthening (intermediate determinant), and educational programs (proximal determinant). These aspects are included in the essential functions of public health, in favor of mental and social health in older adults.
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Jenabi Ghods M, Moghaddam LF, Hosseinabadi-Farahani MJ, Pourebrahimi M. The mediation role of self-esteem and hope on the relationship of quality of life and unmet needs of elderly with psychiatric disorders. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:89. [PMID: 37288421 PMCID: PMC10243421 DOI: 10.4103/jehp.jehp_163_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 07/11/2022] [Indexed: 06/09/2023]
Abstract
BACKGROUND Self-esteem is one of the factors affecting the quality of life. On the other hand, quality of life decreases in people with psychiatric disorders. The aim of the present study was to evaluate the mediating role of self-esteem and hope on the relationship between unmet needs and quality of life of the elderly with psychiatric disorders. MATERIALS AND METHODS This descriptive-analytical study was performed on 112 chronic psychiatric patients hospitalized in the geriatric ward of (blinded) 2020. Based on the inclusion criteria, a total of 100 samples were entered into the study by census. The World Health Organization (WHO) quality of life questionnaire, Rosenberg Self-Esteem Scale, Snyder Hope Scale, and Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) were used to collect data. The research model was tested using the path analysis technique. Data was analyzed using Statistical Package for the Social Sciences (SPSS) Ver. 26 and LISREL Ver. 2/9. RESULTS Unmet needs were negatively related to the other three variables of the study, namely, self-esteem, hope, and quality of life. There was a significant relationship between unmet needs and quality of life with a mediating role of self-esteem and hope (P < 0.05). Quality of life was also negatively related to unmet needs and directly related to self-esteem and hope. CONCLUSION Based on the findings of this study, it is essential that health-care providers consider planning to provide programs to improve self-esteem and hope in order to reduce unmet needs and increase the quality of life.
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Affiliation(s)
- Mariye Jenabi Ghods
- Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- PhD Student, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Ladan Fattah Moghaddam
- Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
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Gronier G, Aïssaoui D, Schwander F, Cara-Nova T. Psychometric properties of the French version of the Herth Hope Index assessment (HHI-F). EUROPEAN REVIEW OF APPLIED PSYCHOLOGY 2023. [DOI: 10.1016/j.erap.2022.100822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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15
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Cowden RG, Nakamura JS, Chen ZJ, Case B, Kim ES, VanderWeele TJ. Identifying pathways to religious service attendance among older adults: A lagged exposure-wide analysis. PLoS One 2022; 17:e0278178. [PMID: 36445902 PMCID: PMC9707744 DOI: 10.1371/journal.pone.0278178] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 11/12/2022] [Indexed: 12/02/2022] Open
Abstract
We used prospective data (spanning 8 years) from a national sample of older U.S. adults aged > 50 years (the Health and Retirement Study, N = 13,771) to evaluate potential factors that lead to subsequent religious service attendance. We applied a lagged exposure-wide epidemiologic design and evaluated 60 candidate predictors of regular subsequent religious service attendance. Candidate predictors were drawn from the following domains: health behaviors, physical health, psychological well-being, psychological distress, social factors, and work. After rigorous adjustment for a rich set of potential confounders, we observed modest evidence that changes in some indices of physical health, psychological well-being, psychological distress, and social functioning predicted regular religious service attendance four years later. Our findings suggest that there may be opportunities to support more regular religious service attendance among older adults who positively self-identify with a religious/spiritual tradition (e.g., aid services for those with functional limitations, psychological interventions to increase hope), which could have downstream benefits for various dimensions of well-being in the later years of life.
