Hope Scores Research Articles

Spiritual Care Needs of Patients with Urinary Incontinence and Affecting Factors: A Cross-Sectional Descriptive Study in Turkey.

This study was conducted to determine the spiritual care needs of patients with urinary incontinence and variousinfluencing factors. Determining the spiritual care needs of individuals with urinary incontinence maymake patients feel more hopeful, peaceful, and stronger. It can alsoencourage individuals towards positive health behaviors, and canhelp nurses in choosing appropriate coping methods. Adescriptive and cross sectional study was conducted with 220 patients with urinary incontinence who applied to the urology outpatient clinic of a university hospital in Turkey. In the study, data were collected using the descriptive features form, the incontinence severity index, and the Spiritual Care Needs Inventory. Kruskal-Wallis test and Mann-Whitney U test were used to evaluate the data. This study is reported following the STROBE recommendations. In this study, mean scores of the patients' spiritual care needs scale and the severity of incontinence, age, gender, andthe effect of urinary incontinence on daily life,determined that there was a statistically significant difference between the state of being disturbed by urinary incontinence, the state of performing religious rituals regularly, the state of incontinence affecting religious rituals, the importance of religious beliefs in daily life, and the level of defining spirituality (p < 0.05). In this study, it was determined that the spiritual care need scores of the patients with urinary incontinence were above the medium level, and the sub-dimension scores of meaning and hope, caring, and respect were high. In this context, it is very important to consider the spiritual care needs of patients with urinary incontinence problems.

The Effectiveness of Group Impact Therapy on Life-Satisfaction, Problem-Solving Skills, and Hopefulness of Adolescent Girls with High-Tension Families

Aim: This study aimed to investigate the effect of applying the principles of Impact Therapy on problem-solving skills, hopefulness, and life satisfaction in teenage girls living in families with high tension. &#x0D; Methods: This research, in terms of purpose was an applied study using the pretest-posttest control group method. From the community of the 16 to 18-year-old girls from currently divorced parents who had referred to the court during the past 5 years. Individuals were selected through convenience sampling. The life satisfaction questionnaire by Diener, Basadur Creative Problem-Solving and Hopefulness questionnaires were used to collect data. &#x0D; Findings: Intergroup comparison showed that the difference between the mean scores of life satisfaction (p=0.042), problem-solving skills (p=0.049), and hope (p=0.012) between the experimental and control groups was significant. Therefore, administering group Impact Therapy was effective and increased life satisfaction, problem-solving skills and hope of adolescent girls in stressful families. &#x0D; Results: Impact Therapy helped participating teenagers cope with and overcome their stress by promoting resilience. Teenagers from tension-filled families became more determined individuals and gained more control over the events surrounding them. In other words, these interventions helped people to better deal with various issues in life and even consider unpleasant events as opportunities.

The Effectiveness of Group Impact Therapy on Life-Satisfaction, Problem-Solving Skills, and Hopefulness of Adolescent Girls with High-Tension Families

Aim: This study aimed to investigate the effect of applying the principles of Impact Therapy on problem-solving skills, hopefulness, and life satisfaction in teenage girls living in families with high tension. &#x0D; Methods: This research, in terms of purpose was an applied study using the pretest-posttest control group method. From the community of the 16 to 18-year-old girls from currently divorced parents who had referred to the court during the past 5 years. Individuals were selected through convenience sampling. The life satisfaction questionnaire by Diener, Basadur Creative Problem-Solving and Hopefulness questionnaires were used to collect data. &#x0D; Findings: Intergroup comparison showed that the difference between the mean scores of life satisfaction (p=0.042), problem-solving skills (p=0.049), and hope (p=0.012) between the experimental and control groups was significant. Therefore, administering group Impact Therapy was effective and increased life satisfaction, problem-solving skills and hope of adolescent girls in stressful families. &#x0D; Results: Impact Therapy helped participating teenagers cope with and overcome their stress by promoting resilience. Teenagers from tension-filled families became more determined individuals and gained more control over the events surrounding them. In other words, these interventions helped people to better deal with various issues in life and even consider unpleasant events as opportunities.

