The relationship between hopelessness and risk factors for early mortality in people with a lived experience of a serious mental illness

Fortuna, Karen L.; Venegas, Maria; Bianco, Cynthia; Smith, Bret; Batsis, John A.; Walker, R. M.; Brooks, Jessica; Umucu, Emre

doi:10.1080/15332985.2020.1751772

Cited by 9 publications

(7 citation statements)

References 30 publications

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“…Los resultados del presente estudio también mostraron que las mujeres con peor rendimiento escolar, que no tenían religión, que no tenían profesión y que no trabajaban durante el periodo de encarcelamiento mostraron puntuaciones medias más altas de desesperanza en comparación con las que no estaban en estas condiciones, con significación estadística. Cabe destacar que la desesperanza está vinculada a las condiciones de vida del sujeto, como el empleo, los ingresos y las vulnerabilidades sociales (18) . En este sentido, cuanto más adversas sean estas condiciones, probablemente, mayores serán los niveles de desesperanza.…”

Section: Discussionunclassified

Desesperança em mulheres privadas de liberdade e sua correlação com sintomas de depressão e ansiedade

et al. 2023

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Introduction: Hopelessness is characterized as the subject's negative outlook on the future. Individuals in deprivation of liberty are predisposed to suffering and loss of hope.Objective: To identify the prevalence, level of hopelessness and the correlation with depression and anxiety in women deprived of liberty.Materials and method: Quantitative and descriptive cross-sectional study, conducted in a Correctional Facility in Brazil, with 77 women by non-probability sampling. The data collection used were: a) Sociodemographic form; b) Beck Depression Inventory (BDI); c) Beck Anxiety Inventory (BAI); and d) Beck Hopelessness Inventory (BSH).Results: In the sample, 5.2% of the subjects presented hopelessness with moderate and severe levels. Higher mean scores of hopelessness were perceived in women who never studied (7.33), had no profession (5.04), no religion (7.14), and did not develop labor activities during incarceration (4.86). Higher mean scores of hopelessness were identified in women who had symptoms of depression (5.31) and anxiety (4.63). There was a positive correlation between the BHS and BDI scores.Conclusion: There was a low prevalence of hopelessness. It was associated with unfavorable socioeconomic conditions and the lack of work activities during the period of incarceration. Hopelessness correlated with depression, and people with anxiety symptoms had higher levels of hopelessness. It is suggested that hopelessness among people deprived of liberty be investigated in clinical practice and that work and educational activities be promoted during incarceration to promote hope and mental health. Introducción: La desesperanza se caracteriza como la perspectiva negativa del sujeto sobre el futuro. Las personas privadas de libertad están predispuestas al sufrimiento ya la pérdida de la esperanza. Objetivo: Identificar la prevalencia, el nivel de desesperanza y la correlación con depresión y ansiedad en mujeres privadas de libertad. Materiales y método: Estudio transversal descriptivo cuantitativo realizado en un Establecimiento Penitenciario con 77 mujeres, muestreo no probabilístico. Se utilizaron para la recolección de datos: a) ficha sociodemográfica; b) Inventario de Depresión de Beck (BDI); c) Inventario de Ansiedad de Beck (BAI); yd) Inventario de Desesperanza de Beck (BSH). Resultados: En la muestra, el 5,2% de los sujetos entrevistados mostró desesperanza, con niveles moderados y severos. Se observaron mayores promedios de desesperanza en las mujeres que nunca estudiaron (7,33), no tenían profesión (5,04), no tenían religión (7,14) y no realizaron actividades laborales durante el período de encarcelamiento (4,86). Se identificaron mayores medias de desesperanza en mujeres que presentaban síntomas de depresión (5,31) y ansiedad (4,63). Hubo una correlación positiva entre las puntuaciones BHS y BDI.Conclusión: Hubo una baja prevalencia de desesperanza. Se asoció a condiciones socioeconómicas desfavorables y al no desarrollo de actividades laborales durante el período de encarcelamiento. La desesperanza se correlacionó con la depresión, y las personas con síntomas de ansiedad tenían niveles más altos de desesperanza. Se sugiere investigar la desesperanza entre las personas privadas de libertad en la práctica clínica y en la investigación, así como la promoción de actividades laborales y educativas durante el período de encarcelamiento para promover la esperanza y la salud mental. Introdução: A desesperança é caracterizada como a perspectiva negativa do sujeito quanto ao futuro. Os indivíduos em privação de liberdade estão predispostos ao sofrimento e à perda de esperança. Objetivo: Identificar a prevalência, o nível de desesperança e a correlação com a depressão e ansiedade em mulheres privadas de liberdade.Materiais e método: Estudo quantitativo e descritivo com corte transversal, realizado em um Estabelecimento Prisional no Brasil, com 77 mulheres por amostragem não probabilística. Foram utilizados na coleta de dados: a) Formulário sociodemográfico; b) Inventário de Beck Depressão (BDI); c) Inventário de Beck Ansiedade (BAI); e d) Inventário de Beck Desesperança (BSH).Resultados: Na amostra, 5,2% dos sujeitos apresentaram desesperança com níveis moderado e grave. Maiores médias de desesperança foram percebidas em mulheres que nunca estudaram (7,33), desprovidas de profissão (5,04) bem como de religião (7,14) e que não desenvolviam atividades laborais no período do encarceramento (4,86). Maiores médias de desesperança foram identificas em mulheres que possuíam sintomas de depressão (5,31) e ansiedade (4,63). Houve correlação positiva entre o escore BHS e BDI.Conclusão: Houve baixa prevalência de desesperança. Ela esteve associada às condições socioeconômicas desfavoráveis e ao não desenvolvimento de atividades laborais no período de encarceramento. A desesperança se correlacionou à depressão, e as pessoas com sintomas de ansiedade apresentaram maiores níveis de desesperança. Sugere-se a investigação da desesperança entre as pessoas privadas de liberdade na prática clínica bem como a promoção de atividades laborais e educacionais no período de encarceramento para promover a esperança e a saúde mental.