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Affiliation(s)
- Richard G. Cowden
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, Massachusetts, United States of America
- * E-mail:
| | - Julia S. Nakamura
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada
| | - Zhuo Job Chen
- School of Nursing, University of North Carolina at Charlotte, Charlotte, NC, United States of America
| | - Brendan Case
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, Massachusetts, United States of America
| | - Eric S. Kim
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, Massachusetts, United States of America
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada
- Lee Kum Sheung Center for Health and Happiness, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America
| | - Tyler J. VanderWeele
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, Massachusetts, United States of America
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America
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Knowles JRP, Gray NS, O'Connor C, Pink J, Simkiss NJ, Snowden RJ. The Role of Hope and Resilience in Protecting Against Suicidal thoughts and Behaviors During the COVID-19 Pandemic. Arch Suicide Res 2022; 26:1487-1504. [PMID: 33999758 DOI: 10.1080/13811118.2021.1923599] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
OBJECTIVE The COVID-19 pandemic has impacted the mental health and wellbeing of populations across the world. This study aimed to examine: (1) which specific aspects of the COVID-19 pandemic were associated with the presence of suicidal thoughts and behaviors, and (2) the extent to which participants' hopelessness and resilience moderated the relationship between COVID-19 related stress and suicidal thoughts and behaviors. METHOD We administered an online survey to 12,989 adult (16+) participants across Wales from the 9th June to the 13th July 2020. Participants completed a series of questionnaires measuring the stressors they had experienced during the COVID-19 pandemic, their levels of hopelessness over the past two weeks, their levels of resilience, and whether they had experienced suicidal thoughts or behaviors since the onset of the COVID-19 pandemic. RESULTS Our findings revealed that: (1) food insecurity, domestic abuse, relationship problems, redundancy, social isolation and financial problems were the COVID-19 related stressors most strongly associated with suicidal thoughts and behaviors, and (2) that both hopelessness and resilience moderated the relationship between COVID-19 stress and suicidal thoughts, such that the relationship between COVID-19 stress and the presence of suicidal thoughts was much stronger for individuals with high hopelessness and low resilience. CONCLUSIONS These results highlight the aspects of the COVID-19 pandemic that are closely related to suicidal thoughts and behaviors and demonstrate the important role that hope for the future and resilience play in protecting individuals against the negative effects of the COVID-19 pandemic.HighlightsStressors caused by the pandemic are linked to increased suicidal thoughts.Hope protects individuals against the negative impact of the COVID-19 pandemic.Resilience also protects people from the negative impact of the COVID-19 pandemic.
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Wand A, McKay R, Pond D. Towards Zero Suicide: need and opportunities to improve implementation of clinical elements for older adults. Australas Psychiatry 2022; 30:290-293. [PMID: 34839743 DOI: 10.1177/10398562211054034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The Zero Suicide (ZS) framework is increasingly used in Australia, but without published adaptations for older people, and limited access by older people when implemented. The aim of this paper is to inform Towards Zero Suicide (TZS) implementations to benefit older adults by considering the key differences in older adults at risk of suicide according to each clinical component of the ZS framework. CONCLUSION TZS aspires to reduce deaths by suicide for people within healthcare by refocusing interventions on suicidality rather than diagnosis alone, emphasising evidence-based practices and cultural change. For TZS to be effective for older people, it is essential to ensure practices are based upon evidence relevant to older people and to ensure ageism is effectively counteracted. Older adults have distinct patterns of help seeking and service use, accompanied by differences in risk factors, presentations, and outcomes of suicidal behaviours. Ageism affects assessment, decision-making and actions to address self-harm and suicide for older people. Immediate and longer-term actions are essential to effectively implement TZS in this population.
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Affiliation(s)
- Anne Wand
- Faculty of Medicine and Health, University of Sydney, Australia; and Faculty of Medicine, University of New South Wales, Australia
| | - Roderick McKay
- NSW Health Education and Training Institute, North Parramatta, NSW, Australia
| | - Dimity Pond
- The University of Newcastle, Callaghan, NSW, Australia
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18
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Mitchell UA, Nguyen AW, Brown LL. Hope, Purpose, and Religiosity: The Impact of Psychosocial Resources on Trajectories of Depressive Symptoms Among Middle-Aged and Older Blacks. J Aging Health 2022; 34:363-377. [PMID: 35414282 PMCID: PMC9580265 DOI: 10.1177/08982643221085820] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Objective: We assessed the effects of hope, purpose in life, and religiosity on trajectories of depressive symptoms among middle-aged and older Blacks, with a focus on age differences in these associations. Methods: Data come from 1906 respondents from the 2006-2016 Health and Retirement Study. Linear mixed models were estimated and included interactions between age and time and between age and each psychosocial resource. Results: Depressive symptoms decreased for Blacks ages 51-64, did not change for those 65-74, and increased among Blacks age 75+. Hope and purpose in life were inversely associated with symptom levels but were not associated with change over time in symptomology. Associations were stronger among the youngest age group and weakest among the oldest. Religiosity was unrelated to depressive symptoms. Discussion: Psychosocial resources protect against depressive symptoms in age-dependent ways among middle-aged and older Blacks. Differences in these effects may be related to aging, cohort, and selection effects.
