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Bailey B, Strunk DR. Predicting anxiety and depression over 12 months of the COVID-19 pandemic: A machine learning study. J Clin Psychol 2023; 79:2388-2403. [PMID: 37310042 DOI: 10.1002/jclp.23555] [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: 09/16/2022] [Revised: 04/26/2023] [Accepted: 05/31/2023] [Indexed: 06/14/2023]
Abstract
OBJECTIVES The coronavirus disease 2019 (COVID-19) pandemic was associated with substantial increases in anxiety and depressive symptoms. To understand individual risk, we examined a large set of potential risk factors for anxiety and depression in the pandemic context. METHODS Adults in the United States (N = 1200) completed eight online self-report assessments over 12 months of the COVID-19 pandemic. Area under the curve scores summarized cumulative experiences of anxiety and depression over the assessment period. A machine learning approach to elastic net regularized regression was used to select predictors of cumulative anxiety and depression severity from a set of 68 sociodemographic, psychological, and pandemic-related baseline variables. RESULTS Cumulative anxiety severity was most strongly explained by stress and depression-related variables (such as perceived stress) and select sociodemographic characteristics. Cumulative depression severity was predicted by psychological variables, including generalized anxiety and depressive symptom reactivity. Being immunocompromised or having a medical condition were also important. CONCLUSIONS By considering many predictors, findings provide a more complete view than previous studies focused on specific predictors. Important predictors included psychological variables suggested by prior research and variables more specific to the pandemic context. We discuss how such findings can be used in understanding risk and planning interventions.
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Affiliation(s)
- Brooklynn Bailey
- Department of Psychology, The Ohio State University, Columbus, Ohio, USA
| | - Daniel R Strunk
- Department of Psychology, The Ohio State University, Columbus, Ohio, USA
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Bareket-Bojmel L, Chernyak-Hai L, Margalit M. Out of sight but not out of mind: The role of loneliness and hope in remote work and in job engagement. PERSONALITY AND INDIVIDUAL DIFFERENCES 2023. [DOI: 10.1016/j.paid.2022.111955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Harvey AR. Injury, illness, and emotion: A review of the motivational continuum from trauma through recovery from an ecological perspective. Brain Behav Immun Health 2023; 27:100586. [PMID: 36655055 PMCID: PMC9841046 DOI: 10.1016/j.bbih.2022.100586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Revised: 12/15/2022] [Accepted: 12/29/2022] [Indexed: 01/06/2023] Open
Abstract
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Michałowska S, Rachubińska K, Konieczny K. Anxiety, Stress Coping Styles and Hope for Success among Graduate Students and High School Graduates during the COVID-19 Pandemic: The Moderating Role of Remote Learning. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9692. [PMID: 35955048 PMCID: PMC9367935 DOI: 10.3390/ijerph19159692] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/03/2022] [Accepted: 08/04/2022] [Indexed: 06/15/2023]
Abstract
The COVID-19 pandemic has significantly influenced the area of education, in terms of both teaching and learning effectiveness. The aim of the study was to compare groups of high school graduates and graduate students. The Coping Inventory in Stressful Situations (CISS), State and Trait Anxiety Inventory (STAI), Hope for Success Questionnaire (KNS), and our own questionnaire were used in the study. The results of the research show that the group of high school graduates, compared to the graduate students, was characterized by a higher level of anxiety, a style focused on emotions and a lower level of hope for success. People who passed the exam in the online form were characterized by a higher level of anxiety compared to the respondents who passed the exam in the stationary form. According to the results of this study, it can be concluded that the styles of coping and the level of hope for success may be both protective and risk factors related to the level of anxiety during distance learning.
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De Pretto L, Mansilla OP, Russo E, Shin SH, Tan DESY. The experience of Hope among Italian undergraduate students. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-01057-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Wider W, Taib NM, Khadri MWABA, Yip FY, Lajuma S, Punniamoorthy PA. The Unique Role of Hope and Optimism in the Relationship between Environmental Quality and Life Satisfaction during COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137661. [PMID: 35805321 PMCID: PMC9265571 DOI: 10.3390/ijerph19137661] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 06/07/2022] [Accepted: 06/13/2022] [Indexed: 02/04/2023]
Abstract
COVID-19 in Malaysia has significantly affected the higher education system of the country and increased the level of distress among university students. Empirical evidence proposed that environment quality is associated with university students’ life satisfaction during COVID-19. It was found that hope and optimism are linked with greater life satisfaction in general. Although past literature has reported the effects of hope and optimism on life satisfaction, there are limited studies examining the underlying mechanism among Malaysian private university students. Therefore, the current study offers the preliminary understanding of the intervening role of hope and optimism on the relationship between environmental quality and life satisfaction among private university students in Malaysia. A total of 133 private university students in Malaysia were recruited through homogenous convenience sampling. Partial least square structure equation modeling (SmartPLS) was used to analyze the mediation models. The results revealed that only hope mediated the relationship between environmental quality and life satisfaction, but not optimism. Hence, it is proposed that mental health providers should focus on providing hope-related interventions to university students in confronting COVID-19 challenges and ultimately improving life satisfaction.
