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Qi D, Gao J, Zhang J, Ma Y, Xiong A, Hu Y, Tian J, Zhang S. Health locus of control and symptom distress: The mediating role of illness acceptance and symptom severity in acute leukemia patients. Cancer Epidemiol 2024; 90:102577. [PMID: 38705126 DOI: 10.1016/j.canep.2024.102577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 04/14/2024] [Accepted: 04/23/2024] [Indexed: 05/07/2024]
Abstract
OBJECTIVE This study aims to explore the multiple mediating roles of illness acceptance and symptom severity between health locus of control and symptom distress in acute leukemia patients. METHODS From June 2022 to March 2023, a convenience sampling method was used to recruit 208 acute leukemia patients in the inpatient center of a hospital in Hebei. The Chinese versions of Multidimensional Health Locus of Control Scale, Illness Acceptance Scale, and Anderson Symptom Assessment Scale was used in the cross-sectional study. RESULTS All participants reported the presence of symptom distress. Symptom distress was significantly correlated with chance health locus of control, illness acceptance, and symptom severity (P<0.05). Illness acceptance alone played a mediating role in the relationship between chance health locus of control and symptom distress in acute leukemia patients (β=0.087, 95%CI 0.030-0.167). The indirect role of chance health locus of control on symptom distress through symptom severity alone was also statistically significant (β=0.131, 95%CI 0.008-0.252). Furthermore, the multiple mediating role of chance health locus of control and symptom distress through illness acceptance and symptom severity combined was verified (β=0.027, 95%CI 0.001-0.089). The alternative model is also valid, indicating bidirectional relationships between symptom severity, illness acceptance, and chance health locus of control, collectively influencing symptom distress. CONCLUSION There is a positive relationship between chance health locus of control and symptom distress; additionally, increasing social psychological interventions for illness acceptance and strengthening the management of core symptoms will help alleviate the impact of health chance locus of control on symptom distress in acute leukemia patients. Longitudinal studies are needed to confirm the causal relationships among the variables explored within the model. IMPACT ON NURSING PRACTICE It is recommended that healthcare professionals pay attention to the assessment of health locus of control in patients, identify patients with health chance locus of control in a timely manner, take measures to enhance their disease acceptance, and strengthen the management of core symptoms, thereby reducing their level of symptom distress.
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Affiliation(s)
- Dongyan Qi
- Department of Nursing, The Second Hospital of Hebei Medical University, Shijiazhuang,China
| | - Junxiang Gao
- Department of Nursing, The Second Hospital of Hebei Medical University, Shijiazhuang,China.
| | - Jingjing Zhang
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang,China
| | - Yanhui Ma
- Department of Neonatology, the Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Ao Xiong
- Department of Nursing, The Second Hospital of Hebei Medical University, Shijiazhuang,China
| | - Yingfang Hu
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang,China
| | - Jinman Tian
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang,China
| | - Suying Zhang
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang,China
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Kang N, Lee S. Psychological separation, health locus of control, and transition readiness in adolescents and young adults with type I diabetes. J Pediatr Nurs 2024; 76:38-44. [PMID: 38359543 DOI: 10.1016/j.pedn.2024.01.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 01/30/2024] [Accepted: 01/31/2024] [Indexed: 02/17/2024]
Abstract
PURPOSE The purpose of this study was to examine the effects of psychological separation and health locus of control on the health care transition readiness of adolescents and young adults (AYAs) with type 1 diabetes. METHODS Data were collected between December 2020 and October 2021. One hundred twelve AYAs with type 1 diabetes treated at a tertiary hospital and under follow-up observation as well as AYAs with type 1 diabetes nationwide who were part of the type 1 diabetes internet community were enrolled. The Psychological Separation Inventory, the Multidimensional Health Locus of Control scale from C, and the Self-management and Transition to Adulthood with Therapeutics = Rx Questionnaire were used. RESULTS Multiple regression analysis indicated that age (β = 0.302, p = .001), hemoglobin A1c (HbA1c) (β = -0.174, p = .040), conflictual separation (β = 0.242, p = .005), functional separation (β = 0.200, p = .045) and attitudinal separation (β = -0.240 p = .015) were significantly associated with health management transition readiness; these predictors explained 27.6% of health care transition readiness (F = 8.062, p = .000). CONCLUSIONS AYAs with type 1 diabetes can enhance readiness for health care transition by fostering psychological separation from parents, effectively managing blood glucose levels, and taking into account age-related factors during the preparation process. At this point, it is essential for healthcare professionals to guide parents in recognizing adolescents' psychological independence and facilitating their supportive role through the process of redefining their roles. PRACTICE IMPLICATIONS Health care providers should promote psychological separation in AYAs. Additionally, taking into account the developmental characteristics of adolescence can facilitate a successful health care transition.
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Affiliation(s)
- Nuri Kang
- Department of Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Sunhee Lee
- College of Nursing, the Catholic University of Korea, Seoul, Republic of Korea.
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Mei Y, Zhang Y, Yu J, Tang X, Li W. Healthy lifestyle mediates the association between health locus of control and life satisfaction among college students in Hubei, China: during the normalization stage of COVID-19 epidemic prevention and control. Arch Public Health 2023; 81:136. [PMID: 37488617 PMCID: PMC10364408 DOI: 10.1186/s13690-023-01145-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 06/30/2023] [Indexed: 07/26/2023] Open
Abstract
BACKGROUND Previous studies have primarily focused on the relationships among the health locus of control (HLC), healthy lifestyle and life satisfaction of college students. However, little is known about the mediating mechanism of healthy lifestyle on the other two aspects. This study aims to address this issue. METHODS A total of 2394 students from six colleges in Hubei Province validly completed self-report questionnaires, including the Satisfaction with Life Scale (SWLS), Healthy Lifestyle Questionnaire for college students and Multidimensional Health Locus of Control Scale (MHLC), which covered three dimensions: internal HLC, powerful others HLC and chance HLC. Partial least squares structural equation modelling (PLS-SEM) was employed to analyses the hypothesized relationships in the path model, and a mediation analysis was used to verify the indirect relationships. RESULTS Healthy lifestyle and life satisfaction showed positive relations with both internal HLC and powerful others HLC, but a significant negative association with chance HLC. In addition, healthy lifestyle mediated the relationships of internal HLC, powerful others HLC and chance HLC with life satisfaction. CONCLUSIONS Healthy lifestyle mediates the impact of HLC on life satisfaction. Students with high IHLC tend to develop a healthier lifestyle and have higher LS. Powerful others also exert positive effects in collectivist cultural backgrounds. Thus, colleges should give full play to the positive role of psychological health and physical education courses in improving students' IHLC. Meanwhile, the positive guiding effect of powerful others should be stressed. Further, particular emphasis should also be placed on the peer influence, new media publicity functions, community intervention, and college systematic appraisal, especially during and after public health emergencies.