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Ypsilanti A, Lazuras L. Loneliness is not a homogeneous experience: An empirical analysis of adaptive and maladaptive forms of loneliness in the UK. Psychiatry Res 2022; 312:114571. [PMID: 35524995 DOI: 10.1016/j.psychres.2022.114571] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 04/19/2022] [Accepted: 04/21/2022] [Indexed: 12/01/2022]
Abstract
Understanding loneliness is pivotal to informing relevant evidence-based preventive interventions. The present study examined the prevalence of loneliness in the UK, during the COVID-19 pandemic, and the association between loneliness, mental health outcomes, and risk and protective factors for loneliness, after controlling for the effects of social isolation. It was estimated that 18.1% of the population in our study experienced moderately high to very high loneliness. We also found that loneliness was positively associated with self-disgust and social inhibition, and negatively associated with trait optimism and hope. Cluster analysis indicated that two distinct groups emerged among those experiencing higher levels of loneliness: "adaptive" and "maladaptive" loneliness groups. The maladaptive loneliness group displayed psychological characteristics like self-disgust and social inhibition including symptoms of depression and anxiety that can potentially undermine their ability to connect with others and form meaningful social relationships. These findings suggest that not all people experience loneliness in the same way. It is possible that a one-size-fit-all approach to reducing loneliness, may be less effective because it does not take into account the differential psychological profiles and characteristics of lonely people, relevant to their capacity to connect with others.
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Affiliation(s)
- Antonia Ypsilanti
- Department of Psychology, Sociology and Politics, Centre for Behavioural Science and Applied Psychology, Sheffield Hallam University, United Kingdom.
| | - Lambros Lazuras
- Department of Psychology, Sociology and Politics, Centre for Behavioural Science and Applied Psychology, Sheffield Hallam University, United Kingdom
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20
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Meléndez JC, Delhom I, Satorres E, Abella M, Real E. [Hopelessness as a predictor of loneliness in older adults]. Rev Esp Geriatr Gerontol 2022; 57:85-89. [PMID: 35190191 DOI: 10.1016/j.regg.2022.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 01/05/2022] [Accepted: 01/11/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND AND OBJECTIVE Hopelessness is characterized by a set of negative cognitive schemas about the future, conceptualized on the basis of three dimensions: affective, motivational and cognitive. This construct is linked to loneliness, the incidence of which in older adults is increasingly high. The aim of this research is to test whether hopelessness factors predict levels of loneliness in older adults. MATERIAL AND METHODS 138 non-institutionalized persons from Valencia city between 65-90 years old participated, with a mean age of 73.67 (SD=4.8), and 59.4% were women. The Beck Hopelessness Scale (BHS) and University of California Los Angeles Loneliness Scale (UCLA) were administered to assess participants. RESULTS The motivational and cognitive factors acted as statistically significant predictors of loneliness, while the affective factor was not presented as a significant factor. The final model obtained an R2adj=.442, F(3, 87)=23.97, p<.001. CONCLUSIONS Loneliness is a phenomenon of great concern in the field of gerontology due to its high incidence and impact. The results indicate that hopelessness, specifically loss of motivation and negative expectations about the future, are critical issues for the development of feelings of loneliness in older adults. Thus, it is relevant to pay attention to these variables in order to apply loneliness prevention programs.
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Affiliation(s)
- Juan C Meléndez
- Departamento de Psicología Evolutiva, Facultad de Psicología, Universidad de Valencia, Valencia, España.
