Life events are important in the course of hopelessness—a 2-year follow-up study in a general population

Abstract.

Background: The association between life events and hopelessness in a general population is unknown. Aim: The aim of this study was to examine the course of hopelessness and how positive and negative life events are associated with it. Method: This was a 2- year follow-up study among general population adults, excluding any with a mental disorder. The impact of 15 occasional life events during the follow-up was assessed and the course of hopelessness measured with the Beck Hopelessness Scale (HS). Results: Four percent of the study subjects with no hopelessness at baseline and 56% of those with hopelessness at baseline reported hopelessness on follow-up. In multiple logistic regression analyses, a notable worsening of the subjective financial situation was revealed as the most important life event, both in becoming hopeless during the follow-up (OR 5.07; 95% CI 2.20–11.7) and in continued hopelessness (OR 7.51, 95% CI 2.19–25.8). Moreover, considerable interpersonal conflicts at work (OR 3.29, 95% CI 1.17–9.27) were associated with becoming hopeless. However, a notable positive change in common living conditions (OR 0.16, 95% CI 0.04–0.74) was found to be a protective factor against becoming hopeless. All these variables remained significant even when adjusted for change in depression scores (BDI). Conclusion: Hopelessness may be persistent in a general population. The impact of life events, especially a notable worsening of the subjective financial situation, is important in becoming or remaining hopeless.