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Affiliation(s)
- Ying Mei
- School of Physical Education, Jianghan University, 8 Sanjiaohu Road, Wuhan, 430056, China
| | - Yuzhou Zhang
- School of Marxism, Central China Normal University, 152 Luoyu Road, Wuhan, 430079, China
- Department of Student Affairs, Zhongnan University of Economics and Law, 182 Nanhu Avenue, Wuhan, 430073, China
| | - Jincong Yu
- Education and Counseling Center for Psychological Health, Zhongnan University of Economics and Law, 182 Nanhu Avenue, Wuhan, 430073, China.
- Adolescent Psychology Development Institute, Zhongnan University of Economics and Law, 182 Nanhu Avenue, Wuhan, 430073, China.
| | - Xuemei Tang
- School of Marxism, Wuhan Railway Vocational College of Technology, 1 Canglong Avenue, Wuhan, 430072, People's Republic of China
| | - Wenzhen Li
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
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Adegbayi A, Scally A, Lesk V, Stewart-Knox BJ. A Survey of Breastfeeding Attitudes and Health Locus of Control in the Nigerian Population. Matern Child Health J 2023; 27:1060-1069. [PMID: 37029895 PMCID: PMC10160144 DOI: 10.1007/s10995-023-03638-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/16/2023] [Indexed: 04/09/2023]
Abstract
OBJECTIVES Breastfeeding is important to infant health and survival in sub-Saharan Africa. To promote breastfeeding effectively, understanding of psychological factors associated with infant feeding choices is required. This study investigated breastfeeding attitudes and health locus of control (HLoC) in a Nigerian community sample. METHODS Men and women (N = 400) (71% female; mean age 34.2 years/ range 18-86 years) were recruited through community groups in Nigeria. Self-report survey by questionnaire measured breastfeeding attitudes using the Iowa Infant Feeding Attitude Scale (IIFAS) and health locus of control using the Multidimensional Health Locus of Control Scale (MHLoCs). RESULTS MEAN IIFAS scores (mean = 57.7; sd = 7.8) became less favourable with increasing age (p = 0.02). Men had higher IIFAS scores (mean = 58.6; sd = 7.6) than women (mean = 56.6; sd = 8.0) indicating more favourable attitudes toward breastfeeding (p = 0.02). Women scored higher than men on external chance HLoC (ECHLoC) (p = 0.003) and external powerful others HLoC (EPHLoC) (p = 0.02). Increasing age was associated with higher scores on ECHLoC (p < 0.01) and EPHLoC (p < 0.01). Multiple linear regression analysis was significant (p < 0.001) and explained 7.8% of variance in breastfeeding attitude. Lower IIFAS scores, reflecting more negative attitudes to breastfeeding, were associated with higher ECHLoC (p < 0.01) and EPOHLoC (p < 0.05). Higher IIFAS scores, reflecting more positive attitudes to breastfeeding, were associated with greater IHLoC (p < 0.01). Neither age nor gender were associated with IIFAS scores in the final model. CONCLUSIONS This implies a need to explore health locus of control when promoting positive attitudes to breastfeeding and supporting families in breastfeeding advocacy.
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Affiliation(s)
- Adenike Adegbayi
- Department of Psychology, University of Bradford, Richmond Road, BD71DP, Bradford, UK
| | - Andrew Scally
- School of Clinical Therapies, University College Cork, Cork, Ireland
| | - Valerie Lesk
- Department of Psychology, University of Bradford, Richmond Road, BD71DP, Bradford, UK
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Kongkamol C, Kongkamol P, Phanlamai C, Sathirapanya P, Sathirapanya C. Role of health locus of control in preventing occupational decompression sickness among deep-sea fisherman divers. Health Psychol Behav Med 2023; 11:2156345. [PMID: 36860422 PMCID: PMC9969968 DOI: 10.1080/21642850.2022.2156345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Background Indigenous fisherman divers frequently experience decompression sickness (DCS). This study aimed to evaluate the associations between the level of knowledge of safe diving, beliefs in the health locus of control (HLC), and regular diving practices with DCS among the indigenous fisherman divers on Lipe island. The correlations among the level of beliefs in HLC, knowledge of safe diving and regular diving practices were evaluated also. Method We enrolled the fisherman divers on Lipe island and collected their demographics, health indices, levels of knowledge of safe diving, beliefs in external and internal HLC (EHLC and IHLC), and regular diving practices to evaluate the associations with the occurrence of DCS by logistic regression analysis. Pearson's correlation was used to test the correlations among the level of beliefs in IHLC and EHLC, knowledge of safe diving, and regular diving practices. Results Fifty-eight male fisherman divers whose mean age was 40.39 (±10.61) (range 21-57) years were enrolled. Twenty-six (44.8%) participants had experienced DCS. Body mass index (BMI), alcohol consumption, diving depth, duration of time in the sea/dive, level of beliefs in HLC and regular diving practices were significantly associated with DCS (p < 0.05). Level of belief in IHLC had a significantly strong reverse correlation with that in EHLC and a moderate correlation with level of knowledge of safe diving and regular diving practices. By contrast, level of belief in EHLC had a significantly moderate reverse correlation with level of knowledge of safe diving and regular diving practices (p < 0.001). Conclusions Encouraging the fisherman divers' belief in IHLC could be beneficial for their occupational safety.
