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Predictors of Hopelessness Among Clinically Depressed Youth

  • Emily G. Becker-Weidman (a1), Mark A. Reinecke (a1), Rachel H. Jacobs (a1), Zoran Martinovich (a1), Susan G. Silva (a2) and John S. March (a2)...

Background: Factors that distinguish depressed individuals who become hopeless from those who do not are poorly understood. Method: In this study, predictors of hopelessness were examined in a sample of 439 clinically depressed adolescents participating in the Treatment for Adolescents with Depression Study (TADS). The total score of the Beck Hopelessness Scale (BHS) was used to assess hopelessness at baseline. Multiple regression and logistic regression analyses were conducted to evaluate the extent to which variables were associated with hopelessness and determine which cluster of measures best predicted clinically significantly hopelessness. Results: Hopelessness was associated with greater depression severity, poor social problem-solving, cognitive distortions, and family conflict. View of self, view of the world, internal attributional style, need for social approval, positive problem-solving orientation, and family problems consistently emerged as the best predictors of hopelessness in depressed youth. Conclusions: Cognitive and familial factors predict those depressed youth who have high levels of hopelessness.

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Reprint requests to Emily Becker-Weidman, Northwestern University Feinberg School of Medicine, Division of Psychology, Abbott Hall, Suite 1205, 710 N. Lake Shore Drive, Chicago, Illinois 60611, USA. E-mail:
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L. Abramson , G. Metalsky and L. Alloy (1989). Hopelessness depression: a theory-based subtype of depression. Psychological Review, 96, 358372.

A. H. Ahrens and D. F. Haaga (1993). The specificity of attributional style and expectations to positive and negative affectivity, depression, and anxiety. Cognitive Therapy and Research, 17, 8398.

B. Alford , J. Lester , R. Patel , J. Buchanan and L. Giunta (1995). Hopelessness predicts future depressive symptoms: a prospective analysis of cognitive vulnerability and cognitive content specificity. Journal of Clinical Psychology, 51, 331339.

J. Asarnow and S. Bates (1988). Depression in child psychiatric inpatients: cognitive and attributional patterns. Journal of Abnormal Child Psychology, 16, 601615.

J. Asarnow and G. Carlson (1988). Suicide attempts in preadolescent child psychiatry inpatients. Suicide and Life-Threatening Behavior, 18, 129136.

J. Asarnow and D. Guthrie (1989). Suicidal behavior, depression, and hopelessness in child psychiatric inpatients: a replication and extension. Journal of Clinical Child Psychology, 18, 129136.

R. Barbe , J. Bridge , B. Birhamer , D. Kolko and D. Brent (2004). Suicidality and its relationship to treatment outcome in depressed adolescents. Suicide and Life-Threatening Behavior, 34, 4455.

A. T. Beck (1963). Thinking and depression: idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324333.

A. Beck , R. Steer and M. McElroy (1982). Relationships of hopelessness, depression and previous suicide attempts to suicidal ideation in alcoholics. Journal of Studies on Alcohol, 43, 10421046.

A. Beck , A. Wenzel , J. Riskind , G. Brown and R. Steer (2006). Specificity of hopelessness about resolving life problems: another test of the cognitive model of depression. Journal Cognitive Therapy and Research, 30, 773781.

C. Beevers and I. Miller (2004). Perfectionism, cognitive bias, and hopelessness as prospective predictors of suicidal ideation. Suicide and Life-Threatening Behavior, 34, 126137.

S. Blatt and D. Zuroff (1992). Interpersonal relatedness and self-definition: two prototypes for depression. Clinical Psychology Review, 12, 527562.

J. Bolland , B. Lian and C. Formichella (2005). The origins of hopelessness among inner-city African-American adolescents. American Journal of Community Psychology, 36, 293305.

R. Bonner and A. Rich (1988). Negative life stress, social problem-solving self-appraisal, and hopelessness: implications for suicide research. Cognitive Therapy and Research, 12, 549556.

R. Bonner and A. Rich (1991). Predicting vulnerability to hopelessness: a longitudinal analysis. Journal of Nervous and Mental Disease, 179, 2932.