A investigation into hope, self-efficacy, distress and uncertainty in parents who have a child with a life-threatening or life-limiting illness

PurposeTo examine the experiences of parents who are caring for a child with a life-threatening or life-limiting illness (LTI/LLI) including levels of uncertainty, distress, hope, and self-efficacy to determine if there are significant variations with respect to demographic characteristics. Design and methodsData for this analysis are derived from a quasi-experimental evaluation of a support intervention with a purposeful sample of parental caregivers from a western Canadian province. Participants completed a demographic survey and four quantitative measures at baseline and following use of the support intervention. ResultsMany parents had high scores of hope and self-efficacy, with highest levels of hope amongst parents who could stay at home with their children, and higher self-efficacy expressed by parents without financial concerns. Increased levels of uncertainty and distress were found amongst parents without other children living in the home, and those with financial concerns, respectively. ConclusionsThis exploratory analysis found that many parents experienced clinically significant distress along with uncertainty. The results determined that caring for children in the home other than the ill child significantly decreased uncertainty. High levels of parental hope and self-efficacy were frequently identified, with variations reflecting differences in social roles and stressors. The results contribute to an increased understanding of the value of support resources including parental leave and financial support. Practice implicationsPediatric nurses may consider adopting an approach to caring for families with children in treatment for LLIs/LTIs that gives high priority to promoting hope and self-efficacy while ensuring access to support resources.

A Simulation Training to Prepare Camp Counselors for Working With Children at Camp HOPE America

Camp has proven to be an effective positive youth development strategy for children and youth who experience trauma and adversity. However, training camp counselors who are prepared to meet the needs of trauma-exposed youth in these settings are less understood. This pilot evaluation study provides the results of a social simulation-based training for counselors who will work with children who have witnessed family violence through Camp HOPE America. Survey data (N = 76) and content analysis from video recorded training sessions in simulation that used standardized actors and scenarios from the 1st year (n = 37) were conducted. Repeated measures ANOVA results indicated statistically significant improvements from pre- to post-instruction simulation in counselors’ hope scores (p &lt; .001); their knowledge and confidence in recognizing and reporting physical/sexual abuse, and self-harming behaviors (p &lt; .001); as well as significant increases in their knowledge and confidence in de-escalation, preventing difficult situations, and building campers’ hope (pl &lt; .001). Further, analysis of simulation videos suggests that camp counselors used new skils from the training during the simulation experience. Participants showed gains in knowledge, confidence, use of skills, and an overall increase in hope after completing the simulation training.

Effectiveness of a brief hope intervention for chronic kidney disease patients on the decisional conflict and quality of life: a pilot randomized controlled trial

BackgroundStage 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.MethodsThis 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.ResultsAn 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).ConclusionsThe 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 RegistrationClinicalTrials.gov Protocol Registration, NCT03378700. Registered July 12 2017.

Evaluation of Pairing Mobile Health with Simulation Technology to Assist Sickle Cell Caregivers

Introduction: Sickle Cell disease (SCD) affects approximately 100,00 Americans and occurs in about one in every 365 black or African American births. SCD caregivers could utilize health technology such as mHealth to assist them with appointment reminders, medication management, education, and pain management as it relates to better managing this disease process. Methods: A mixed-methods approach was utilized to explore the perceived influential factors that impact the caregivers’ ability to care for the children with SCD and utilize mHealth and simulation. A 33-question survey was administered which included questions on: demographics, SCD, mHealth and simulation, General Self-Efficacy, Adult Hope, and four opened-ended questions. Results: In total, 36 SCD caregivers completed the survey and three of them provided an additional interview. Sixty nine percent of the caregivers were mothers (n = 25) of the children with SCD and all the caregivers were African American. Self-Efficacy (p=.568) and Adult Hope scores (p=.762) were not a predictor for willingness to use mHealth or simulation. Conclusions: SCD caregivers are using some forms of technology to help them however an all-inclusive (one-stop location) mHealth app along with simulation training would allow these caregivers to better manage their patient’s/loved ones SCD.