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Affiliation(s)
- Chanon Kongkamol
- Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Piyada Kongkamol
- Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Chutima Phanlamai
- Health Promotion Unit, Songklanagarind Hospital, Hat Yai, Songkhla, Thailand
| | - Pornchai Sathirapanya
- Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Chutarat Sathirapanya
- Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand,Health Impact Assessment Research Center, Prince of Songkla University, Hat Yai, Songkhla, Thailand, Chutarat Sathirapanya Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla90110, Thailand; Health Impact Assessment Research Center, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand
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Imeri H, Holmes E, Desselle S, Rosenthal M, Barnard M. A survey study of adults with chronic conditions: Examining the correlation between patient activation and health locus of control. Chronic Illn 2023; 19:118-131. [PMID: 36638782 DOI: 10.1177/17423953211067431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
OBJECTIVES This study aimed to examine (1) the association between patient activation (PA), health locus of control (HLOC), sociodemographic and clinical factors, and (2) the effect of HLOC dimensions, sociodemographic and clinical factors on PA. METHODS Three hundred U.S. adults, with at least one chronic condition (CC) were recruited through Amazon Mechanical Turk and completed an online survey which included sociodemographic questions, the Patient Activation Measure® - 10, and the Multidimensional Locus of Control (MHLC) - Form B. Statistical analyses, including descriptive, correlation, and multiple linear regression, were conducted using IBM SPSS v25. RESULTS Of the 300 participants, more than half were male (66.3%), White (70.7%), with at least a college degree (76.0%), and employed full-time (79.0%). The average PA score was 68.8 ± 14.5. Multiple linear regression indicated that participants who reported they were Black, retired, with a greater number of CCs, and with higher scores in Chance MHLC had higher PA, while participants with higher scores in Internal MHLC, were unemployed and reported to have been affected by COVID-19-related worry or fear to manage their CC, had lower PA. DISCUSSION HLOC dimensions should be addressed concurrently with PA for patients with CCs, thus adding to a more patient-centered clinical approach.
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Affiliation(s)
- Hyllore Imeri
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
| | - Erin Holmes
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
| | - Shane Desselle
- 59431Touro University California, Department of Pharmacy, Vallejo, CA, United States
| | - Meagen Rosenthal
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
| | - Marie Barnard
- 8083University of Mississippi, Department of Pharmacy Administration, University, MS, United States
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Kalini S, Zartaloudi A, Kavga A, Stamou A, Alikari V, Fradelos EC, Gerogianni G. Investigation of Anxiety and Health Locus of Control in Patients Undergoing Hemodialysis. Adv Exp Med Biol 2023; 1425:47-57. [PMID: 37581780 DOI: 10.1007/978-3-031-31986-0_5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Abstract
INTRODUCTION Hemodialysis is the most frequent treatment modality for End-Stage Renal Disease (ESRD). However, a number of limitations and modifications accompany this treatment, affecting people's physical and psychological well-being and increasing anxiety symptoms. The aim of this study was to investigate the level of anxiety and health locus of control among dialysis patients. METHODOLOGY One hundred and five patients on hemodialysis treatment completed a questionnaire with demographic characteristics, the State-Trait Anxiety Inventory and the Multidisciplinary Health Locus of Control Scale. RESULTS Women had significantly higher levels of state anxiety than men (p = 0.019). Similarly, patients with primary school education had significantly higher trait and total anxiety levels than those with technological education (p = 0.002 and p = 0.033, respectively). Widowed patients exhibited significantly higher state, trait, and total anxiety levels than married (p = 0.032, p = 0.012, and p = 0.012, respectively). Participants who did not do any kind of exercise had significantly higher level of state, trait, and total anxiety than those who did (p = 0.011, p = 0.015, and p = 0.006, respectively). Respondents who did not have any self-care skills had significantly higher level of state, trait, and total anxiety than those who had (p = 0.011, p = 0.015, and p = 0.006, respectively). State, trait, and total anxiety levels were significantly (p ≤ 0.05) correlated negatively with internal locus of control and positively with "chance" locus of control scale. CONCLUSIONS Hemodialysis patients had increased anxiety symptoms and believed that others had control over their health to a greater extent. Renal professionals need to apply effective interventions to dialysis patients in order to help them gain a better sense of control over their health and reduce anxiety symptoms.
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Affiliation(s)
- Sofia Kalini
- Department of Nursing, University of West Attica, Athens, Greece
| | | | - Anna Kavga
- Department of Nursing, University of West Attica, Athens, Greece
| | - Angeliki Stamou
- Department of Nursing, University of West Attica, Athens, Greece
| | - Victoria Alikari
- Department of Nursing, University of West Attica, Athens, Greece
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Neugebauer T, Wahidie D, Erdsiek F, Yilmaz-Aslan Y, Brzoska P. Perceived controllability of a SARS-CoV-2 infection: an investigation of intersectional differences. BMC Public Health 2022; 22:2371. [PMID: 36528583 PMCID: PMC9758664 DOI: 10.1186/s12889-022-14848-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 12/09/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The perceived ability to influence an infection with SARS-CoV-2 has an impact on compliance with protective measures. Factors influencing perceived controllability are not yet fully known. The aim of this study was to identify intersectional differences in perceived controllability. Insights into these intersectional differences could help to develop user-centered strategies to improve the acceptance of protective measures. METHODS Data from the seventh wave of the German Ageing Survey (DEAS) was used to investigate differences in the population regarding the perceived controllability. The role of socio-demographic and socio-economic predictors was investigated using multivariable linear regression modeling. Intersectional differences were examined using interaction terms. RESULTS Information on 4,823 respondents aged 46 to 100 years were available, of which 50.9% were female. Migration status (yes vs. no: β = -0.27; 95%-CI = -0.48,-0.06), education level (high vs. low: β = 0.31; 95%-CI: 0.08, 0.55) and employment status (retired vs. employed: β = 0.33; 95%-CI: 0.19, 0.48) were found to be significantly influencing perceived controllability. Interaction effects were found with respect to sex and migration status, with migrant women rating their perceived controllability lower than non-migrant women (β = -0.51; 95%-CI = -0.80, -0.21), while no differences were evident between migrant and non-migrant men (β = -0.02; 95%-CI = -0.32, 0.28). Further intersectional differences were not observed. CONCLUSIONS The results show that intersectional differences in perceived controllability occur especially between migrant and non-migrant women. Possible causes may lie in language barriers, which in connection with lower health literacy may affect perceived controllability. Dedicated efforts to improve controllability among older adults, those with lower educational attainment and migrant women are warranted.
