Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


hopelessness, ischemic heart disease, reliability, scale, validity



  1. Dunn, Susan L. PhD, RN, FAHA, FAAN
  2. DeVon, Holli A. PhD, RN, FAHA, FAAN
  3. Buursma, Madison P. BSN, RN
  4. Boven, Emma
  5. Tintle, Nathan L. PhD


Objective: The aim of this study was to evaluate the reliability and validity of the State-Trait Hopelessness Scale (STHS) in patients with heart disease who report moderate to severe state hopelessness.


Methods: Reliability, concurrent validity, and convergent validity were evaluated for 20 patients.


Results: Cronbach's [alpha] for the State and Trait subscales were .81 and .79, respectively. Strong correlations between the State Hopelessness Subscale and Patient Health Questionnaire-9 (r = 0.77, P < .001), State Hope Scale (r = -0.75, P < .001), EQ-5D-5L (r = 0.59, P < .005), and PROMIS-29 domains of depression (P = .72, P < .001), fatigue (P = .61, P < .001), and social roles (P = .45, P = .047) were found. There were strong correlations between the Trait Hopelessness Subscale and Trait Hope Scale (r = -0.58, P < .005), State Hope Scale (r = -0.49, P = .03), and PROMIS-29 fatigue domain (r = 0.54, P = .015).


Conclusions: Findings support the reliability and validity of the STHS for evaluation of hopelessness in patients with heart disease.