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Updated 10:00 AM November 9, 2009
 

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  Research
Study: Chronically ill might be happier if they give up hope

Holding on to hope may not make patients happier as they deal with chronic illness or diseases, according to a new study by U-M Health System researchers.

"Hope is an important part of happiness," says Dr. Peter Ubel, director of the Center for Behavioral and Decision Sciences in Medicine and one of the authors of the happily hopeless study. "But there's a dark side of hope. Sometimes, if hope makes people put off getting on with their life, it can get in the way of happiness."

The results showed that people do not adapt well to situations if they are believed to be short-term. Ubel and his co-authors — both from U-M and Carnegie Mellon University — studied patients who had new colostomies: their colons were removed and they had to have bowel movements in a pouch that lies outside their body.

At the time they received their colostomy, some patients were told that the colostomy was reversible — that they would undergo a second operation to reconnect their bowels after several months. Others were told that the colostomy was permanent and that they would never have normal bowel function again. The second group — the one without hope — reported being happier over the next six months than those with reversible colostomies.

"We think they were happier because they got on with their lives. They realized the cards they were dealt, and recognized that they had no choice but to play with those cards," says Ubel, who also is a professor in the Department of Internal Medicine.

"The other group was waiting for their colostomy to be reversed," he says. "They contrasted their current life with the life they hoped to lead, and didn't make the best of their current situation."

The research was published in this month's edition of Health Psychology.

Ubel was joined in the research by Dylan Smith, a research specialist at the Ann Arbor VA Health Services Research and Development Center and a U-M psychologist; Aleksandra Jankovic, of the Center for Behavioral and Decision Sciences in Medicine; and George Loewenstein, professor in the Department of Social and Decision Sciences at Carnegie Mellon University.

Loewenstein said these results also may explain why people who lose a spouse to death often recover better emotionally over time than those who get divorced.

"If your husband or wife dies, you have closure. There aren't any lingering possibilities for reconciliation," Loewenstein says.

Ubel says health professionals find it easier to deliver optimistic news to patients even when they believe the prognosis is unfavorable, justifying it by assuming that holding on to hope was better for the patient.

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