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Introduction: Perceived responsiveness, or the extent to which one feels understood, validated and cared for by close others, plays a crucial role in people's well‐being. Can this interpersonal process also protect people at risk? We assessed whether fluctuations in suicidal ideation were associated with fluctuations in the degree of perceived responsiveness that psychiatric patients (admitted in the context of suicide or indicating suicidal ideation) experienced in daily interactions immediately after discharge. Methods: Fifty‐seven patients reported on suicidal ideation (5 times a day) and perceived responsiveness (daily) for four consecutive weeks. The effects of established risk factors—thwarted belongingness, perceived burdensomeness, and hopelessness—were assessed as well. Results: The more patients felt that close others had been responsive to them, the less suicidal ideation they reported. At low levels of thwarted belongingness, perceived burdensomeness, or hopelessness, perceived responsiveness seemed to play a protective role, negatively co‐occurring with suicidal ideation. When thwarted belongingness, perceived burdensomeness, and hopelessness were high, perceived responsiveness did not have an effect. Conclusion: Perceived responsiveness could be a protective factor for suicidal ideation for people at risk only when they are experiencing low levels of negative perceptions. When experiencing highly negative perceptions, however, perceived responsiveness seems to matter less. [ABSTRACT FROM AUTHOR]

Introduction: Human immunodeficiency virus (HIV) infection poses a significant threat to the immune system, compromising the body's ability to combat diseases and infections. The Ministry of Health in Saudi Arabia reported an HIV incidence rate of 3 cases per 10,000 individuals. This study aimed to gain insight into the lived experience of Saudi patients living with HIV. Methods: Employing a qualitative phenomenological approach, this study conducted in-depth interviews with 16 HIV patients (10 men, 6 women) between January 2023 and May 2023. Results: Thematic data analysis highlighted three overarching themes and four subthemes. "Fear of the Future" encompassed subthemes including the fear of infecting a family member, fear of marriage, fear of employment recruitment, and fear of scandals. "Hopelessness" reflected the profound emotional state experienced by patients. "Overcoming Adversity" captured the resilience and strength demonstrated by individuals facing the challenges of living with HIV. Conclusion: Saudi patients diagnosed with HIV encounter numerous obstacles in their daily lives. The fear of the future, including concerns such as infecting family members, marriage prospects, employment opportunities, and potential social repercussions, significantly impacts their overall well-being. By understanding the lived experience of HIV patients in Saudi Arabia, healthcare providers and policymakers can better support and enhance the quality of life for this population. [ABSTRACT FROM AUTHOR]

It is well established that COVID-19 pandemic is associated with arousal of feelings of hopelessness and negativity in adolescents regarding future career development outcomes. However, the current literature has yet to clarify the roles teacher social support play in facilitating students' positive career development during the pandemic. This study investigated the effects of career-related teacher support (CRTS) on ameliorating students' feelings of hopelessness and increasing their career self-efficacy among 402 senior secondary students (Grades 10-12) in Hong Kong, China. Results from mediated moderation analyses showed that academic ability was only weakly related to career self-efficacy. Hopelessness was not a significant moderator concerning the link between academic ability and career self-efficacy when CRTS functioned as the mediator. [ABSTRACT FROM AUTHOR]

AbstractBackgroundObjectivesResultsConclusions\nKEY POINTSThe psychiatric phenotype of the 22q11.2 deletion syndrome (22q11DS) has been largely described.With a case-control study design, we now compared a sample of 22q11DS patients with a psychiatric diagnosis with a sample of psychiatric patients without 22q11DS to investigate possible differences between groups for depression severity, hopelessness, and suicide. Patients with 22q11DS were divided into two groups according to the levels of hopelessness to evaluate the relationship between hopelessness and the severity of the 22q11DS, the level of disability, functional impairment, physical frailty, and autonomy level.Results showed that suicide risk evaluated with the C-SSRS was similar in the two groups of patients and that a diagnosis of 22q11DS does not appear to be a risk factor for suicide; however, 22q11DS patients had more severe hopelessness. Patients with a more severe clinical presentation and worse overall functioning have higher levels of depressive symptoms and hopelessness.The results suggest the need to assess and monitor psychiatric symptoms in patients with 22q11DS.22q11DS presents a variable phenotype.22q11DS presents several psychiatric manifestations.Clinical symptoms are linked to depression and hopelessness.Assessment of psychiatric symptoms is essential.22q11DS presents a variable phenotype.22q11DS presents several psychiatric manifestations.Clinical symptoms are linked to depression and hopelessness.Assessment of psychiatric symptoms is essential. [ABSTRACT FROM AUTHOR]

Pathological concern indicates an attitude of ignoring one's own needs and focusing on the needs of others. It has been seen that there is no measurement tool to understand and measure pathological concern in Turkish. Therefore, it was aimed to examine the psychometric properties of the Pathological Concern Questionnaire in Turkish population. The instruments of the study were the Pathological Concern Questionnaire (PCS) and the Beck Hopelessness Scale (BHS). Quantitative methods and techniques were used in the study. SPSS 25.0 package program and AMOS program were used for data analysis. The exploratory factor analysis (EFA) sample for the construct validity of the PCQ consisted of 345 university students and the confirmatory factor analysis (CFA) sample consisted of 200 university students. As a result of EFA, a model with 13 items and 2 factors emerged. CFA confirmed that the 2 factor model had acceptable fit values. It was observed that there was a significant relationship between the PCQ and the BHS. The PCQ is considered to be a valid and reliable inventory in determining the pathological concern levels of university students in the Turkish sample. [ABSTRACT FROM AUTHOR]

Associations between comorbid depression and grief with suicidal ideation (SI) have been inconsistent. To identify at-risk individuals, it is important to determine the role of symptom severity by examining both continuous and clinical-threshold grief and depression, in addition to other factors (i.e., hopelessness, reasons for living—RFL) associated with SI. Participants (n = 216) bereaved by combat, accident, or suicide completed an online survey. Associations between depression, grief, SI, RFL, and hopelessness were examined by multivariable logistic regressions and structural equation modeling (SEM). Across the sample, hopelessness and RFL were associated with SI while continuous measures of grief and depression were not. In contrast, clinical-threshold grief, clinical-threshold depression, hopelessness, and RFL each were associated with SI. In addition, of the grief characteristics, yearning was the most robust correlate of SI, and Survival/Coping Beliefs (SCB) was the RFL most associated with SI. SEM indicated that direct paths between grief and SI, hopelessness and SI, and RFL and SI were significant, but not between depression and SI. Instead, depression had a strong direct effect on hopelessness, and hopelessness had a direct effect on SI. Results are consistent with previously-identified associations between SI and clinical levels of depression and grief. More nuanced findings suggest hopelessness, yearning, and SCB as additional targets for reducing risk for SI in bereaved individuals regardless of whether they meet clinical thresholds for grief or depression. • Clinical-threshold depression and clinical-threshold grief are potential targets for suicidal ideation. • Hopelessness and reasons for living (RFL) likely effective targets in community samples. • Of grief symptoms, yearning was the most robust correlate of suicidal ideation. • Survival/Coping Beliefs (SCB) was the RFL most associated with suicidal ideation. • Support should focus on reducing yearning and hopelessness and encouraging SCB. [ABSTRACT FROM AUTHOR]

