Hope and Abstinence Self-Efficacy: Positive Predictors of Negative Affect in Substance Abuse Recovery

May, Emily; Hunter, Bronwyn A.; Ferrari, Joseph R.; Noel, Nicole C. L.; Jason, Leonard A.

doi:10.1007/s10597-015-9888-y

Cited by 37 publications

(22 citation statements)

References 36 publications

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“…Hope is also a mediator of resilience, well-being [24], and in general population health being hopeful contributes to reductions in all-cause mortality [25]. With positive future optimism, support, and a perceived role to play, hope is a core dimension of recovery from mental illness and substance abuse [26,27]. Among PLH, hope increases coping [28,29], adherence to HIV care and medications [30] thus potentially improving ART treatment outcomes.…”

Section: Introductionmentioning

confidence: 99%

The value of hope: development and validation of a contextual measure of hope among people living with HIV in urban Tanzania a mixed methods exploratory sequential study

et al. 2020

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Background: Hope or hopefulness enhances coping and improves quality of life in persons with chronic or incurable illnesses. Lack of hope is associated with depression and anxiety, which impact negatively on quality of life. In Tanzania, where HIV prevalence is high, the rates of depression and anxiety are over four times higher among people living with HIV (PLH) compared to persons not infected and contribute annual mortality among PLH. Tanzania has a shortage of human resources for mental health, limiting access to mental health care. Evidence-based psychosocial interventions can complement existing services and improve access to quality mental health services in the midst of human resource shortages. Facilitating hope can be a critical element of nonpharmacological interventions which are underutilized, partly due to limited awareness and lack of hope measures, adapted to accommodate cultural context and perspectives of PLH. To address this gap, we developed and validated a local hope measure among PLH in Tanzania. Methods: Two-phased mixed methods exploratory sequential study among PLH. Phase I was Hope-related items identification using deductive, inductive approaches and piloting. Phase II was an evaluation of psychometric properties at baseline and 24 months. Classical test theory, exploratory, confirmatory factor analysis (CFA) were used. Results: Among 722 PLH, 59% were women, mean age was 39.3 years, and majority had primary school level of education. A total of 40 hope items were reduced to 10 in a three-factor solution, explaining 69% of variance at baseline, and 93% at follow-up. Internal consistency Cronbach's alpha was 0.869 at baseline and 0.958 at follow-up. The three-factor solution depicted: positive affect; cognition of effectiveness of HIV care; and goals/plans/ future optimism. Test-retest reliability was good (r = 0.797) and a number of indices were positive for CFA model fit, including Comparative Fit Index of 0.984. Conclusion: The developed local hope scale had good internal reliability, validity, and its dimensionality was confirmed against expectations. The fewer items for hope assessment argue well for its use in busy clinical settings to improve HIV care in Tanzania. Hope in this setting could be more than cognitive goal thinking, pathway and motivation warranting more research. Trial registration: The intervention was registered in USA ClinicalTrials.gov on September 26, 2012, Registration number: NCT01693458.

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Section: Introductionmentioning

confidence: 99%

The value of hope: development and validation of a contextual measure of hope among people living with HIV in urban Tanzania a mixed methods exploratory sequential study

et al. 2020

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“…The term simply suggests that a person is trying to get relief from a problem that is causing him or her suffering. That the study could measure significant reductions in the experiences of anxiety, depression, and hopelessness, after four months of integrated intensive CBT treatment, is of importance because reductions of a person's depression and anxiety symptoms serve as protective factors against relapse in substance use 28,32 and the reduction in hopelessness is important because hopelessness often coincides with depression, self-harm, and/or suicidal behavior. 18 The positive impact of this integrated intensive CBT treatment is proven to be high, as it could significantly reduce psychological risk factors that may lead to substance use.…”

