J Korean Neuropsychiatr Assoc.  2015 Feb;54(1):84-90. 10.4306/jknpa.2015.54.1.84.

Reliability and Validity of the Korean Version of the Beck Hopelessness Scale

• Kim S
• Lee EH
• Hwang ST
• Hong SH
• Lee K
• Kim JH

• KMID: 2344002
• DOI: http://doi.org/10.4306/jknpa.2015.54.1.84

Abstract

OBJECTIVES
The Beck Hopelessness Scale (BHS) is a 20-item scale for measuring the extent of negative attitudes about the future. Previous studies repeatedly demonstrated clinical utility of BHS, particularly for predicting suicide. The aim of this study is to examine the reliability and validity of the Korean version of the Beck Hopelessness Scale (K-BHS), which is commonly used for measuring hopelessness.
METHODS
The study sample consisted of 1022 community-dwelling general adults from 4 regional areas (i.e., Seoul, Gyeonggi, Cheongju, and Jinju) across South Korea. They completed the K-BHS, Patient Health Questionnaire-9, Spielberger State-Trait Anxiety Inventory, and Adult ADHD Self-Report Scale.
RESULTS
The Cronbach's alpha value for the K-BHS was 0.85. Test-retest reliability at average 7.2 days was 0.86. Discriminant validity was determined. Confirmatory factor analysis supported a three factor model.
CONCLUSION
The K-BHS demonstrated satisfactory reliability and validity and therefore may be useful in measuring the construct of hopelessness and in clinical suicide risk assessments. Further studies are needed in order to explore the psychometric features and correlates of this scale among clinical populations.

Keyword

Beck Hopelessness Scale; K-BHS; Suicide; Hopelessness; Depression

MeSH Terms

Adult
Anxiety
Chungcheongbuk-do
Depression
Gyeonggi-do
Humans
Korea
Psychometrics
Reproducibility of Results*
Risk Assessment
Seoul
Suicide

Reference

1. Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the hopelessness scale. J Consult Clin Psychol. 1974; 42:861–865.

2. Beck AT, Steer RA, Shaw BF. Hopelessness in alcohol- and heroin-dependent women. J Clin Psychol. 1984; 40:602–606.

3. Breitbart W, Rosenfeld B, Pessin H, Kaim M, Funesti-Esch J, Galietta M, et al. Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. JAMA. 2000; 284:2907–2911.

4. Hooley JM, Franklin JC, Nock MK. Chronic pain and suicide: understanding the association. Curr Pain Headache Rep. 2014; 18:435.

5. Innamorati M, Rihmer Z, Akiskal H, Gonda X, Erbuto D, Belvederi Murri M, et al. Cyclothymic temperament rather than polarity is associated with hopelessness and suicidality in hospitalized patients with mood disorders. J Affect Disord. 2015; 170:161–165.

6. O'Donoghue B, Lyne JP, Fanning F, Kinsella A, Lane A, Turner N, et al. Social class mobility in first episode psychosis and the association with depression, hopelessness and suicidality. Schizophr Res. 2014; 157:8–11.

7. Suominen K, Isometsä E, Henriksson M, Ostamo A, Lönnqvist J. Hopelessness, impulsiveness and intent among suicide attempters with major depression, alcohol dependence, or both. Acta Psychiatr Scand. 1997; 96:142–149.

8. Beck AT, Steer RA, Kovacs M, Garrison B. Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation. Am J Psychiatry. 1985; 142:559–563.

9. Joiner TE Jr, Brown JS, Wingate LR. The psychology and neurobiology of suicidal behavior. Annu Rev Psychol. 2005; 56:287–314.

10. Wenzel A, Berchick ER, Tenhave T, Halberstadt S, Brown GK, Beck AT. Predictors of suicide relative to other deaths in patients with suicide attempts and suicide ideation: a 30-year prospective study. J Affect Disord. 2011; 132:375–382.

11. Beck AT, Steer RA, Beck JS, Newman CF. Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression. Suicide Life Threat Behav. 1993; 23:139–145.

12. Beck AT, Steer RA, Brown G. Dysfunctional attitudes and suicidal ideation in psychiatric outpatients. Suicide Life Threat Behav. 1993; 23:11–20.

13. Keller F, Wolfersdorf M. Hopelessness and the tendency to commit suicide in the course of depressive disorders. Crisis. 1993; 14:173–177.

14. Brown GK, Ten Have T, Henriques GR, Xie SX, Hollander JE, Beck AT. Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial. JAMA. 2005; 294:563–570.

15. Dahlsgaard KK, Beck AT, Brown GK. Inadequate response to therapy as a predictor of suicide. Suicide Life Threat Behav. 1998; 28:197–204.