AbstractThis study examines the effect of the unemployment anxiety experienced by young adults on their hopelessness through anxiety concerning the future in Türkiye. The study proposes that unemployment influences job hopelessness through future anxiety. Using the survey method, 720 responses were solicited from young adults. A structural equation model was constructed to test the reliability and validity of the measurement, as well as the structural model. The study results showed that unemployment and future anxiety influence hopelessness. However, at the same time, future anxiety is found to mediate the relationship between unemployment and hopelessness. [ABSTRACT FROM AUTHOR]

This study aims to investigate the association between mindfulness and hopelessness among Chinese young gay and bisexual men, as well as the mediating roles of perceived parental support for sexual orientation and expectation of rejection. Differences between gay and bisexual men are also considered. Scales measuring mindfulness, hopelessness, perceived parental support for sexual orientation, and expectation of rejection were administered to 509 gay and bisexual men. Structural equation modelling was used to test the mediating pathways. As a result, mindfulness was negatively associated with hopelessness, with expectation of rejection acting as a mediator. Additionally, a sequential mediating effect of perceived parental support for sexual orientation and expectation of rejection was also found. Models differed significantly between gay and bisexual men, with gay men having a stronger effect on the path from mindfulness to expectation of rejection than bisexual men. In conclusion, Mindfulness may help improve hopelessness among gay and bisexual men. This may be further supported by increasing perceived parental support for sexual orientation and lowering the expectation of rejection. More mindfulness training should be provided, and this may be particularly relevant and useful for gay men. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to examine the relationship between loneliness and hopelessness and mobile phone addiction (MPA) in non-suicidal self-injury (NSSI) adolescents, exploring the mediating role of problem-focused and emotion-focused coping. Methods: This cross-sectional study recruited a total of 1545 NSSI adolescents and 553 non-NSSI adolescents from over 20 specialized psychiatric hospitals across multiple provinces in China. The participants were asked to complete the Beck's Hopelessness Scale, UCLA Loneliness Scale, Coping Style Scale, and Mobile Phone Addiction Index questionnaire. We mainly used the t-tests and structural equation model to analyze the data. Results: T-tests showed that NSSI adolescents had lower scores on problem-focused coping and higher scores on MPA, loneliness, hopelessness, and emotion-focused coping than non-NSSI adolescents. Structural equation model showed that loneliness and hopelessness were positively related to MPA for non-NSSI adolescents. Hopelessness was positively related to MPA for NSSI adolescents. Emotion-focused coping played a mediating role in the relationship between loneliness/hopelessness and MPA for both NSSI and non-NSSI adolescents. Conclusion: These findings suggest that NSSI adolescents with loneliness and hopelessness may have mobile phone dependence, highlighting the mediating role of emotion-focused coping style. Such findings help to understand the formation mechanism of MPA for adolescents with NSSI. Alleviating the loneliness and hopelessness and improving adaptive coping styles of adolescents with NSSI have potential implications for reducing their MPA. [ABSTRACT FROM AUTHOR]

Introduction: Many societal changes threaten the sustainability of health systems. Entrepreneurs play a significant role in creating sustainable innovations necessary for development and structural change. This study aimed to evaluate how university students studying health sciences perceive individual entrepreneurship during the COVID-19 pandemic and to explore the impact of COVID-19-related hopelessness on their perception of entrepreneurship. Methods: Six hundred eighty-one undergraduate students from the faculty of health sciences in Türkiye, participated in the study. The Individual Entrepreneurship Perception Scale and Beck Hopelessness Scale were used to collect data. Results: The results revealed that the students' perception of individual entrepreneurship was high, while their hopelessness levels were moderate. In addition, a moderate negative relationship was found between the students' hopelessness levels and their perception of individual entrepreneurship. The regression analysis showed that the students' hopelessness levels and subdimensions (hope, loss of motivation, and future expectation) accounted for 26.3% of the total variance in individual entrepreneurship perception. Increased hopelessness regarding the sub-dimensions of hope, loss of motivation, and expectations for the future decreased their individual entrepreneurship perceptions. Conclusions: These findings suggest that individual entrepreneurship perception among health sciences students could be negatively impacted during extraordinary periods related to health crises like pandemics. Developing hope, motivation, and expectations for the future is crucial to enhancing individual entrepreneurship perception among health sciences students. [ABSTRACT FROM AUTHOR]

Introduction: Although major depression is the disorder most frequently associated with suicidal behavior, it is unclear that major depressive disorder patients may develop suicidal ideation. Basic affective system theory may provide a novel and beneficial viewpoint in this field. The goal of this study was to investigate the basic affective system in relation to suicidal ideation in individuals with depression. Method: The study population comprised 160 participants who had been formally diagnosed with major depressive disorder. Participants were divided into two groups according to whether they had suicide ideation (depression with suicide [DS]) (N = 93) or not (depression with no suicidal ideation [DNS]) (N = 67). The Beck Depression Inventory (BDI), the Suicide Probability Scale (SPS), the Beck Hopelessness Scale (BHS), and the Affective Neuroscience Personality Scale (ANPS) were applied. Statistical Product and Service Solutions (SPSS) 24 and the SPSS macroprocess, which were specifically developed for assessing complex models including serial mediators, were used to analyze the data. Results: The mean age of all participants was 31.1 ± 11 years, and most of them were female (65%). The DS group had a higher family history of psychiatric medication use and suicidal attempts. In addition, BDI, BHS, and SPS total scores were higher, as well as ANGER subscale scores were higher in the DS group. In mediation analysis, the ANGER subscale significantly predicted the presence of suicide ideation. We observed a direct effect of the ANGER subscale score on suicide ideation as well as an indirect effect of the ANGER subscale score on suicidal ideation via depression severity. Conclusion: Higher scores on ANGER are associated with suicidal ideation. Neurobiological correlates, including the ANGER system, may be promising in understanding suicidal behaviors. [ABSTRACT FROM AUTHOR]

Background: Patients with treatment-resistant depression (TRD) have higher rates of suicidal ideation and a higher suicide attempt prevalence than patients with other types of depression. Purpose: This study was designed to study the suicidality trajectory and relationships between hopelessness, resilient coping, and self-efficacy, respectively, and suicidal ideation and suicide attempts in patients with TRD during hospitalization and at 3 months after discharge. Methods: A longitudinal survey of 53 psychiatric inpatients with TRD was conducted. Suicidality, hopelessness, resilient coping, self-reported medication adherence, and self-efficacy were assessed at Weeks 1 and 2 (T0 and T1) after hospitalization and Week 1 and Months 1 and 3 after discharge. Data were analyzed using a Cox regression model. Results: Suicidality varied across the five time points, with a downward trend observed between T0 and T1 (reflecting the initial effects of inpatient treatment) and an upward trend observed across the 3-month follow-up. Antidepressant overdose was the most common method used for suicide. The risk of high suicidal ideation during follow-up was 1.63, 2.63, and 1.14 times higher, respectively, in participants with a high level of hopelessness, low level of resilient coping, and low self-efficacy. Also, having a higher level of hopelessness and being younger in age increased the risk of attempting suicide by 3.07 times and over 6 times, respectively, compared to older participants. Conclusions/Implication for Practice: Suicidality was shown to fluctuate between the in-hospital treatment phase and the first 3 months following discharge in this sample of patients with TRD. Younger age, feelings of hopelessness, low resilience, and low self-efficacy were the top four factors contributing to post-discharge suicide risk. These findings highlight the need for regular patient monitoring and assessment to identify those with TRD who are at high risk of suicide as well as the importance of focusing on hopelessness, resilience, and self-efficacy as predictors of suicide ideation and attempts. Nurses should help patients with TRD, especially those who are younger, and improve and maintain their hope, resilience, and self-efficacy both during hospitalization and shortly after discharge. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to identify factors associated with suicidal ideation (SI) in adolescents and to explore the mediating role of depression and hopelessness in these predictive relationships. Method: Employing a cross-sectional research design, this study included adolescents aged 14 to 19 from Lorestan Province in Iran. A total of 623 middle-school students were selected through a multi-stage cluster sampling technique. Data were collected using a series of assessment tools, including the Depressive Symptom Index-Suicidality Subscale (DSI-SS), the Psychological Strain Questionnaire, the Hopelessness Scale, the Defeat Scale, and the Thwarted Belongingness Questionnaire. Structural Equation Modeling (SEM) in AMOS version 26 and SPSS version 26 was utilized to evaluate the proposed model. Results: The findings revealed that in the context of Iranian adolescents, defeat and psychological strains emerge as significant predictors of SI. Notably, hopelessness was found to mediate the relationship between psychological strains, defeat, and SI. Conclusion: These insights provide valuable knowledge for addressing the issue of SI in Iranian adolescents and may inform future prevention and intervention strategies. [ABSTRACT FROM AUTHOR]