Impact of COVID-19 pandemic on depression and hopelessness in infertile women

Introduction COVID-19 has negative and sometimes irreversible effects on infertile women. This study aimed to investigate hopelessness and depression in infertile women whose treatment has been delayed due to COVID-19. Methods This case-control study was conducted online on 172 infertile women. The case group included infertile women under treatment whose treatment was delayed during the COVID-19 pandemic, and the control group was selected from infertile women who were not under infertile treatment. This study was conducted between April and December 2021 in Jahrom, Iran. Beck hopelessness standard questionnaire (BHS) and Beck Depression Inventory (BDI) were used to collect data, and p < 0.05 was considered significant. Results The mean score of hopelessness in women in the case group was 9.48 ± 1.80 compared to the control group 8.66 ± 1.34 (OR = 1.39 95% CI = 1.13–1.71), and its areas (OR = 1.33 95% CI = 1.003–2.43), Emotions and expectations score (OR = 1.59 95% CI = 1.07–2.37), Motivation loss score (OR = 2.02 95% CI = 1.49–2.73), Hope score, and depression in women in the case group was 40.33 ± 10.87to 36.72 ± 11.40 compared to the control (OR = 1.17 95% CI = 1.11–1.23). All these variables showed an increase in the case group compared to the control group (p < 0.05). Conclusion The results showed that infertile women whose treatment was delayed were more frustrated and depressed than women in the control group. COVID-19 epidemic and discontinuation of infertile treatments in infertile women seem to have negative psychological effects. Therefore, the psychological effects of this epidemic on infertile women should not be ignored, so planners should put social and family support at the top of the program.

Hope as a predictor for COVID-19 vaccine uptake in the US: a cross-sectional survey of 11,955 adults

ABSTRACT Widespread vaccine uptake is critical for ending the COVID-19 pandemic. As public health officials focus on overcoming vaccine hesitancy, simultaneously boosting hope may be equally important in the US. We analyzed data from an online cross-sectional survey conducted in June 2021. Participants were 11,955 US adults (ages 18–83) of various ethnicities, living in urban and rural settings. Of these, 71.3% had some college education. Mean age was 32.3 years and 72.4% reported being vaccinated against COVID-19. Main measures were COVID-19 self-reported vaccination status (vaccine uptake), vaccine hesitancy (Adult Vaccine Hesitancy Scale), and hope (Adult Hope Scale). The US grand mean hope score fell within the low-hope range. COVID-19 vaccine uptake was positively associated with hope, even after adjusting for vaccine hesitancy, gender, age, ethnicity, income, and urban vs. rural residence. The strong relationship between hope, vaccine confidence and vaccine uptake persisted across US populations at risk for low vaccine uptake. Our mediation analysis revealed that, for every unit increase in hope, the probability of being vaccinated went up by 5% points. Of this association, 52% was not mediated by vaccine hesitancy, but rather through a direct pathway from hope to vaccine uptake. Mediation analyses of US populations at risk of low vaccine uptake revealed similar findings. Hope may play an important role in vaccine uptake by reducing vaccine hesitancy and by directly enhancing vaccine uptake. Especially in populations at risk of low vaccine uptake, vaccine interventions that boost hope may augment public health efforts to increase US vaccination rates.

Patient-reported hope, quality of life (QOL), symptom burden, and coping mechanisms in early phase clinical trial participants.