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Chan K, Wong FKY, Tam SL, Kwok CP, Fung YP, Wong PN. Effectiveness of a brief hope intervention for chronic kidney disease patients on the decisional conflict and quality of life: a pilot randomized controlled trial. BMC Nephrol 2022; 23:209. [PMID: 35701732 PMCID: PMC9195369 DOI: 10.1186/s12882-022-02830-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 05/24/2022] [Indexed: 12/02/2022] Open
Abstract
Background Stage 5 chronic kidney disease (CKD) patients often experience decisional conflict when faced with the selection between the initiation of dialysis and conservative care. The study examined the effects of a brief hope intervention (BHI) on the levels of hope, decisional conflict and the quality of life for stage 5 CKD patients. Methods This is a single-blinded, randomized controlled trial (ClinicalTrials.gov identifier: NCT03378700). Eligible patients were recruited from the outpatient department renal clinic of a regional hospital. They were randomly assigned to either the intervention or the control group (intervention: n = 35; control: n = 37). All participants underwent a customized pre-dialysis education class, while the intervention group received also BHI. Data were collected prior to the intervention, immediately afterwards, and one month following the intervention. The Generalized Estimating Equation was used to measure the effects in the level of hope, decisional conflict scores (DCS) and Kidney Disease Quality of life (KDQOL-36) scores. Estimated marginal means and standard errors with 95% confidence intervals of these scores were also reported to examine the within group and between group changes. Results An increase of the hope score was found from time 1 (29.7, 1.64) to time 3 (34.4, 1.27) in the intervention group. The intervention had a significant effect on the KDQOL-36 sub-scores Mental Component Summary (MCS) (Wald χ2 = 6.763, P = 0.009) and effects of kidney disease (Wald χ2 = 3.617, P = 0.004). There was a reduction in decisional conflict in both arms on the DCS total score (Wald χ2 = 7.885, P = 0.005), but the reduction was significantly greater in the control group (effect size 0.64). Conclusions The BHI appeared to increase the level of hope within the intervention arm. Nonetheless, differences across the intervention and control arms were not significant. The KDQOL-36 sub-scores on MCS and Effects of kidney disease were found to have increased and be higher in the intervention group. The DCS total score also showed that hope was associated with reducing decisional conflict. Trial Registration ClinicalTrials.gov Protocol Registration, NCT03378700. Registered July 12 2017. Supplementary Information The online version contains supplementary material available at 10.1186/s12882-022-02830-7.
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Affiliation(s)
- Kitty Chan
- School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, People's Republic of China.
| | - Frances Kam Yuet Wong
- School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, People's Republic of China
| | - Suet Lai Tam
- Department of Medicine and Geriatrics, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong SAR, People's Republic of China
| | - Ching Ping Kwok
- Department of Medicine and Geriatrics, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong SAR, People's Republic of China
| | - Yuen Ping Fung
- Department of Medicine and Geriatrics, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong SAR, People's Republic of China
| | - Ping Nam Wong
- Department of Medicine and Geriatrics, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong SAR, People's Republic of China
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Vîslă A, Zinbarg R, Hilpert P, Allemand M, Flückiger C. Worry and Positive Episodes in the Daily Lives of Individuals With Generalized Anxiety Disorder: An Ecological Momentary Assessment Study. Front Psychol 2021; 12:722881. [PMID: 34777100 PMCID: PMC8579489 DOI: 10.3389/fpsyg.2021.722881] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 09/03/2021] [Indexed: 11/13/2022] Open
Abstract
Worry is a central feature of generalized anxiety disorder (GAD). Although worry is related to anxiety and maintained by beliefs that worry is uncontrollable, there is scarce research on how individuals with GAD react to worry episodes in their daily life and how their positive experiences might impact reactions to worry episodes. The current study examined the level and variability of anxiety and controllability during high worry periods and positive experiences in GAD. Moreover, it investigated the influence of worry and positive experiences on later anxiety and perceived controllability within-persons. Finally, it examined change in anxiety level from previous to current episodes depending on previous episodes type. In the current study, 49 individuals with GAD (514 observations) registered their worry and positive episodes (i.e., episodes in which they had positive experiences) and reported on several variables during these episodes (i.e., anxiety and controllability of episodes and episode duration) using smartphone-based ecological momentary assessment for 7days. Results show anxiety and controllability differed by episode type (higher anxiety, lower controllability in worry episodes, and the opposite in positive episodes), and notable within-person variability in anxiety and controllability in both episode types. The time-lagged multilevel models showed episode type did not predict later anxiety during either episode type, although previous anxiety predicted current anxiety in worry episodes (but not positive episodes). Moreover, worry episodes did predict later controllability in worry episodes (but not positive episodes) and previous controllability predicted current controllability in both episode types. Furthermore, we obtained the increase in anxiety from t0−1 to t0 in a current worry episode to be significantly smaller when preceded by a worry (vs. positive) episode. Likewise, the reduction in anxiety from t0−1 to t0 in a current positive episode was significantly larger when preceded by a worry (vs. positive) episode. The novel findings in the current study that perceptions of controllability and anxiety vary within individuals with GAD, that greater controllability is experienced in positive episodes than worry episodes, and that worry may confer a sense of controllability at a later time could be seen as important contributions to the GAD literature.