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Section: Discussionunclassified

Desesperança em mulheres privadas de liberdade e sua correlação com sintomas de depressão e ansiedade

et al. 2023

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“…In particular, happiness was assessed by asking participants to respond with a yes or no in reference to how they felt over the past week. The single item included the question: “Do you feel happy most of the time?” Hopelessness and helplessness were assessed with 2 items of the GDS ( Sheikh and Yesavage, 1986 ): “Do you often feel helpless?” and “Do you feel that your situation is hopeless?.” Numerous studies have used single items to measure these constructs ( Yu and Chen, 2016 ; Fortuna et al, 2020 ; Lu et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

Racial Differences in Associations of Cognitive Health Status With Happiness, Helplessness, and Hopelessness Among Older Adults: An Exploratory Study

Umucu

Lee

Wyman

et al. 2022

Front. Aging Neurosci.

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BackgroundThe relationship between healthy and positive aging and dementia and cognitive impairment has received limited attention in the field of aging. Affect impacts cognitive changes and processes, and cognitive impairment is associated with affective comorbidities. The purpose of the study was to examine (a) whether happiness, helplessness, and hopelessness are linked to cognitive health status, and (b) whether these associations differ by race.MethodsParticipants were enrollees in the Wisconsin Alzheimer’s Disease Research Center’s Clinical Core (ADRC). Average age at baseline was 60.85 (SD = 8.65), 73.70 (SD = 8.02), and 73.80 (SD = 9.59) years for cognitively normal individuals, individuals with MCI, and individuals with dementia, respectively.ResultsIn the full sample, chi-square test results revealed associations between Cognitive Health Status (CHS) and (a) happiness, χ2(2) = 6.06, p < 0.05, (b) helplessness, χ2(2) = 6.44, p < 0.05, and (c) hopelessness, χ2(2) = 14.11, p < 0.01.ConclusionThis study provides support for the association of both positive and negative affect with cognitive health status in middle- to older-aged adults.

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“…Even though persons with severe mental illness (PwSMI) are at higher risk of victimization, studies have mainly focused on violence committed by them[ 1 - 5 ] because they are perceived as dangerous and unpredictable. [ 3 , 4 ] A study by Link and Phelan[ 6 ] indicates that cultural stereotypes of mental illness can affect the public’s perception of it negatively, which, in turn, triggers fear and anxiety among those who try to defend themselves from perceived danger.…”

Section: Introductionmentioning

confidence: 99%

Profiles of Victimized Outpatients with Severe Mental Illness in India

Rani,

Raman,

Antony

et al. 2023

Indian Journal of Community Medicine

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Persons with severe mental illness (PwSMI) are at risk of being victimized due to persistent cognitive, emotional, and behavioral symptoms, which can become potential threats for effective reintegration into the community. A total of 217 PwSMI, receiving outpatient psychiatric treatment from a tertiary hospital, were screened for abuse, and if they were identified as abuse, then information about contextual factors contributing to abuse, sociodemographic, family, and clinical and legal profiles was created. Overall, 150 PwSMI were victimized, of which 56% were females, 50.7% were married, 20.7% were educated up to middle school, and 31.4% were homemaker. The most common form of diagnosis was schizophrenia (43.3%), with a mean duration of illness of 14 years. All the victimized PwSMI were subjected to emotional abuse. PwSMI were more likely to be victimized by multiple family members due to poor knowledge and understanding about illness (24%). The majority of the PwSMI had disclosed abuse (62.7%) to nonformal sources (33.3%) with no documentation in the clinical file (82.7%). PwSMI experience ongoing abuse and are more likely to be re-victimized, which increases the need for regular screening and culturally sensitive and comprehensive community-coordinated care and support.

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The relationship between hopelessness and risk factors for early mortality in people with a lived experience of a serious mental illness

Cited by 9 publications

References 30 publications

Desesperança em mulheres privadas de liberdade e sua correlação com sintomas de depressão e ansiedade

Desesperança em mulheres privadas de liberdade e sua correlação com sintomas de depressão e ansiedade

Racial Differences in Associations of Cognitive Health Status With Happiness, Helplessness, and Hopelessness Among Older Adults: An Exploratory Study

Profiles of Victimized Outpatients with Severe Mental Illness in India

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