12114 Background: Early phase clinical trials (EP-CTs) investigate novel treatment options in oncology, with recent advances in personalized therapy leading to improved outcomes and offering hope to patients with cancer. However, little research has sought to understand associations of patient-reported hope with QOL, symptom burden, and coping mechanisms in EP-CT participants. Methods: We prospectively enrolled consecutive adults with cancer participating in EP-CTs at Massachusetts General Hospital from 04/2021-01/2022. Participants completed baseline surveys prior to treatment initiation that assessed hope (Herth Hope Index [HHI], higher scores indicate greater hope), QOL (Functional Assessment of Cancer Therapy-General), symptom burden (physical: Edmonton Symptom Assessment System [ESAS]; psychological: Patient Health Questionaire-4 [PHQ4]), and coping mechanisms (Brief COPE). We used independent samples t-test to test for mean differences between groups and regression models to explore associations of hope with patient characteristics as well as patient-reported QOL, symptom burden, and coping mechanisms. Results: Of 92 eligible patients, we enrolled 85 (enrollment rate 92.4%, median age = 61.4 years [range 54.7-68.9]; 56.5% female, and 95.3% metastatic cancer). Most common cancer types were gastrointestinal (41.2%), breast (21.2%), lung (7.1%), and gynecologic (7.1%). Patients had an average HHI score of 28.2 (range 12.0-36.0), with 32.9% reporting high levels of hope. We found that married patients had higher mean hope score compared with non-married patients (28.9 versus 26.1, p = 0.024), those with children had higher mean hope scores than those without (28.9 versus 25.9, p = 0.013), and those who had received 3 or more lines of prior therapy compared with 1-2 (29.3 versus 27.2, p = 0.045) had higher hope scores. We also found associations of hope with patients’ QOL (B = 0.24, p &lt; 0.001), symptom burden (ESAS-physical: B = -0.13, p = 0.001; PHQ4-depression: B = -2.26 p = &lt; 0.001; PHQ4-anxiety: B = -0.94, p = 0.008), and coping (self-blame [B = -1.39, p = 0.003]; acceptance [B = 1.23, p = 0.002], denial [B = -1.09, p = 0.009], support [B = 1.06, p = 0.002], active [B = 0.73. p = 0.034], disengage [B = -3.24, p &lt; 0.001]). Conclusions: In this prospective cohort study, we demonstrated that a substantial proportion of EP-CT participants had high baseline hope, and we identified several patient factors associated with their hope scores. We also found novel associations of higher hope scores with better QOL, lower symptom burden, and more adaptive coping mechanisms. Collectively, our findings highlight the potential for patient-reported hope to represent a key factor to consider when seeking to improve outcomes in EP-CT participants.

Examining the Role of Resilience and Hope in Grit in Multiple Sclerosis.

The purpose of this study was to examine the effects of resilience and hope on grit when controlling for demographic covariates, depression, and anxiety in people with multiple sclerosis (MS). This was a cross-sectional study with a sample of 348 participants with MS. Descriptive statistics were performed to examine participants' demographic characteristics. A three-step hierarchical regression analysis was conducted to evaluate the extent to which resilience and hope explain the unique variance in grit while controlling for demographic covariates, depression, and anxiety. Findings suggested that resilience and hope explained a significant amount of variance in grit when controlling for demographic covariates, depression, and anxiety. Furthermore, higher resilience and hope scores were associated with higher grit scores. Given that resilience, hope, and grit are modifiable, rehabilitation and mental health professionals (e.g., psychologists, psychiatrists, rehabilitation counselors) can integrate strength-based interventions into their practices to bolster resilience, hope, and grit in people with MS. Our paper also has implications for interdisciplinary research and clinical practice.

Hope and depression in Brazilian head and neck cancer patients during the COVID-19 pandemic.

