• Title/Summary/Keyword: Hopelessness

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Social Support and Hopelessness in Patients with Breast Cancer

  • Oztunc, Gursel;Yesil, Pinar;Paydas, Semra;Erdogan, Semra
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.571-578
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    • 2013
  • Background: Patients with breast cancer can experience a feeling of hopelessness very deeply in the adjustment process, and the social support provided during this period can be effective in increasing the level of hope. The present study aimed to identify breast cancer patients' social support and hopelessness level. Materials and Methods: The target population of this analytical study was all breast cancer patients (total of 85) who had treatment in the oncology department of a university hospital located in Adana/Turkey and who met the inclusion criteria. Data were collected through "Personal Information Form", "Beck Hopelessness Scale (BHS)" and "Multidimensional Scale of Perceived Social Support" (MSPSS). Analysis was performed using Shapiro Wilk, One Way ANOVA Welch, Student t-test, Mann Whitney U, and Kruskall Wallis tests. Homogeneity of variance was tested with the Levene, Bonferroni and Games Howell tests. Mean scores and standard deviation values are given as descriptive statistics. Results: Average age of the participants with breast cancer is $48.6{\pm}10.6$. Of all the participants, 84.7% are married, 49.4% graduated from primary school, 81.2% are housewives, and 82.4% had children. The participants' multidimensional perceived social support total scores were found to be high ($57.41{\pm}13.97$) and hopelessness scale scores low ($5.49{\pm}3.80$). There was a reverse, linear relationship between hopelessness scale scores and social support total scores (r=-0.259, p=0.017). A statistically significant relationship was found between hopelessness scores and education level and having children, occupation, income status, and education level of spouses (p<0.05). Conclusions: The present study indicates that hopelessness of the patients with breast cancer decreased with the increase in their social support. Therefore, activating patient social support systems is of importance in increasing their level of hope.

The Role of Social Support for the Influences of Perceived Burdensomeness and Hopelessness on Suicidal Ideation of the Elderly (노인의 자살생각을 높이는 지각된 짐스러움과 절망감에 대한 사회적 지지의 역할)

  • Jeon, Young-Sun;Heo, Chang-Goo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.64-74
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    • 2019
  • The aims of this study were verifying the influences of social support(family, friend, community) on perceived burdensomeness and hopelessness and mediating effects of perceived burdensomeness and hopelessness between social support and suicidal ideation. In results, family support reduced suicidal ideation of the elderly through mediating role of perceived burdensomeness as well as serial mediating effect of perceived burdensomeness and hopelessness. Friend support reduced suicidal ideation of the elderly through parallel and serial mediating effects of perceived burdensomeness and hopelessness. Community support reduced suicidal ideation of the elderly through mediating role of hopelessness. Social support show not direct effect but indirect effect on suicidal ideation through reduction of negative influencing factor(burdensomeness, hopelessness). In conclusion, we proposed it were needed that various efforts which improve the relation between family members in the age of nuclear family and ageing era, social policy support which development social network of the elderly, and the efforts which keep informed the social policy support of the community.

The Relationship of Anxiety, Hopelessness, and Family Suppoort of Breast Cancer Patients Undergoing Chemotherapy (암화학요법을 받는 유방암 환자의 불안, 절망감 및 가족지지와의 관계)