Section: Depression Anxiety Hopplesnessmentioning

confidence: 99%

Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care

Bador¹,

Kerekes

2019

J Behav Health Serv Res

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The study aimed to evaluate an integrated intensive cognitive behavioral therapy (CBT) group treatment for people with substance-related syndrome in outpatient care and to identify eventual gender differences. The study population consisted of 35 outpatients (18 male, 17 female) at a clinic in Western Sweden. The patients completed a four-month period of intensive group therapy and participated in the data collection at admission and discharge. The data were collected using the following inventories: Beck Depression and Anxiety Inventories, Rosenberg Self-Esteem Scale, Hopelessness Scale, and Trait Hope Scale. Results showed decreases in anxiety, depression and experience of hopelessness, and increases in self-esteem and hope. In females, the most dramatic improvement was measured for the anxiety and depression attributes, while in males the strongest effect was measured for hope and self-esteem. This study provides clinical evidence of the positive effects of integrated intensive CBT in outpatient care of people with substance-related syndrome.

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“…Marino (2015) maintains that hope, contribution and a sense of belonging are vital initial stages in social recovery. Thissame study reveals that once a patient begins to identify him or herself not in the light of the diagnosis, but as one also contributing to the society, it may bring about a sense of belongingness and a hope that recovery is possible.Similarly, a study carried out by May et al (2015)shows that people with a comorbid anxiety disorder are driven by hope and agentic thinking towards recovery outcomes such as seeking treatment.…”

Section: Client Centred Elements Of Recovery/ Medication Adherence (Smentioning

confidence: 99%

Assessing the Use of Recovery Model for Medication Adherence on Mental Health Patients – A Case Study Analysis

BSc¹

2017

IOSR JNHS

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This integrative review is aimed at identifying the experiences of mental health patients as well as the perception of health care professionals caring for them with regard to understanding medication adherence and overall treatment using the Recovery Model.The rationale is based on placing increasing emphasis on the Recovery Model; requiring the health care system to provide care based on individual needs. The current trend is for care to seek to promote empowerment and social inclusion.The review further strives to provide insight into how the service users experience care and support in order to assess the extent at which the elements of recovery are embedded in mental health practice.Following extensive searching of the data bases and library resources available and application of the predetermined inclusion /exclusion criteria, fifteen published articles and ten policy guidelines on recovery were reviewed for this work. Two themes emerged: A. The elements of client centred care, (with the sub themes including hope, social inclusion, empowerment and shared decision making) B. The policies guiding recovery. The findings of the review were geared towards assessing the clients' and health care providers' perspective on recovery. Happily, both patients and health professionals share the opinion that the Recovery Model is significant in enhancing treatment, including medication adherence. There may be some variation as to how professionals and patients view recovery in terms application of the Recovery Model but these differences are not within the scope of this review. I. Introduction 1.1 Case Study The reasons for choosing this topic are derived from my experience in placement, on the patients who were described as noncompliant and the perception of the nurses towards these patients. Non-compliances, according to the nurses, will refer to those who did not want to take any medication voluntarily, would hide, spit out or throw their medication in a bin after leaving the medication room, and also those who may fail to take their medication as prescribed. There was a specific case of a 50-year-old lady with depression that sparked my interest in the issues related to medication adherence. She routinely felt reluctant to come for her medication and, whenever she turned up, would choose which medication to take and often hide some in a paper napkin in the palm of her hand. She was often seen the last to save time and had been labeled as-bad‖. The nurses were often stressed and found her behavior frustrating. During handovers and in their notes, they continued to describe the patient as noncompliant. No action plan was made to address the lady's poor adherence and such a need was not incorporated into the care plan. As a student nurse, I found this conflicting with the client-centered approach and began to raise questions as to whether, in a practice situation, recovery could be a tool to support and develop a much better therapeutic relationship with this lady and also to help her to adhere to her medication. In this...

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Hope and Abstinence Self-Efficacy: Positive Predictors of Negative Affect in Substance Abuse Recovery

Cited by 37 publications

References 36 publications

The value of hope: development and validation of a contextual measure of hope among people living with HIV in urban Tanzania a mixed methods exploratory sequential study

The value of hope: development and validation of a contextual measure of hope among people living with HIV in urban Tanzania a mixed methods exploratory sequential study

Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care

Assessing the Use of Recovery Model for Medication Adherence on Mental Health Patients – A Case Study Analysis

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