IntroductionHead and neck cancer is characterised as traumatic, when compared to other types of cancer, due to the physical, physiological and social impact it has on the patient.ObjectiveTo evaluate hope and severe depression in patients with head and neck cancer during the COVID-19 pandemic.MethodQuantitative, observational, and analytical; conducted in the outpatient department of the head and neck department of an oncological hospital in the city of Curitiba, Paraná, Brazil, with 60 patients with head and neck cancer being treated with chemotherapy and radiotherapy. Data collection took place between May and September 2020, with the application of three questionnaires: socio-demographic and clinical; Patient Health Questionnaire-9 (PHQ-9), to evaluate severe depression; and the Herth hope scale. Data analysis was through descriptive statistics and non-parametric Mann– Whitney, Kruskal–Wallis and Spearman correlation tests.ResultsThe age of participants ranged from 34 to 85 years, with 61.7% being male. The diagnosis of cancer occurred in the oral cavity (53.3%) and larynx (33.3%); 28.3% (n = 1 7) presented with a diagnosis of depression; 8.6% (n = 5) are in treatment with psychology; and 10.3% (n = 6) are in treatment with psychotropic drugs. The analysis of the association of the PHQ-9 score with sex showed a mean score of 7.7 ± 6.2, with a higher level of depression in women. The mean hope score was 41.3 ± 3.1; however, during the pandemic, 35% (n = 21) reported feelings of anguish, anxiety and fear, with the latter being predominant and in association with the PHQ-9 score showing a mean of 8.2 ± 6.2 (p = 0.123). The association of hope with the number of children was statistically significant (p = 0.034) and in the education variable with the PHQ-9 score (p = 0.019).ConclusionThe use of tools that assess both levels of hope and depression in patients undergoing chemotherapy and radiotherapy provides health professionals with support for the implementation of targeted actions to cope with the disease.

Character strengths of women with polycystic ovary syndrome in a single center.

PurposeTo investigate the difference in character strengths (CSs) between patients with and without polycystic ovary syndrome (PCOS) and the association between biological (i.e., testosterone levels) and psychological factors (i.e., character strengths).Patients and methodsA total of 99 women divided into PCOS (49) and non-PCOS (50) groups who presented to the gynecological clinics at the women’s center in the American University of Beirut Medical Center in 2017 were included. Women were assessed for testosterone bioavailable levels and completed a questionnaire that included Hospital Anxiety and Depression Scale and Values in Action Survey-72. Univariate and multivariable analyses were performed to examine the association of CSs between the two groups and its predictors.ResultsThe scores of hope, judgement, perspective, and transcendence of the PCOS group were significantly higher in comparison with healthy participants. An increase in free androgen index was negatively correlated to the score of judgement only.ConclusionWomen with PCOS have their own profile of character strengths and virtues that constitute judgement, hope, perspective, and transcendence. This in turn can be utilized to reinforce those personality strengths and thus decrease the psychological distress and mood disorders accompanied with this disease.

Effects of Psychotherapy on Hope/Hopelessness in Adults with Cancer: a Systematic Review and Meta-analysis.

Although psychotherapy is a common treatment for hopelessness and hope, the effectiveness remains controversial. The purpose of this study was to quantitatively synthesize available evidence related to the effect of a broad range of psychotherapy interventions on hope/hopelessness in cancer patients. Eight electronic databases were searched for studies with adult cancer patients (mean age ≥ 18years) receiving psychotherapy interventions with hope/hopelessness measured as outcomes and written in English. We used the random-effects model to compute effect size using Hedges' g and conducted moderator analyses. We found 27 primary studies which included 1,998 participants who were 57.6 ± 8.0years old across studies. The psychotherapy effect size ranged from - 0.86 to 2.92. Researchers who conducted psychotherapy at hospital/health centers showed higher effects, that is, improved hope scores (g = 0.63), than those who conducted psychotherapy in the community (g = 0.05). When researchers enrolled participants alone, psychotherapy resulted in higher effects (g = 0.62) than when partners/caregivers were involved (g = - 0.04). Researchers who included group discussion showed lower effects (g = 0.36) than without group discussion (g = 1.10). Researchers who examined fidelity found lower effects (g = 0.16) than researchers who did not examine fidelity (g = 0.66). Interestingly, researchers who studied people with breast cancer showed higher effects (g = 0.96) than those who studied people with other types of cancer (g = 0.26). Researchers who included higher percentages of women showed greater effects (slope = 0.008, Qmodel = 3.99, p = 0.046). Finally, the greater the time span between psychotherapy and the measurement of hope, the lower the psychotherapy effects (slope = - 0.002, Qmodel = 4.25, p = 0.039). Psychotherapy had a solid moderate effect on reducing hopelessness and improving hope in cancer patients compared to controls.

