Integrative Hope Scale Research Articles

Examining the psychometric properties of the Integrative Hope Scale's English translation in a mixed-diagnostic community health sample.

Our objective is to provide preliminary evidence of the English translation of the Integrative Hope Scale (IHS). Hope is a critical concept for recovery. Synthesizing from other hope models, Schrank and colleagues developed the IHS. Although translated into five languages, no known studies assess the IHS's English translation within a clinical sample. Additionally, no known studies investigate the IHS's relationships with mental health measures in a mixed-diagnostic clinical sample. To address these gaps in the literature, we used confirmatory factor analyses, alpha, and omega reliability coefficients, and correlational analyses to assess the IHS within a suburban, mixed-diagnostic intensive outpatient community mental health sample (n = 125) in the midwestern United States. While poorest fit was found within the one-factor model, the four-factor oblique, higher-order, and bifactor models showed improved fit. Reliability for the total score was good, with subscales ranging from acceptable to good. Significant relationships were found for the IHS in expected directions with measures of hope and depression at a large effect size and anxiety and stress at a moderate effect size. This study provides preliminary evidence that the IHS may have the potential to serve as a central measure of hope. Given hope's role within recovery and given its relationships with mental health measures shown in this mixed-diagnostic clinical sample, the IHS should continue to be investigated by researchers, clinicians, and clients, especially in recovery-focused programs. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Heart and Head: Profiles and Predictors of Self-Assessed Cognitive and Affective Empathy in a Sample of Medical and Health Professional Students.

For medical and health professions, students learning to respond to others' distress with well-regulated empathy is an important developmental skill linked to positive health outcomes and professionalism. Our study aimed to investigate the sociodemographic, psychological, and psychosocial differences between medical (MS) and health professional (HPS) students and their empathic abilities, since both populations share common stressors, namely, dealing with suffering people. Additionally, we were interested in assessing the psychological and psychosocial predictors of empathy of MS compared to HPS. One hundred thirty MS and 86 HPS were administered the Patient Health Questionnaire-9, Interpersonal Reactivity Index, Integrative Hope Scale, and UCLA Loneliness Scale. The two groups showed differences in their contextual characteristics, with the HPS group having larger families, lower parents' education levels, and lower family income compared to the MS group. In both groups, ~15% of students reported previous contact for psychological problems. A higher proportion of HPS (23.3%) reported depressive symptoms than MS (10%), and female HPS reported more intense feelings of loneliness than other subgroups of students. No differences were found between the two groups in self-assessed cognitive and affective empathy. In both groups, women showed greater affective scores than men and, at the same time, seemed to be particularly prone to personal distress. The cognitive empathic dimension of “perspective taking” was predicted by young age (OR, 612; 95% CI, 1.395–15.242) and the overall socioeconomic status (OR, 3.175; 95% CI, 1.154–8.734) of the HPS. Self-assessed affective competence was predicted by female gender (OR, 3.112; 95% CI, 1.328–7.288), depressive symptomatology (OR, 2.777; 95% CI, 1.004–7.681), higher mother's level of education (OR, 2.764; 95% CI, 1.147–6.659), and feeling of hope related to social relationships (OR, 1.367; 95% CI, 1.152–1.622). Risk factors for poor self-assessed affective emphatic skills were previous contact for psychological problems (OR, 3.263; 95% CI, 1.238–8.601) and feelings of loneliness (OR, 1.18; 95% CI, 1.09–1.276). Our findings emphasize the need to test psychosocial models to better understand empathic skills.

Examination of hope, intolerance of uncertainty and resilience levels in parents having disabled children

The main purpose of this study is to examine the relationship between hope, intolerance of uncertainty and resilience levels in parents having disability children, and also to make a comparison of the levels of hope, intolerance of uncertainty and resilience between parents having disability children and parents having normal children. With ease of accessibility sampling, parents having disability children (Ndis=174) and parents having normal children (Nnor=99) from Kütahya were selected to gather data. 220 participants were female, while 53 were male (Ntotal=273). In this research, the Integrative Hope Scale, Intolerance of Uncertainty Scale and Resilience Appraisal Scale were applied in order to determine the levels of hope, intolerance of uncertainty and resilience of the parents. As a result, the parents having disability children were observed to have higher levels of intolerance of uncertainty and lower levels of hope and resilience than parents having normal children. Moreover, there are statistically significant relationships between hope, intolerance of uncertainty and resilience. Finally, having disability children and disability types are the important factors for high intolerance of uncertainty and low hope and resilience levels. Keywords: Hope, intolerance of uncertainty, resilience, disability children

Validation of the Integrative Hope Scale in a Chinese college student population

ABSTRACT Recently, the Integrative Hope Scale (HIS) was developed and validated in several Western cultures. Because of its multidimensional structure and its relational components, we wondered if IHS could be a useful instrument for assessing hope in non-Western cultures. The current study translated and validated the IHS in a large sample of Chinese college students. Validity and reliability evidence for the IHS in Chinese culture was obtained by conducting Item Factor Analysis (IFA) across four different measurement models (e.g. a single factor model, a four-factor oblique model, a higher order factor model and a bi-factor model). Evidence of convergent and divergent validity was also gathered through correlation with measures of psychological well-being. Results indicate that the IHS is a valid measure of hope in Chinese college students. Discussions of specific aspects of the IHS and their applicability in the Chinese culture are provided. Implications for research and interpretation with the IHS are discussed.