Objective: In 2020, Army National Guard members demonstrated greater risk of suicide than their military and civilian counterparts. Though literature on deployment-related experiences and suicidal ideation (SI) is mixed, investigations of specific deployment-related experiences (e.g., injuries) may further elucidate the relationship between deployment and suicide risk. Deployment-related injuries, including pain severity and functional impairment, have been linked to increased risk of SI, and correlates like perceived burdensomeness (PB) and hopelessness. The current study sought to examine the cross-sectional relationship between deployment-related injuries, including pain severity and functional impairment, and severity of SI through PB and hopelessness. Method: Immediately post-deployment, Army National Guard members (N = 2,261) completed validated self-report measures on past-week SI, PB, hopelessness, and single items regarding injury sustained during deployment and associated functional impairment and pain severity. Results: Indirect effect analyses revealed that experience of deployment-related injury was related to SI through PB and hopelessness (R2 =.1993), functional impairment was related to SI through PB, and pain severity was related to SI through PB. Contrary to hypotheses, hopelessness was not associated with SI when PB was simultaneously considered. Conclusions: Army National Guard members who develop a sense of PB related to their injury and functional impairment of that injury may be at increased risk for suicidal ideation. Military suicide-prevention efforts may be potentiated through targeting distorted cognitions such as PB and hopelessness, especially in service members who have been injured. [ABSTRACT FROM AUTHOR]

Previous research has found that a negative life event is a main risk factor for hopelessness, which in turn is considered to be a proximal cause of major depression disorder and a suicide risk factor. Unfortunately, very little attention has been paid to the role of decision-making constructs between negative life events and hopelessness. To fill this gap, the present study aims to test the moderation role of sunk cost propensity in this relationship, which is an over-generalized tendency to persist, based on past investment. A total of 495 university students completed assessment of their resistance to sunk cost propensity, whereas the negative life events, hopelessness, mental health state (depression, anxiety) and big-five personality traits were measured by various questionnaires. Participants' tendency to resist sunk cost propensity moderated the relationship between negative life events and hopelessness. Individuals who tended to resist sunk cost bias are more vulnerable to the adverse effects of negative life events. This effect is still significant, even after controlling for individuals' psychological well-being (depression, anxiety) and big-five personality traits. The current findings provide preliminary evidence that resistance to sunk cost propensity may be an important characteristic associated with an individual's hopelessness when exposed to a negative life event. [ABSTRACT FROM AUTHOR]

Demoralization comprises multiple dimensions. Among them, Subjective Incompetence (SI) is the perception of being incapable of appropriate action in demanding circumstances. SI may be an early sign of demoralization preceding hopelessness, thus we aimed at integrating items related to Subjective Incompetence into the clinical assessment of demoralization. We assessed 414 subjects from the general population with the Demoralization Scale, 24 items (DS24) and the Subjective Incompetence Scale, 12 items (SIS12). We used multiple approaches to detect the optimal number of factors and their item structure, then conducted Bayesian Item Response Theory analyses to study item psychometric properties. Item Response Theory models were used to extrapolate latent severity ratings of clinical dimensions. We modelled the DS24 with five factors (Disheartenment, Sense of Failure, Helplessness, Irritability, Loss of Purpose) and the SIS12 with three (Subjective Incompetence, Inability to plan, Inability to Deal). The more complex IRT model had the best predictive value and helped to identify the items with better discrimination properties across the different dimensions. Twenty items were retained and used to develop the combined Demoralization and Subjective Incompetence Scale (DSIS20), which maintained high correlation with raw and latent trait scores of the longer versions. We combined selected items of the DS24 and the SIS12 to develop the DSIS20, a shorter assessment instrument that includes Subjective Incompetence as well as other clinical dimensions of demoralization. Further study may clarify if DSIS20 may be helpful for the early detection of demoralization. [ABSTRACT FROM AUTHOR]

The Interpersonal Psychological Theory of Suicide (IPTS) states that thwarted belongingness (TB), perceived burdensomeness (PB), and hopelessness are risk factors for suicidal ideation. This ecological momentary assessment (EMA) study aimed to (1) demonstrate that there is substantial between-person variability in the association between IPTS predictors and suicidal ideation, (2) identify clusters of patients for which the predictors differently predict suicidal ideation, and (3) examine whether identified clusters are characterized by specific patient characteristics. EMA data were collected ten times per day for six days in 74 psychiatric inpatients and was analyzed with dynamic structural equation modelling. Idiographic associations were obtained and clustered using k-means clustering. We found substantial between-person variability in associations between IPTS predictors and suicidal ideation. Four distinct clusters were identified and different risk factors were relevant for different clusters. In the largest cluster (n = 36), none of the IPTS predictors predicted suicidal ideation. Clusters in which associations between IPTS variables and suicidal ideation were stronger showed higher suicidal ideation, depression, and lower positive affect. These findings suggest that a one-size-fits-all model may not adequately reflect idiosyncratic processes leading to suicidal ideation. A promising avenue might be to use idiographic approaches to personalize prediction and interventions. • We found substantial variability in the degree to which PB, TB, hopelessness predict SI. • In about half of the sample, none of the IPTS factors was predictive for SI. • Different predictors were relevant for different clusters of patients. • Associations were stronger for patients with more symptoms and less positive affect. • Group models may insufficiently reflect heterogeneity in processes leading to SI. [ABSTRACT FROM AUTHOR]

Researchers have increasingly worked to identify relevant ecological factors that can help prevent the development of depressive symptoms among adolescents. However, the underlying mechanisms of these factors are not fully understood. In this study, the effect of childhood abuse and trauma on the depressive symptoms of Chinese adolescents and its underlying mechanisms were examined, in terms of the mediating role of hopelessness and the moderating role of social problem-solving abilities. A sample of 786 college students participated in this study. The results showed that adolescents who were abused and traumatized as children had higher levels of depressive symptoms than others; furthermore, this relationship was mediated by hopelessness, while the path between hopelessness and depressive symptoms was moderated by their social problem-solving abilities. The results extend the findings of previous studies by revealing the underlying mechanisms between childhood abuse and trauma and Chinese adolescents' depressive symptoms. The study has important implications for social work services regarding adolescents who have experienced childhood abuse and trauma. [ABSTRACT FROM AUTHOR]