Hope Among Adolescents With Thalassemia in Indonesia: A Cross-Sectional Study

Adolescents with thalassemia suffer from complex problems, which can include psychosocial issues, self-image and self-confidence problems, and disruption in school or social activities. Hope is a fundamental multidimensional psychological concept that refers to a person’s belief that desired outcomes will be achieved on the basis of rational and potential goals. This study aimed to examine hope and its associated factors among adolescents with thalassemia in Indonesia. A cross-sectional study was carried out at the Thalassemia Polyclinic in four general public hospitals in West Java, Indonesia. The following inclusion criteria were used: (1) adolescents (10-19 years) who obtained frequent blood transfusions; (2) able to write, read and participate; and (3) aware of their own diagnosis. A convenience sample strategy was used to choose the participants. The Children’s Hope Scale was used to measure the outcome. Linear regression analyses were used to investigate the factors associated with hope. The mean overall hope score among adolescents with thalassemia was 3.34 (SD = 1.15). The mean of agency was 2.78 (SD = 1.37) and of pathway was 3.89 (SD = 2.01). Age, transfusion period and hemoglobin explained 26.1% of the variance in the overall hope score; 23.8% was explained by the agency domain, and 30.1% by the pathway domain. This study demonstrated that hope plays a unique role in adolescents with thalassemia. As a result, it is critical to develop information and empirically based interventions that help adolescents’ caregivers to enhance their feelings of hope.&#x0D; Keywords: adolescents, hope, thalassemia, Indonesia

Influencing Factors of Hope Among Chinese Patients With Hematological Malignancies From the Perspective of Positive Psychology: A Cross-sectional Study.

Hope is an important resource and reserve for patients with hematological malignancies to cope with stress. Through analyzing hope levels and its influencing factors, this study provides evidence for developing psychological interventions for this population. The aim of this study was to explore the influencing factors of hope in patients with hematological malignancies. A cross-sectional study including 165 participants with hematological malignancies was performed from November 2019 through June 2020 in a tertiary hospital in Beijing, China. The Adult Dispositional Hope Scale, UCLA Loneliness Scale, Simplified Coping Style Questionnaire, Self-esteem Scale, and Big Five Short-Form Scale were used to evaluate each variable. Regression analysis was conducted to explore the influencing factors of hope. The total mean hope level (40.39 ± 4.32) was significantly lower than the national norm. Multiple stepwise regression analysis indicated that openness ( β = .38, P < .001), neuroticism ( β = -0.25, P < .001), rigor ( β = -0.15, P = .043), self-esteem ( β = .33, P < .001), positive response ( β = .22, P < .001), negative response ( β = .12, P = .039), and residential region ( β = .17, P = .002) were significantly associated with the total hope level among patients with hematological malignancies. Self-esteem and openness were positively correlated with the total mean hope score and its 3 subdimensions. The hope level was relatively low in patients with hematological malignancies. Hope level was affected by individual personality traits, coping styles, self-esteem, and loneliness. Attention should be drawn to the relationship between the hope level and positive psychological characteristics among patients with hematological malignancies. Our study supports the need to develop tailored and effective interventions to improve the level of hope among this patient population.

