Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study

Yıldırım, Arzu; akkus, mustafa; Hacıhasanoğlu Aşılar, rabia

doi:10.14744/nci.2023.77910

Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study

Arzu YILDIRIM, (Psikiyatri Hemşireliği Anabilim Dalı, Hemşirelik Anabilim Dalı, Yalova Üniversitesi Sağlık Bilimleri Fakültesi, Yalova, Türkiye)

Mustafa AKKUŞ, (Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Erzincan Binali Yıldırım Üniversitesi Tıp Fakültesi, Erzincan, Türkiye)

Rabia HACIHASANOĞLU AŞILAR (Halk Sağlığı Hemşireliği Anabilim Dalı, Hemşirelik Anabilim Dalı, Yalova Üniversitesi Sağlık Bilimleri Fakültesi, Yalova, Türkiye)

İstanbul Kuzey Klinikleri

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Yıl: 2023 Cilt: 10 Sayı: 2 Sayfa Aralığı: 163 - 171 Metin Dili: İngilizce DOI: 10.14744/nci.2023.77910 İndeks Tarihi: 03-06-2023

Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study

Öz:

OBJECTIVE: The main purpose of treatment and management in chronic mental disorders is to improve the quality of life (QOL). Hopelessness indicates a significant cognitive vulnerability that is associated with suicide risk. It is important for clinicians to have information about their patients’ life satisfaction and spirituality. This study was conducted to determine hopelessness and life satisfaction in patients who received service from a community mental health center (CMHC). METHODS: This cross-sectional study was conducted with patients diagnosed with psychosis (n=66) and bipolar disorder (n=24) according to Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) criteria, at a community mental health center serving in a hospital located in eastern Turkiye. Data was collected by a psychiatrist between January and May 2019 with face-to-face interviews, using a questionnaire, Beck Hopelessness Scale (BHS) and Satisfaction with Life Scale (SWLS). RESULTS: In the study, it was found that the mean BHS and SWLS scores of the patients did not differ significantly between the diagnosis groups (p>0.05). A moderately negative correlation was found between the patients’ mean BHS and SWLS scores (rs=-0.450, p<0.001). In addition, it was determined that the hopelessness level of the secondary school graduates was low (p<0.05), the mean BHS score increased as the age and time from diagnosis of the patients increased (p<0.001), and there was a low negative correlation between the time from diagnosis and the mean SWLS score (rs: -0.208; p<0.05). CONCLUSION: In this study, it was found that the hopelessness level of the patients was low, their life satisfaction was moderate, and as the hopelessness level increased, their life satisfaction decreased. In addition, it was determined that the hopelessness and life satisfaction levels of the patients did not differ by to the diagnosis groups. It is extremely important for mental health professionals to consider aspects such as hope and life satisfaction, which are key in the recovery of patients.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Kamu Hastaneleri Genel Müdürlüğü. Toplum Ruh Sağlığı Merke- zleri Hakkında Yönerge. Available at: https://khgm.saglik.gov.tr/ Eklenti/21881/0/trsmyonergepdf.pdf?_tag1=FD7BB76536D945F- 5DE49E31D237A7F5E47CAFB8B. Accessed Mar 24, 2023.
2. Yıldırım A, Hacıhasanoğlu Aşılar R. Management of mental disorders in society and nursing. In: Hacıhasanoğlu Aşılar R, editor. Management of Care and Nursing in Chronic Diseases. 1st ed. Turkey Clinics; 2019; p.85–92.
3. Çam O, Yalçıner N. Mental illness and recovery. J Psychiatric Nurs 2018;9:55–60.
4. Çam MO. Managing remedial/therapeutic groups. In: Oflaz F, Yıldırım N, editors. Psychiatric Nursing Certificate Topics. Psychiatric Nursing Association Publication No: 1. Ankara: Nobel Medical Bookstores; 2020. p.137–46.
5. Yıldırım A, Hacıhasanoğlu Aşılar R. Nursing approaches in psychoso- cial interventions in community mental health. In: Aylaz R, Dönmez A, editors. 1st ed. İstanbul: Community Mental Health Nursing; 2021. p.113–28.
6. Kwong JM. What is hope? Eur J Philos 2019;27:243–54.
7. Huen JM, Ip BY, Ho SM, Yip PS. hope and hopelessness: the role of hope in buffering the impact of hopelessness on suicidal ideation. PLoS One 2015;10:e0130073.
8. Sert Ağır M. Quality of life, values and hope-hopelessness. J Marmara Soc Res 2017;11:84–103.
9. Noh C, Choe K, Yang B. Hope from the perspective of people with schizophrenia (Korea). Arch Psychiatr Nurs 2008;22:69–77.
10. Hernandez M, Barrio C, Gaona L, Helu-Brown P, Hai A, Lim C. hope and schizophrenia in the latino family context. Community Ment Health J 2019;55:42–50.
11. Tarhan S, Bacanlı H. Adaptation of dispositional hope scale into Turkish: validity and reliability study. J Happiness and Well-Being 2015;3:1–14.
12. Bloore RA, Jose PE, Joshanloo M. Does hope mediate and moderate the relationship between happiness aversion and depressive symptoms? Open J Depression 2020;9:1–16.
13. Yang C, Xia M, Han M, Liang Y. Social support and resilience as medi- ators between stress and life satisfaction among people with substance use disorder in China. Front Psychiatry 2018;9:436.
14. Naktiyok S. Organizational Stress and Life Satisfaction. 1st ed. Ankara: Gazi Bookstore; 2019.
15. Yang Y, Zhang M, Kou Y. Self-compassion and life satisfaction: the me- diating role of hope. Pers Individ Differ 2016;98,91–5.
16. Pleeging E, Burger M, van Exel J. The relations between hope and sub- jective well-being: a literature overview and empirical analysis. Appl Res Qual Life 2008;16:1019–41.
