A model of hope as a protective measure to lower burnout and secondary traumatic stress among employees working in developmental and intellectual disabilities services.

BACKGROUND: Burnout and secondary traumatic stress (STS) are problems for the workforce supporting people with developmental disabilities. This study investigated hope as a potential protective resource for burnout and STS among the developmental disability services workforce. METHOD: One hundred and fifty-two non-supervisor caseworkers from a state agency, developmental disabilities division were recruited to participate in an anonymous web-based survey. RESULTS: The analyses showed that hope was negatively associated with the three dimensions of STS (intrusion, avoidance, and arousal) and burnout. Controlling for tenure in the workforce and STS, the results of the hierarchical regression analyses showed that hope accounted for a significant incremental variance to burnout. CONCLUSION: These findings provide support for emerging literature showing hope as a protective resource to workforce burnout.

Hope As a Buffer to Suicide Attempts Among Adolescents with Depression.

BACKGROUND: Suicide among adolescents has long been linked to symptoms of depression. However, limited research has examined the potential buffering effect of hope on the relationship between depression and suicide attempts. METHODS: To test the effect of hope on the positive relationship between depression and suicide attempts, we used data (N = 502 adolescents) from youth ages 12-18 collected as part of the 2018 Healthy Youth Survey in the State of Washington. Based on hope theory, we hypothesized a "buffering" form of moderation, with the presence of greater hope weakening the positive relationship between depression and suicide attempts. In other words, with higher hope, adolescents reporting depressive symptoms are less inclined to attempt suicide. RESULTS: Testing the moderating effect of hope via bootstrap resampling (N = 5000), the results indicated adolescents' hope levels indeed buffered the relationship between depressive symptoms and self-reported suicide attempts. To wit, when adolescents' hope was low, there was a significant, robust, and positive relationship between depressive symptoms and suicide attempts (b = 0.2644, 95% CI [0.1604, 0.3683], t = 5.0, p < .001). However, when adolescents' hope was high, there was no longer a significant relationship between depressive symptoms and suicide attempts (b = 0.0304, 95% CI [-0.997, 0.1605], t = 0.4590, p = .65). CONCLUSION: The buffering effect of hope was validated in a second, larger sample (n = 9308) of adolescents. This result suggests the potential utility of hope theory-based interventions to assist depressed adolescents reduce their likelihood of suicide.

Psychosocial factors associated with dispositional hope, agency thinking, and pathways thinking in a homeless adult population.

Adults facing homelessness often perceive themselves to be at the bottom of society, which has implications for their current and future well-being. Snyder's hope theory, which posits that agency thinking and pathways thinking are necessary for achieving a hopeful outlook on life, may be helpful for understanding drivers of well-being among individuals experiencing homelessness. In this study, we examined dispositional hope, perceived goal attainment, social support, and perceived standing in society among 123 adults experiencing homelessness who were attending a support group at a daytime drop-in center in the United States. Participants completed self-report measures related to the aforementioned variables of interest. We discovered that higher levels of self-reported goal attainment, independent of the type of goal identified, were significantly associated with total hope and both its subscales, that social support was significantly associated with total hope and pathways thinking, and that perceived standing in society was significantly associated with total hope and agency thinking.

Nurturing Hope and Well-Being Among Survivors of Domestic Violence Within the Family Justice Center Model.

Family Justice Centers (FJCs) represent a multi-disciplinary coordinated approach co-located to serve survivors of domestic violence. This study examined the change in hope and well-being among 130 survivors receiving domestic violence services through seven FJCs. Using a pretest, posttest design, Analyses of Variance results indicated that survivors exhibited robust increases in hope, emotional well-being, and flourishing. Correlational analyses showed that survivor defined goal success has important relationships with hope and well-being. Finally, hierarchical regression analyses revealed hope contributed unique variance of survivor flourishing over-and-above survivor defined success and emotional well-being. These findings are discussed in the context that hope may be an important coping resource for survivors of domestic violence and offers a common conceptual framework for FJCs.

Positive Psychology and Hope as Lifestyle Medicine Modalities in the Therapeutic Encounter: A Narrative Review.

The majority of deaths in the United States are attributable to lifestyle-associated chronic diseases. Therapeutic encounters must now routinely address lifestyle-related behavior changes and promote patients' active involvement in self-care and chronic disease management. Positive psychology has been recognized in the realm of lifestyle medicine for its potential applications in effecting patient behavior change. One notable framework within positive psychology that is well suited for facilitating specific behavior changes is hope theory, which can be used to elicit change talk and build agency among patients with chronic diseases. This review explores key literature in positive psychology and hope theory and its practical applications to direct patient care, which includes an illustrative case study. There are still many unexplored intersections of health-related variables and hope. The cognitive framework of hope theory lends itself well to a broad range of situations, including brief ambulatory encounters. Clinicians will be instrumental in increasing our understanding of how hope theory can be applied to the therapeutic encounter. There are simple and efficient ways to innovate in this area. Having information about a patient's hope has the potential to make empathic connections easier and create opportunities to ask specific questions to help patients overcome barriers.