L. K. Brown , J. Overholser , A. Spirito and G. K. Fritz (1991). The correlates of planning in adolescent suicide attempts. Journal of American Academy of Adolescent Psychiatry, 30, 9599.

B. Cannon , R. Mulroy , M. Otto , J. Rosenbaum , M. Fava and A. Nierenberg (1999). Dysfunctional attitudes and poor problem solving skills predict hopelessness in major depression. Journal of Affective Disorders, 55, 4549.

B. Chabon and C. Robins (1986). Cognitive distortions among depressed and suicidal drug abusers. International Journal of the Addictions, 21, 13131329.

A. Chioqueta and T. Stiles (2005). Personality traits and the development of depression, hopelessness, and suicidal ideation. Personality and Individual Differences, 38, 12831291.

A. Chioqueta , T. Stiles and C. Tore (2007). The relationship between psychological buffers, hopelessness, and suicidal ideation: identification of protective factors. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 28, 6773.

D. A. Cole (1989). Psychopathology of adolescent suicide: hopelessness, coping beliefs, and depression. Journal of Abnormal Psychology, 98, 248255.

K. Conners , K. Wells , J. Parker , G. Sitarenios , J. Diamond and J. Powell (1997). A new self-report scale for assessment of adolescent psychopathology: factor structure, reliability, validity, and diagnostic sensitivity. Journal of Abnormal Child Psychology, 25, 487497.

J. F. Curry and W. E. Craighead (1990). Attributional style in clinically depressed and conduct disordered adolescents. Journal of Consulting and Clinical Psychology, 58, 109115.

W. Dixon , P. Heppner and W. Anderson (1991). Problem-solving appraisal, stress, hopelessness, and suicide ideation in a college population. Journal of Counseling Psychology, 38, 5156.

D. Donaldson , A. Spirito and E. Farnett (2000). The role of perfectionism and depressive cognitions in understanding the hopelessness experienced by adolescent suicide attempters. Child Psychiatry and Human Development, 31, 99111.

D. Dunkley , C. Sansilow , C. Grilo and T. McGlasah (2006). Perfectionism and depressive symptoms 3 years later: negative social interactions, avoidant coping, and perceived social support as mediators. Comprehensive Psychiatry, 47, 106115.

V. Duyan (2005). Relationships between the sociodemographic and family characteristics, street life, experiences and the hopelessness of street children. Childhood: A Global Journal of Child Research, 12, 445459.

T. D'Zurilla , E. Chang , E. Nottingham and L. Faccini (1998). Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. Journal of Clinical Psychology, 54, 10911107.

R. E. Edelman , A. Ahrens and D. A. Haaga (1994). Inferences about the self, attributions, and overgeneralization as predictors of recovery from dysphoria. Cognitive Therapy and Research, 18, 551566.

D. Einstein , P. Lovibond and J. Gaston (2000). Relationship between perfectionism and emotional symptoms in an adolescent sample. Australian Journal of Psychology, 52, 8993.

D. M. Fresco , L. B. Alloy and N. Reilly-Harrington (2006). Association of attributional style for negative and positive events and the occurrence of life events with depression and anxiety. Journal of Social and Clinical Psychology, 25, 11401160.

J. Garber , B. Weiss and N. Shanley (1993). Cognitions, depressive symptoms, and development in adolescents. Journal of Abnormal Psychology, 102, 4757.

B. Gibb , L. Alloy , L. Abramson , D. Rose , W. Whitehouse , P. Donovan , M. Hogan , J. Cronholm and S. Tierney (2001). History of childhood maltreatment, negative cognitive styles, and episodes of depression in adulthood. Cognitive Therapy and Research, 25, 425446.

T. R. Gladstone , N. J. Kaslow , J. R. Seeley and P. M. Lewinsohn (1997). Sex differences, attributional style, and depressive symptoms among adolescents. Journal of Abnormal Child Psychology, 25, 297305.

I. H. Gotlib , P. M. Lewinsohn , J. R. Seeley , P. Rohde and J. E. Redner (1993). Negative cognitions and attributional style in depressed adolescents: an examination of stability and specificity. Journal of Abnormal Psychology, 102, 607615.

L. Greening , L. Stoppelbein , D. Dhossche and W. Martin (2005). Psychometric evaluation of a measure of Beck's negative cognitive triad for youth: applications for African-American and Caucasian. Depression and Anxiety, 21, 161169.