16. Young MA, Fogg LF, Scheftner W, Fawcett J, Akiskal H, Maser J. Stable trait components of hopelessness: baseline and sensitivity to depression. J Abnorm Psychol. 1996; 105:155–165.

17. Practice guideline for the assessment and treatment of patients with suicidal behaviors. Am J Psychiatry. 2003; 160:11 Suppl. 1–60.

18. Truant GS, O'Reilly R, Donaldson L. How psychiatrists weigh risk factors when assessing suicide risk. Suicide Life Threat Behav. 1991; 21:106–114.

19. Aloba O, Akinsulore A, Mapayi B, Oloniniyi I, Mosaku K, Alimi T, et al. The Yoruba version of the Beck Hopelessness Scale: psychometric characteristics and correlates of hopelessness in a sample of Nigerian psychiatric outpatients. Compr Psychiatry. 2015; 56:258–271.

20. Shek DTL. Measurement of pessimism in Chinese adolescents: the Chinese Hopelessness Scale. Soc Behav Pers. 1993; 21:107–119.

21. Tanaka E, Sakamoto S, Ono Y, Fujihara S, Kitamura T. Hopelessness in a community population in Japan. J Clin Psychol. 1996; 52:609–615.

22. Edwards DJA, Steele GI. Development and validation of the Xhosa translations of the Beck Inventories: 3. Concurrent and convergent validity. J Psychol Afr. 2008; 18:227–235.

23. Perczel Forintos D, Sallai J, Rózsa S. Adaptation of the Beck Hopelessness Scale in hungary. Psychol Top. 2010; 19:307–321.

24. Hanna D, White R, Lyons K, McParland MJ, Shannon C, Mulholland C. The structure of the Beck Hopelessness Scale: a confirmatory factor analysis in UK students. Pers Individ Dif. 2011; 51:17–22.

25. Hill RD, Gallagher D, Thompson LW, Ishida T. Hopelessness as a measure of suicidal intent in the depressed elderly. Psychol Aging. 1988; 3:230–232.

26. Steed L. Further validity and reliability evidence for Beck Hopelessness Scale scores in a nonclinical sample. Educ Psychol Meas. 2001; 61:303–316.

27. Chang EC, D'Zurilla TJ, Maydeu-Olivares A. Assessing the dimensionality of optimism and pessimism using a multimeasure approach. Cognit Ther Res. 1994; 18:143–160.

28. Nissim R, Flora DB, Cribbie RA, Zimmermann C, Gagliese L, Rodin G. Factor structure of the Beck Hopelessness Scale in individuals with advanced cancer. Psychooncology. 2010; 19:255–263.

29. Rosenfeld B, Gibson C, Kramer M, Breitbart W. Hopelessness and terminal illness: the construct of hopelessness in patients with advanced AIDS. Palliat Support Care. 2004; 2:43–53.

30. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16:606–613.

31. Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety Mood. 2010; 6:119–124.

32. Spielberger CD. State-trait anxiety inventory. In : Weiner IB, Craighead WE, editors. The corsini encyclopedia of psychology. Hoboken, NJ: Wiley;2010.

33. Hahn DW, Lee CH, Chon KK. Korean Adaptation of Spielberger's STAI (K-STAI). Korean J Health Psychol. 1996; 1:1–14.

34. Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, et al. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005; 35:245–256.

35. Kim JH, Lee EH, Joung YS. The WHO Adult ADHD Self-Report Scale: Reliability and Validity of the Korean version. Psychiatry Investig. 2013; 10:41–46.

36. Browne MW, Cudeck R. Alternative ways of assessing model fit. Sociol Methods Res. 1992; 21:230–258.

37. Hu L, Bentler PM. Evaluating model fit. In : Hoyle RH, editor. Structural equation modeling: concepts, issues, and applications. Thousand Oaks, CA: Sage Publications;1995. p. 76–99.

38. Velting DM. Personality and negative expectancies: trait structure of the Beck Hopelessness Scale. Pers Individ Dif. 1999; 26:913–921.

39. Balsamo M, Romanelli R, Innamorati M, Ciccarese G, Carlucci L, Saggino A. The state-trait anxiety inventory: shadows and lights on its construct validity. J Psychopathol Behav Assess. 2013; 35:475–486.

40. Steer RA, Kumar G, Beck AT. Hopelessness in adolescent psychiatric inpatients. Psychol Rep. 1993; 72:559–564.

41. Marshall GN, Wortman CB, Kusulas JW, Hervig LK, Vickers RR Jr. Distinguishing optimism from pessimism: relations to fundamental dimensions of mood and personality. J Pers Soc Psychol. 1992; 62:1067–1074.