The Potential Protective Effect of Hope on Students' Experience of Perceived Stress and Burnout during Medical School.

BACKGROUND: A major problem facing today's physicians and medical students is burnout. Christina Maslach and fellow researchers have described burnout as a product of chronic stress and a lack of protective psychological factors like hope. The purpose of this study was to explore the relationships between hope, stress, and burnout among medical students. METHODS: This study involved an online survey of 329 first- through fourth-year allopathic and osteopathic medical students. Validated psychometric scales were used to measure the primary variables. We conducted Pearson correlation, hierarchical regression, and mediation analyses to test the relationships between hope, stress, and burnout and to determine whether hope directly impacts stress and burnout. RESULTS: We found significant correlations between hope, stress, and burnout. Hierarchical regression revealed that hope accounted for significant variance in burnout over and above psychological stress and that stress and hope together accounted for 48% of this variance. We discovered that hope may be partially mediating the relationship between stress and burnout. CONCLUSION: Hope may play a significant protective role in the stress-burnout relationship in the context of medical students: higher levels of hope are associated with lower levels of stress and burnout. Our study supports the idea of using hope-based interventions in medical student populations and investing more resources into this area of research.

The Relationship Between Hope, Meaning in Work, Secondary Traumatic Stress, and Burnout Among Child Abuse Pediatric Clinicians.

INTRODUCTION: Child abuse pediatricians continuously encounter trauma experienced by abused children, putting them at risk of secondary traumatic stress (STS), a syndrome with symptoms similar to those of posttraumatic stress disorder. OBJECTIVE: To examine the relationship between secondary trauma, hope, meaningful work, and burnout in child abuse pediatric clinicians. METHODS: Participants were solicited from the Helfer and Special Interest Group on Child Abuse for Medical Professionals listservs. They were sent a link to a Web-based survey consisting of the Oldenburg Burnout Inventory, the STS Scale, the Dispositional Hope Scale, and the Work as Meaning Inventory. RESULTS: A total of 151 participants completed the survey. Correlational analyses showed strong positive associations between the STS score and burnout (R2 = 0.47; F3,140 = 40.64; p < 0.001). Hope and meaning in work demonstrated negatively moderate associations with STS and burnout (ΔR2 = 0.07, p < 0.001). CONCLUSION: A national sample of child abuse pediatric clinicians shows that STS is associated with burnout. Meaning in work and hope can mitigate these effects.

Nurturing the hope of youth in care: The contribution of mentoring.

Hope has long been viewed as important to individuals attempting to overcome obstacles. Overall hope is the combination of one's appraisal of capability and determination to achieve goals (Agency) and identifying viable routes to reach them (Pathway) (Snyder, 1994). The main goal of this study was to examine the incremental contribution of mentoring to hope among youth on the verge of leaving care above and beyond related personal characteristics and placement history. The sample included 148 adolescents in residential care in Israel who had adult mentors (ages 16-19). Results showed that lower levels of parental education and being in a welfare residential placement were associated with decreased levels of hope. Mentoring length and various mentoring functions ("role model," "parental figure," and "independence promoter") were found to have a significant contribution to the prediction of hope above and beyond associated individual and placement variables. Based upon these findings, residential care leaders should recruit and select mentors for longevity, and train mentors to serve as role models and parental figures who focus on independent living in order to influence hope among youth who are about to leave care. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Exploring the Relationship Between Adverse Childhood Experiences and Hope.

To explore the relationship between adverse childhood experiences and hope, a convenience sample of caregivers bringing in children for medical investigation of child abuse at a regional child advocacy center were surveyed for adverse childhood experiences and dispositional hope. Hope in this sample had a significant negative correlation to the adverse childhood experiences subscale "abuse" (r = -.19; p < .05). The relationship between hope and the other adverse childhood experiences subscales "neglect" (r = -.14) and "dysfunctional family" (r = -.16) was not statistically significant. An analysis of variance was performed to determine if caregivers who have experienced both sexual and physical abuse (M = 29.67; SD = 15.96) have lower hope scores compared to those caregivers who have experienced neither physical nor sexual abuse (M = 42.64; SD = 18.44). This analysis (F (1, 84) = 5.28; p < 0.05) showed that caregivers who experienced both physical and sexual abuse scored significantly lower on hope compared to their counterparts who experienced no adverse events, with an estimated effect size of moderate strength (d = 0.70). Higher adverse childhood experiences scores are associated with lower hope. This result was especially true for those adult caregivers who reported experiencing both physical and sexual abuse when compared to adults who did not experience either form of child trauma. While the empirical literature continues to demonstrate the negative consequences of adverse childhood experiences across the life span, hope offers a compelling new line of inquiry in child maltreatment research especially for studies targeting prevention or intervention.