D. Haaga , J. Fine , D. Terrill , B. Stewart and A. T. Beck (1995). Social problem-solving deficits, dependency, and depressive symptoms. Cognitive Therapy and Research, 19, 147158.

W. Hammond and D. Romney (1995). Cognitive factors contributing to adolescent depression. Journal of Youth and Adolescence, 24, 667683.

B. Hankin , L. Abramson , N. Miller and G. Haeffel (2004). Cognitive vulnerability-stress theories of depression: examining affective specificity in the prediction of depression versus anxiety in three prospective studies. Cognitive Therapy and Research, 28, 309345.

R. Heimberg , J. Vermilyea , C. Dodge , R. Becker and D. Barlow (1987). Attributional style, depression, and anxiety: an evaluation of the specificity of depressive attributions. Cognitive Therapy and Research, 11, 537550.

P. Hewitt , G. Flett and W. Turnbull-Donovan (1992). Perfectionism and suicidal potential. British Journal of Clinical Psychology, 31, 181190.

P. Hewitt , J. Newton , G. Flett and L. Callander (1997). Perfectionism and suicide ideation in adolescent psychiatric patients. Journal of Abnormal Child Psychology, 25, 95101.

S. S. Ilardi , W. E. Craighead and D. D. Evans (1997). Modeling relapse in unipolar depression: the effects of dysfunctional cognitions and personality disorders. Journal of Consulting and Clinical Psychology, 65, 381391.

S. Imber , P. Pilkonis , S. Sotsky , I. Elkin , J. Watkins , J. Collins , M. Shea , W. Leber and D. Glass (1990). Mode-specific effects among three treatments for depression. Journal of Consulting and Clinical Psychology, 58, 352359.

L. Jacobs and S. Joseph (1997). Cognitive triad inventory and its association with symptoms of depression and anxiety in adolescents. Personality and Individual Differences, 22, 769770.

J. G. Johnson , A. Crofton and S. B. Feinstein (1996). Enhancing attributional style and positive life events increased hopefulness among depressed. Motivation and Emotion, 20, 285297.

T. Joiner , D. Rudd , M. Rouleau and K. Wagner (2000). Parameters of suicide crises vary as a function of previous suicide attempts in youth inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 876880.

J. Kashani , L. Canfield , C. Borduin , S. Soltys and J. Reid (1994). Perceived family and social support: impact on children. Journal of American Academy of Child and Adolescent Psychiatry, 33, 819823.

J. Kashani , J. Reid and T. Rosenberg (1989). Levels of hopelessness in children and adolescents: a developmental perspective. Journal of Consulting and Clinical Psychology, 57, 496499.

N. Kaslow , K. Stark , B. Printz , R. Livingston and S. L. Tsai (1992). Cognitive triad inventory for children: development and relation to depression and anxiety. Journal of Clinical Child Psychology, 21, 339347.

A. Kazdin , N. French , A. Unis , K. Esveldt-Dawson and R. Sherick (1983). Hopelessness, depression and suicidal intent among psychiatrically disturbed in-patient children. Journal of Consulting and Clinical Psychology, 51, 504510.

A. Kazdin , A. Rodgers and D. Colbus (1986). The Hopelessness Scale for Children: psychometric characteristics and concurrent validity. Journal of Consulting and Clinical Psychology, 54, 241245.

W. Kuyken (2004). Cognitive therapy outcome: the effects of hopelessness in a naturalistic outcome study. Behaviour Research and Therapy, 42, 631646.

R. A. Martin , S. S. Kazarian and H. J. Breiter (1995). Perceived stress, life events, dysfunctional attitudes, and depression in adolescent psychiatric inpatients. Journal of Psychopathology and Behavioral Assessment, 17, 8195.

A. Maydeu-Olivares and T. D'Zurilla (1996). A factor-analytic study of the social problem-solving inventory: an integration of theory and data. Cognitive Therapy and Research, 20, 115133.

E. McCauley , J. Mitchell , P. Burke and S. Moss (1988). Cognitive attributes of depression in children and adolescents. Journal of Consulting and Clinical Psychology, 56, 903908.