| | - Iraida Delhom
- Universidad Internacional de Valencia, Valencia, España
| | - Encarnación Satorres
- Departamento de Psicología Evolutiva, Facultad de Psicología, Universidad de Valencia, Valencia, España
| | - Mireia Abella
- Departamento de Psicología Evolutiva, Facultad de Psicología, Universidad de Valencia, Valencia, España
| | - Elena Real
- Departamento de Psicología Evolutiva, Facultad de Psicología, Universidad de Valencia, Valencia, España
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21
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Paun O. Pandemic Lessons: Resilience and Hope. J Psychosoc Nurs Ment Health Serv 2022; 60:11-12. [PMID: 34978942 DOI: 10.3928/02793695-20211207-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
In the United States, the coronavirus disease 2019 pandemic took a heavy toll on older adults, particularly those residing in long-term care facilities who were reduced to extended periods of isolation from families, friends, and health care providers. The concepts of resilience and hope became extremely relevant in the context of pandemic-related restrictions that exacerbated loneliness across all age groups. A review of evidence indicates that resilience is defined as an on-going, conscious process of adaptation in the face of adversity, whereas hope is defined as a resilience moderator through its process of making sense of a difficult situation. Cognitive-behavioral therapy and life review interventions were found to effectively enhance hope, thus contributing to increased resilience in older adults diagnosed with depression, bereavement, and/or medical conditions. Mental health providers at any level of practice should assess older adults for levels of loneliness, isolation, resilience, and hope and consider interventions to boost resilience and hope. [Journal of Psychosocial Nursing and Mental Health Services, 60(1), 10-12.].
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22
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Ho KHM, Mak AKP, Chung RWM, Leung DYL, Chiang VCL, Cheung DSK. Implications of COVID-19 on the Loneliness of Older Adults in Residential Care Homes. QUALITATIVE HEALTH RESEARCH 2022; 32:279-290. [PMID: 34855529 DOI: 10.1177/10497323211050910] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
With little understandings on the loneliness of older adults in residential care homes structured by social contact restrictions, the provision of person-centered care was jeopardized during the pandemic. This study employed hermeneutic phenomenology to explore the lived experiences of loneliness of this population during a 5-month period of the COVID-19 pandemic. We conducted unstructured face-to-face interviews with 15 older adults living in seven residential care homes. Thematic analysis was guided by Van Manen's approach. The essence of loneliness was uncovered as "A deprived sense of self-significance in a familiar world contributes to older adult's disconnection with prior commitments." A sub-theme "From collapse to dissolution of self-understanding" revealed how COVID-19 structured their loneliness. Another sub-theme, "Restoring meanings by establishing connections with entities" illustrated the ways to mitigate loneliness during the pandemic. Activities fostering alternative self-interpretation are important to protect older adults against loneliness.
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Affiliation(s)
- Ken H M Ho
- Nethersole School of Nursing, Faculty of Medicine, 71024The Chinese University of Hong Kong, Shatin, Hong Kong
| | - Agnes K P Mak
- School of Nursing, 261919Tung Wah College, Kowloon, Hong Kong
| | | | - Doris Y L Leung
- School of Nursing, 26680The Hong Kong Polytechnic University, Hong Kong
| | - Vico C L Chiang
- School of Nursing, 26680The Hong Kong Polytechnic University, Hong Kong
| | - Daphne S K Cheung
- School of Nursing, 26680The Hong Kong Polytechnic University, Hong Kong
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23
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Johnson AA, Wallace BK, Xu Q, Chihuri S, Hoven CW, Susser ES, DiMaggio C, Abramson D, Andrews HF, Lang BH, Ryan M, Li G. Hopelessness in New York State Physicians During the First Wave of the COVID-19 Outbreak. J Neurosurg Anesthesiol 2022; 34:152-157. [PMID: 34870640 DOI: 10.1097/ana.0000000000000808] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 08/25/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND In the United States, New York State's health care system experienced unprecedented stress as an early epicenter of the coronavirus disease 2019 (COVID-19) pandemic. This study aims to assess the level of hopelessness in New York State physicians working on the frontlines during the first wave of the COVID-19 outbreak. METHODS A confidential online survey sent to New York State health care workers by the state health commissioner's office was used to gather demographic and hopelessness data as captured by a brief Hopelessness Scale. Adjusted linear regression models were used to assess the associations of physician age, sex, and number of triage decisions made, with level of hopelessness. RESULTS In total, 1330 physicians were included, of whom 684 were male (51.4%). Their average age was 52.4 years (SD=12.7), with the majority of respondents aged 50 years and older (55.2%). Almost half of the physician respondents (46.3%) worked directly with COVID-19 patients, and 163 (12.3%) were involved in COVID-19-related triage decisions. On adjusted analysis, physicians aged 40 to 49 years had significantly higher levels of hopelessness compared with those aged 50 years or more (μ=0.441, SD=0.152, P=0.004). Those involved in 1 to 5 COVID-19-related triage decisions had a significantly lower mean hopelessness score (μ=-0.572, SD=0.208, P=0.006) compared with physicians involved in none of these decisions. CONCLUSION Self-reported hopelessness was significantly higher among physicians aged 40 to 49 years and those who had not yet been involved in a life or death triage decision. Further work is needed to identify strategies to support physicians at high risk for adverse mental health outcomes during public health emergencies such as the COVID-19 pandemic.
