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Predictors of Hopelessness Among Clinically Depressed Youth

Published online by Cambridge University Press:  16 April 2009

Emily G. Becker-Weidman ,
Mark A. Reinecke ,
Rachel H. Jacobs ,
Zoran Martinovich ,
Susan G. Silva  and
John S. March
Emily G. Becker-Weidman*
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Mark A. Reinecke
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Rachel H. Jacobs
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Zoran Martinovich
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Susan G. Silva
Affiliation:
Duke University Medical Center, North Carolina, USA
John S. March
Affiliation:
Duke University Medical Center, North Carolina, USA
*
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: ebw1221@northwestern.edu
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Abstract

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.

Keywords

Depressionhopelessnessadolescentspredictors
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 37 , Issue 3 , May 2009 , pp. 267 - 291
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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