A. Nezu (1987). A problem-solving formulation of depression: a literature review and proposal of a pluralistic model. Clinical Psychology Review, 7, 121144.

J. Olinger , N. Kuiper and B. Shaw (1987). Dysfunctional attitudes and stressful life events: an interactive model of depression. Cognitive Therapy and Research, 11, 2540.

A. Perez-Smith , A. Spirito and J. Boergers (2002). Neighborhood predictors of hopelessness among adolescent suicide attempters: preliminary investigation. Suicide and Life-Threatening Behavior, 32, 139145.

A. Pinto and M. Whisman (1996). Negative affect and cognitive biases in suicidal and nonsuicidal hospitalized adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 158165.

M. Rotheram-Borus and P. Trautman (1988). Hopelessness, depression, and suicidal intent among adolescent suicide attempters. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 700704.

M. Rotheram-Borus , P. Trautman , S. Dopkins and P. Shrout (1990). Cognitive style and pleasant activities among female adolescent suicide attempters. Journal of Consulting and Clinical Psychology, 58, 554561.

C. Sadowski , L. A. Moore and M. Kelley (1994). Psychometric properties of the Social Problem Solving Inventory (SPSI) with normal and emotionally disturbed adolescents. Journal of Abnormal Child Psychology, 22, 487500.

D. Schotte and G. Clum (1987). Problem-solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 55, 4954.

M. Seligman , C. Peterson , N. Kaslow , R. Tanenbaum , L. Alloy and L. Abramson (1984). Attributional style and depressive symptoms among children. Journal of Abnormal Psychology, 93, 235238.

H. Skinner , P. Steinhaur and J. Santa-Barbara (1983). The family assessment measure. Canadian Journal of Community Mental Health, 2, 91105.

J. Smith , L. Alloy and L. Abramson (2006). Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: multiple pathways to self-injurious thinking. Suicide and Life-Threatening Behavior, 36, 443454.

A. Speckens and K. Hawton (2005). Social problem solving in adolescents with suicidal behavior: a systematic review. Suicide and Life-Threatening Behavior, 35, 365387.

A. Spirito , L. Brown , J. Overholser and G. Fritz (1989). Attempted suicide in adolescence: review and critique of the literature. Clinical Psychology Review, 9, 335363.

A. Spirito , C. Williams , L. Stark and K. Hart (1988). The Hopelessness Scale for Children: pychometric properties and clinical utility with normal and emotionally disturbed adolescents. Journal of Abnormal Child Psychology, 17, 213221.

R. A. Steer , G. Kumar and A. T. Beck (1993). Self-reported suicidal ideation in adolescent psychiatric inpatients. Journal of Consulting and Clinical Psychology, 61, 10961099.

TADS Team (2003). Treatment for Adolescents with Depression Study (TADS): rationale, design, and methods. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 531542.

TADS Team (2005). The Treatment for Adolescents with Depression Study (TADS): demographic and clinical characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 2840.

E. Thompson , J. Mazza , J. Herting , B. Randell and L. Eggert (2005). The mediating roles of anxiety, depression, and hopelessness on adolescent suicidal behaviors. Suicide and Life-Threatening Behavior, 35, 1434.

C van Heeringen . and J. Vincke (2000). Suicidal acts and ideation in homosexual and bisexual young people: a study of prevalence and risk factors. Social Psychiatry and Psychiatric Epidemiology, 35, 494499.

M. Whisman , I. Miller , W. Norman and G. Keitner (1995). Hopelessness depression in depressed inpatients: symptomology, patient characteristics, and outcome. Cognitive Therapy Research, 19, 377398.

S. Williams , J. Connolly and Z. V. Segal (2001). Intimacy in relationships and cognitive vulnerability to depression in adolescent girls. Cognitive Therapy and Research, 25, 477496.

O. Yorbik , B. Birmaher , D. Axelson , D. Williamson and N. Ryan (2004). Clinical characteristics of depressive symptoms in children and adolescents with major depressive disorder. Journal of Clinical Psychiatry, 65, 16541659.

M. Young , L. Fogg , W. Scheftner and J. Fawcett (1996). Stable trait components of hopelessness: baseline and sensitivity to depression. Journal of Abnormal Psychology, 105, 155165.

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