Hope in psychiatry: a review of the literature
Article first published online: 10 OCT 2008
Copyright © 2008 The Authors. Journal Compilation © 2008 Blackwell Munksgaard
Acta Psychiatrica Scandinavica
Volume 118, Issue 6, pages 421–433, December 2008
How to Cite
Schrank, B., Stanghellini, G. and Slade, M. (2008), Hope in psychiatry: a review of the literature. Acta Psychiatrica Scandinavica, 118: 421–433. doi: 10.1111/j.1600-0447.2008.01271.x
- Issue published online: 11 NOV 2008
- Article first published online: 10 OCT 2008
- Accepted for publication August 22, 2008
- qualitative analysis
Objective: Hope has long been considered an important therapeutic factor in medicine, nursing and mental health and recently received attention as a central component of recovery. However, conceptual clarity, applicability and the predictive value of hope remain unclear. This review aims to define hope, review current approaches to assessment, and outline research evidence linking hope with effectiveness.
Method: We conducted a comprehensive review of publications on the conceptualisation and measurement of hope, and on its use as a predictive variable specifically in mental health patients.
Results: Forty-nine definitions of hope were identified, which were grouped into seven emergent dimensions. Thirty-two measurement tools were identified, although few have been used in research involving mental health patients. Eleven studies investigated hope as a predictive variable for differing outcomes, with inconclusive results.
Conclusion: Many conceptual frameworks for hope have been proposed, but empirical evidence on its predictive power in mental health is lacking.