  • Park Jum-Hee;Lee Hyoun-Ju;Kim Hyun-Mi;Lyu Eun-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.147-162
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    • 1997
  • This study was attempted to provide the basic data for nursing intervention to improve the psychosociological adaptation of patients receiving chemotherapy for breast cancer by examining relationship between anxiety and hopelessness that they are experiencing and family support, in order to help them successfully cope with various psychological problems. This study was carried out with 93 breast cancer patients who are receiving chemotherapy in the injection treatment room of K University Hospital located in the downtown of Taegu after having underwent mastectomy in the hospital between December 1995 and August 1996. This study used the systematized questionnaires which contain 7 questions about general characteristics, Spielberger's trait anxiety & state anxiety scale, the tool that WON(1987) modified the hopelessness scale which was developed by Beck et al.(1967) and the family support tool made by TAE(1985). By using the SPSS/PC program, this study obtained the real number and percentage for the general characteristics of the subjects, and mean and standard variation for the degrees of trait anxiety, state anxiety, hopelessness and family support. The correlation between each variables was identified on the basis of the Pearson Correlation, and the degrees of trait anxiety, state anxiety, hopelessness and family support in the general characteristics of the subjects were analyzed by using the t-test, ANOVA, and Duncan test. The results of this study were summarized as follows. In the general characteristics of the subjects, most of each group were 51 years old or more and the middle class in income, had educational background under elementary school, no job, Buddhism in religion and spouse, and were receiving chemotherapy using MTX and 5FU. It was shown that the degree of the subjects' trait anxiety is, on an average, 50. 29, state anxiety 49. 68, hopelessness 51. 46 and family support 34. 28. Both trait anxiety and hopelessness showed normal correlation ; the higher the degree of trait anxiety is, the higher the degree of hopelessness is, while trait anxiety and family support showed reverse correlation ; the higher the degree of trait anxiety, the lower the degree of family support that the subjects perceive is. State anxiety and hopelessness also showed normal correlation ; the higher the degree of state anxiety is, the higher the degree of hopelessness is. Family support and hopelessness showed reverse correlation ; the higher the degree of family support is, the lower the degree of hopelessness that the subjects perceive is. And family support and state anxiety showed reverse correlation but there was a statistically significant difference. The degree of trait anxiety in the general characteristics of the subjects showed a significant difference by age, job and religion, the degree of state anxiety a signigicant difference by job and religion, the degree of hopelessness a signigicant difference by age, educational background and existence or not of spouse. In conclusion, the breast cancer patients receiving chemotherapy perceive anxiety and hopelessness due to several causes such as diagnosis itself or side effects of chemotherapy, so that it is required not only to develop specific nursing interventions including family support to alleviate anxiety and hopelessness but also to apply such interventions to clinical practice.

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The Relationship between Hopelessness and Suicidal Lethality of Suicide Attempters (자살기도자의 절망감과 자살치명도간의 관계)

  • Park, Jeong-Rae;Lee, Sang-Ick;Kim, Jae-Jin;Kim, Seok-Jung;Chung, In-Won
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.71-78
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    • 1996
  • The objective of this study is to evaluate the relationship of hopelessness and suicidal lethality of suicide attempters. The subjects were 72 persons who attempted suicide and came to the emergency room of Chungbuk National University Hospital from April 1st, 1995 to March 31st, 1996. The hopelessness of suicide attempter was assessed by Beck Hopelessness Scale(BHS), and the suicidal lethality was assessed by Risk-Rescue score. The Risk-Rescue Scores exhibited no significant differences in demographic characteristics (sex, age, education, religion, marital status, socioeconomic class, occupation) and psychiatric diagnoses. But the Risk-Rescue scores were significantly higher in high BHS group(BHS score ${\geq}$ 9) than in low BHS group(BHS score <9) and positive correlation was observed between the BHS and the Risk-Rescue score(Rs=0.77 : p<0.05). These results suggest that level of hopelessness be a major risk factor for suicidal lethality.

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The Effect of Perceived Stress on Suicidal Ideation Due to COVID-19 of College Students: Focusing on the Mediating Effect of Hopelessness

  • KIM, Yun Gyeong;JEONG, Jiyoon;LIM, Jaejeong;SEO, Bo-Kyung
    • The Korean Journal of Food & Health Convergence
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    • v.7 no.5
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    • pp.19-31
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    • 2021
  • The purpose of this study is to examine whether there is a mediating effect of hopelessness the relationship between perceived stress and suicidal ideation in college students. For this study, a survey was conducted on perceived stress, suicidal ideation, and mental health, self-esteem, problem drinking, and stress among 103 college studentsin Gyeonggi do. The results of this study are as follows. It was found that COVID-19 correlated with perceived stress, hopelessness, and suicidal ideation of college students. The hopelessness completely mediated between perceived stress and suicidal thoughts of college students, which is consistent with previous studies. This study is meaningful in that it confirmed relationship between the perceived stress, hopelessness, and suicidal ideations in college students due to COVID-19, reflecting the new situation of the times. Coronavirus will worsen people's mental health disorders and cause new stress-related disorders. Therefore, mental health researchers, clinicians, and people working in trauma-related fields should find ways to reduce the incidence of coronavirus-related trauma stress and prevent its effects. It is necessary to expand the psychological vaccine program to improve the resilience of the public. Since there are individual differences in resilience, it is necessary to strengthen the psychological vaccine program for each subject considering resilience.