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Affiliation(s)
- Till Neugebauer
- grid.412581.b0000 0000 9024 6397Health Services Research, Faculty of Health, School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58448 Witten, Germany
| | - Diana Wahidie
- grid.412581.b0000 0000 9024 6397Health Services Research, Faculty of Health, School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58448 Witten, Germany
| | - Fabian Erdsiek
- grid.412581.b0000 0000 9024 6397Health Services Research, Faculty of Health, School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58448 Witten, Germany
| | - Yüce Yilmaz-Aslan
- grid.412581.b0000 0000 9024 6397Health Services Research, Faculty of Health, School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58448 Witten, Germany ,grid.7491.b0000 0001 0944 9128Dept. of Epidemiology & International Public Health, School of Public Health, Bielefeld University, 33615 Bielefeld, Germany ,grid.7491.b0000 0001 0944 9128Dept. of Health Services Research and Nursing Science, School of Public Health, Bielefeld University, 33615 Bielefeld, Germany
| | - Patrick Brzoska
- grid.412581.b0000 0000 9024 6397Health Services Research, Faculty of Health, School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58448 Witten, Germany
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Kasvikis Y, Mitsopoulou T, Alexiou E. Cognitive changes in health locus of control attributions after behavioral analysis in patients with panic disorder and/or agoraphobia. Psychiatriki 2022; 33:243-246. [PMID: 35477084 DOI: 10.22365/jpsych.2022.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Patients with Panic Disorder and / or Agoraphobia (PD +/- Ag) attribute their mental health more to external factors and less to internal, while after behavior treatment (BT) their external attributions decrease and internal attributions increase. We examined whether these cognitive changes observed at the end of BT, begin earlier. Forty patients with PD +/- Ag were assessed on the Multidimensional Health Locus of Control Scale, before and after the diagnostic and psychoeducational sessions that precede the clinical implementation of BT. Decreased health attributions to significant others (t = 4.22, p < 0.01), and an increase trend to self (t = -0.78, p = 0.43) were observed, which are compatible with the active role patients need to adopt in the clinical application of BT.
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Affiliation(s)
- Yiannis Kasvikis
- Behavior Treatment Unit, Hellenic Center of Mental Health and Research, Athens, Greece
| | - Titika Mitsopoulou
- Behavior Treatment Unit, Hellenic Center of Mental Health and Research, Athens, Greece
| | - Evangelia Alexiou
- Behavior Treatment Unit, Hellenic Center of Mental Health and Research, Athens, Greece
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Nie S, Peng H, Ju Q, Liang Q, Zhang C, Qiang X, Gan Y. The Relationship Between Meaning in Life and Health Behaviors in Adults Aged 55 Years and Over During the COVID-19 Pandemic: the Mediating Role of Risk Perception and the Moderating Role of Powerful Others Health Locus of Control. Int J Behav Med 2022. [PMID: 35776244 DOI: 10.1007/s12529-022-10100-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) has impacted many people's meaning in life and health behaviors. This study aimed to verify the relationship among meaning in life (MIL), epidemic risk perception, health locus of control (HLC), and preventive health behaviors among older adults after the COVID-19 outbreak was declared a pandemic. METHOD In this longitudinal study, 164 participants aged 55 years and above completed the following measures at time 1 (February 19, 2021) and one month later at time 2 (March 19, 2021): Meaning in Life in the Epidemic Questionnaire, Epidemic Risk Perception Questionnaire, Multidimensional Health Locus of Control Scale, and Health Behaviors Before and After the Epidemic Survey. Hayes' SPSS Process Macro was used to analyze the mediating effect of epidemic risk perception (model 4) and the moderating role of powerful others HLC in the mediation model (model 14). RESULTS The results showed that after controlling for gender, age, education level, and health behaviors at the baseline, risk perception had a significant mediating effect on the relationship between MIL and preventive health behaviors (β = .02, SE = .01, 95% CI [.00, .04]). In addition, powerful others HLC had a moderating effect on the second half of the mediating effect (β = .02, p = .02, 95% CI [.00, .03]). Specifically, compared to the older adults with low powerful others HLC, the risk perception of older adults with high powerful others HLC increased preventive health behaviors. CONCLUSION Practitioners should adequately cultivate older adults' risk awareness and reinforce the importance of advice from doctors and professionals, thereby effectively enhancing the preventive health behaviors of older adults in China during the COVID-19 pandemic.
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Upenieks L, Ford-Robertson J, Robertson JE. Trust in God and/or Science? Sociodemographic Differences in the Effects of Beliefs in an Engaged God and Mistrust of the COVID-19 Vaccine. J Relig Health 2022; 61:657-686. [PMID: 34843011 PMCID: PMC8628135 DOI: 10.1007/s10943-021-01466-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/12/2021] [Indexed: 05/26/2023]
Abstract
At present, COVID-19 vaccines are widely available in the USA, but large proportions of the American populace remain unvaccinated. One possible source of COVID-19 vaccine hesitancy is a lack of trust in science. In this study, drawing from the large literature at the intersection of science and religion, we ask whether beliefs in an engaged God (the belief that God is involved in daily human affairs) predict mistrust of the COVID-19 vaccine and whether any observed association differs across race, gender, and education. Using nationally representative data from Wave 6 of the Baylor Religion Survey (2021), our results suggest that beliefs in an engaged God were associated with greater mistrust in the COVID-19 vaccine. This association was amplified for Hispanic and lower educated Americans. We argue that beliefs in an engaged God may promote a distrust of science, reduce motivation to get vaccinated, and derive comfort and strength by placing control over one's life in the hands of a loving, involved deity. We also situate our findings within an emerging body of work on the "dark side" of religion and reflect on their implications for understanding the broader religion/health connection.
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Affiliation(s)
- Laura Upenieks
- Department of Sociology, Baylor University, One Bear Place, Waco, TX, 76798, USA.
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Khoo SS, Toh WX, Yang H. Seeking control during uncontrollable times: Control abilities and religiosity predict stress during COVID-19. Pers Individ Dif 2021; 175:110675. [PMID: 34848902 PMCID: PMC8613706 DOI: 10.1016/j.paid.2021.110675] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 12/26/2020] [Accepted: 01/13/2021] [Indexed: 11/15/2022]
Abstract
The COVID-19 pandemic has created an urgent need to understand the protective factors that can buffer individuals against psychological distress. We employed a latent-variable approach to examine how control-related factors such as religiosity, self-control, cognitive control, and health locus of control can act as resilience resources during stressful periods. We found that cognitive control emerged as a protective factor against COVID-19-related stress, whereas religiosity predicted a heightened level of stress. These results provide novel insights into control factors that can safeguard individuals' psychological well-being during crises such as a pandemic.