Family members and loved ones of individuals with Borderline Personality Disorder (BPD) can experience high levels of distress. Types of distress reported by family members include burden, grief, depression, guilt, and powerlessness. Hopelessness is a construct that has received little attention despite its potential relevance for this group. This study sought to examine, and assess potential change in, hopelessness among individuals attending a 12‐week Family Connections (FC) program. Participants were 75 family members, 29 men and 46 women. Most participants were parents (n = 43; 57%). Data were collected at four time‐points and outcomes included hopelessness, burden, and grief. The majority of participants (82%) reported scores within the ‘minimal’ or ‘mild’ ranges of hopelessness before the FC program. A greater proportion of participants in the 60–70 year age group reported scores in the ‘moderate/severe’ category when compared with younger age groups. The mean hopelessness score for all participants before FC was 4.61 which is considered mild. There was no significant difference in hopelessness scores after program completion. Although mean scores increased at both 3‐month and 12‐month follow‐ups, they continued to remain in the ‘mild’ category. Hopelessness scores in the current study are similar to those reported in previous studies, although no significant change was found after FC completion. Concepts of personal vs. situational hopelessness should be considered, as well as the relevance of assessing personal hopelessness for this participant group. Further research is needed to determine the relationship between family member hopelessness and index client wellbeing. [ABSTRACT FROM AUTHOR]

Background Suicidal ideation arises from a complex interplay of multiple interacting risk factors over time. Recently, ecological momentary assessment (EMA) has increased our understanding of factors associated with real-time suicidal ideation, as well as those predicting ideation at the level of hours and days. Here we used statistical network methods to investigate which cognitive-affective risk and protective factors are associated with the temporal dynamics of suicidal ideation. Methods The SAFE study is a longitudinal cohort study of 82 participants with current suicidal ideation who completed 4×/day EMA over 21 days. We modeled contemporaneous (t) and temporal (t + 1) associations of three suicidal ideation components (passive ideation, active ideation, and acquired capability) and their predictors (positive and negative affect, anxiety, hopelessness, loneliness, burdensomeness, and optimism) using multilevel vector auto-regression models. Results Contemporaneously, passive suicidal ideation was positively associated with sadness, hopelessness, loneliness, and burdensomeness, and negatively with happiness, calmness, and optimism; active suicidal ideation was positively associated with passive suicidal ideation, sadness, and shame; and acquired capability only with passive and active suicidal ideation. Acquired capability and hopelessness positively predicted passive ideation at t + 1, which in turn predicted active ideation; acquired capability was positively predicted at t + 1 by shame, and negatively by burdensomeness. Conclusions Our findings show that systematic real-time associations exist between suicidal ideation and its predictors, and that different factors may uniquely influence distinct components of ideation. These factors may represent important targets for safety planning and risk detection. [ABSTRACT FROM AUTHOR]

Repeated suicide attempts are a significant risk factor for suicide, and anxiety sensitivity has been proposed as one of the individual characteristics that increase such attempts. However, there is a lack of research that explores the underlying mechanism of how anxiety sensitivity is associated with suicide attempts. The present study examined the mediating effect of rumination and hopelessness in the relationship between anxiety sensitivity and repeated suicide attempts among psychiatric patients. The moderating effect of gender in this mediating relationship was also investigated. Two hundred twenty-nine patients who visited the psychiatric department at a university hospital in Seoul completed self-report measures and structured clinical interview. Data on demographic characteristics as well as anxiety sensitivity (ASI-3), rumination (RRS), and hopelessness (BHS) were collected. Structured interviews (SCID-5-CV) were also administered to identify their history and frequency of suicide attempts. The results indicated a significant mediating effect of rumination and hopelessness in the relationship between anxiety sensitivity and repeated suicide attempts. This association differed by gender, demonstrating a moderated mediation effect. More specifically, the mediation effect was not significant among men. In the case of women, the simple mediation effect of hopelessness was significant (indirect effect = 0.008, Boot SE = 0.003, 95% CI [0.003, 0.016]), and the serial mediation effect of rumination and hopelessness was also significant (indirect effect = 0.006, Boot SE = 0.003, 95% CI [0.003, 0.012]). The results imply a significant link between hopelessness and suicide attempts, specifically observed in women (interaction effect = 0.081, SE = 0.033, 95% CI [0.015, 0.146]). The present study highlights the prominent role of anxiety sensitivity regarding suicidal risks among patients with mental disorders. Moreover, it is vital to consider both rumination, a maladaptive emotion regulation strategy, and feelings of hopelessness to understand their repeated suicide attempts better. In addition, this study provides evidence of the importance of gender-specific interventions in suicide prevention measures. [ABSTRACT FROM AUTHOR]

Key digested message The Hopelessness Scale is used widely in research studies but has a deficiency in that the items appear to measure three different constructs: hopelessness, helplessness and haplessness. The Helplessness, Hopelessness, Haplessness Scale was developed to overcome these deficiencies. [ABSTRACT FROM AUTHOR]

We tested the role of sense of coherence, social support, satisfaction with life, and resilience, as resources in the association between fear of COVID-19, perceived vulnerability to disease, and depression. Data from 804 students were collected at three South African universities in 2022 and 2023 by means of an electronic survey and analysed using structural equation modelling. We found that higher levels of fear of COVID-19 and hopelessness were associated with depression among the sample. Satisfaction with life, sense of coherence, and perceived social support had significant negative relationships with depression, indicating that these represent potential protective resources. Perceived vulnerability to disease had a positive relationship with perceived social support. While fear of COVID-19 significantly impacted depression, it did not show a significant relationship with other mental well-being measures, such as satisfaction with life, sense of coherence, resilience, or social support. Hopelessness showed a strong negative correlation, not only with resilience but also with satisfaction with life, sense of coherence, and perceived social support, making it a critical factor in mental well-being. Perceived social support acted as a mediator between both hopelessness and perceived vulnerability to disease and depression. Satisfaction with life mediated the relationship between hopelessness and depression, and sense of coherence mediated the relationship between perceived vulnerability to disease and depression. While higher levels of fear related to COVID-19 and pervasive feelings of hopelessness were robust predictors of depressive symptoms, factors such as satisfaction with life, sense of coherence, and perceived social support emerged as protective resources. [ABSTRACT FROM AUTHOR]

Anxiety sensitivity and hopelessness are two traits that have been previously linked to increased gaming problems. Research in the early stages of the COVID-19 pandemic showed that emotionally vulnerable individuals were turning to video games as a means of coping with their distress. However, more research is needed on the longterm and enduring pathways from internalizing traits to time spent gaming during COVID-19, after the lockdowns and preventative measures had been lifted. As such, the current study employs a multi-wave longitudinal study that predicted that those participants who experience high levels of anxiety sensitivity or hopelessness would use gaming as a means to cope with their emotional discomfort, resulting in increased gaming behaviours. A sample of 1,001 American gamers (Mage = 38.43, SD = 12.11, 53.2% female) completed three surveys through Mechanical Turk, with the first occurring in July 2021, and subsequent surveys spaced three months apart. This study measured participants' baseline anxiety sensitivity and hopelessness using the Substance Use Risk Profile. At each time point, participants were asked to recall their average time spent gaming over the past month using a Timeline Follow-Back method, and answer questions related to their coping motivations for gaming using the Motives for Online Gaming Questionnaire. Coping motives consistently predicted time spent gaming at the next timepoint. Furthermore, we found evidence that high levels of anxiety sensitivity at baseline predicted greater future time spent gaming at Time 3, through greater coping motives at Time 2. Hopelessness was correlated with coping motives and time spent gaming at baseline, but did not relate to these variables across time. Anxious individuals who were gaming to cope during the COVID-19 pandemic may be at higher risk for excessive gaming. This may be particularly true for individuals who are higher in anxiety sensitivity. Future research should aim to understand how the relationships between anxiety sensitivity, coping motivations, and time spend gaming exist in the context of symptoms of gaming disorder and functional impairments that exist due to excessive gaming. [ABSTRACT FROM AUTHOR]

