Hope Theory: a Framework for Understanding the Relation Between Childhood Maltreatment and Adult Suicidal Action
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University of Windsor Scholarship at UWindsor Electronic Theses and Dissertations Theses, Dissertations, and Major Papers 2008 Hope Theory: A framework for understanding the relation between childhood maltreatment and adult suicidal action Parveen Kaur Grewal-Sandhu University of Windsor Follow this and additional works at: https://scholar.uwindsor.ca/etd Recommended Citation Grewal-Sandhu, Parveen Kaur, "Hope Theory: A framework for understanding the relation between childhood maltreatment and adult suicidal action" (2008). Electronic Theses and Dissertations. 7897. https://scholar.uwindsor.ca/etd/7897 This online database contains the full-text of PhD dissertations and Masters’ theses of University of Windsor students from 1954 forward. These documents are made available for personal study and research purposes only, in accordance with the Canadian Copyright Act and the Creative Commons license—CC BY-NC-ND (Attribution, Non-Commercial, No Derivative Works). 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HOPE THEORY: A FRAMEWORK FOR UNDERSTANDING THE RELATION BETWEEN CHILDHOOD MALTREATMENT AND ADULT SUICIDAL ACTION By Parveen Kaur Grewal-Sandhu A Dissertation Submitted to the Faculty of Graduate Studies through Psychology Department in Partial Fulfillment of Requirements for the Degree of Doctor of Philosophy at the University of Windsor Windsor, Ontario, Canada 2008 12008 Parveen Kaur Grewal-Sandhu Library and Bibliotheque et 1*1 Archives Canada Archives Canada Published Heritage Direction du Branch Patrimoine de I'edition 395 Wellington Street 395, rue Wellington Ottawa ON K1A0N4 Ottawa ON K1A0N4 Canada Canada Your file Votre reference ISBN: 978-0-494-47100-5 Our file Notre reference ISBN: 978-0-494-47100-5 NOTICE: AVIS: The author has granted a non L'auteur a accorde une licence non exclusive exclusive license allowing Library permettant a la Bibliotheque et Archives and Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par telecommunication ou par Plntemet, prefer, telecommunication or on the Internet, distribuer et vendre des theses partout dans loan, distribute and sell theses le monde, a des fins commerciales ou autres, worldwide, for commercial or non sur support microforme, papier, electronique commercial purposes, in microform, et/ou autres formats. paper, electronic and/or any other formats. The author retains copyright L'auteur conserve la propriete du droit d'auteur ownership and moral rights in et des droits moraux qui protege cette these. this thesis. Neither the thesis Ni la these ni des extraits substantiels de nor substantial extracts from it celle-ci ne doivent etre imprimes ou autrement may be printed or otherwise reproduits sans son autorisation. reproduced without the author's permission. In compliance with the Canadian Conformement a la loi canadienne Privacy Act some supporting sur la protection de la vie privee, forms may have been removed quelques formulaires secondaires from this thesis. ont ete enleves de cette these. While these forms may be included Bien que ces formulaires in the document page count, aient inclus dans la pagination, their removal does not represent il n'y aura aucun contenu manquant. any loss of content from the thesis. Canada AUTHOR'S DECLARATION OF ORGINALITY I hereby certify that I am the sole author of this thesis and that no part of this thesis has been published or submitted for publication. I certify that, to the best of my knowledge, my thesis does not infringe upon anyone's copyright nor violate any proprietary rights and that any ideas, techniques, quotations, or any other material from the work of other people included in my thesis, published or otherwise, are fully acknowledged in accordance with the standard referencing practices. Furthermore, to the extent that I have included copyrighted material that surpasses the bounds of fair dealing within the meaning of the Canada Copyright Act, I certify that I have obtained a written permission from the copyright owner(s) to include such material(s) in my thesis and have included copies of such copyright clearances to my appendix. I declare that this is a true copy of my thesis, including any final revisions, as approved by my thesis committee and the Graduate Studies office, and that this thesis has not been submitted for a higher degree to any other University or Institution. in ABSTRACT This study was designed to increase our understanding of the