Hope and its dimensions in relation to clinical recovery: A cross-sectional study among people with psychotic disorders.

Hope is a key component of personal recovery. There is limited evidence regarding the association of hope with the level of functioning in individuals with psychosis. It is also not clear which dimensions of hope are most strongly related to clinical recovery. Thus, this study aims to explore the relationships of hope and its dimensions with various indicators of clinical recovery such as overall psychopathology, depression and global functioning among people with psychotic disorders. The Integrative Hope Scale (IHS; Schrank, Woppmann, Sibitz, & Lauber, 2011) was administered to 110 people with psychotic disorders. Multiple regression analysis was used to investigate the associations of the IHS total score and its four subscales (i.e., Trust and Confidence, Lack of Perspective, Positive Future Orientation, and Social Relations and Personal Value) with overall psychiatric symptoms, depression, and general functioning. A total level of Hope was not associated with overall psychopathology or global functioning; however, it showed a significant negative relationship with severity of depression. A stronger feeling of a Lack of Perspective turned out to be associated with more severe depression and a greater intensity of psychopathological symptoms. The relationships of the remaining dimensions of Hope with the indicators of clinical recovery were found to be nonsignificant. The findings suggest that combining Hope-enhancement strategies with interventions targeting symptoms may increase the effectiveness of rehabilitation programs for people with psychosis. They also point to the sense of a Lack of Perspective as the aspect of Hope most strongly related to clinical recovery. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Hope and Life Engagement of Cancer Patıents at the Advanced Stage

Introduction: Cancer is a clinical tableau in which many complicated physical and psychological problems are encountered and the individual’s defense mechanism against the process is often shaken. With the deterioration of the prognosis and the progression of the disease, individuals whose belief in healing is reduced may lose their life engagement and hope.Objective: The purpose of this cross-sectional and descriptive study is to determine the level of hope and life engagement of individuals with advanced stage cancer.Methods: The study was conducted with 74 advanced cancer patients who were hospitalized in the oncology, palliative care and surgery clinics of the Trabzon Kanuni Training and Research Hospital, fulfilled the research criteria and signed informed consent forms out of their free will. The data were collected using the “Demographic Information Form,” which included subjective questions, the “Integrative Hope Scale” consisting of four subscales, and the “Life Engagement Scale” in which the level of life engagement was detected. The data were analyzed by using the SPSS program and “ANOVA,” “Independent t-test” and “Correlation test” were used to analyze the relationship between the hope and life engagement scores and variables. The value p<.05 was accepted as statistically significant.Results: The common hope level mean of the patients included in the study was 104.5±6.8 and the common life engagement mean was 23.9±4.9. Correlating the significant differences in the subscales of the scale, the variables affecting the level of hope were determined as “ living place, fear of death, and despair,” and the variables affecting life engagement were determined as “education status, living place, ruefulness, and needing psychological support.”Conclusions: The psychosocial support and solidarity that the individual receives from other individuals in his environment and health care providers positively affects his selfconfidence, hope and life engagement. On the other hand, contrary to the meaning of “I am not afraid of dying,” this statement can be considered an expression of giving up on life. Nurses should focus on the messages underlying what the patients say.

Description and impact of a structured psychoeducational and salutogenetic approach (InteGRO) to support the recovery of people with severe mental disorders

In mental health services there is an increasing attention to the recovery of people with severe mental illness. Consequently there is a growing literature on this topic focused above-all on the description of excellence paths that often include variables related to the organizational aspects of the service. Less attention is given to specific interventions to foster all the goals that are essential to improve the living conditions, including defining and planning goal, emotional perception, effective communication for negotiation, practical interpersonal and intrapersonal problem-solving. The aim of this paper is to describe an innovative and salutogenetic approach and to illustrate the results of the impact after a year of “active intervention”. We used a “quasi-experiment” design-study with a pre-post assessment without a control group on 21 subjects with schizophrenia or bipolar disorder according to DSM-IV-TR criteria. We used to evaluate Functioning, the primary outcome, the Personal and Social Performance Scale. For the secondary outcome measures we used the Stress-Scale, the Modified Five-Point Test for cognitive flexibility, the APEN/G e APEP/G Scale for perceived self-efficacy, the Integrative Hope Scale, the items “subjective and objective load” of the “Aid received, Needs and Burden” self-filled questionnaire. The clinical assessment was made by the Brief Psychyatric Rating Scale, while we used the Repeatable Battery for the Assessment of Neuropsychological Status. Of the 21 subjects included, 18 completed the assessment. Significant improvements were noted for all variables considered, with particular relevance for Personal and Social Functioning (p<0.001). Predictive variables for this dimension were the level of stress and perceived self-efficacy (p<0.05). The observed data confirm the effectiveness of this innovative approach, above all on Personal and Social Functioning where there has been improvement from two or more marked dysfunction areas to one area.