Objective: Objective: The aim of this study was to investigate if psychache and hopelessness may serve as reliable predictors of suicidal ideation among female fibromyalgia (FM) patients. Method: This was a cross-sectional study of 50 women with FM, examining the relationship between psychological pain, hopelessness, depressive symptoms, and suicidal ideation. FM diagnosis was confirmed by the American College of Rheumatology (ACR) criteria. Demographic data, the Mini International Neuropsychiatric Interview (MINI 7.0.2), the Beck Depression Inventory-II (BDI-II), the Beck Hopelessness Scale (BHS), the Pittsburgh Sleep Quality Index (PSQI) and the Psychache Scale were utilized to assess these relationships and their predictive value for suicidality. Results: The mean age of the participants was 50.2 years (±8.7). Thirty-two (64%) patients had current major depression, 11 (22%) had bipolar disorder, 20 (40%) presented passive suicidal ideation and 14 (28%) presented active suicidal ideation. Psychological pain correlated with both depressive symptoms (p<0.01; r= 0.648) and hopelessness (p=0.029; r=0.312) but did not predict suicidal ideation. Logistic regression analyses revealed depressive symptom severity as a predictor of passive suicidal ideation (odds ratio = 1.486; 95% CI: 1.017 - 2.170), while hopelessness predicted active suicidal ideation (odd ratio = 1.356; 95% CI, 1.049 - 1.753). Conclusions: FM female patients showed increased prevalence of suicidal ideation. Hopelessness predicts active suicidal ideation but psychological pain did not serve as predictive factor for suicide ideation among female FM patients. [ABSTRACT FROM AUTHOR]

Background Suicidal thoughts and behaviors are elevated among active-duty service members (ADSM) and veterans compared to the general population. Hence, it is a priority to examine maintenance factors underlying suicidal ideation among ADSM and veterans to develop effective, targeted interventions. In particular, interpersonal risk factors, hopelessness, and overarousal have been robustly connected to suicidal ideation and intent. Methods To identify the suicidal ideation risk factors that are most relevant, we employed network analysis to examine between-subjects (cross-sectional), contemporaneous (within seconds), and temporal (across four hours) group-level networks of suicidal ideation and related risk factors in a sample of ADSM and veterans (participant n = 92, observations n = 10 650). Participants completed ecological momentary assessment (EMA) surveys four times a day for 30 days, where they answered questions related to suicidal ideation, interpersonal risk factors, hopelessness, and overarousal. Results The between-subjects and contemporaneous networks identified agitation, not feeling close to others, and ineffectiveness as the most central symptoms. The temporal network revealed that feeling ineffective was most likely to influence other symptoms in the network over time. Conclusion Our findings suggest that ineffectiveness, low belongingness, and agitation are important drivers of moment-to-moment and longitudinal relations between risk factors for suicidal ideation in ADSM and veterans. Targeting these symptoms may disrupt suicidal ideation. [ABSTRACT FROM AUTHOR]

Nonsuicidal self-injury (NSSI) in adolescents has been associated with increased depressive symptomatology, hopelessness, and emotional dysregulation; however, few studies have examined longitudinal associations between NSSI and these problems. This study examines the longitudinal relationships among these variables in community adolescents and whether the pattern of relationships varies between boys and girls. The participants were 785 adolescents (57.1% girls) aged 13 to 18 years (M = 15.64; SD = 1.08) who completed self-reported measures of NSSI, depression, hopelessness, and emotional dysregulation at least once at two moments separated by 1 year. The longitudinal model was tested through structural equation modeling and multiple group analysis. NSSI predicted increased depressive symptoms, hopelessness, and emotional dysregulation; depressive symptoms predicted NSSI; hopelessness predicted depressive symptoms; and emotional dysregulation predicted depressive symptoms and hopelessness. The pattern was similar for girls and boys, although girls scored higher on all variables. The results underscore the important bidirectional associations between NSSI and other risk factors throughout adolescence. These findings will support prevention and interventions for NSSI and internalizing symptoms in adolescents in school and clinical settings. Sometime in the last year, 38.4% of the participating adolescents reported nonsuicidal self-injury (NSSI). The girls scored significantly higher than the boys in NSSI annual presence, depression, hopelessness, and emotional dysregulation. NSSI in the past year increased depressive symptoms, hopelessness, and emotional dysregulation 1 year later; depressive symptoms predicted NSSI; hopelessness predicted depressive symptoms, and emotional dysregulation predicted an increase in depressive symptoms and hopelessness. The predictive model did not differ according to gender. [ABSTRACT FROM AUTHOR]

Background: This study addresses the suicide risk predicting challenge by exploring the predictive ability of machine learning (ML) models integrated with theory‐driven psychological risk factors in real‐time crisis hotline chats. More importantly, we aimed to understand the specific theory‐driven factors contributing to the ML prediction of suicide risk. Method: The dataset consisted of 17,654 crisis hotline chat sessions classified dichotomously as suicidal or not. We created a suicide risk factors‐based lexicon (SRF), which encompasses language representations of key risk factors derived from the main suicide theories. The ML model (Suicide Risk‐Bert; SR‐BERT) was trained using natural language processing techniques incorporating the SRF lexicon. Results: The results showed that SR‐BERT outperformed the other models. Logistic regression analysis identified several theory‐driven risk factors significantly associated with suicide risk, the prominent ones were hopelessness, history of suicide, self‐harm, and thwarted belongingness. Limitations: The lexicon is limited in its ability to fully encompass all theoretical concepts related to suicide risk, nor to all the language expressions of each concept. The classification of chats was determined by trained but non‐professionals in metal health. Conclusion: This study highlights the potential of how ML models combined with theory‐driven knowledge can improve suicide risk prediction. Our study underscores the importance of hopelessness and thwarted belongingness in suicide risk and thus their role in suicide prevention and intervention. [ABSTRACT FROM AUTHOR]

Due to its impact on mental health and well‐being, fear of happiness is beginning to receive more attention in research. This study, conducted in Hungary, explored the relationship between fear of happiness, perfectionism, loneliness, hopelessness, and academic burnout. Participants aged between 18 and 35 years (N = 1,148, M = 22 years, SD = 4.5) completed an online questionnaire that included self‐report measures of these constructs. In the present study, males showed higher levels of fear of happiness and perfectionism than did females. Analyses also revealed that both adaptive and maladaptive perfectionism, academic burnout, loneliness, and hopelessness were positively related to fear of happiness. In multiple regression analysis, gender had a positive and age had a negative role in the levels of fear of happiness. Maladaptive perfectionism, academic burnout, loneliness, and hopelessness were positive predictors, while adaptive perfectionism almost reached statistical significance. These findings highlight the predictive role of previously unexplored variables in fear of happiness. [ABSTRACT FROM AUTHOR]