mechanisms underlying the link between childhood maltreatment and suicidality in adulthood using the theoretical framework of Hope Theory (Snyder, 1991). Two hundred university students between the ages of 18 and 60 took part in the study. One hundred participants were pre-selected for having suicidal behaviour histories and 100 participants were pre selected for having no previous suicidal behaviours. In total, 34 males and 166 females participated in groups of five to ten. The following measures were administered to all participants in the same order: Hope Scale (HS; Snyder et al.,1991); Beck Hopelessness Scale (BHS; Beck & Steer, 1988), Childhood Trauma Questionnaire (CTQ: Bernstein & Fink, 1998); Suicide Behaviours Questionnaire (SBQ-14; Linehan, 1996); and the Linehan Reasons for Living Inventory (LRFL; Linehan, Goodstein, Neilsen, & Chiles, 1983). The results revealed strong correlations between hope, suicidal behaviours, child maltreatment, reasons for living, and hopelessness. Participants with either a history of childhood maltreatment or a history of suicidal behaviours had lower hope, lower pathways thinking and lower agency than did participants without histories of either childhood maltreatment or suicidality. Although the interaction between hope and overall child maltreatment did not explain suicidal behaviours, suicidal behaviour was significantly affected by the interaction between emotional abuse and hope. Furthermore, hope partially mediated the relationship between childhood maltreatment and adult suicidal behaviours. In conclusion, this study shows that hope plays an important role in the relation between childhood maltreatment and suicidal action. The findings support iv the notion that the development of hope can serve as a protective factor against suicidal behaviour in early adulthood. DEDICATION Without the support and guidance of my advisor, Dr. Jim Porter, this dissertation would never have been completed. I dedicate this work to him. Thank you Jim for your unwaivering faith in me. I would also like to thank my two families for all their support and encouragement through this long process. I would also like to thank my husband, Ravi, for motivating me, my daughter Arya for inspiring me, and my daughter Raya, who's arrival we anxiously await, for literally kicking me into gear. I love you all and I share this accomplishment proudly with you. VI TABLE OF CONTENTS ABSTRACT iv DEDICATION vi TABLE OF CONTENTS vii LIST OF TABLES ix LIST OF FIGURES xii CHAPTERS I. INTRODUCTION 1 II. REVIEW OF LITERATURE Childhood Maltreatment 3 Suicidal Ideation and Behaviour 17 Hope Theory 25 Rationale For Study 42 Specific Hypotheses 45 III. METHODOLOGY Research Participants 47 Design 48 Measures 49 Procedure 53 IV. RESULTS Data Analysis 55 Data Categorization 55 Normality Assumptions 57 Reliability of Measure 58 Validity Checks 58 Demographics 61 Childhood Maltreatment and Suicidal Behaviours 70 Analyses by Hypothesis 72 Secondary Analyses 106 Summary of Findings 114 V. DISCUSSION 116 Characteristics of the Sample 116 The Relation between Childhood Maltreatment and Hope 118 The Relation between Hope and Suicidal Behaviours 122 vn The Relation between Childhood Maltreatment and Suicidal Behaviours 124 Hope and its Role in the Relation between Childhood Maltreatment and Suicidality 126 Hope and Hopelessness 127 Limitations 129 Future Directions 131 Conclusions 133 REFERENCES 134 APPENDICES: APPENDIX A: Letter of Informed Consent 170 APPENDIX B: Demographic Questionnaire 172 APPENDIX C: The Trait Hope Scale 173 APPENDIX D: Beck Hopelessness Scale (BHS) 174 APPENDIX E: Childhood Trauma Questionnaire (CTQ) 176 APPENDIX F: Demographic Sheet #2 178 APPENDIX G: Suicide Behaviours Questionnaire (SBQ) 179 APPENDIX H: Linehan Reasons for Living Inventory (RFL) 183 APPENDIX I: Breakdown of Participants according to the Abuse and Neglect Subscales of the Childhood Trauma Questionnaire 187 APPENDIX J: Correlations Between the Five Subscales of the Childhood Trauma Questionnaire 188 APPENDIX K: Frequencies of individuals with early and later age of onset for physical abuse, sexual abuse and emotional abuse 189 APPENDIX L: Skewness and Kurtosis for Scales and Subscales 190 VITA AUCTORIS 191 vin LIST OF TABLES Table 1 Reliability Coefficients, Subscale Means, and Standard Deviations 59 2 Relationship between gender and suicidal behaviour after Chi-square analysis revealed a significant relationship 68 3 Relationship between gender and childhood maltreatment (and the 5 types of maltreatment). 69 4 Relationship between childhood maltreatment