Enhancing Hope, Resilience, Emotional and Interpersonal Skills in Counsellor Trainees: A Controlled Trial

This study was aimed to develop the group psychological counselling programme for counsellor trainees to develop their ability to recognise, express emotions and establish healthy intrapersonal and interpersonal relationships. Moreover, the effect of the group practices was also investigated. The experimental design included the pre- and post-test control group. The sample of this study forms third-grade students attending the Guidance and Psychological Counselling in Marmara University, Turkey. 24 students were randomly assigned to the groups. Integrative Hope Scale, The Need for Affect Scale, Resilience Scale for Adults, Emotional Expression Questionnaire, and Scale of Interpersonal Relationships Dimensions were used as instruments. The results indicate that the developed group counselling programme yielded differences between the experimental and control groups, and the pre- and post-test scores of the training group. The findings indicate that the group counselling programme contributed to improving the hope and psychological resilience by relying on healthy relationships. Keywords: Counselling, hope, resilience, emotion expression, interpersonal relationship.

Assessing the Factor Structure of the Integrative Hope Scale.

While some researchers contend that hope is unidimensional, other researchers regard hope to be multidimensional. Schrank, Woppmann, Sibitz, and Lauber's exploratory factor analysis of their Integrative Hope Scale (IHS) found subscales of Trust, Future Orientation, Social Relations, and Lack of Perspective. However, subsequent articles have utilized only the total IHS score. To resolve this issue, a community sample of 288 participants completed the IHS as well as two measures of hedonic well-being (Positive and Negative Affect Schedule; Temporal Satisfaction With Life Scale), a measure of eudemonic well-being (Measure of Actualization of Potential), and a measure of time orientation (the Zimbardo Time Perspective Inventory). One-factor, four-factor oblique, higher order, and bifactor models were compared through confirmatory factor analysis and interpreted using Omega reliability coefficients. While the poorest model fit was for the one-factor model, little reliable variance was found in subscale scores after controlling for a general hope factor with the exception of the Lack of Perspective factor. IHS total and subscale scores were associated with measures of well-being and time orientation. We suggest researchers continue to focus on using the IHS total score, but also report subscale scores, especially for the Lack of Perspective subscale.

Association of trait and specific hopes: cross sectional study on students and workers of health professions in Split, Croatia.

Introduction. Hope (hoping) is most commonly assessed as a dispositional trait and associated with quality of life, self-care agency and non-attempts of suicide. However, little research has been conducted on hoping for specific events.Materials and Methods. We distributed a survey consisting of Integrative Hope Scale (IHS) and visual analogue scales on which respondents could declare their levels (intensity) of hope for specific events, to all first year health students enrolled at the University Department of Health Studies, Split, Croatia in 2011/2012, as well as to working health professionals attending a nursing conference in April 2012.Results. A total of 161 (89.4%) students and 88 (89.8%) working health professionals returned the completed questionnaires. We found high trait hope scores of students and working health professionals (Md = 111, 95% CI [109–113] vs. Md = 115, 95% CI [112–119]; U = 5,353, P = 0.065), and weak to moderate correlations of trait and specific hopes (r = 0.18–0.48, Spearman’s rank correlation coefficient). Students and workers reported 31 different things they hoped for most in life, of which the most prevalent were being healthy and happy. There was very little agreement between participants’ reported influence of the four factors compromising the trait hope (self-confidence, ambition, optimism, and social support) on their specific hopes.Conclusions. Our findings, while strengthening the validity of hope as a trait, indicate that specific hopes of individuals are moderated by factors not captured by the IHS trait scale. Further research should explore specific hoping in detail, as well as the effectiveness of interventions aimed at increasing specific or generalized hoping.

Felicidad y esperanza subjetiva

The aim of this research is to examine the relationships between subjective happiness and hope. The participants were 435 university students. In this study, the Integrative Hope Scale and the Subjective Happiness Scale were used. The relationships between were examined using correlation analysis and Structural Equation Model (SEM). In correlation analysis, trust and confidence, positive future orientation, and social relations and personal value sub factors of hope were found positively related to subjective happiness. On the other hand, lack of perspective sub factor of hope was found negatively correlated to subjective happiness. Structural Equation Model showed that subjective happiness was predicted positively by trust and confidence, positive future orientation, and social relations and personal value. However, subjective happiness was negatively explained by lack of perspective. According to standardized beta coefficients (β= 0.34), the most significant predictor of subjective happiness was trust and confidence. Results were discussed in the light of the related literature.

