Aloba O, Eyiolawi D
Department of Mental Health, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria.
Department of Clinical Psychology, Obafemi Awolowo University, Ile-Ife,Osun State, Nigeria.
Niger J Clin Pract. 2020 Feb;23(2):219-225. doi: 10.4103/njcp.njcp_119_19.
Hopelessness is the most significant predictor of suicide among the clinical and nonclinical populations. The aim of this study is to examine the correlates and predictors of hopelessness among Nigerian adults with sickle cell disease (SCD).
Adopting a convenience sampling technique, 123 clinically stable SCD adult patients were selected from three hematological centers in Southwestern Nigeria. They completed a sociodemographic and illness-related questionnaire in addition to the Beck Hopelessness Scale (BHS), the Hospital Anxiety and Depression Scale (HADS), the 10-item Connor-Davidson Resilience Scale (CDRISC-10), and the Sickle Cell Self-Efficacy Scale (SCSES). The relationship between hopelessness and the other study variables was examined using correlational analysis (Spearman's rho). The extent of the variance these measures contributed to the score on the BHS was evaluated applying hierarchical regression analysis. The level of statistical significance was set at P value less than 0.05.
The mean age (years) of the participants was 25.38 ± 6.73 years. There were 68 (55.3%) females. The mean BHS score was 2.89 ± 3.30. Hopelessness had modest negative correlations with hemoglobin concentration (r = -0.366, P < 0.001), resilience (r = -0.483, P < 0.001), and self-efficacy (r = -0.318, P < 0.001), while modest positive correlations were observed with the HADS-Anxiety (r = 0.351, P < 0.001) and Depression (r = 0.530, P < 0.001) subscales. The hemoglobin concentration, resilience, and depression were the main predictors of hopelessness.
Hopelessness among clinically stable Nigerian adults with SCD is significantly influenced by hemoglobin concentration and psychological variables (resilience and depression). These variables can serve as templates for the development of health promotion strategies (medical and psychological) aimed specifically at the amelioration of the severity of hopelessness within this population.
绝望感是临床和非临床人群中自杀最重要的预测因素。本研究旨在探讨尼日利亚镰状细胞病（SCD）成年患者绝望感的相关因素及预测因素。
采用便利抽样技术，从尼日利亚西南部的三个血液学中心选取了123名临床症状稳定的SCD成年患者。他们除了完成一份社会人口学和疾病相关问卷外，还完成了贝克绝望量表（BHS）、医院焦虑抑郁量表（HADS）、10项康纳-戴维森心理韧性量表（CDRISC-10）和镰状细胞自我效能量表（SCSES）。采用相关分析（斯皮尔曼等级相关系数）检验绝望感与其他研究变量之间的关系。应用层次回归分析评估这些测量指标对BHS得分的方差贡献程度。统计学显著性水平设定为P值小于0.05。
参与者的平均年龄为25.38±6.73岁。其中女性68名（55.3%）。BHS平均得分为2.89±3.30。绝望感与血红蛋白浓度（r = -0.366，P < 0.001）、心理韧性（r = -0.483，P < 0.001）和自我效能感（r = -0.318，P < 0.001）呈中度负相关，而与HADS焦虑分量表（r = 0.351，P < 0.001）和抑郁分量表（r = 0.530，P < 0.001）呈中度正相关。血红蛋白浓度、心理韧性和抑郁是绝望感的主要预测因素。
临床症状稳定的尼日利亚SCD成年患者的绝望感受血红蛋白浓度和心理变量（心理韧性和抑郁）的显著影响。这些变量可作为制定健康促进策略（医学和心理方面）的模板，旨在专门改善该人群绝望感的严重程度。