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Ganjoo M, Farhadi A, Baghbani R, Daneshi S, Nemati R. Association between health locus of control and perceived stress in college student during the COVID-19 outbreak: a cross-sectional study in Iran. BMC Psychiatry 2021; 21:529. [PMID: 34702220 PMCID: PMC8547728 DOI: 10.1186/s12888-021-03543-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 10/14/2021] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic as a global mental health crisis has affected everyone, including students. The present study aimed to determine and investigate the relationship between health locus of control and perceived stress in students of Bushehr University of Medical Sciences (southern Iran) during the outbreak of COVID-19. METHODS The present cross-sectional study examined 250 students of Bushehr University of Medical Sciences. We performed simple random sampling and utilized the demographic information form, Multidimensional Health Locus of Control scale (MHLCS) by Wallston, and Perceived Stress Scale (PSS) by Cohen to collect data. We analyzed data using the SPSS, Pearson correlation coefficient, and the hierarchical regression model with an error level of 5%. RESULTS The mean perceived stress was 30.74 ± 8.09, and 92.4% of the students had moderate and high stress levels. Among the components of the health locus of control, the internal health locus of control (IHLC) had the highest mean in students (27.55 ± 3.81). Furthermore, the internal health locus of control (R = - 0.30, P < 0.001) had a significant inverse relationship, with perceived stress and the chance health locus of control (CHLC) (R = 0.30, P < 0.001) had a significant direct relationship. In the final regression model, the health locus of control and all the variables predicted 22.7% of the perceived stress variation in students during the COVID-19 period. CONCLUSION The results indicated that the internal health locus of control was associated with a reduction of perceived stress, and the powerful others health locus of control (PHLC) was related to its increase in students during the COVID-19 pandemic. Given the uncertain future, in the present work, universities are suggested to design web-based educational interventions alongside the curriculum to further strengthen the internal health locus of control and thus help reduce their perceived stress.
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Affiliation(s)
- Mahasty Ganjoo
- grid.411832.dDepartment of Medical Emergencies, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Akram Farhadi
- grid.411832.dDepartment of Health Education and Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Reza Baghbani
- grid.411832.dDepartment of Medical Emergencies, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Safieh Daneshi
- grid.411832.dClinical Research Development Center, Shohadaye- Khalije- Fars Hospital, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Reza Nemati
- Department of Medical Emergencies, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran.
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14
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Munda A, Fekonja U, Pongrac Barlovič D. Prevalence of depressive and anxiety symptoms in women with gestational diabetes: a longitudinal cohort study. Acta Diabetol 2021; 58:1091-1100. [PMID: 33772371 DOI: 10.1007/s00592-021-01706-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Accepted: 03/12/2021] [Indexed: 10/21/2022]
Abstract
AIMS Prevalence of mental disorders in women with gestational diabetes mellitus (GDM) is not well defined; however, their presence could interfere with effective glucose self-management. Therefore, we aimed to assess the incidence of depression and anxiety symptoms in women with GDM in the 2nd and 3rd trimester of pregnancy and their impact on glycemic control. METHODS We included consecutive women undergoing the GDM screening test at the University Medical Centre Ljubljana. Women with GDM (n = 77) and women without GDM (n = 103) completed questionnaires on depression and anxiety symptomatology, health locus of control and social support. RESULTS The incidence of depression symptoms in the 2nd trimester is higher in women with GDM (23.4%) than in women without GDM (10.7%; p = 0.022; OR = 2.6). The incidence of depression and anxiety symptomatology did not change significantly from 2nd to 3rd trimester within both groups; however, an increase in the average severity of depression symptomatology was observed. Glycemic control was negatively associated with the external health locus of control. CONCLUSIONS Our results highlight the need for depression screening early on during pregnancy, especially in women with GDM. Timely psychological support may contribute to better GDM management and possibly prevent negative pregnancy outcomes.
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Affiliation(s)
- Ana Munda
- Department of Psychology, Faculty of Arts, University of Ljubljana, Ljubljana, Slovenia
- University Medical Center Ljubljana, Zaloška 2, 1000, Ljubljana, Slovenia
| | - Urška Fekonja
- Department of Psychology, Faculty of Arts, University of Ljubljana, Ljubljana, Slovenia
| | - Draženka Pongrac Barlovič
- University Medical Center Ljubljana, Zaloška 2, 1000, Ljubljana, Slovenia.
- Faculty of Medicine, University Ljubljana, Ljubljana, Slovenia.
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15
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Egoshi S, Hayashi S, Horie J, Shiranita S, Watanabe H, Kawaura F, Takahashi K, Asami T, Sueoka-Aragane N. Effect of health locus of control on physical activity in stable patients with chronic obstructive pulmonary diseases. J Phys Ther Sci 2021; 33:480-488. [PMID: 34177112 PMCID: PMC8219604 DOI: 10.1589/jpts.33.480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 03/26/2021] [Indexed: 12/04/2022] Open
Abstract
[Purpose] A strong correlation exists between low physical activity and the prognosis of
patients with chronic obstructive pulmonary disease (COPD). The interaction between
psychological factors and low physical activity remains unclear in patients with COPD.
Here, we investigated the impact of the health locus of control (HLOC) on the response to
an education program in patients with COPD. [Participants and Methods] We assessed the
physical activities and HLOC in participants with COPD before and after a five-month
education program. We assessed physical activity using the Japanese version of the
International Physical Activity Questionnaire (IPAQ). We evaluated the HLOC using the
Japanese version of the HLOC scales. We provided an identical educational program to all
participants after the initial evaluation. [Results] The total activity and walking scores
were significantly elevated after the intervention. We observed a significant negative
correlation between the IPAQ Total score after the intervention and the supernatural HLOC.
We also observed significant negative correlations between the IPAQ Vigorous score after
the intervention and Family HLOC and Chance HLOC. [Conclusion] The response of patients
with COPD to self-care educational programs was influenced by the HLOC.