The Holy Qur'an is the main source of the Islamic religion, and for this reason, Muslims have been trying to understand it for a long time. The important point here is that non-Arabic speaking Muslims were forced to use translations of the Holy Quran due to their language barrier. The problem here is that in some cases, translation does not have the possibility of transferring the entire concept to the target language, therefore, the general translations of the Holy Quran are facing some inadequacies. One of the topics mentioned in the Holy Quran is despair. In the Holy Qur'an, two articles "Qunt" and "Despair" are used to refer to this issue, which naturally have differences based on the principle of divine wisdom and the linguistic principle of linguistic economy, while in the Persian translations below these two words are equivalent "Disappointment" is used. In this research, we intend to answer this question through library studies and the use of semantic methods, what is the difference in meaning between the two words "qant" and "despair" and what new equivalent can be suggested for them? It should be noted that despite the great importance of this question, no such research has been conducted so far. From the results of the current research, we can also point to the suggestion of translating "disappointment-turning back" for the article of Qant and assigning the equivalent of "disappointment" to the article of despair. [ABSTRACT FROM AUTHOR]

Objective: This research aimed to determine the level of fear, anxiety, and hopelessness of Covid‐19 in young adolescents' post Covid‐19 period. Design and Samples: Young adolescents in the 17–24 age group were included in this study, which was conducted in a descriptive‐cross‐sectional design. Measurements: Sociodemographic characteristics questionnaire form and Coronavirus (Covid‐19) Fear Scale, Coronavirus Anxiety Scale, and Beck Hopelessness Scale were used to collect data. Results: 90.8% of the participants had been vaccinated, 26.9% had previously caught in Covid‐19, and 10.3% of those who had been caught in the disease had a severe course. 10.7% of young adolescents had to take medicines, 56.4% had a family history of Covid‐19, and 18.7% had lost a relative as a result of Covid‐19, was found. The level of fear, anxiety and hopelessness was higher among women, first‐grade students, those who did not receive the Covid‐19 vaccine, those who have caught in Covid‐19 before, and those who have lost a family due to Covid‐19. Conclusion: It is thought that the increase in the awareness level of young adolescents about Covid‐19 improves preventive health behaviors and enables the development of positive behaviors related to the disease. [ABSTRACT FROM AUTHOR]

Purpose: This study examined social problem solving as a hypothesized mediator of the association between loneliness and psychological ill-being (viz., depressive symptoms & hopelessness) in American and Chinese adults. Methods: A total of 320 (229 female & 91 male) American adults and 357 (194 male & 163 female) Chinese adults participated in the present study. Results: Mediation testing for social problem solving as a hypothesized mechanism accounting for the positive association between loneliness and psychological ill-being identified differences between Americans and Chinese. For Americans, the presence of a negative problem orientation was consistently found to partially mediate the association between loneliness and psychological ill-being. In contrast, for Chinese, the absence of a positive problem orientation was consistently found to partially mediate the association between loneliness and psychological ill-being. For both groups, no evidence was found for the importance of any of the problem-solving styles in accounting for psychological ill-being. Conclusion: These findings not only indicate that how adults perceive problems matters more than how they approach solving them, but also point to important cultural differences regarding which problem orientation is most involved for understanding the positive association between loneliness and psychological ill-being in Easterners, compared to Westerners. [ABSTRACT FROM AUTHOR]

Individuals with schizophrenia are at increased risk for suicide, and the Demoralization Hypothesis states that non-delusional awareness of one's social, cognitive, or occupational deterioration elicits depression and hopelessness. Both depression and hopelessness are established risk factors for suicide and are features of schizophrenia. The present study investigated whether insight into one's schizophrenia yields suicidal ideation, specifically by way of thwarted belongingness and perceived burdensomeness, which are constructs related to demoralization and measured by the Interpersonal Needs Questionnaire (INQ). Three separate models explored the mediating role of INQ scores on suicidal ideation in 99 participants with schizophrenia. With suicidal ideation entered as the dependent variable and INQ scores entered as the mediator, the first model included insight as the independent variable, the second included cognitive functioning, and the third included cognitive deterioration post-illness-onset. Consistent with our hypothesis, INQ scores related to suicidal ideation (B =.03, SE =.01, p <.001). However, neither insight, cognitive functioning, nor cognitive deterioration predicted INQ scores or suicidal ideation. Additionally, INQ scores did not mediate relationships with suicidal, ideation. Although INQ scores led to increased suicidal ideation, neither insight into illness, current cognitive functioning, nor shift in functioning led to increased INQ scores. Implications are discussed, and future directions are proposed. [ABSTRACT FROM AUTHOR]

This study is to examine whether hopelessness has a mediating role in the relationship between self-compassion and suicide cognitions. 231 people aged between 17-30 years participated in the study. Participants; 95 of them (41.1%) are between the ages of 17-21, 87 of them (37.7%) are between the ages of 22-25, and 49 of them (21.2%) are between the ages of 26-30. Of the individuals participating in the research, 154 (%66.7) were female and 77 (%33.3) were male. It was collected using the Personal Information Form, Self Compassion Scale, Suicide Cognitions Scale, and the Beck Hopelessness Scale. Structural Equation Model was used in the analysis of the data. It was revealed that there is a negative, moderate, and significant relationship between self-compassion and hopelessness. In addition, it was determined that there is a negative, moderate, and significant relationship between self-compassion and suicide cognitions. With this, it was concluded that hope has a mediating role in the relationship between self-compassion and suicide cognitions. Based on the results of the study, it has been suggested to implement psychoeducational programs based on preventing suicide risk factors, and increasing self-compassion and hope for individuals in various risk groups. [ABSTRACT FROM AUTHOR]

Introduction: When people feel hopeless, they are more likely to think about suicide. Prior work has shown that both hopelessness and suicidal ideation fluctuate over time; however, there are likely other contextual factors underlying increased hopelessness and suicidal ideation in moments of time. Method: In two studies using retrospective recall of a real event (Study 1, n = 268) and an experimental imaginal vignette design (Study 2, n = 356), we examined self‐criticism and self‐efficacy for self‐regulation as crucial factors underlying hopelessness in people vulnerable to suicidal ideation. Results: In both studies, greater state self‐criticism and lower state self‐efficacy were associated with greater hopelessness. In Study 2, we also measured suicidal ideation, and found that higher self‐criticism and lower self‐efficacy for self‐regulation scores were associated with greater suicidal ideation, even when controlling for negative affect. Evidence of an interaction between self‐criticism and self‐efficacy was found with scores in Study 2 but not in Study 1; specifically, lower self‐efficacy was associated with greater ideation when self‐criticism was high but not when self‐criticism was low. Conclusion: Overall, results support self‐criticism and self‐efficacy as important contextual factors underlying hopelessness and suicidal ideation and attending to the potential interactive effect between self‐criticism and self‐efficacy. [ABSTRACT FROM AUTHOR]

The psychological state of people during the COVID-19 pandemic has attracted significant interest from researchers and the general public alike. The aim of this study is to examine the stress, burnout, hopelessness, and depression levels of university students toward the end of the pandemic. A survey model, as a quantitative research method, was applied in this study. The analysis revealed that 70% of the participating university students had moderate to high stress levels, and levels of stress among female students were found to be higher than those among male students. When the students' hopelessness levels were examined, it was seen that 81% of them felt hopelessness at medium or high levels. Hopelessness and burnout were seen to be associated with grade point average. A total of 61% of these students had moderate or high levels of depression symptoms, constituting an at-risk status. The results indicate that factors such as gender, year of study, and grade point average had varying effects on stress, burnout, hopelessness, and depression levels. Additionally, strong relationships were found among the four considered psychological variables, suggesting that they may influence one another and highlighting the need for further research in this area. [ABSTRACT FROM AUTHOR]