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Affiliation(s)
| | | | - Qianhui Xu
- Departments of Epidemiology, Columbia University Mailman School of Public Health
| | | | - Christina W Hoven
- Psychiatry, Columbia University Vagelos College of Physicians and Surgeons
- Departments of Epidemiology, Columbia University Mailman School of Public Health
- New York State Psychiatric Institute
| | - Ezra S Susser
- Psychiatry, Columbia University Vagelos College of Physicians and Surgeons
- Departments of Epidemiology, Columbia University Mailman School of Public Health
- New York State Psychiatric Institute
| | - Charles DiMaggio
- Department of Surgery and Population Health Science, New York University Langone Medical Center
| | - David Abramson
- Program on Population Impact, Recovery and Resilience, School of Global Public Health, New York University, New York, NY
| | - Howard F Andrews
- Psychiatry, Columbia University Vagelos College of Physicians and Surgeons
- Biostatistics, Columbia University Mailman School of Public Health
- New York State Psychiatric Institute
| | | | | | - Guohua Li
- Departments of Anesthesiology
- Departments of Epidemiology, Columbia University Mailman School of Public Health
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Hernandez SC, Overholser JC, Philips KL, Lavacot J, Stockmeier CA. Suicide among older adults: Interactions among key risk factors. Int J Psychiatry Med 2021; 56:408-421. [PMID: 33322985 DOI: 10.1177/0091217420982387] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE The present study aimed to understand how key risk factors of older adult suicide interact to ultimately lead to death by suicide using data collected post-mortem. METHOD A psychological autopsy was used to gather detailed information about psychiatric diagnosis, medical problems, social isolation, and negative attitudes expressed by the individual during the six months prior to their death. Interviews with next-of-kin, medical and psychiatric records, and the Cumulative Illness Rating Scale for Geriatrics were used. Subjects included 32 older adults who died by suicide and 45 older adults who died by natural causes. RESULTS Hopelessness, depression, and negative health attitudes were strongly correlated with suicide. Older age was associated with social isolation, suggesting an indirect relationship with suicide via hopelessness, depression, and negative health attitudes. Physical illness did not increase risk. Multivariate analyses suggested that hopelessness fully mediated the effects of social isolation, negative health attitudes, and depression on suicide. CONCLUSIONS Psychological factors played the largest role in suicide deaths compared to social isolation and physical illness. Suicide interventions aimed at older adults should ensure hopelessness, depression, and negative health attitudes are primary targets.
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Affiliation(s)
- Silvia C Hernandez
- Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH, USA
| | - James C Overholser
- Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH, USA
| | - Kristie L Philips
- Veterans Affairs Northeast Ohio Healthcare System, Cleveland, OH, USA
| | - James Lavacot
- Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH, USA
| | - Craig A Stockmeier
- Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MI, USA
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Alexopoulos GS, Raue PJ, Banerjee S, Mauer E, Marino P, Soliman M, Kanellopoulos D, Solomonov N, Adeagbo A, Sirey JA, Hull TD, Kiosses DN, Areán PA. Modifiable predictors of suicidal ideation during psychotherapy for late-life major depression. A machine learning approach. Transl Psychiatry 2021; 11:536. [PMID: 34663787 PMCID: PMC8523563 DOI: 10.1038/s41398-021-01656-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Revised: 09/09/2021] [Accepted: 09/24/2021] [Indexed: 11/13/2022] Open
Abstract
This study aimed to identify subgroups of depressed older adults with distinct trajectories of suicidal ideation during brief psychotherapy and to detect modifiable predictors of membership to the trajectories of suicidal ideation. Latent growth mixed models were used to identify trajectories of the presence of suicidal ideation in participants to a randomized controlled trial comparing Problem Solving Therapy with "Engage" therapy in older adults with major depression over 9 weeks. Predictors of membership to trajectories of suicidal ideation were identified by the convergence of four machine learning models, i.e., least absolute shrinkage and selection operator logistic regression, random forest, gradient boosting machine, and classification tree. The course of suicidal ideation was best captured by two trajectories, a favorable and an unfavorable trajectory comprising 173 and 76 participants respectively. Members of the favorable trajectory had no suicidal ideation by week 8. In contrast, members of the unfavorable trajectory had a 60% probability of suicidal ideation by treatment end. Convergent findings of the four machine learning models identified hopelessness, neuroticism, and low general self-efficacy as the strongest predictors of membership to the unfavorable trajectory of suicidal ideation during psychotherapy. Assessment of suicide risk should include hopelessness, neuroticism, and general self-efficacy as they are predictors of an unfavorable course of suicidal ideation in depressed older adults receiving psychotherapy. Psychotherapeutic interventions exist for hopelessness, emotional reactivity related to neuroticism, and low self-efficacy, and if used during therapy, may improve the course of suicidal ideation.