The positive contributions of hope to maintaining and restoring health: An integrative, mixed-method approach

A link between hope and physical well-being has long been suspected. To shed further light on this issue, an integrative theory of hope was used to design three health-related studies. In studies one and two, an integrative hope scale was used. In study one, greater hope was associated with depth of commitment to a healthier diet and regular exercise. In study two, the integrative hope scale was associated with a wider array of health behaviors as compared to a standard goal-oriented hope scale. In study three, a hope-centered content analysis of testimonies provided by long-term breast cancer survivors revealed a strong reliance on attachment and spirituality, dimensions typically neglected in psychological studies of this [hope] construct. An integrative approach to hope offers a framework for further research on hope and health as well as a blueprint for developing positive interventions to sustain and restore physical well-being.

Insight, positive and negative symptoms, hope, depression and self-stigma: a comprehensive model of mutual influences in schizophrenia spectrum disorders

Aims. Insight, positive and negative symptoms, hope, depression and self-stigma are relevant variables in schizophrenia spectrum disorders. So far, research on their mutual influences has been patchy. This study simultaneously tests the associations between these variables. Methods. A total of 284 people with schizophrenia spectrum disorders were assessed using the Schedule for the Assessment of Insight, Positive and Negative Syndrome Scale, Integrative Hope Scale, Centre for Epidemiological Studies Depression Scale and Internalized Stigma of Mental Illness scale. Path analysis was applied to test the hypothesized relationships between the variables. Results. Model support was excellent. Strong and mutual causal influences were confirmed between hope, depression and self-stigma. The model supported the assumption that insight diminishes hope and increases depression and self-stigma. While negative symptoms directly affected these three variables, reducing hope and increasing depression and self-stigma, positive symptoms did not. However, positive symptoms diminished self-stigma on a pathway via insight. Conclusions. This study provides a comprehensive synopsis of the relationships between six variables relevant for schizophrenia spectrum disorders. Research implications include the need to investigate determinants of consequences of insight, and the sequence of influences exerted by positive and negative symptoms. Clinical implications include the importance of interventions against self-stigma and of taking a contextualized approach to insight.

Validation of the Integrative Hope Scale in people with psychosis

Hope is an important variable in mental health, particularly in the emergent field of research focused on recovery and well-being. This study validates the “Integrative Hope Scale” (IHS) for use in people with severe mental illness. Two hundred participants diagnosed with schizophrenia or schizoaffective disorder were assessed using the IHS, the Centre for Epidemiological Studies Depression Scale, and the Positive and Negative Syndrome Scale. Sixty participants were re-assessed after 14days to establish re-test reliability. Confirmatory factor analysis was carried out; correlations between the scales and kappa coefficients were used to establish validity and reliability. The factor analysis confirmed a four-factor solution with excellent model fit, after minor modifications to the initial model. Discriminant validity and internal consistency were excellent. Test–retest reliability was good except for one item. This study suggests the scale to be a valid, reliable and feasible tool for the assessment of hope in people with severe mental illness. It provides a sound basis for future research on hope in mental health. For use in people with psychosis, we suggest some minor modifications to the scale.

P03-356 - Hope and symptoms in psychosis

IntroductionHope is considered as an important factor in recovery from severe mental illness. So far it has been studied in patients with depression, anxiety disorders and post traumatic stress disorder, whereas empirical studies involving people with psychosis are scarce and their results are inconclusive.AimWe aimed at evaluating the relationship between(i) hope and positive as well as negative psychotic symptoms and(ii) hope and depression in people with psychosis.MethodsIn this cross-sectional study 148 patients with schizophrenia and schizo-affective disorder were interviewed by a psychologist who rated the positive and negative symptoms on the Positive and Negative Syndrome Scale (PANSS). Hope and depression were measured using the self-assessment scales Integrative Hope Scale (IHS) and the Center for Epidemiologic Studies Depression Scale (CES-D).ResultsNo statistically significant correlation was found between hope and positive symptoms (r = .071, p = .414). Hope and negative symptoms, however, showed a statistically significant negative correlation (r = -.196, p = .023), as did hope and depression (r = -.255, p = .003). This latter relationship remained significant after controlling for negative symptoms in a partial correlation (r = -.216, p = .013).ConclusionWhile hope appears unrelated to positive symptoms, a significant correlation with negative symptoms and depression was found. These results emphasise the potential importance of hope as a target variable to support recovery in patients with psychosis. However, prospective studies are needed to clarify the causal relationships between hope and symptoms of psychotic disorders.