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Affiliation(s)
- Andreea Vîslă
- Department of Psychology, University of Zürich, Zürich, Switzerland
| | - Richard Zinbarg
- Department of Psychology, Northwestern University, Evanston, IL, United States
| | - Peter Hilpert
- Department of Psychology, University of Lausanne, Lausanne, Switzerland
| | - Mathias Allemand
- Department of Psychology, University of Zürich, Zürich, Switzerland
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Bal VH, Wilkinson E, White LC, Law JK, Feliciano P, Chung WK. Early Pandemic Experiences of Autistic Adults: Predictors of Psychological Distress. Autism Res 2021; 14:1209-1219. [PMID: 33559334 PMCID: PMC8014774 DOI: 10.1002/aur.2480] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 12/17/2020] [Accepted: 01/21/2021] [Indexed: 12/11/2022]
Abstract
The COVID-19 pandemic has disrupted lives around the world. Autistic adults are at higher risk for co-occurring medical and psychiatric conditions and may be more prone to difficulties adapting to pandemic-related changes and social distancing mandates and coping with ongoing uncertainties. On the other hand, the pandemic may lead to greater understanding and acceptance of accommodations in the broader community that may facilitate supports for autistic adults beyond the pandemic. To learn more about their early pandemic experiences, online surveys were sent to independent adults enrolled in the Simons Powering Autism Research Knowledge (SPARK). The first survey was open from March 30 to April 19, 2020; a follow-up survey sent to original responders was open from May 27 to June 6, yielding 396 participants with data for both surveys. We found that adults who were female, younger, had prior diagnoses of a mental health condition, personal COVID-19 experience (i.e., knowing someone who had symptoms or tested positive) or less frequent hope for the future reported the greatest negative impacts. Decrease in feelings of hopefulness over time predicted greater psychological distress at T2, accounting for T1 impact and distress levels and increases in total COVID-19 impact. Less perceived benefit of online services also predicted later distress. Although there tends to be a focus on coping with negative effects of the pandemic, mental health providers may consider approaches that focus on positives, such as fostering hope and understanding factors that facilitate benefit from online services. LAY SUMMARY: Autistic adults may be at risk for psychological distress during the COVID-19 pandemic. The current study suggests that autistic adults who were younger, female, had a mental health diagnosis before the pandemic and knew someone who showed symptoms or tested positive for COVID-19 reported more areas negatively impacted by COVID-19 and greater difficulty coping with those effects. Decreases in hope over time were associated with greater psychological distress. Less perceived benefit from online services also predicted distress 2 months later. These results suggest important areas to further explore as we develop supports for autistic adults during the pandemic.
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Affiliation(s)
- Vanessa H. Bal
- Graduate School of Applied and Professional PsychologyRutgers UniversityNew BrunswickNew JerseyUSA
| | - Ellen Wilkinson
- Graduate School of Applied and Professional PsychologyRutgers UniversityNew BrunswickNew JerseyUSA
| | | | - J. Kiely Law
- Maryland Center for Developmental DisabilitiesKennedy Krieger InstituteBaltimoreMarylandUSA
| | | | | | - Wendy K. Chung
- Simons FoundationNew YorkNew YorkUSA
- Departments of Pediatrics and MedicineColumbia University Irving Medical CenterNew YorkNew YorkUSA
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Itzhaki-Braun Y, Sulimani-Aidan Y. Risk and protective factors among at-risk ultraorthodox Jewish youth in Israel: A contextual model of positive adjustment. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:425-435. [PMID: 32656880 DOI: 10.1111/hsc.13102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 05/22/2020] [Accepted: 06/26/2020] [Indexed: 06/11/2023]
Abstract
This study examined the role of personal (mastery), familial (relationship with parents), and communal (sense of community and sense of belonging to a youth centre) aspects for at-risk youths' adjustment. Specifically, we investigated their role as protective and risk factors for behavioural adjustment (risk behaviour) and psychological adjustment (hope). The study, conducted among Ultraorthodox Jewish males, included 80 participants, ages 14-24 (M = 16.8, SD = 2.33), who attended youth centres designed especially for Ultraorthodox at-risk youth, in five cities with a high percentage of Ultraorthodox population. Findings indicated a significant contribution of mastery to lower levels of risk behaviour and to higher levels of hope. The youth/parent relationship made a significant contribution only to lower levels of risk behaviours, while sense of community made a significant positive contribution only to hope. Surprisingly, the sense of belonging to a youth centre was found to be a risk factor for higher levels of risk behaviours. In contrast, a mediation model revealed an indirect positive contribution of sense of belonging to a youth centre to hope via mastery. The discussion highlights the unique phenomena of at-risk youth in the Ultraorthodox community and suggest carefully and thoroughly checking whether youth centres in this context should actually be discouraged. It also addresses the importance of recognising the unique protective and risk factors for positive adjustment among at-risk Ultraorthodox youth.
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Affiliation(s)
- Yael Itzhaki-Braun
- Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel
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Mirhosseini S, Dadgari A, Basirinezhad MH, Mohammadpourhodki R, Ebrahimi H. The Role of Hope to Alleviate Anxiety in COVID-19 Outbreak among Community
Dwellers: An Online Cross-sectional Survey. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2020. [DOI: 10.47102/annals-acadmedsg.2020341] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Introduction: The worldwide emergence of COVID-19 has been associated with
diverse consequences, including anxiety. Hope is believed to act as a motivation to enable
one to cope with the anxiety. This study was conducted to identify the role of hope in
alleviating anxiety due to the COVID-19 outbreak during the primary phase among
community dwellers in Iran.
