Nunn K P, Lewin T J, Walton J M, Carr V J
Department of Psychiatry, Royal Alexandra Hospital for Children, Westmead, NSW, Australia.
Psychol Med. 1996 May;26(3):531-45. doi: 10.1017/s0033291700035613.
This paper describes the construction, refinement and implementation of a self-administered measure of personal hopefulness, the Hunter Opinions and Personal Expectations Scale (HOPES). Initial state and trait versions of the HOPES instrument were utilized in three separate studies, comprising a medical student sample (N = 211), an adolescent male sample (N = 280) and a psychiatric hospital staff sample (N = 318). A revised 20-item, two factor, trait version of the scale was then utilized in a prospective, longitudinal investigation (N = 753) of the psychosocial sequelae of the earthquake which struck Newcastle (Australia) in December, 1989. Data from all four studies provide strong support for the HOPES instrument's construct, concurrent and predictive validity. Global personal hopefulness (GPH) was shown to be an enduring characteristic of individuals, with a test-retest correlation of r = + 0.71 (over 64 weeks). The association between GPH and trait anxiety (r = -0.64) raised the possibility of redefining anxiety as hope under threat. The hope subscale (HS) and the despair subscale (DS) were moderately negatively correlated (r = -0.32), suggesting that hope and despair are not simply polar opposites. There were no gender differences in GPH scores, however, there were relatively clear age effects, with those aged 70 years and over reporting the lowest levels of personal hopefulness. GPH was negatively correlated with post-earthquake scores on the General Health Questionnaire (r = -0.33), the Impact of Event Scale (r = -0.33), the Beck Depression Inventory (r = -0.54) and the global symptom index from the SCL-90-R (r = -0.43). Overall, the contribution made by personal hopefulness to post-earthquake morbidity was equal to the contributions made by initial exposure to disruption and threat experiences.
本文描述了一种个人希望感的自我管理测量工具——亨特观点与个人期望量表(HOPES)的构建、完善及应用。HOPES工具的初始状态版和特质版在三项独立研究中得到使用,研究对象分别为医学生样本(N = 211)、青少年男性样本(N = 280)和精神病院工作人员样本(N = 318)。随后,该量表经修订后的20个项目、双因素特质版被用于一项前瞻性纵向调查(N = 753),该调查针对1989年12月袭击澳大利亚纽卡斯尔的地震所产生的心理社会后遗症展开。来自所有四项研究的数据为HOPES工具的结构效度、同时效度和预测效度提供了有力支持。全球个人希望感(GPH)被证明是个体的一种持久特征,重测信度为r = + 0.71(超过64周)。GPH与特质焦虑之间的关联(r = -0.64)引发了将焦虑重新定义为处于威胁下的希望的可能性。希望分量表(HS)和绝望分量表(DS)呈中度负相关(r = -0.32),这表明希望和绝望并非简单的两极对立。GPH得分不存在性别差异,然而,年龄效应相对明显,70岁及以上人群报告的个人希望感水平最低。GPH与地震后一般健康问卷得分(r = -0.33)、事件影响量表得分(r = -0.33)、贝克抑郁量表得分(r = -0.54)以及SCL - 90 - R的总体症状指数得分(r = -0.43)呈负相关。总体而言,个人希望感对地震后发病情况的影响与最初暴露于破坏和威胁经历所产生的影响相当。