17. Lombardo P, Jones W, Wang L, Shen X, Goldner EM. The fundamen- tal association between mental health and life satisfaction: results from successive waves of a Canadian national survey. BMC Public Health 2018;18:342.
18. Fergusson DM, McLeod GF, Horwood LJ, Swain NR, Chapple S, Poulton R. Life satisfaction and mental health problems (18 to 35 years). Psychol Med 2015;45:2427–36.
19. Meule A, Voderholzer U. Life satisfaction in persons with mental disor- ders. Qual Life Res 2020;29:3043–52.
20. Saperia S, Da Silva S, Siddiqui I, McDonald K, Agid O, Remington G, et al. Investigating the predictors of happiness, life satisfaction and success in schizophrenia. Compr Psychiatry 2018;81:42–7.
21. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.
22. First MB, Williams JBW, Karg RS, Spitzer RL. User’s Guide for the Structured Clinical Interview for DSM-5® Disorders—Clinician Ver- sion (SCID-5-CV). Washington DC: American Psychiatric Press Inc; 2016.
23. Elbir M, Topbaş ÖA, Bayad S, Kocabaş T, Topak OZ, Çetin Ş, et al. Adaptation and reliability of the structured clinical interview for DSM- 5-disorders - clinician version (SCID-5/CV) to the Turkish language. [Article in Turkish]. Turk Psikiyatri Derg 2019;30:51–6.
24. Beck AT, Weissman A, Lester D, Trexler L. The measurement of pes- simism: the hopelessness scale. J Consult Clin Psychol 1974;42:861–5.
25. Seber G, Dilbaz N, Kaptanoğlu C, Tekin D. Hopelessness scale: relia- bility and validity. J Crisis 1993;1:134–8.
26. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess 1985;49:71–5.
27. Köker S. Comparison of life satisfaction levels of normal and troubled adolescents (dissertation). Ankara: Ankara University Institute of So- cial Sciences; 1995.
28. Yetim Ü. Life satisfaction: a study based on the organization of personal projects. Soc Indic Res 1993;29,277–89.
29. Çapık Ç. Statistical power analysis and it’s use in nursing studies: basic information. Anatol J Nurs Health Sci 2014;17,268–74.
30. Elegbede VI, Obadeji A, Adebowale TO, Oluwole LO. Comparative assessment of quality of life of patients with schizophrenia attending a community psychiatric centre and a psychiatric hospital. Ghana Med J 2019;53:92–9.
31. Vrbova K, Prasko J, Ociskova M, Kamaradova D, Marackova M, Hol- ubova M, et al. Quality of life, self-stigma, and hope in schizophrenia spectrum disorders: a cross-sectional study. Neuropsychiatr Dis Treat 2017;13:567–76.
32. Pompili M, Innamorati M, Gonda X, Serafini G, Sarno S, Erbuto D, et al. Affective temperaments and hopelessness as predictors of health and social functioning in mood disorder patients: a prospective follow-up study. J Affect Disord 2013;150:216–22.
33. Aguilar EJ, Haas G, Manzanera FJ, Hernández J, Gracia R, Rodado MJ, et al. Hopelessness and first-episode psychosis: a longitudinal study. Acta Psychiatr Scand 1997;96:25–30.
34. Vass V, Morrison AP, Law H, Dudley J, Taylor P, Bennett KM, et al. How stigma impacts on people with psychosis: the mediating effect of self-esteem and hopelessness on subjective recovery and psychotic expe- riences. Psychiatry Res 2015;230:487–95.
35. David Klonsky E, Kotov R, Bakst S, Rabinowitz J, Bromet EJ. Hope- lessness as a predictor of attempted suicide among first admission pa- tients with psychosis: a 10-year cohort study. Suicide Life Threat Behav 2012;42:1–10.
36. Algın F. The relationship of coping attitudes with hopelessness, suici- dal behavior and insight in patients with schizophrenia (dissertation). İstanbul: Bakirkoy Ord. Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital; 2009.
37. Demir R, Tanhan A, Çiçek İ, Yerlikaya İ, Çırak Kurt S, Ünverdi B. Psy- chological well-being and life satisfaction as predictors of quality of life. [Article in Turkish]. J Edu for Life 2021;35,192–206.
38. Pîrlog MC, Alexandru DO, Popescu RE, Balcu L, Strunoiu LM, Duica LC, et al. Quality of Life-a goal for schizophrenia’s therapy. Curr Health Sci J 2018;44:122–8.
39. Akkoyun AZ. Comparison of suicidal ıdeation, anxiety, hopelessness and psychosocial functioning in suicide attemps and non suicide at- temps in bipolar patients. (dissertation). Bursa: Uludag University Fac- ulty of Medicine; 2016.
40. Valtonen HM, Suominen K, Mantere O, Leppämäki S, Arvilommi P, Isometsä ET. Prospective study of risk factors for attempted suicide among patients with bipolar disorder. Bipolar Disord 2006;8:576–85.
41. Bilge A, Bulut-Uğurlu N, Güler C. Determination of independence and life satisfaction level of individuals with mental disorder. Florence Nightingale J Nurs 2020;28:124–32.
42. Goldberg JF, Harrow M. Subjective life satisfaction and objective func- tional outcome in bipolar and unipolar mood disorders: a longitudinal analysis. J Affect Disord 2005;89:79–89.
43. Jovanović V, Lazić M, Gavrilov-Jerković V. Measuring life satisfaction among psychiatric patients: measurement invariance and validity of the Satisfaction with Life Scale. Clin Psychol Psychother 2020;27:378–83.
44. Kurtz MM, Gopal S, John S, Thara R. Objective psychosocial func- tion vs. subjective quality-of-life in schizophrenia within 5-years after diagnosis: a study from southern India. Psychiatry Res 2019;272:419–24.
45. Gigantesco A, Fagnani C, Toccaceli V, Stazi MA, Lucidi F, Violani C, et al. The relationship between satisfaction with life and depression symp- toms by gender. Front Psychiatry 2019;10:419.
46. Üstün G, Küçük L, Buzlu S. Identifying the schizophrenia patients at- tending the rehabilitation program conducted in Community Mental Health Centers in terms of some demographic variables, characteristics related to the ailment, adaptation to the treatment and self-efficacies. J Psychiatric Nurs 2018;9:69–79.