Under the shadow of the COVID-19 pandemic, it is of vital importance to explore its impact on the psychological wellbeing of the students in higher education. Accordingly, this research investigated hopelessness among students at a state university in Turkey throughout the pandemic. The research was conducted in two separate studies, one cross-sectional and the other longitudinal. Study I examined students' hopelessness level in relation to gender, job or income loss, social media use, academic unit, and grade. Study II compared students' hopelessness level during the distance and hybrid education periods. The data were collected online through Personal Information Form and Beck Hopelessness Scale in both studies. The findings of Study I indicated significantly higher hopelessness scores in females, students who experienced job or income loss, and seniors at faculties. It was also found that the level of hopelessness increased as the duration of social media use rose. In addition, Study II revealed that students' hopelessness scores significantly decreased during the hybrid education in contrast to the distance education. Based on these findings, we suggest that during distance education in times of crisis, psychological counseling and career guidance interventions should be planned and coordinated according to the characteristics of risk groups, and e-learning models offering the highest social interaction should be preferred. [ABSTRACT FROM AUTHOR]

Researchers have paid limited attention to the role of adaptive cognitive appraisals in conferring resilience. In this study, we demonstrate the influence of positive appraisals of problem-solving ability and social support on mental health outcomes. A random sample of students at a university in South Africa (n = 322) participated in the study. They completed the Perceived Stress Scale, the Multidimensional Scale of Perceived Social Support, the Problem-Solving Inventory, the Beck Hopelessness Scale, and the Satisfaction with Life Scale. Mediation analysis found that problem-solving appraisal and social support jointly and separately mediated the effects of perceived stress on hopelessness. The combined effect of social support and problem-solving appraisal on life satisfaction was significant; however, only social support was found to mediate the relationship between perceived stress and life satisfaction. The findings indicate that adaptive appraisals of self and others are potential sources of resilience that can buffer individuals from the adverse impact of stressful life events. [ABSTRACT FROM AUTHOR]

Hopelessness is a key risk factor for suicide. This analysis explored whether hopelessness indicates a recent suicide crisis state and is linked with magnetoencephalography (MEG) oscillatory power and effective connectivity differences. Change in hopelessness ratings and effective connectivity post-ketamine were also evaluated in a subsample of high-risk individuals to evaluate correlates of dynamic changes over time. Participants (66F;44 M;1 transgender) included individuals with suicide crisis in the last two weeks (High Risk (HR), n = 14), those with past suicide attempt but no recent suicide ideation (SI) (Low Risk (LR), n = 37), clinical controls (CC, n = 33), and healthy volunteers at minimal risk (MinR, n = 27). MEG oscillatory power and clinical hopelessness ratings (via the Beck Hopelessness Scale (BHS)) were evaluated across groups. Dynamic casual modeling (DCM) evaluated connectivity within and between the anterior insula (AI) and anterior cingulate cortex (ACC). A subsample of HR individuals who received ketamine (n = 10) were evaluated at Day 1 post-infusion. The HR group reported the highest levels of hopelessness, even when adjusting for SI. MEG results linked hopelessness with reduced activity across frequency bands in salience network regions, with no group or group-by-interaction effects. Using DCM, the HR group had reduced intrinsic drive from granular Layer IV stellate cells to superficial pyramidal cells in the ACC and AI. In the pilot HR study, reduced hopelessness was linked with increased drive for this same connection post-ketamine. Hopelessness is a possible proxy for suicide risk. Electrophysiological targets for hopelessness include widespread reductions in salience network activity, particularly in the ACC and AI. [ABSTRACT FROM AUTHOR]

To establish the validity of the BHS-20, a sample of 2064 adolescent students aged 14 and 17 years (M = 15.61, SD = 1.05) were invited to participate in the research. Cronbach's alpha (α) and McDonald's omega (ω) were computed to evaluate the internal consistency. Confirmatory factor analysis was used to test the dimensionality of the BHS-20. The Spearman correlation (r s ) with depressive symptoms and risk of suicide scores of the Plutchik Suicide Risk Scale were computed to explore the nomological validity. The BHS-20 showed a high internal consistency (α =.81, ω =.93), an adequate one-dimensional structure with an excellent adjustment [χ2 S-B = 341, df = 170, p <.01, Comparative Fit Index =.99, RMSEA =.03] and acceptable nomological validity with depressive symptoms (r s =.47, p <.01) and scores for suicide risk (r s =.33, p <.01). In conclusion, current results suggest that the BHS-20 demonstrates validity and reliability among Colombian adolescent students. [ABSTRACT FROM AUTHOR]

Introduction: The current article introduces the Loneliness Automatic Thoughts Questionnaire (LATQ) and describes research evaluating its psychometric properties and correlates. Methods: Two separate samples of university student participants (Study 1; N = 282, Study 2; N = 289) were administered the LATQ along with a battery of other measures. Whereas Study 1 involved a preliminary investigation of the psychometric properties of the LATQ, Study 2 provided an opportunity to further expand on this aim by assessing the concurrent validity of the measure across studies. Results: Overall, psychometric analyses confirmed that the LATQ items are measured with an adequate degree of internal consistency and confirmatory factor analyses established that the nine items loaded significantly on one replicable factor. Concurrent validity was established in terms of links with other loneliness measures and a measure of persistent and intrusive negative thoughts. Furthermore, LATQ scores were associated with anti-mattering, social hopelessness, anxiety, depression, and unbearable psychache. Moreover, regression analyses established that the LATQ predicted significant unique variance in depression and psychache beyond the variance attributable to measures of loneliness and adaptability to loneliness. Discussion: Collectively, results indicate that loneliness-related automatic thoughts represent a unique and important element of the loneliness construct. Future research applications and additional psychometric issues to address in future research are discussed and a need for a greater focus on the cognitive aspects of loneliness is explored. [ABSTRACT FROM AUTHOR]

This study aims to examine the effect of spiritual development support programs on hopelessness, religious coping and psychological well-being levels of parents with autism spectrum disorder using quantitative and qualitative methods. The study was designed according to the sequential descriptive design, one of the mixed research designs. The independent variable of the research is the Spiritually Oriented Development Support Program, while the dependent variables are the levels of hopelessness, religious coping and psychological well-being of parents with children diagnosed with autism spectrum disorder. These dependent variables were respectively measured using the "Beck Hopelessness Scale" the "Brief Religious Coping Scale", and the "Psychological Well-Being Scale". At the beginning of the study, pre-tests of hopelessness, religious coping, and psychological well-being scales were administered to the experiment and control groups. After the scale administration, the parents of children with autism spectrum disorders in the experiment group were provided with the "Spiritually Oriented Development Support Program", which consists of 10 sessions lasting 100 minutes each, once a week for ten weeks, while no intervention was applied to the control group. After implementing the program, post-tests of hopelessness, religious coping, and psychological well-being scales were administered to the experiment and control groups. The data were analyzed using the non-parametric Mann-Whitney U Test and the Wilcoxon Signed-Rank Test through SPSS 25 software. According to the study's findings, it was determined that parents in the experiment group who participated in the Spiritually Oriented Development Support Program experienced a statistically significant decrease in hopelessness and negative religious coping, as well as a statistically significant increase in positive religious coping and psychological well-being. There was no significant change in hopelessness, positive religious coping, negative religious coping, and psychological well-being levels of parents in the control group which was not provided in the program. Moreover, compared to the control group, it was found that parents in the experiment group experienced a decrease in hopelessness and negative religious coping levels, and an increase in positive religious coping and psychological well-being levels. [ABSTRACT FROM AUTHOR]