Elderly Suicide and It's Related Factors : Focused on the Role of Social Support and Mastery in the Effects of Hopelessness and Depression on Suicidal Ideation (노인 자살관련 요인: 무망감과 우울증이 자살생각에 미치는 영향에 대한 사회적 지지와 자아통제감의 효과를 중심으로)

  • Eom, Tae-Wan
    • Korean Journal of Social Welfare
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    • v.59 no.2
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    • pp.355-379
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    • 2007
  • This study examined the role of social support and mastery in the effects of hopelessness and depression on suicidal ideation in order to identify elders' suicide and it's related factors. Especially, it focused to find out whether the hopelessness excluding depression has an independent effect on elders' suicidal ideation, and psychosocial factors such as social support and mastery has an interaction effects with elders' hopelessness variables and depression on suicidal ideation. This study recruited 297 elders over 65(older persons in the elder education programs of senior welfare center in Masan, Changwon and Jinhae) and employed a self-administered survey method during January, 2007. The following are the major results of the study. First, the level of hopelessness, depression and suicidal ideation related elders' suicide indicated differences according to their educational level, marital state, income, and their chronical disease numbers. Especially, the lower income and higher chronical disease numbers showed higher level of hopelessness, depression and suicidal ideation among the elder subjects. Second, interaction effects of social support and depression were significant in suicidal ideation, the more level of social support in elder' subjects, the lower the suicidal ideation. While, interaction effects of social support and hopelessness, and mastery and depression/hopelessness in suicidal ideation were not statistically significant. Third, psychosocial factors such as social support and mastery on elders' suicidal ideation have a significant effect when other relevant variables are controlled. From these results, hopelessness is other significant factor predicting suicidal ideation(suicide) among elders. Also, social support and mastery is very significant factor influencing to prevent or decrease suicidal ideation among elders.

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Relationship Between Hopelessness and Suicidal Ideation Among Psychiatric Patients: The Mediating Effect of Sleep Quality and Interpretation Bias for Ambiguity (정신건강의학과 환자의 절망감과 자살사고의 관계: 수면의 질과 모호함에 대한 해석 편향의 매개효과)

  • Somi Yun;Eunkyung Kim;Daeho Kim;Yongchon Park
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.100-107
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    • 2023
  • Objectives : This study aimed to examine the mediating effect of sleep quality and interpretation bias for ambiguity in the relationship between hopelessness and suicidal ideation in psychiatric patients. Methods : A total of 231 psychiatric outpatients and inpatients completed the Beck Hopelessness Scale, Pittsburgh Sleep Quality Index, Ambiguous/Unambiguous Situations Diary-Extended Version, and Ultra-Short Suicidal Ideation Scale. Data analysis was conducted using regression analyses and bootstrap sampling. Results : The results of this study showed that hopelessness had a direct effect on suicidal ideation, and that sleep quality and interpretation bias for ambiguity mediated the association between hopelessness and suicidal ideation. Moreover, there was a significant double mediating effect of sleep quality and interpretation bias for ambiguity on the relationship between hopelessness and suicidal ideation. Conclusions : These results suggest that it is important to consider both sleep quality and interpretation bias for ambiguity to prevent hopelessness from leading to suicidal idea. These results suggest that considering both sleep quality and interpretation bias for ambiguity may be important in preventing hopelessness from leading to suicidal ideation.