APA	Yıldırım A, akkus m, Hacıhasanoğlu Aşılar r (2023). Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. , 163 - 171. 10.14744/nci.2023.77910
Chicago	Yıldırım Arzu,akkus mustafa,Hacıhasanoğlu Aşılar rabia Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. (2023): 163 - 171. 10.14744/nci.2023.77910
MLA	Yıldırım Arzu,akkus mustafa,Hacıhasanoğlu Aşılar rabia Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. , 2023, ss.163 - 171. 10.14744/nci.2023.77910
AMA	Yıldırım A,akkus m,Hacıhasanoğlu Aşılar r Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. . 2023; 163 - 171. 10.14744/nci.2023.77910
Vancouver	Yıldırım A,akkus m,Hacıhasanoğlu Aşılar r Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. . 2023; 163 - 171. 10.14744/nci.2023.77910
IEEE	Yıldırım A,akkus m,Hacıhasanoğlu Aşılar r "Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study." , ss.163 - 171, 2023. 10.14744/nci.2023.77910
ISNAD	Yıldırım, Arzu vd. "Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study". (2023), 163-171. https://doi.org/10.14744/nci.2023.77910

APA	Yıldırım A, akkus m, Hacıhasanoğlu Aşılar r (2023). Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. İstanbul Kuzey Klinikleri, 10(2), 163 - 171. 10.14744/nci.2023.77910
Chicago	Yıldırım Arzu,akkus mustafa,Hacıhasanoğlu Aşılar rabia Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. İstanbul Kuzey Klinikleri 10, no.2 (2023): 163 - 171. 10.14744/nci.2023.77910
MLA	Yıldırım Arzu,akkus mustafa,Hacıhasanoğlu Aşılar rabia Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. İstanbul Kuzey Klinikleri, vol.10, no.2, 2023, ss.163 - 171. 10.14744/nci.2023.77910
AMA	Yıldırım A,akkus m,Hacıhasanoğlu Aşılar r Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. İstanbul Kuzey Klinikleri. 2023; 10(2): 163 - 171. 10.14744/nci.2023.77910
Vancouver	Yıldırım A,akkus m,Hacıhasanoğlu Aşılar r Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study. İstanbul Kuzey Klinikleri. 2023; 10(2): 163 - 171. 10.14744/nci.2023.77910
IEEE	Yıldırım A,akkus m,Hacıhasanoğlu Aşılar r "Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study." İstanbul Kuzey Klinikleri, 10, ss.163 - 171, 2023. 10.14744/nci.2023.77910
ISNAD	Yıldırım, Arzu vd. "Hopelessness and life satisfaction in patients with serious mental disorders: A cross-sectional study". İstanbul Kuzey Klinikleri 10/2 (2023), 163-171. https://doi.org/10.14744/nci.2023.77910