Aims Depressive symptoms are common in patients with heart failure (HF) and are associated with adverse outcomes in this group. This study examined depressive symptoms and associated determinants in patients with HF based on the hopelessness theory of depression. Methods and results In this cross-sectional study, a total of 282 patients with HF were recruited from 3 cardiovascular units of a university hospital. Symptom burden, optimism, maladaptive cognitive emotion regulation strategies (MCERSs), hopelessness, and depressive symptoms were assessed using self-reported questionnaires. A path analysis model was established to evaluate the direct and indirect effects. The prevalence of depressive symptoms was 13.8% in the patients. Symptom burden had the greatest direct effect on depressive symptoms (β = 0.406; P < 0.001), optimism affected depressive symptoms both directly and indirectly with hopelessness as the mediator (direct: β = −0.360; P = 0.001; indirect: β = −0.169; P < 0.001), and MCERSs only had an indirect effect on depressive symptoms with hopelessness as the mediator (β = 0.035; P < 0.001). Conclusion In patients with HF, symptom burden, decreased optimism, and hopelessness contribute to depressive symptoms directly. What is more, decreased optimism and MCERS lead to depressive symptoms indirectly via hopelessness. Accordingly, interventions aimed at decreasing symptom burden, enhancing optimism, and reducing the use of MCERSs, while declining hopelessness, may be conducive to relieving depressive symptoms in patients with HF. [ABSTRACT FROM AUTHOR]

This study was conducted with two groups (training and control) using a pretest/post-test design to determine the effect of cognitive behavioral approach-based psychoeducation on the levels of coping with hopelessness and stress of parents of children with cancer. The data were collected using the "Personal Information Form", "Coping with Stress Scale" and "Beck Hopelessness Scale." The training was given as a total of eight sessions of individual training every 2 weeks. The study showed that after the training, the training group scored significantly lower than the control group in the sub-dimensions of helpless and submissive approach in coping with stress and hopelessness levels and scored higher in the sub-dimensions of self-confident approach, optimistic approach, and seeking social support approach. It was found that cognitive-based psychoeducation had an effect on increasing the ways of coping with stress and decreasing the hopelessness levels of parents of children with cancer. [ABSTRACT FROM AUTHOR]

Introduction. The prevalence of suicidal behavior in university students ranges from 14.1% to 27.9%, with suicide being the fourth leading cause of death among young people ages 15 to 29. Hopelessness, decreased self-efficacy, depression, anxiety, and emotional dysregulation are among the main risk factors. Objective. To determine the effect of hopelessness, depression, anxiety, stress, drug use, and self-efficacy on suicide attempts in Mexican psychology students. Method. A quantitative, cross-sectional study was undertaken with a sample of 3,438 students from sixty-two universities accredited by the National Council for Teaching and Research in Psychology (CNEIP) from six regions in Mexico. Results. A total of 19.9% reported attempted suicide (85.1% women and 14.9% men); 36.4% drug use; 40.2% moderate to extreme stress; 50.1% anxiety, and 40.7% depression; 74.1% medium to high emotional dysregulation; 30.2% moderate to high hopelessness, and 32.9% low self-efficacy. Drug use (OR 1.897), sex (OR 1.756), anxiety (OR 1.218), hopelessness (OR 1.209), depression (OR 1.756), and stress (OR 1.050) respectively account for 17.2% of the variability of suicide attempts. Discussion and conclusion. Confirmation of the effect of the variables analyzed on the suicide attempts of psychology students underlines the importance of incorporating actions that will contribute to controlling the incidence of suicide. [ABSTRACT FROM AUTHOR]

Background: Even though current therapeutic approaches have significantly increased the longevity and standard of living for children suffering from cystic fibrosis (CF), the crucial psychological components of this illness have not received the same level of attention as other chronic illnesses. The aim of the research was to assess depression, anxiety, and hopelessness in cystic fibrosis-affected children and their relation to the duration of illness. In this study, we compared 40 healthy control children between the ages of 7 and 12 with 40 cystic fibrosis children who were matched for age and sex. All patients had detailed clinical and psychometric evaluations using the Children's Depression Inventory (CDI), the Anxiety Scale for Children (ASC), and the Hopelessness Scale for Children (HSC). Results: The CDI, ASC, and HSC revealed a significant difference between both groups. Positive correlations between depression, anxiety, and hopelessness and disease duration were found. Conclusions: Patients with CF experienced significantly increased depression, anxiety, and hopelessness, and there is an association between these symptoms and the duration of the illness. We advise making psychiatric screening a standard part of evaluating and monitoring CF patients. [ABSTRACT FROM AUTHOR]

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. 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. 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). Lack of posttraining follow-up and small sample size. These preliminary data indicate that AE combined with pharmacotherapy can cause clinical improvement and brain plasticity in individuals with MD. • Aerobic exercise (AE) with and without motor complexity improves clinical outcomes. • Only AE increases the bilateral amygdala, thalamus, and left nucleus accumbens volume. • Volumetric change of the right amygdala may explain improved affective response to AE. • AE with motor complexity did not cause any volumetric change. • Both training groups showed high adherence to interventions. [ABSTRACT FROM AUTHOR]

The study aimed to examine the moderator effect of organ transplant waiting time on hopelessness and death anxiety. The study was conducted in a descriptive and correlational design with 378 patients on the transplant waiting list (Agust 2021- March 2022). Multiple linear regression and PROCESS macro-Model 1 were used in the analyses. In this study, the STROBE checklist was followed. According to the results of the regression analysis, waiting for a transplant for 6–10 years reduced death anxiety by 9.38 times and waiting for a transplant for 16–20 years increased death anxiety by 31.3 times. The predictors in the regression analysis explained 33% of the model. The moderator effect constituted 6.4% of the explained part of the model, which was 25.4%; the R2 change was 3.4% and significant. We found that the longer the waiting period for organ transplant recipients, the higher the hopelessness and death anxiety. [ABSTRACT FROM AUTHOR]

Is the capacity to experience hope central to our ability to entertain desirable future possibilities in thought? The ability to project oneself forward in time, or to entertain vivid positive episodic future thoughts, is impaired in patients with clinical depression. In this article, I consider the causal relation between, on the one hand, the loss of the affective experience of hope in depressed patients, and on the other hand, the reduced ability to generate and entertain positive episodic future thinking. I suggest that findings in the philosophy of emotion may shed light on this causal relation. [ABSTRACT FROM AUTHOR]

This article discusses the need for education and assessment of psycho-existential symptoms in cancer care to prevent suicidality. The authors highlight the high prevalence of suicidal thoughts and the desire to hasten death among oncology patients, often accompanied by existential distress. They emphasize the importance of addressing deficits in knowledge and expertise among health professionals in responding to suicidal patients. The article also explores the role of screening for psycho-existential symptoms and identifies key symptoms, such as hopelessness and pointlessness, as central targets for intervention. The authors suggest that meaning-centered therapies can be effective in addressing these symptoms. Overall, the article emphasizes the importance of recognizing and addressing the psychological and existential challenges faced by cancer patients to prevent suicidality. [Extracted from the article]