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Affiliation(s)
- Shojiro Egoshi
- Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University: 34 Oyakeyamada-cho, Yamashina-ku, Kyoto 607-8175, Japan.,Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
| | - Shinichiro Hayashi
- Department of Respiratory Medicine, Kohokai Takagi Hospital, Japan.,Department of Rehabilitation Medicine, Saga University Hospital, Japan.,Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
| | - Jun Horie
- Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University: 34 Oyakeyamada-cho, Yamashina-ku, Kyoto 607-8175, Japan.,Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
| | - Shuichi Shiranita
- Choseido Watanabe Clinic, Japan.,Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
| | - Hisashi Watanabe
- Choseido Watanabe Clinic, Japan.,Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
| | - Futoshi Kawaura
- Department of Respiratory Medicine, Kohokai Takagi Hospital, Japan.,Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
| | - Koichiro Takahashi
- Division of Hematology, Respiratory Medicine, and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Japan.,Specified Nonprofit Corporation Hagakure Respiratory Care Network, Japan
| | - Toyoko Asami
- Department of Rehabilitation Medicine, Saga University Hospital, Japan
| | - Naoko Sueoka-Aragane
- Division of Hematology, Respiratory Medicine, and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Japan
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16
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Wilski M, Tomczak M, Ferlak J, Chmielewski B, Łuniewska M, Brola W. Coping profiles in multiple sclerosis: Comparison of personal resources. Mult Scler Relat Disord 2021; 53:103027. [PMID: 34082328 DOI: 10.1016/j.msard.2021.103027] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 04/29/2021] [Accepted: 05/10/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Identifying the profiles of multiple sclerosis (MS) patients who employ similar patterns of coping may improve the understanding of how coping is associated with psychological adjustment. The purpose of this study was to identify the groups of MS patients using different coping strategies and compare the levels of psychological resources across the groups. METHODS In this cross-sectional study 382 patients with MS completed a battery of self-report measures that assessed their use of different coping strategies, optimism, self-efficacy, health locus of control (HLC), and perception of disease. The groups with different coping profiles were selected by performing a cluster analysis. RESULTS Five different coping profiles were highlighted and were defined as follows: "Emotional," "Temperate," "Active," "Passive," and "Problem copers." Significant differences were detected between the groups in the levels of optimism, self-efficacy, HLC, and perception of disease. CONCLUSION Patients with MS use a varied repertoire of coping strategies, which allowed distinguishing coping profiles. Groups representing particular profiles differ in terms of psychological resources. This study contributed to increasing the interest in investigating coping profiles. Identifying subgroups of individuals based on their coping profiles and recognizing the differences is important for providing psychological support.
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Affiliation(s)
- Maciej Wilski
- Department of Adapted Physical Activity, Poznan University of Physical Education, Poznan, Poland.
| | - Maciej Tomczak
- Department of Psychology, Poznan University of Physical Education, Poznan, Poland
| | - Jan Ferlak
- Department of Pharmaceutical Technology, Poznan University of Medical Sciences, Poznan, Poland
| | - Bartosz Chmielewski
- Faculty of Health Sciences, State University of Applied Sciences in Konin, Konin, Poland
| | - Magdalena Łuniewska
- Department of Adapted Physical Activity, Poznan University of Physical Education, Poznan, Poland
| | - Waldemar Brola
- Collegium Medicum, Jan Kochanowski University, Kielce, Poland
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17
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Lindström M, Rosvall M. Health locus of control and mortality: a population-based prospective cohort study. Public Health 2020; 185:209-11. [PMID: 32653630 DOI: 10.1016/j.puhe.2020.05.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 04/26/2020] [Accepted: 05/01/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVES The objective of the study was to estimate associations between health locus of control (HLC) and mortality. STUDY DESIGN & METHODS The public health survey in Scania 2008 was linked to the Swedish cause of death register. In this study of 10,757 men and 12,322 women aged 18-80 years, 421 men and 235 women died during the 5.3-year follow-up. Survival analyses were conducted. RESULTS Respondents with only some or no internal HLC had significantly higher hazard rate ratios (HRRs) compared with respondents with high HLC. For women, the HRRs of those with low HLC did not significantly differ from the reference group after final adjustments for health-related behaviours. CONCLUSIONS HLC is a predictor of mortality, and this association is to an important extent mediated by health-related behaviours.
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Lael- Monfared E, Tehrani H, Teiho Z, Jafari A. The study of eye care behaviors in patients with type 2 diabetes. J Diabetes Metab Disord 2020; 19:257-263. [PMID: 32550174 PMCID: PMC7271095 DOI: 10.1007/s40200-020-00499-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 01/28/2020] [Indexed: 12/25/2022]
Abstract
INTRODUCTION The purpose of present study was to investigate eye care behaviors based on the BASNEF model and Health Locus of Control (HLOC) in patients with type 2 diabetes(T2D). METHODS This cross-sectional analytical study was carried out on 150 patients with T2D in Iran in 2019. The subjects were selected using simple random sampling. The data collection tools included demographic, eye self-care behavior inventory based on BASNEF model and health locus of control whose validity and reliability were confirmed. Data analysis was carried out using Independent samples-t test ANOVA, and linear regression in SPSS ver. 24. RESULT The results of linear regression showed that knowledge, attitude, subjective norms, enabling factors, internal HLOC, chance HLOC and external HLOC were able to predict 17% of intention to eye self-care behaviors (P < 0.001) and attitude was the strongest construct in predicting intention of eye care behavior in patients with T2D (P < 0.05). In this study, most people had internal HLOC and mean (± SD) of their internal construct was 27.42(± 2.73). Also, the enabling factors construct showed a significant correlation with the internal HLOC (r = 0.283) and behavioral intention (r = 0.348) (P < 0.001). CONCLUSION The results of this study showed that attitude and enabling factors are effective constructs in predicting the intention to perform preventive behaviors of ocular complications in T2D patients. Therefore, it is recommended to organize training classes, access resources, and educational information, facilitate access to physicians for eye examinations, create new skills for care and prevention of ocular complications.
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Affiliation(s)
- Elaheh Lael- Monfared
- Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Hadi Tehrani
- Health Education & Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Zahra Teiho
- Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Alireza Jafari
- Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
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Marton G, Pizzoli SFM, Vergani L, Mazzocco K, Monzani D, Bailo L, Pancani L, Pravettoni G. Patients' health locus of control and preferences about the role that they want to play in the medical decision-making process. PSYCHOL HEALTH MED 2020; 26:260-266. [PMID: 32323553 DOI: 10.1080/13548506.2020.1748211] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Health locus of control (HLOC) may influence people's behavior regarding their health as well as their desires to be involved in the medical decision-making. Our study aimed to examine HLOC's relations with people's control preferences about the medical decision-making. A total of 153 people filled out the self-administered version of the Control Preference Scale and the Multidimensional Health Locus of Control Scale - form C. The most preferred role is the collaborative one. However, HLOC explained heterogeneity in people's control preferences: lower scores in external HLOC were related to a greater preference for the active and the collaborative role. From the personalized medicine perspective, an accurate evaluation of the patient's HLOC could help tailoring the decision-making process within the clinical context.
