Measuring elderly people's quality of life through the Beck Hopelessness Scale: a study with a Spanish sample

Aging Ment Health. 2018 Feb;22(2):239-244. doi: 10.1080/13607863.2016.1247427. Epub 2016 Oct 27.

Abstract

Objectives: Hopelessness is a key element of suicidal intent. It can instill a pessimistic outlook on the future, leading an individual to believe that suicide is the only answer to their problems. Hopelessness operates as a modulating variable between depression and suicidal behavior. The aim of this study was to confirm the factor structure of the Beck Hopelessness Scale (BHS) in a non-clinical sample.

Method: Three hundred and sixty-two Spanish individuals, aged over 60, free of cognitive impairment and depressive symptoms, completed the BHS scale. Participants were tested using confirmatory factor analysis (CFA), using one-, two- and three-factor models.

Results: The one- and two-factor models presented adequate fit indices. Specifically, the indices of the two-factor models were better than those of the one-factor model. The two-factor model, without items 4, 9 and 14, provided the best fit, given that the indices obtained in the CFA and their internal consistency were better than those of the other models.

Conclusion: The validation of the BHS for a population of Spanish older adults provides a reliable and valid measure of hopelessness and could be useful in clinical practice and research as an effective tool for the early detection of suicidal behaviors.

Keywords: Hopelessness; aging; confirmatory factor analysis; depression; validity.

MeSH terms

  • Aged
  • Aging / psychology*
  • Depression* / diagnosis
  • Depression* / epidemiology
  • Depression* / psychology
  • Early Diagnosis
  • Factor Analysis, Statistical
  • Female
  • Frustration
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Psychiatric Status Rating Scales
  • Psychometrics / methods
  • Quality of Life*
  • Reproducibility of Results
  • Spain / epidemiology
  • Suicidal Ideation*
  • Suicide Prevention*
  • Suicide* / psychology