Methods: This cross-sectional study recruited 3,565 subjects with the convenience
sampling method. Data collection tools used included the COVID-19 knowledge checklist,
Generalised Anxiety Disorder (GAD-7) questionnaires and Snyder Hope Scale. Participants
were asked to fill in the questionnaires online. The data were analysed using descriptive
and inferential statistics (multivariate linear regression analysis).
Results: Participants’ mean scores of anxiety and hope were 6.06±4.52 and 31.27±4.52,
respectively. The results indicated that 27.1% of the changes in the anxiety scores were
predictable with some of the variables examined in this study. A high score of hope was
directly associated with a lower level of anxiety. In addition, the number of hours spent
following news and information on COVID-19 was significantly related to anxiety level.
Moreover, female gender, urban residence, and having relatives suffering from COVID-19
were significantly related to a higher level of anxiety (P<0.05).
Conclusion: The morbidity and mortality associated with the COVID-19 outbreak had
brought a lot of anxiety among community dwellers. Hope, potentially, can contribute
to overcoming anxiety. Therefore, health policymakers can introduce appropriate social
interventions to enable the community to cope with stress and anxiety.
Keywords: Generalised anxiety disorder, hope, mental health, pandemic
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Affiliation(s)
| | - Ali Dadgari
- Shahroud University of Medical Sciences, Shahroud, Iran
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Chan K, Wong F, Tam SL, Kwok CP, Fung YP, Wong PN. The effects of a brief hope intervention on decision-making in chronic kidney disease patients: A study protocol for a randomized controlled trial. J Adv Nurs 2020; 76:3631-3640. [PMID: 33038022 DOI: 10.1111/jan.14520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Revised: 05/15/2020] [Accepted: 07/15/2020] [Indexed: 11/26/2022]
Abstract
AIMS This study describes the study protocol of a manualized brief hope intervention that is based on the theoretical proposition - hope theory. BACKGROUND Patients with stage 5 chronic kidney disease often had decisional regret when facing the tension of treatment alternatives between dialysis initiation and palliative care. Hope has been found to account for therapeutic changes in clients with depressive symptoms, heightens positive expectations, and striving to accomplish chosen goals. Nevertheless, little is known about the effect of hope on decisional conflict and its influences to the quality of life in these chronic kidney disease patients. DESIGN This study is a single-blinded, randomized controlled trial. METHODS Participants will be recruited from a regional hospital (approved in April 2018). They will be randomly assigned in equal numbers to either the brief hope intervention or the control arm on completion of the baseline assessment on the possible need of dialysis initiation. Participants in the intervention group will receive the pre-dialysis education and a 4-week Brief Hope Intervention [consisting of four sessions at weekly intervals (two face-to-face sessions and two telephone follow-up sessions in between)], while those allocated to the control arm will receive the renal education and social chats. Outcome measures will be carried out prior to the intervention (baseline), immediately, and 1 month after the intervention. These consist of the hope level, decisional conflict, and quality of life. Healthcare resources use data will be reported. IMPACT The study results have the potential to add scientific evidence to the research-tested programme when developing renal services integral to multimodal care management to optimize decision-making and attain better health outcomes.
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Affiliation(s)
- Kitty Chan
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
| | - Frances Wong
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
| | - Suet Lai Tam
- Department of Medicine and Geriatrics, Kwong Wah Hospital, Hong Kong, China
| | - Ching Ping Kwok
- Department of Medicine and Geriatrics, Kwong Wah Hospital, Hong Kong, China
| | - Yuen Ping Fung
- Department of Medicine and Geriatrics, Kwong Wah Hospital, Hong Kong, China
| | - Ping Nam Wong
- Department of Medicine and Geriatrics, Kwong Wah Hospital, Hong Kong, China
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Comparison of the Effects of Islamic and Conventional Approaches to Hope Therapy on Self-esteem and Life Satisfaction of Patients with Coronary Artery Disease. HEALTH, SPIRITUALITY AND MEDICAL ETHICS 2020. [DOI: 10.52547/jhsme.7.3.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Gallagher MW, Long LJ, Richardson A, D’Souza J, Boswell JF, Farchione TJ, Barlow DH. Examining Hope as a Transdiagnostic Mechanism of Change Across Anxiety Disorders and CBT Treatment Protocols. Behav Ther 2020; 51:190-202. [PMID: 32005336 PMCID: PMC7000132 DOI: 10.1016/j.beth.2019.06.001] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Revised: 05/31/2019] [Accepted: 06/03/2019] [Indexed: 01/13/2023]
Abstract
Hope is a trait that represents the capacity to identify strategies or pathways to achieve goals and the motivation or agency to effectively pursue those pathways. Hope has been demonstrated to be a robust source of resilience to anxiety and stress and there is limited evidence that, as has been suggested for decades, hope may function as a core process or transdiagnostic mechanism of change in psychotherapy. The current study examined the role of hope in predicting recovery in a clinical trial in which 223 individuals with 1 of 4 anxiety disorders were randomized to transdiagnostic cognitive behavior therapy (CBT), disorder-specific CBT, or a waitlist controlled condition. Effect size results indicated moderate to large intraindividual increases in hope, that changes in hope were consistent across the five CBT treatment protocols, that changes in hope were significantly greater in CBT relative to waitlist, and that changes in hope began early in treatment. Results of growth curve analyses indicated that CBT was a robust predictor of trajectories of change in hope compared to waitlist, and that changes in hope predicted changes in both self-reported and clinician-rated anxiety. Finally, a statistically significant indirect effect was found indicating that the effects of treatment on changes in anxiety were mediated by treatment effects on hope. Together, these results suggest that hope may be a promising transdiagnostic mechanism of change that is relevant across anxiety disorders and treatment protocols.