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Affiliation(s)
- George S Alexopoulos
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA.
| | - Patrick J Raue
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA
| | - Samprit Banerjee
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Elizabeth Mauer
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Patricia Marino
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Mohamed Soliman
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Dora Kanellopoulos
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Nili Solomonov
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Adenike Adeagbo
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Jo Anne Sirey
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Thomas D Hull
- Talkspace, New York, NY, USA
- Teachers College, Columbia University, New York, NY, USA
| | - Dimitris N Kiosses
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA
| | - Patricia A Areán
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA
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Chu HY, Chan HS, Chen MF. Effects of Horticultural Activities on Attitudes toward Aging, Sense of Hope and Hand-Eye Coordination in Older Adults in Residential Care Facilities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6555. [PMID: 34207071 PMCID: PMC8296344 DOI: 10.3390/ijerph18126555] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 06/09/2021] [Indexed: 11/24/2022]
Abstract
This study investigated the effects of an 8-week horticultural activity intervention on attitudes toward aging, sense of hope, and hand-eye coordination in 88 older adults in residential care facilities. In the experimental group, the mean score for "attitudes toward aging" increased from 3.81 before the intervention to 4.74 points after the intervention (standard deviation SD = 0.24 and 0.27, respectively), and the control group dropped from 3.75 to 3.70 (standard deviations, respectively SD = 0.27 and 0.28). The mean score for "sense of hope" increased from 3.28 before the intervention to 3.81 points after the intervention (SD = 0.49 and 0.26, respectively). In contrast to the control group, the mean score gradually declined from 3.26 to 3.16 points (standard deviation SD = 0.54 and 0.48, respectively). In the test of hand-eye coordination, the time required to complete the cup stacking test significantly decreased from 33.56 to 25.38 s in the experimental group but did not significantly change in the control group. Generalized estimating equation analysis revealed a significant interaction between group and time (p < 0.001). The data trends revealed significant differences in outcomes between the experimental group and the control group. At 3 months after the end of the study, the effect size in the experimental group remained higher than that in the control group.
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Affiliation(s)
- Hui-Ying Chu
- Department of Living Services Industry, Tainan University of Technology, No. 529, Zhongzheng Rd., Yongkang District, Tainan City 71002, Taiwan
| | - Hui-Shan Chan
- Department of Applied Cosmetology, National Tainan Junior College of Nursing, 78 Sec. 2, Minzu Rd., Tainan City 70043, Taiwan;
| | - Mei-Fang Chen
- Department of Nursing, National Tainan Junior College of Nursing, 78 Sec. 2, Minzu Rd., Tainan City 70043, Taiwan;
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Effectiveness of Spiritual Counseling on the Enhancement of Hope in Iranian Muslim Patients with Myocardial Infarction: A Two-Month Follow-Up. JOURNAL OF RELIGION & HEALTH 2021; 61:3898-3908. [PMID: 34014472 DOI: 10.1007/s10943-021-01283-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Accepted: 05/08/2021] [Indexed: 12/14/2022]
Abstract
Hope is the most important source of coping in patients who have experienced acute cardiac events, and despair is considered an important cause of discontinued treatment and a threat to patients' mental health. This study aimed to determine the effectiveness of spiritual counseling on hope in patients with myocardial infarction over a two-month period. Fifty-six Iranian Muslim patients with myocardial infarction participated; participants were randomly allocated to either the intervention group (n = 28) or the control group (n = 28). The experiment group received three sessions of group spiritual counseling. The patients' hope was measured before intervention and immediately, one month, and two months after the intervention. The results indicated that no significant difference in hope was present between the intervention and control groups at baseline (Z = - 2.56, effect size = 0.75, P = 0.1). Significance between-group differences favoring the intervention group, however, were noted immediately post-intervention (Z = - 2.72, effect size = 0.91, P = 0.007), one month afterward (Z = - 6.22, effect size = 3.14, P < 0.001), and two months afterward (Z = - 6.10, effect size = 2.65, P < 0.001). Hope significantly improved in the intervention group during the study. Utilizing spiritual counseling as an effective non-aggressive form of treatment can improve hope among patients with myocardial infarction.
