Cognitive Therapy and Research, Vol. 12, No. 5, 1988,pp. 459-469
Levels of Hopelessness in DSM-III Disorders:
A Partial Test of Content Specificity in
Depression ~
Aaron T. Beck 2
University of Pennsylvania
John H. Riskind
George Mason University
Gary Brown
University of Pennsylvania
Robert A. Steer
University of Medicine and Dentistry of New Jersey
To determine the extent to which negativity about the future is specific to
depression, the Hopelessness Scale (HS) scores of 199patients diagnosed with
major depressive disorder (MDD) were compared with those of 48 patients
diagnosed with generalized anxiety disorder (GAD) and 76 psychiatric pa-
tients with mixed nonaffective, nonanxiety disorders. As predicted by the
cognitive model, the MDD patients had higher mean HS scores than either
the GAD or control patients. In addition, HS scores were more highly cor-
related with clinician-rated and self-report measures of depression than with
measures of anxiety. Further, the positive relationships between the HS and
measures of anxiety dropped to nonsignificant levels after the correspond-
ing measures of depression were controlled for, while the HS remained cor-
related with depression after controlling for level of anxiety. The results were
~This study, from the Foundation for Cognitive Therapy, was supported by National Institute
of Mental Health Grant MH38843 to Dr. Beck.
2Address all correspondence to Aaron T. Beck, M. D., Center for Cognitive Therapy, Room
602, 133 South 36th Street, Philadelphia, Pennsylvania 19104.
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0147-5916/88/1000-0459506.00/0 © 1988 Plenum Publishing Corporation