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You've Got To Have Hope: Studies Show 'Hope Therapy' Fights Depression
ScienceDaily (Aug. 19, 2008) - A growing body of research suggests that 
there is a potent way to fight symptoms of depression that doesn't involve 
getting a prescription.
This potent weapon? Hope.
"We're finding that hope is consistently associated with fewer symptoms of 
depression.  And the good news is that hope is something that can be taught, 
and can be developed in many of the people who need it," said Jennifer 
Cheavens, assistant professor of psychology at Ohio State University.
Cheavens and Laura Dreer of the University of Alabama at Birmingham 
discussed some of the latest research on how hope can battle depression 
during a symposium Saturday Aug. 16 in Boston at the annual meeting of the 
American Psychological Association in Boston.
Cheavens measures hope in people using a 12-item questionnaire developed by 
her mentor, the late C.R. Snyder of the University of Kansas.  In this 
measure, hope has two components: a map or pathway to get what you want, and 
the motivation and strength to follow that path.
"If you feel you know how to get what you want out of life, and you have 
that desire to make that happen, then you have hope," Cheavens said.
Hope is different from optimism, which is a generalized expectancy that good 
things will happen, she said.  Hope involves having goals, along with the 
desire and plan to achieve them.
The potential of hope as a way to fight depression is apparent in a recent 
study of patients and caregivers that Cheavens discussed in her APA 
presentation.
In this study, Cheavens and Dreer examined 97 adults, most over age 60, who 
had been diagnosed with macular degeneration or other conditions that would 
cause them to lose their sight.
The researchers looked at measures of hope and depression in these people 
with low vision, along with their caregivers.
As expected, the researchers found that, in general, caregivers were more 
likely to have significant depressive symptoms if the patients themselves 
had symptoms of depression.
But caregivers who scored higher on measures of hope showed fewer depressive 
symptoms, even if the people they care for were depressed.  Higher-hope 
caregivers also showed higher satisfaction with life, and felt less of a 
sense of burden.
"Hope seems to be protective for caregivers," Cheavens said.
The good news is that hope is something that can be developed in people, she 
said.
In a study published in the journal Social Indicators Research, Cheavens and 
her colleagues tested a hope therapy treatment with a sample of 32 people 
recruited through newspaper ads and flyers.  The ads asked for participants 
willing to attend weekly group meetings designed to increase participants' 
abilities to reach goals.
The researchers specifically looked for people who were not diagnosed with 
depression or other mental illnesses, but who felt dissatisfied with where 
they were in life.
"Many of the people who seek therapy are not mentally ill - they don't meet 
criteria for depression or other illnesses," Cheavens said.  "So if you 
focus primarily on what is wrong with them, there may not be much progress."
"Hope therapy seeks to build on strengths people have, or teach them how to 
develop those strengths.  We focus not on what is wrong, but on ways to help 
people live up to their potential."
In this study, about half the participants took part in eight, two-hour 
group sessions led by trained leaders.  As part of these sessions, they were 
taught new hope-related skills, including identifying goals, ways to achieve 
them, and how to motivate themselves.
Results showed that those who participated in the hope therapy had reduced 
depressive symptoms compared to the control group that did not participate.
"We're finding that people can learn to be more hopeful, and that will help 
them in many ways," Cheavens said.
"What I think is exciting about hope therapy is the way we are learning from 
people who are doing very well.  We have been figuring out what hopeful 
people are doing right, and taking those lessons and developing therapies 
and interventions for people who are not doing as well," Cheavens said.
"And the great news is that it seems to work - we can teach people how to be 
more hopeful."

Adapted from materials provided by Ohio State University.

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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