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The impact of thinking about supportive relationships on interpersonal defensiveness. Does it matter who thinks, about whom, and in what way? CURRENT ISSUES IN PERSONALITY PSYCHOLOGY 2020. [DOI: 10.5114/cipp.2020.94697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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An Examination of Hope, Symptom Severity, and Functioning Among Combat Veterans After Participation in an Intensive Outpatient Program for PTSD. JOURNAL OF CONTEMPORARY PSYCHOTHERAPY 2019. [DOI: 10.1007/s10879-019-09440-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Chan K, Wong FKY, Lee PH. A Brief Hope Intervention to Increase Hope Level and Improve Well-Being in Rehabilitating Cancer Patients: A Feasibility Test. SAGE Open Nurs 2019; 5:2377960819844381. [PMID: 33415238 PMCID: PMC7774404 DOI: 10.1177/2377960819844381] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Accepted: 03/23/2019] [Indexed: 12/22/2022] Open
Abstract
This article reports on the feasibility and effect of the brief hope intervention (BHI) in terms of increasing the hope level and psychological and physical health outcomes of rehabilitating cancer patients (RCP). Chinese RCP living in the community were invited to join the study. The BHI consisted of four one-on-one sessions: two (1-hour) face-to-face sessions and two (30-minute) telephone follow-up sessions in between. There were three core features in the hope therapy: (a) goal thoughts: finding workable goals, (b) pathway thoughts: finding ways to reach the targets, and (c) agency thoughts: positive self-talk to optimize their motivation to accomplish the set goals. A one-group pre- and postintervention design was used. Outcome measures included the Memorial Symptom Assessment Scale, the Center for Epidemiological Studies Depression Scale (CES-D), and the State Hope Scale. Recruitment, attrition, and qualitative feedback were collected to understand their comments on BHI. A total of 40 participants were recruited (female 92.3%). The mean age was 57.2 years (SD = 6.7). The participants had significant improvement in all aspects of the Memorial Symptom Assessment Scale, with moderate-to-large effect sizes (d = 0.49-0.74). The changes in present hope and depression scores were insignificant, with small effect sizes (d = 0.17-0.34). The BHI seemed to be promising in producing both physical and psychological benefits in RCP.
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Affiliation(s)
- Kitty Chan
- School of Nursing, The Hong Kong Polytechnic University, People's Republic of China
| | - Frances K Y Wong
- School of Nursing, The Hong Kong Polytechnic University, People's Republic of China
| | - Paul H Lee
- School of Nursing, The Hong Kong Polytechnic University, People's Republic of China
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Mak VWM, Ho SMY, Kwong RWY, Li WL. A Gender-Responsive Treatment Facility in Correctional Services: The Development of Psychological Gymnasium for Women Offenders. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2018; 62:1062-1079. [PMID: 27604971 DOI: 10.1177/0306624x16667572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
With increasing evidence suggesting a disparity in female and male offenders in terms of rehabilitative needs, growing concern has been placed on the development of gender-specific services for female offenders. As such, a prison-based psychological gymnasium (PSY GYM), with distinctive features in integrating cognitive-behavioral and positive-psychology concepts to address female offenders' needs, was set up in 2011. The present study aims to introduce the concept as well as present findings to evaluate the overall effectiveness of PSY GYM. Nineteen Chinese female offenders participated in a 6- to 8-month intensive training program at the Lo Wu Correctional Institution (LWCI) of the Hong Kong Correctional Services Department in Hong Kong. Psychometric inventories were used to assess their psychological distress and positive growth following the program. Participants showed significant reduction in their depression, anxiety, and stress symptoms, and in their tendency to pay attention to negative information. Furthermore, their sense of hope, gratitude, and tendency to pay attention to positive information had remarkably increased. This indicated the effectiveness of PSY GYM in facilitating successful rehabilitation for female offenders.