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Duggleby W, Lee H, Nekolaichuk C, Fitzpatrick-Lewis D. Systematic review of factors associated with hope in family carers of persons living with chronic illness. J Adv Nurs 2021; 77:3343-3360. [PMID: 33876845 DOI: 10.1111/jan.14858] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 03/03/2021] [Accepted: 03/30/2021] [Indexed: 11/30/2022]
Abstract
AIMS To identify factors associated with hope in family carers of persons living with chronic illness. DESIGN A systematic review of quantitative and mixed method studies on hope in carers of persons living with chronic illness. DATA SOURCES Five electronic databases (Medline, Cumulative Index to Nursing and Allied Health Literature, Web of Science, ProQuest Dissertations and PsycINFO) were searched from inception to 13 July 2020. REVIEW METHODS Inclusion criteria were the following: (a) study population of adult (18 years of age and older) carers of persons living with chronic illness, (b) hope was measured as a variable, (c) reported factors associated with hope, (d) employed either quantitative or mixed methods design, (e) written in English and (f) was published in peer reviewed journals. All included studies were evaluated for quality using the Mixed Method Appraisal Tool. RESULTS Twenty-six studies were included in the systematic review. Quality of life, physical and mental health, life satisfaction and the hope of care recipients were found to be positively associated with hope. Carer's coping increased (self-efficacy and caregiver preparedness) as hope increased with a decrease in maladaptive coping strategies. Anxiety, depression, distress, grief and guilt were negatively associated with carers' hope. Carers' hope did not appear to be associated with carer or care-recipient demographic variables. CONCLUSION Carers' hope appears to be associated with the carers' over all positive health. The factors associated with carers' hope provide potential areas to focus intervention development such as strategies that increase self-efficacy. More research is needed to clarify if factors such as stage of disease and resilience are associated with hope. Research on carers' hope assessment and intervention development should also focus on factors associated with hope. IMPACT The findings underscore the need to assess and work with carers of persons living with chronic illness to enhance their hope.
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Affiliation(s)
- Wendy Duggleby
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - HeunJung Lee
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - Cheryl Nekolaichuk
- Division of Palliative Care Medicine, University of Alberta, Health Services Centre, Edmonton, AB, Canada
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Affiliation(s)
- Jennifer Moye
- VA New England Geriatric Research Education and Clinical Center and Harvard Medical School
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The role of Hope in subsequent health and well-being for older adults: An outcome-wide longitudinal approach. GLOBAL EPIDEMIOLOGY 2020. [DOI: 10.1016/j.gloepi.2020.100018] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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Laranjeira CA, Querido AIF, Charepe ZB, Dixe MDACR. Hope-based interventions in chronic disease: an integrative review in the light of Nightingale. Rev Bras Enferm 2020; 73:e20200283. [DOI: 10.1590/0034-7167-2020-0283] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 08/29/2020] [Indexed: 01/15/2023] Open
Abstract
ABSTRACT Objective: To identify the available evidence in the scientific literature about the strategies or interventions used to promote hope in people with chronic diseases. Method: An integrative literature review of literature published between 2009-2019, which was conducted in online browsers/databases: b-On, EBSCO, PubMed, Medline, ISI, SciELO, PsycINFO, Google Scholar. Forty-one studies were found, of which eight met the inclusion criteria. Results: Most studies used a quantitative approach. There was a predominance of studies from Asia and America, addressing patients with multiple sclerosis, diabetes, congestive heart failure, and cancer. Hope-based interventions were categorized by the hope attributes: experiential process, spiritual/transcendence process, rational thought process, and relational process. Conclusion: Hope-based interventions, in its essence, are good clinical practices in the physical, psychological, social and spiritual domains. This is congruent with the vision of nursing, first proposed by Florence Nightingale. There seem to be gaps in the literature regarding specific hope promoting interventions.
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