Effectiveness of Mindfulness Group Training on Hope and Resilience of People with Gender Dysphoria

Background: Gender Dysphoria (GD) affects the personality, behavioral, cognitive, emotional, and metacognitive systems of individuals, and people with GD are more susceptible to psychological disorders. Objective: The present study aimed to investigate the effectiveness of mindfulness group training on the hope and resilience of people with GD. Materials &amp; Methods: This was a quasi-experimental study with a pre-test, post-test, and three-month follow-up design and a control group. The study population comprised all people with GD visiting the State Welfare Organization of Shiraz in 2020. The sample consisted of 30 people suffering from GD, selected by convenience sampling method. We randomly divided the participants into experimental and control groups (n=15 per group). The experimental group underwent eight sessions (90-minute sessions per week) of mindfulness group training. The research instruments included the Connor-Davidson Resilience Scale and Miller Hope Scale. Data analysis was performed using repeated measures ANOVA. Results: The mean age of participants was 31.49±9.19 years and 47% were male. Participants in the mindfulness group training showed significant improvement in the scores of hope (P=0.04) and resilience (P=0.03) compared to the control group. Conclusion: The findings indicated that mindfulness training using techniques such as mindful thoughts, emotions, and behavior can serve as an effective therapy to increase the level of hope and resilience in people with GD.

Planned discharge program effectiveness on cardiac self-efficacy and hope in patients undergoing coronary artery bypass graft surgery: A quasi-experimental study

Background Controlling risk factors and lifestyle modification in coronary artery bypass graft (CABG) patients plays an important role and leads to the empowerment of these patients to take care of themselves. One way to empower these patients is to improve their self-efficacy and hope. This study aimed to investigate the effect of the planned discharge on cardiac self-efficacy and hope of CABG patients. Methods In this quasi-experimental study, the sample consisted of 60 people (30 in the intervention group and 30 in the control group). Data were collected using the Miller Hope Questionnaire and Sullivan Cardiac Self-Efficacy Questionnaire. Data analysis was performed using central indices of mean and standard deviation and Chi-square, t-tests and one-way analysis of variance. The software used for data analysis was SPSS version 19. Results The mean age of participants in the control group was 91/9 ± 86/91 and in the intervention, group was 33/7 ± 7/58. There was no significant difference between the demographic characteristics, heart self-efficacy and hope scores of the participants in the control and intervention groups. After the intervention, there was a meaningful statistical difference between the two groups at discharge time and 1 month afterward in both hope and cardiac heart self-efficacy scores ( p = 0.001, 0.0001). Conclusion In this study, the implementation of the discharge program was effective in increasing the hope and cardiac self-efficacy of CABG patients and the use of the discharge plan is recommended to improve the outcomes of these patients.

A Mixed Methods Study of Relationship Satisfaction in Parents of Children With Down Syndrome

Much of the research on parents of children with intellectual and developmental disabilities (IDD) has focused on the negative effects on the couple relationship. The current study contributes to the understanding of parental relationship satisfaction in a sample of parents of children with Down syndrome (DS), through a mixed methods study that included data from a large national sample. Parents of children with DS were divided into two groups based on high and low relationship satisfaction scores, with quantitative and qualitative data analyses comparing these two groups. Results indicated differences between high relationship satisfaction and low relationship satisfaction groups on measures of hope, life satisfaction, and coping scores. Qualitative results also indicated group differences. Future research and implications for professionals working with parents of children with DS and other IDD diagnoses should include understanding the unique factors that affect interpersonal functioning.

Resilience and Hope Among Yazidi Women Released From ISIS Enslavement.

This study aimed to explore the levels of resilience and hope among Yazidi women who survived captivity by Islamic State of Iraq and Syria (ISIS) and to examine its relationship with posttraumatic stress disorder (PTSD), generalized anxiety, and depressive symptoms. In this cross-sectional study, 139 formerly enslaved Yazidi women were assessed. The mean scores of resilience and hope were below the suggested cutoff means (M = 2.47, SD = 0.48, R = 1-5) and (M = 31.6, SD = 11.7, R = 8-64), respectively. Sociodemographic variables were not related to resilience and hope, other than those women who stayed in captivity for more than a 3-year period who reported significantly lower levels of hope (M = 28.36, SD = 11.69). Formerly enslaved Yazidi women who display higher levels of PTSD, generalized anxiety, and depression exhibit significantly lower levels of resilience and hope. Resilience and hope are therefore important concepts to explore in traumatized populations.