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Affiliation(s)
| | | | | | - W L Li
- 1 Hong Kong Correctional Services, Hong Kong
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Chamodraka M, Fitzpatrick MR, Janzen JI. Hope as empowerment model: A client-based perspective on the process of hope development. THE JOURNAL OF POSITIVE PSYCHOLOGY 2016. [DOI: 10.1080/17439760.2016.1225115] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Martha Chamodraka
- Department of Educational and Counselling Psychology, McGill University, Montreal, Canada
| | - Marilyn R. Fitzpatrick
- Department of Educational and Counselling Psychology, McGill University, Montreal, Canada
| | - Jennifer Ingrid Janzen
- Department of Educational and Counselling Psychology, McGill University, Montreal, Canada
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When Words are not Enough: Psychotherapy with Clients Who are Living Below the Poverty Level. JOURNAL OF CONTEMPORARY PSYCHOTHERAPY 2016. [DOI: 10.1007/s10879-015-9313-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Edwards TM, Jovanovski A. Hope as a Therapeutic Target in Counselling – In General and in Relation to Christian Clients. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2016. [DOI: 10.1007/s10447-016-9257-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Sadeghi H, Ebrahimi L, Vatandoust L. Effectiveness of Hope Therapy Protocol on Depression and Hope in Amphetamine Users. INTERNATIONAL JOURNAL OF HIGH RISK BEHAVIORS & ADDICTION 2016; 4:e21905. [PMID: 26870707 PMCID: PMC4744904 DOI: 10.5812/ijhrba.21905] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Revised: 12/14/2014] [Accepted: 02/18/2015] [Indexed: 11/17/2022]
Abstract
Background: Addiction has surpassed the boundaries of health and treatment and turned into a social crisis and a debilitating and major concern in today’s world. Amphetamine, one of the addictive drugs, is classified as psycho-stimulants drugs, which increase arousal, alertness, and motor activity. Humans report that this drug produces a significant euphoria and is highly addictive. Objectives: The present study aimed to evaluate the effectiveness of hope therapy protocol (HTP) on depression reduction and hope increase in amphetamine users. Patients and Methods: This study has a quasi-experimental design with experimental and control groups. The sample included all amphetamine consumers referring to day drug addiction treatment center in Ray City, Iran, selected with convenience method. In order to analyze the data, multivariate analysis of covariance (MANCOVA) was applied using SPSS software. Results: The results showed that F value of mean scores in depression and hope post-tests of the experimental and control groups are 24.94 and 25.73, respectively, which are significant (P < 0.01). Therefore, hope therapy training could reduce depressive symptoms in amphetamine consumers and improve their hope. Conclusions: Performing HTP can improve hopefulness and symptoms of patients, specially addicted ones. In addition, it can prevent substance abusers from returning to drugs and leaving the treatment period unfinished.
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Affiliation(s)
- Hasan Sadeghi
- Department of Psychology, Young Researchers and Elite Club, Ardabil Branch, Islamic Azad University, Ardabil, IR Iran
- Corresponding author: Hasan Sadeghi, Department of Psychology, Young Researchers and Elite Club, Ardabil Branch, Islamic Azad University, Ardabil, IR Iran. Tel: +98-9122499434, E-mail:
| | - Leyla Ebrahimi
- Department of Psychology, University of Allameh Tabataba’i, Tehran, IR Iran
| | - Leyla Vatandoust
- Young Researchers and Elite Club, Sari Branch, Islamic Azad University, Sari, IR Iran
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Bartholomew TT, Scheel MJ, Cole BP. Development and Validation of the Hope for Change Through Counseling Scale. COUNSELING PSYCHOLOGIST 2015. [DOI: 10.1177/0011000015589190] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Frank and Frank suggested that the primary goal of contextually oriented therapy is remoralization through the promotion of hope. According to Snyder’s hope theory, hope is a psychological characteristic consisting of pathways thinking, agency, and goals. Although these concepts are relevant to understanding how hope develops through therapy, no instrument exists to measure hope within counseling. The present research was undertaken to develop and validate the Hope for Change Through Counseling Scale (HCCS). Study 1 ( N = 191) was an analogue study to pilot the scale and identify its factor structure. Study 2 ( N = 306) consisted of a confirmatory factor analysis to further refine the HCCS. Study 3 utilized the HCCS with clients ( N = 50), providing evidence of construct validity and incremental validity for the scale. Implications of the HCCS as an assessment tool to facilitate focus on client hopefulness within counseling are discussed.
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Hong PYP, Hodge DR, Choi S. Spirituality, hope, and self-sufficiency among low-income job seekers. SOCIAL WORK 2015; 60:155-164. [PMID: 25929013 DOI: 10.1093/sw/swu059] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Self-sufficiency (SS) is an important social welfare policy goal in the United States, yet little is known about the process that leads to SS. To address this gap in the literature, this study examined the relationship between spirituality, hope, and SS among a sample of low-income job seekers (N = 116). It was hypothesized that spirituality would be related to hope, and that hope, in turn, would be related to SS. Using survey data from two workforce development agencies, this hypothesis was confirmed-hope fully mediated the relationship between spirituality and SS. Of the two factors through which hope is commonly operationalized-agency and pathways-supplemental analysis suggested that spirituality only affects SS through the agency channel. To help foster hope in direct practice settings, it is suggested that social workers might employ spiritually modified cognitive-behavioral therapy protocols. Macrostructural interventions that block the pathway component of hope are also suggested to help reverse exclusion from labor market entry. As such, hope needs to be addressed comprehensively-intrapsychically and macrostructurally-to effect bottom-up change for SS. Engendering hope may assist clients overcome some of the many challenges they encounter on the journey to SS.