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Affiliation(s)
- Giulia Marton
- Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS , Milan, Italy.,Department of Oncology and Hemato-Oncology, University of Milan , Milan, Italy
| | - Silvia Francesca Maria Pizzoli
- Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS , Milan, Italy.,Department of Oncology and Hemato-Oncology, University of Milan , Milan, Italy
| | - Laura Vergani
- Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS , Milan, Italy.,Department of Oncology and Hemato-Oncology, University of Milan , Milan, Italy
| | - Ketti Mazzocco
- Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS , Milan, Italy.,Department of Oncology and Hemato-Oncology, University of Milan , Milan, Italy
| | - Dario Monzani
- Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS , Milan, Italy.,Department of Oncology and Hemato-Oncology, University of Milan , Milan, Italy
| | - Luca Bailo
- Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS , Milan, Italy
| | - Luca Pancani
- Department of Psychology, University of Milan - Bicocca , Milan, Italy
| | - Gabriella Pravettoni
- Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS , Milan, Italy.,Department of Oncology and Hemato-Oncology, University of Milan , Milan, Italy
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20
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Afsahi F, Kachooei M. Relationship between hypertension with irrational health beliefs and health locus of control. J Educ Health Promot 2020; 9:110. [PMID: 32642466 PMCID: PMC7325753 DOI: 10.4103/jehp.jehp_650_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Accepted: 01/06/2020] [Indexed: 05/16/2023]
Abstract
INTRODUCTION Hypertension is one of the major health threats in the world today. The purpose of this study was to find the relationship between hypertension with irrational health belief and health locus of controls. MATERIALS AND METHODS The current work is a descriptive (case-control) study. One hundred patients with hypertension and 100 healthy individuals were included in the study through available sampling method. The Irrational Health Belief Scale and Multidimensional Health Locus of Control questionnaire were used. Data were analyzed using independent t-test and logistic regression. RESULTS The findings showed a significant relationship between the variables of irrational health beliefs and the external health locus of control in hypertension. For a unit increase in an irrational health belief score, the chance of having high blood pressure increases by 6%, and for a unit increase in the score of external health locus of control, there is a 17% higher chance of having hypertension. The independent t-test of irrational health belief also showed a statistically significant difference between the two groups (P < 0.01). There was also a statistically significant difference regarding the health locus of control in the two groups of hypertension and healthy individuals in the subscale of chance control (P < 0.01) and external locus of control (P < 0.01). CONCLUSION The results of this study make it necessary to identify irrational health beliefs as well as the health locus of control in individuals. Modification of these structures can be useful in the prevention and management of this chronic disease.
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Affiliation(s)
- Fatemeh Afsahi
- Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran
| | - Mohsen Kachooei
- Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran
- Address for correspondence: Dr. Mohsen Kachooei, Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran. E-mail:
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21
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Oberle CD, Klare DL, Patyk KC. Health beliefs, behaviors, and symptoms associated with orthorexia nervosa. Eat Weight Disord 2019; 24:495-506. [PMID: 30796739 DOI: 10.1007/s40519-019-00657-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Accepted: 02/13/2019] [Indexed: 02/03/2023] Open
Abstract
PURPOSE This research explored whether symptoms of orthorexia nervosa (ON), a condition involving obsessive thoughts and compulsive behaviors regarding healthy eating, are associated with differences pertaining to use of nutritional supplements and complementary and alternative medicine (CAM) techniques, to health locus of control, and to symptoms of poor physical health. METHOD An anonymous online survey assessing the variables above was completed by college students at a university in the southern United States: 47 in the ON symptoms group, 50 in the healthy-eating control group, and 83 in the normal-eating control group. RESULTS Compared to both control groups, the ON symptoms group reported greater supplement use and CAM participation, more reasons for these behaviors for the purpose of improving psychological health (i.e., to increase energy, enhance focus, and improve mood), and greater symptoms associated with poor physical health. None of the groups differed on internal or external health locus of control. CONCLUSION For those with ON, "healthy" eating behaviors are accompanied by other health behaviors that include supplement use and CAM activities. However, despite their goal of achieving perfect health, these individuals experience diminished physical health with symptoms that may be related to their severe dietary restrictions. LEVEL OF EVIDENCE Level V, descriptive cross-sectional study.
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Affiliation(s)
- Crystal D Oberle
- Department of Psychology, Texas State University, 601 University Dr, San Marcos, TX, 78666, USA.
| | - Dalton L Klare
- Department of Psychology, Texas State University, 601 University Dr, San Marcos, TX, 78666, USA
| | - Kevin C Patyk
- Department of Psychology, Texas State University, 601 University Dr, San Marcos, TX, 78666, USA
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22
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Stewart JA, Aebischer V, Egloff N, Wegmann B, von Känel R, Vögelin E, Grosse Holtforth M. The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients. Int J Behav Med 2018; 25:374-9. [PMID: 29488207 DOI: 10.1007/s12529-018-9713-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
PURPOSE Psychological factors have shown to be associated with treatment outcomes in hand injury patients. This study aimed to investigate the role of health locus of control (HLOC) and its dimensions internal, social-external, and fatalistic-external HLOC in treatment outcomes of hand injury patients. METHOD One hundred thirty-two consecutive patients of a tertiary center for hand surgery undergoing treatment for acute hand injury or degenerative hand problems were included in this study. Pretreatment levels of depression, anxiety, HLOC, and pain intensity were measured, along with pain intensity levels at 4-month follow-up. Hierarchical regression analyses were calculated to test for moderation effects of the HLOC dimensions on the relationship between pretreatment and follow-up pain intensity. RESULTS Controlling for age, gender, treatment modality, source of hand pain, and depressive symptoms, a moderation effect emerged (β = - 0.16, p < 0.05), such that among patients higher in initial pain intensity, those lower in social-external HLOC experienced higher pain intensity at follow-up compared to those with high social-external HLOC. Internal HLOC and fatalistic-external HLOC did not moderate the effect of initial pain intensity on pain intensity at follow-up. CONCLUSION Hand injury patients suffering greater initial pain intensity who also had lower versus higher social-external HLOC experienced less favorable treatment outcome. This finding suggests that if patients with high initial pain succeed in transferring perceived health control to professionals and to gain confidence in treatment and clinicians, treatment outcome could be improved in hand surgery.
