Role of Hope and Resilience in the Outcome of Depression and Related Suicidality
- 1 Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
- 2 Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
- 3 Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
- 4 School of Education and Psychology, University of Bolton, Bolton, United Kingdom
- 5 Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
Abstract
Depression is a common disease that reduces the quality of life and limits seriously patient’s psychosocial functioning. The aim of this study is to investigate the role of hope and resilience in depressive disease outcomes and suicidality. Seven rating scales (Brief Psychiatric Rating Scale, Hamilton Rating Scale for Depression, Montgomery-Asberg Depression Rating Scale, Hospital Anxiety and Depression Scale, the Enhanced Snyder Hope Scale, Scale of Connor and Davidson-10, Scale for Suicide Ideation) have been administered to 75 subjects with the following features: diagnosis of unipolar depressive disorder, bipolar disorder and schizoaffective disorder reporting a major current depressive episode according to DSM-V criteria, age between 18 and 75 years, no history of drug addiction, major medical condition or mental retardation. An inverse correlation has been found between higher levels of hope and resilience and lower severity of depression ( p < 0.0001) among the sample and higher levels of resilience were associated with lower levels of suicidality ( p = 0.037). Furthermore, an inverse correlation between age and levels of resilience ( p = 0.020), an association between age and years of disease ( p < 0.0001) as well as between resilience and levels of hope ( p < 0.0001) were found. Hope and resilience both seem to have a positive role in the outcome of depressive illness reducing the severity of psychopathology and related suicidality.
- Adams, S. M. P., & Hope, D. J. (1998). The Critical Factor in Recovery. Journal of Psychosocial Nursing & Mental Health Services, 36, 29-32.
- American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, DSM V. Washington, D.C.: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596
- Arnau, R. C., Finch, J. F., Rhudy, J. L., & Fortunato, V. J. (2007). Longitudinal Effects of Hope on Depression and Anxiety: A Latent Variable Analysis. Journal of Personality, 75, 43-64. https://doi.org/10.1111/j.1467-6494.2006.00432.x
- Davidson, C. L., Wingate, L. R., Rasmussen, K. A., & Slish, M. L. (2009). Hope as a Predictor of Interpersonal Suicide Risk. Suicide and Life-Threatening Behavior, 39, 499-507. https://doi.org/10.1521/suli.2009.39.5.499
- Fierro, M. (2016). Differences in Subjective Experience between Unipolar and Bipolar Depression. Revista Colombiana de Psiquiatria, 45, 162-169. https://doi.org/10.1016/j.rcp.2015.09.006
- Frank, E., Prien, R. F., Jarrett, R. B., Keller, M. B., Kupfer, D. J., & Lavori, P. W. (1991). Conceptualization and Rationale for Consensus Definitions of Terms in Major Depressive Disorder: Remission, Recovery, Relapse, and Recurrence. Archives of General Psychiatry, 48, 851-855. https://doi.org/10.1001/archpsyc.1991.01810330075011
- Ganguli, H. H., Dodge, H. H., & Mulsant, B. H. (2002). Rates and Predictors of Mortality in an Aging, Rural, Community-Based Cohort: The Role of Depression. Archives General Psychiatry, 59, 1046-1052. https://doi.org/10.1001/archpsyc.59.11.1046
- La Marca, A., Festeggiante, M., & Schiavone, S. (2014). Docenti precari: Resilienza e promozione ddel benessere. Giornale Italiano della Ricerca Educativa, 7, 129-144.
- Malaguti, E. (2005). Educarsi alla resilienza. Come affrontare crisi e difficoltà e migliorarsi: Centro Studi Erickson.
- Park, J. C. R. K. (2016). Positive Psychology and Hope as Means to Recovery from Mental Illness. Journal of Applied Rehabilitation Counseling, 47, 34-42. https://doi.org/10.1891/0047-2220.47.2.34
- Putton, A., & Fortugno, M. (2006). Affrontare la vita. Che cos’è la resilienza e come svilupparla. Roma: Carocci.
- Simpson, S. G., & Jamison, K. R. (1999). The Risk of Suicide in Patients with Bipolar Disorders. The Journal of Clinical Psychiatry, 60, 53-56.