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Larsen DJ, King RL, Stege R, Egeli NA. Hope in a strengths-based group activity for individuals with chronic pain. COUNSELLING PSYCHOLOGY QUARTERLY 2015. [DOI: 10.1080/09515070.2015.1007444] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Besser A, Zeigler-Hill V, Weinberg M, Pincus AL, Neria Y. Intrapersonal Resilience Moderates the Association Between Exposure-Severity and PTSD Symptoms Among Civilians Exposed to the 2014 Israel–Gaza Conflict. SELF AND IDENTITY 2014. [DOI: 10.1080/15298868.2014.966143] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Besser A, Weinberg M, Zeigler-Hill V, Neria Y. Acute symptoms of posttraumatic stress and dissociative experiences among female israeli civilians exposed to war: the roles of intrapersonal and interpersonal sources of resilience. J Clin Psychol 2014; 70:1227-39. [PMID: 24619400 DOI: 10.1002/jclp.22083] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
BACKGROUND The positive personality characteristics of optimism, hope, self-esteem, and perceived availability of social support are believed to play an important role in psychological adjustment to stressful life events. For example, these characteristics have been shown to be associated with fewer mood disturbances in response to a variety of stressors. However, relatively little is known about the extent to which these characteristics serve as sources of resilience among civilians during real-time exposure to war. OBJECTIVE This "natural laboratory" study examined the role that individual differences both in intrapersonal (i.e., positive personality features of hope, optimism, and self-esteem) and in interpersonal (i.e., perceived social support from family, friends, and significant others) sources of resilience may play in the development of acute anxiety symptoms of posttraumatic stress disorder (PTSD) and dissociative experiences during exposure to war. METHOD A nonclinical community sample of 140 female adults was assessed during real-time exposure to missile and rocket fire during an eruption of violence in the Middle East in November 2012. RESULTS The results demonstrate that both intrapersonal and interpersonal sources of resilience were negatively associated with acute PTSD and dissociative symptoms. CONCLUSION The findings of this study provide evidence that both intrapersonal and interpersonal sources of resilience may significantly mitigate the risk for acute anxiety symptoms among civilian communities exposed to traumatic events.
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Idan O, Margalit M. Socioemotional self-perceptions, family climate, and hopeful thinking among students with learning disabilities and typically achieving students from the same classes. JOURNAL OF LEARNING DISABILITIES 2014; 47:136-152. [PMID: 22442252 DOI: 10.1177/0022219412439608] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This study aimed at examining the adjustment of students with learning disabilities (LD) and at exploring the mediating role of hope. By means of a multidimensional approach, the interactions between risk and protective factors emerging from internal and external resources among 856 high school students (10th to 12th grades) were analyzed. A total of 529 typically achieving students and 327 students with LD attending general education classes in seven high schools completed seven instruments measuring sense of coherence, basic psychological needs, loneliness, family climate, hope, academic self-efficacy, and effort. The students' achievements in English, history, and mathematics were collected. The analysis used structural equation modeling, and the results emphasized the significant role of hope as a mediator between risk and protective factors and academic self-efficacy and its significance for students with and without LD in explaining achievements and effort investment.
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Affiliation(s)
- Orly Idan
- 1Interdisciplinary Center Herzliya, Herzliya, Israel
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Heiman T, Shemesh DO. Students with LD in higher education: use and contribution of assistive technology and website courses and their correlation to students' hope and well-being. JOURNAL OF LEARNING DISABILITIES 2012; 45:308-318. [PMID: 21252373 DOI: 10.1177/0022219410392047] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This study examined the extent and patterns of usage of web courses, and their contribution to the academic and social perceptions of 964 undergraduate students with and without learning disabilities studying in higher education. Students were asked to complete four questionnaires examining the usage patterns of various adaptive technologies and their contribution to the student. The questionnaires assessed Perceptions of Learning through Online Usage; Accessibility of Campus Computing; Hope Scale and Subjective Well-being Scale. A detailed examination of the usage patterns of online courses revealed that, compared to the comparison group, students with LD log more often into the course sites, going into the forum more frequently and leaving significantly more messages on the forum than students in the comparison group. Findings indicated that students with LD are more familiar with assistive technology and use it more than the comparison group. Students with LD reported higher scores on the Hope scale, they felt an increased drive to find different pathways to attain their goals, as well as being motivated to pursue those goals, and their subjective well-being was higher that of the students in the comparison group.
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Abstract
Hypnotherapy is established as treatment modality for psychological distress, but it is also well-suited to facilitate well-being. Some hypnotherapeutic approaches value and utilize unconscious resources, and can therefore be aligned with positive psychology's focus on identifying, enhancing and utilizing psychological strengths. However, literature on integrating positive psychology principles in hypnotherapeutic practice is limited. The aim of this article is to elucidate the synergy between hypnotherapy and positive psychology by reviewing existing practices and research findings. Suggestions for integrating knowledge from positive psychology into hypnotherapeutic strategies are also offered, particularly as it relates to interventions aimed at enhancing psychological strengths and positive emotions. Finally, recommendations for research are proposed. To advance the theory and practice of hypnotherapy in the 21st century it is imperative to investigate the effectiveness of hypnotherapeutic strategies, informed by positive psychology, in the South African context. Research methodologies that offer insight into the unfolding of individual therapeutic change, as well as the subjective experience of clients and therapists, are particularly encouraged.
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Affiliation(s)
- Tharina Guse
- Department of Psychology, University of Johannesburg, South Africa
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KOEHN CORINNE, CUTCLIFFE JOHNR. The Inspiration of Hope in Substance Abuse Counseling. JOURNAL OF HUMANISTIC COUNSELING 2012. [DOI: 10.1002/j.2161-1939.2012.00007.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Sharabi A, Levi U, Margalit M. Children's loneliness, sense of coherence, family climate, and hope: developmental risk and protective factors. THE JOURNAL OF PSYCHOLOGY 2012; 146:61-83. [PMID: 22303613 DOI: 10.1080/00223980.2011.568987] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
The study examined the contributions of individual and familial variables for the prediction of loneliness as a developmental risk and the sense of coherence as a protective factor. The sample consisted of 287 children from grades 5-6. Their loneliness, sense of coherence, hope, effort, and family climate were assessed. Separate hierarchical multiple regression analyses revealed that family cohesion and children's hope contributed to the explanation of the risk and protective outcomes. Yet, the contribution of the family adaptability was not significant. Cluster analysis of the family climate dimensions (i.e., cohesion and adaptability) was performed to clarify the interactive roles of family adaptability together with family cohesion. The authors identified 4 separate family profiles: Children in the 2 cohesive families' clusters (Cohesive Structured Families and Cohesive Adaptable Families) reported the lowest levels of loneliness and the highest levels of personal strengths. Children within rigid and noncohesive family cluster reported the highest levels of loneliness and the lowest levels of children's sense of coherence. The unique role of the family flexibility within nonsupportive family systems was demonstrated. The results further clarified the unique profiles' characteristics of the different family clusters and their adjustment indexes in terms of loneliness and personal strengths.