The prevalence of elevated blood pressure among obese adolescents in a pediatric resident continuity clinic.

OBJECTIVE: The purpose of this study is to examine the association of obesity and elevated blood pressure among adolescent patients in a pediatric resident continuity clinic. METHODS: Blood pressure and anthropometric data from adolescent patients (ages 12-18 years) in a resident continuity clinic were analyzed. Age-and gender-specific BMI percentiles, and age-, gender-, and height-specific BP percentiles were determined. Based on BMI percentile, patients were categorized as underweight (BMI < 5th percentile), healthy (5th-84th percentile), overweight (85th-94th percentile), or obese (> or = 95th percentile). BP was classified as normal (< 90th percentile), pre-hypertensive (90th-94th percentile or > 120/80 mm Hg), or hypertensive (> or = 95th percentile). RESULTS: Data from 317 consecutive visits were available for analysis. Eighteen percent were classified as overweight, and 29.1% were obese. There were no gender differences in BMI category. Almost 15% of BPs were classified as hypertensive, with another 23% pre-hypertensive. Males were more likely to be pre-hypertensive or hypertensive than females. Among obese patients, more than half had elevated BP: 31.5% were pre-hypertensive and 26.1% were hypertensive. CONCLUSION: The prevalence of obesity in this cohort was higher than estimates based on national data. Further, the prevalence of elevated blood pressure increased with increasing BMI. This study underscores the importance of recognizing and addressing obesity and elevated blood pressure in an at-risk population. The potential public health impact of the early onset of obesity and elevated blood pressure, particularly with regard to cardiovascular disease burden, highlights the need to prepare residents to identify and manage these conditions.

The belief in a just world: an examination of reliability estimates across three measures.

In this study, we utilized reliability generalization procedures to examine internal consistency estimates across 3 scales measuring the belief in a just world. The distribution of reliability estimates for the measures suggest low to moderate ranges of internal consistency reliability coefficients. The Global Belief in a Just World Scale (Lipkus, 1991) produced the highest average reliability score (alpha = .81) compared to the Just World Scale (Rubin & Peplau, 1973; alpha = .64) and the Just World Scale Revised (Rubin & Peplau, 1975; alpha = .68).

Understanding occupational therapy students' attitudes, intentions, and behaviors regarding community service.

Community-based practice has always been a central domain of occupational therapy, and evidence supporting its increasing importance is growing. Preparing occupational therapy students for community practice has received considerable attention in professional literature, but students' voices have seldom been heard concerning this issue. This study sought to investigate attitudes, intentions, and behaviors regarding community service among occupational therapy students enrolled in one professional program using the Community Service Attitudes Survey. We present the Theory of Planned Behavior as a conceptual framework linking students' attitudes and intentions with behaviors. Results indicate that these occupational therapy students' attitudes and intentions regarding community service tended to be more strongly positive than those of their counterparts in other allied health disciplines; however, the community service behaviors of occupational therapy students were not significantly different from those of other allied health students, possibly because occupational therapy students perceived high costs to community service.

Factors associated with college student intent to engage in community service.

Many universities in the United States highlight service as an integral component to their mission. Additionally, a growing pedagogical focus highlights the importance of community service as an integral component of student development. The current study was an investigation of the factors associated with college student intentions to engage in volunteer community service. University students (N = 403) at a comprehensive university located in the southern plains completed an anonymous Web-based questionnaire to assess community service attitudes and intentions. Subsequent to testing for statistical assumptions, results from multiple regression analysis suggest that a sense of community connectedness, cost and benefit considerations, and the seriousness of community needs are significant variables in explaining variance in the intent to engage in community service.

Volunteers serving victims of sexual assault.

Rape crisis volunteers who provide direct-care services to victims of sexual assault are a much-understudied group. Volunteers provide a crucial role in support of nonprofit rape crisis centers, and factors influencing their continued service are an important consideration for decision makers. In the present study, the authors examined--among volunteers providing hospital and crisis-line advocacy to victims of sexual assault--the training, service self-efficacy, social support, and experiences with victim blaming as correlates with overall satisfaction, affective commitment, and the intent to remain. Overall satisfaction and affective commitment were positively related to the intent to stay. Additionally, the perceived value of training was positively related to overall satisfaction and the intent to remain.

A psychometric evaluation of the Harvey Imposter Phenomenon Scale.

In this article, we present psychometric properties on the 14-item Harvey Imposter Phenomenon (IP) Scale (Harvey, 1981) among a sample of U.S. adolescents (N = 136). Item analyses, internal consistency reliability, and principal components analysis (PCA) were computed to assess the reliability and factor structure of the IP scores. Although the internal consistency reliability (e.g., Cronbach's alpha) was reasonably acceptable (alpha =.70), the item analyses and subsequent PCA suggest concern for the content homogeneity and factor structure of composite scores obtained from the 14-item measure. The results of this study suggest that the indiscriminate use of the Harvey IP Scale is cautioned relative to the insufficient psychometric properties.