Affective temperaments and hopelessness as predictors of health and social functioning in mood disorder patients: A prospective follow-up study
Abstract
Background Affective disorders are highly disabling illnesses constituting a significant burden for the patients, their family and the society. Therefore, it would be very useful to find tools which carefully subtype these conditions and have a strong and reliable predictive power concerning the course of illness and health and social functioning. To date, the role of hopelessness and affective temperaments in the prediction of health and social functioning and the course of affective disorders has not been studied. Thus, the aim of the present study was to assess whether affective temperaments and hopelessness, measured during hospitalization, can be useful in the prediction of global functioning (the severity of the illness and the presence and severity of psychosocial problems) at follow-up in inpatients with major depressive disorder and bipolar disorder (BD). Methods The patients were 96 consecutive patients admitted to the inpatient psychiatric clinic of Sant'Andrea Hospital between January 2009 and December 2010. All patients completed the Temperament Evaluation of Memphis, Pisa, Paris and San Diego (TEMPS-A) and the Beck Hopelessness Scale on admission. They were contacted on average 14 months after discharge and were asked to complete a telephone interview based on the Health of the Nation Outcome Scales (HoNOS). Results Two patients committed suicide before the follow-up assessment. Around 77% of the patients who completed the follow-up assessment were diagnosed as BD, and around 47% reported severe hopelessness. In the multivariate analyses, a factor derived from hopelessness and hyperthymia scores and unemployment, independently predicted severity of the illness and psychosocial functioning at the follow-up. Conclusions Screening for the affective temperament profile and for hopelessness has importance for designing the treatment and rehabilitation plans of affective disorder patients, as these variables are involved in the course and outcome of affective disorder patients and influence their health and social functioning.
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The BHS has good psychometric properties and satisfactory ability in predicting subsequent suicide behavior, and general health and social functioning.
“Several international studies reported good psychometric properties of the BHS and suggested satisfactory ability in predicting subsequent suicide behavior, and general health and social functioning [30–34].”
From High depression symptomatology and mental pain characterize suicidal psychiatric patients (2022) · cites this paper as [32]
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Self-citation
- Authors
- Pompili, M., Innamorati, M., Gonda, X., Serafini, G., Sarno, S., Erbuto, D., Palermo, M., Elena Seretti, M., Stefani, H., Lester, D., Perugi, G., Akiskal, H., Siracusano, A., Rihmer, Z., Tatarelli, R., Amore, M., & Girardi, P.
- Affiliations
- Azienda Ospedaliera Sant'Andrea (IT)
- Stockton University (US)
- University of Pisa (IT)
- United States Department of Veterans Affairs (US)
- University of Rome Tor Vergata (IT)
- University of Genoa (IT)
- Corresponding author
- Pompili, Maurizio
- ORCID
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 150
- Issue
- 2
- Pages
- 216-222
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2162360542
- Cited by
- 95
- References
- 38
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 8 · 2022: 7 · 2021: 6 · 2020: 7 · 2019: 9 · 2018: 6 · 2017: 9 · 2016: 12 · 2015: 7 · 2014: 9 · 2013: 3
- FWCI
- 6.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Semmelweis University Repository (Semmelweis University) (submittedVersion)
- Funders
- Italian Ministry of University Research
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- affective temperament, hopelessness, bipolar disorder, major depressive disorder, mood disorders, TEMPS-A, Beck Hopelessness Scale, psychosocial functioning, disease severity, hyperthymia, unemployment, suicide, outcome prediction, psychiatric inpatients
- MeSH terms
- Activities of Daily Living, Adult, Bipolar Disorder, Major Depressive Disorder, Female, Follow-Up Studies, Health Status, Hospitalization, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Temperament, Hope
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