Effects of College Students' Hopelessness upon Their Happiness: Moderating Effects of Social Support (대학생이 느끼는 절망감이 행복감에 미치는 영향: 사회적 지지의 조절효과)

  • Seo, In-Kyun;Lee, Yon-Sil
    • The Journal of the Korea Contents Association
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    • v.16 no.6
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    • pp.193-204
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    • 2016
  • The present study has the purpose of investigating the moderating effects of social support which college students may feel in the process of their emotional transfer from hopelessness to happiness. For this purpose, a survey was conducted by distributing questionnaires to 734 students enrolled in the 4-year-course colleges located in Jeollabuk-do. Frequency analysis, t-test, ANOVA, correlation analysis and hierarchial regression analysis were performed to process the data collected from questionnaires. Major outcomes of the analyses could be summed up as follows: First, hopelessness turned out to reduce happiness. Second, from the hierarchial regression analysis in which happiness was set as a dependent variable and hopelessness and social support were input gradually, it was learned that hopelessness affected happiness negatively (-) while social support exercised impact in the positive (+) direction as hopelessness had influence on happiness. Based on the results of the study, practical and political implications were discussed with a view to prepare positive mechanism such as promotion of college students' mental health and social support.

A Study of ADHD traits and Interpersonal Stress Variables Influencing on Hopelessness of College Students (대학생의 ADHD 성향과 대인관계스트레스가 무망감에 미치는 영향 요인)

  • Kim, Min-Kyeong
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.337-344
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    • 2020
  • The purpose of study was to identify ADHD traits and interpersonal stress influencing on hopelessness of college students. The participants were 160 college students. Data analysis was used by mean, SD, correlation and multiple regression. The major findings were as; Deficit attention is highest in ADHD, family relationship stress is highest in prsonal stress. Positive hopefulness is higher than hopelessness. ADHD traits and interpersonal sress were positively correlated with hopelessness. College students' hopefulness was positively affected by sex, hyperactivity. College students' positive hopelessness was positively affected by hyperactivity, deficit attention, stress with professor and stress with heterosexual friend. And the findings was provided for the support program on hopelessness regarding to ADHD and interpersonal stress of college students.

A Study on the Relationship of Perceived Social Support on Self-esteem and Hopelessness in Patients with Chronic Renal Failur (만성 신부전 환자가 지각한 사회적지지, 자아존중감 및 절망감의 관계 연구)

  • 최연희
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.549-561
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    • 1995
  • This study was designed to identify the relation-ship of perceived social support on self-esteem and hopelessness in patients with chronic renal failure who are hemodialysis. The subjects of this study were the 50 patients who were registered in the hemodialysis department of the two hospitals. The data were collected using a questionnaire and The period of the data collection was from August 9 to 16, 1993. The instruments for this study were the perceived social support scale designed by Park Ji-Won, the self -esteem scale designed by Rosenberg and the hopelessness scale designed by Beck et al. The data were analyzed using frequencies, percentages, t-test, ANOVA, and .Pearson correlation coefficient. The results are summarized as follows ; 1. The degree of support according to the type of perceived social support ranged down in the fol-lowing order from high to low the mean emotion-al support 21.12, the mean informational support 19.58, the mean appraisal support 17.00, the mean material support 15.22, the man self-esteem was 32.00 and the mean hopelessness was 60.48. 2. Test for hypothesis ; Hypothesis 1, "The higher the level of perceived social support in patients on hemodialysis, the higher their level of self-esteem will be. " was not supported(r=.05, p=0.74). Hypothesis 2, "The higher the level of perceived social support in patients on hemodialysis, the lower their level of hopelessness will be. " was supported(r=-0.53, p=0.00). 3. The relations between general characteristics and the level of perceived social support, self-esteem, and hopelessness ; (1) The 'Gender'(P=0.04), 'Occupation'(P=0.04), 'Education'(P=0.00), 'Married state'(P=0.00) 'Duration of Hemodialysis'(P=0.00) and 'In-come'(P=0.00) of the subjects were related to perceived social support and showed a statistically significant difference. (2) No general characteristics of the subjects were related self-esteem in a statistically significant way. (3) The 'Education'(P=0.00) , 'Income'(P=0.00) of the subjects were related to hopelessness and showed a statistically significant difference. Thus, it is concluded that social support must be included in nursing interventions for patients with chronic renal failure on hemodialysis.

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