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Affiliation(s)
- Adi Sharabi
- Kibbutzim College of Education Technology and the Arts, 149 Derech Namir, Tel Aviv, 62507, Israel.
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Treating Depression During a Recession: Psychotherapy with Indigent Clients. JOURNAL OF CONTEMPORARY PSYCHOTHERAPY 2011. [DOI: 10.1007/s10879-011-9193-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Coppock TE, Owen JJ, Zagarskas E, Schmidt M. The relationship between therapist and client hope with therapy outcomes. Psychother Res 2011; 20:619-26. [PMID: 20714970 DOI: 10.1080/10503307.2010.497508] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
The current study examined whether clients' perceptions of hope and therapists' hope in their clients were associated with therapy outcomes. The authors conducted a naturalistic study of brief therapy with 10 therapists and 43 adult clients. Client-rated hope significantly increased after one session of therapy. However, no significant relationship was found between pretherapy client-rated hope and first-session symptom change. Further, client-rated hope at any point in therapy was not significantly related to therapy outcomes. Therapists' hope in their clients after the first and last sessions was significantly related to client outcomes. Implications for therapy practice and research are offered.
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Affiliation(s)
- Timothy E Coppock
- Department of Psychology and Counseling, Gannon University, Erie, Pennsylvania 16541, USA.
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Weis R, Speridakos EC. A Meta-Analysis of hope enhancement strategies in clinical and community settings. ACTA ACUST UNITED AC 2011. [DOI: 10.1186/2211-1522-1-5] [Citation(s) in RCA: 122] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Zinbarg RE, Mashal NM, Black DA, Flückiger C. The future and promise of cognitive behavioral therapy: a commentary. Psychiatr Clin North Am 2010; 33:711-27. [PMID: 20599142 DOI: 10.1016/j.psc.2010.04.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The Academy for Psychological Clinical Science and the independent accrediting entity it created, the Psychological Clinical Science Accreditation system, have recently launched a movement aimed at reforming all of clinical psychology. If this movement is successful, it will result in a greater emphasis on empirical science in the practice of clinical psychology. As cognitive behavioral therapy (CBT) is the approach that currently has the greatest number of controlled scientific studies supporting it, this should be an impetus for CBT to grow. The very same scientific evidence that supports the efficacy of CBT, however, also shows that CBT is far from fully efficacious. Several recent trends that hold great promise to enhance the effectiveness of CBT are discussed, such as greater integration of CBT with biological approaches, cognitive science, systemic approaches, motivational interviewing, and strengths-based approaches.
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Affiliation(s)
- Richard E Zinbarg
- Department of Psychology, Northwestern University, 102 Swift Hall, 2029 Sheridan Road, Evanston, IL 60208-2710, USA.
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Capjon H, Bjørk IT. Ambulant children with spastic cerebral palsy and their parents' perceptions and expectations prior to multilevel surgery. Dev Neurorehabil 2010; 13:80-7. [PMID: 20222768 DOI: 10.3109/17518420903373511] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE This study explores the pre-operative situation of children accepted for multilevel surgery for cerebral palsy (CP) and their parents. METHODS Eight ambulatory children with varied severity of spastic CP and their parents were included. Qualitative, semi-structured interviews were carried out separately with the children and parents. RESULTS Everyday life of the children and their parents was vulnerable. The degree to which children strived for social acceptance and normality increased their pain. Deteriorating physical capacity resulted in pain and fatigue and was the parents' and children's main motivation for the operation. Although the parents were ambivalent to the operation they mediated hope and cautious optimism about a better life for their children. CONCLUSION Parents' and children's experiences imply the need for improvements to ensure facilitation for disabled children in schools and all levels of the health service, equality of communication and awareness-raising in the pre-operative phase of multilevel surgery.
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Affiliation(s)
- Hilde Capjon
- Rikshospitalet, Oslo University Hospital, Department of Child Neurology, Oslo, Norway.
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You’ve Got to Believe: Core Beliefs that Underlie Effective Psychotherapy. JOURNAL OF CONTEMPORARY PSYCHOTHERAPY 2010. [DOI: 10.1007/s10879-010-9151-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Weis R, Ash SE. Changes in adolescent and parent hopefulness in psychotherapy: effects on adolescent outcomes as evaluated by adolescents, parents, and therapists. JOURNAL OF POSITIVE PSYCHOLOGY 2009. [DOI: 10.1080/17439760902992381] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Perspectives on the New Orleans Saints as a Vehicle for the Installation of Hope, Post Katrina. JOURNAL OF CREATIVITY IN MENTAL HEALTH 2008. [DOI: 10.1300/j456v02n03_08] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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