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23
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Mostafavian Z, Abbasi Shaye Z, Faraj Pour A, Hosseini G. The data on health locus of control and its relationship with quality of life in HIV-positive patients. Data Brief 2018; 18:1967-1971. [PMID: 29904703 PMCID: PMC5998708 DOI: 10.1016/j.dib.2018.04.131] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2018] [Accepted: 04/30/2018] [Indexed: 11/11/2022] Open
Abstract
Locus of control is a concept defined based on social learning theory, and focuses on individuals' beliefs regarding factors that influence their health status. Health Locus of Control (HLC) and its relationship with Quality of Life (QOL) in HIV positive patients in local population were studied. This was a cross-sectional study on 80 HIV-positive patients. Multidimensional Health Locus of Control (MHLC) Scale and Medical Outcome Study Short-Form Health Survey (MOS-SF-36) used to measure patients' HLC and QOL, respectively. Internal, external, and chance HLC mean ± SD scores were 30.31±3.87, 24.17±5.03, and 32.01±4.49, respectively. Positive correlation was found between internal HLC scores and both physical (p <0.001, r = 0.53) and mental quality of life (p <0.001, r = 0.48). Multiple regression analysis showed that internal HLC was the only significant predictor of quality of life. HIV-positive patients who believe their health is mostly influenced by individual's actions and behaviors (internal HLC) showed a higher quality of life. These findings suggest that modifying health locus of control beliefs, hypothetically could influence patients' quality of life.
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Affiliation(s)
- Zahra Mostafavian
- Department of Community Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran
| | - Zahra Abbasi Shaye
- Clinical Research and Development Unit, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Arezou Faraj Pour
- School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Golkoo Hosseini
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
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24
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Nuccitelli C, Valentini A, Caletti MT, Caselli C, Mazzella N, Forlani G, Marchesini G. Sense of coherence, self-esteem, and health locus of control in subjects with type 1 diabetes mellitus with/without satisfactory metabolic control. J Endocrinol Invest 2018; 41:307-314. [PMID: 28803346 DOI: 10.1007/s40618-017-0741-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Accepted: 08/07/2017] [Indexed: 12/29/2022]
Abstract
BACKGROUND Despite intensive training, a few individuals with Type 1 diabetes mellitus (T1DM) fail to reach the desired metabolic targets. AIM To evaluate the association between disease-related emotional and cognitive aspects and metabolic control in subjects with T1DM. SUBJECTS AND METHODS Health locus of control (HLOC), sense of coherence (SOC), and self-esteem were assessed in T1DM subjects using validated questionnaires. Sixty-seven consecutive subjects who did not attain the desired HbA1c target (mean HbA1c, 8.3% [67 mmol/mol]) were compared with 30 cases in satisfactory metabolic control (HbA1c levels <7%-53 mmol/mol). RESULTS In the overall population, SOC was negatively associated with BMI and average HbA1c, as was the association of self-esteem with HbA1c. Subjects attaining the desired metabolic target were characterized by higher SOC scores, higher Internal HLOC and prevalent Internal vs. Powerful-others HLOC. Compared to subjects in good metabolic control, subjects with unsatisfactory control had lower scores of SOC, Internal HLOC and Self-esteem, with no difference in Powerful others, or Chance HLOC. In the same group, SOC in the upper tertile was significantly associated with self-esteem (OR 1.35; 95% CI 1.08-1.69) and PHLOC (OR 1.24; 95% CI 1.03-1.49), after adjustment for age, sex, educational level, and comorbidities. CONCLUSIONS Patients who fail to reach a satisfactory metabolic control tend to rely on significant others, trusting in the physicians' skills or on the efficiency of the health-care system. Strategies aimed at increasing self-efficacy and SOC, based on personal ability, are eagerly awaited to help patients improve diabetes care.
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Affiliation(s)
- C Nuccitelli
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - A Valentini
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - M T Caletti
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - C Caselli
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
- Diabetes Unit, ASL Romagna, Ravenna, Italy
| | - N Mazzella
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - G Forlani
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - G Marchesini
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy.
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Ebadi Fardaza F, Heidari H, Solhi M. Effect of educational intervention based on locus of control structure of attribution theory on self-care behavior of patients with type II diabetes. Med J Islam Repub Iran 2017; 31:116. [PMID: 29951417 PMCID: PMC6014766 DOI: 10.14196/mjiri.31.116] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Indexed: 12/30/2022] Open
Abstract
Background: Different factors, such as personality and psychological characteristics, are effective in the self-care and control of diabetes. This study aimed at determining the effect of educational intervention based on locus of control structure of attribution theory on the self-care behavior of patients with type II diabetes. Methods: This was a quasi-experimental controlled study performed on 180 patients in Babol Diabetes Association. The sampling method was simple random sampling. Data collection tool was form C of standard questionnaire in multidimensional health locus of control (MHLC) and summary of diabetes self-care activities (SDSCA). Based on the results obtained from the initial completion of the questionnaires, educational intervention was designed as three 60-minute educational sessions using short lectures, question and answer, group discussions, and consultation methods, as well as educational materials, such as films, posters, and pamphlets. Intervention was only performed for the test group. The questionnaires were filled out again 2 and 3 months after the intervention. Results: Before the intervention, there was no significant difference in the mean scores of self-care, internal, chance, and external locus of control between the 2 groups. However, 2 to 3 months after the intervention, the mean scores of self-care (p<0.001) and locus of control (p<0.001) increased in the test group. Moreover, the mean score of chance (p<0.001) and external (p<0.001) locus of control decreased significantly. Conclusion: Educational intervention decreases the mean scores of chance and external locus of control and increases the mean score of internal locus of control; as a result, it improves self-care in patients with diabetes.
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Affiliation(s)
- Farbod Ebadi Fardaza
- Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Hassan Heidari
- Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran
| | - Mahnaz Solhi
- Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
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West LM, Borg Theuma R, Cordina M. Health locus of control: Its relationship with medication adherence and medication wastage. Res Social Adm Pharm 2018; 14:1015-9. [PMID: 29306720 DOI: 10.1016/j.sapharm.2017.12.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2017] [Accepted: 12/08/2017] [Indexed: 11/23/2022]
Abstract
BACKGROUND Non-adherence is a significant factor contributing to medication wastage. Whilst there is some evidence on the influence of patients' health locus of control in relation to adherence, there has been little inquiry into its relationship with mediation wastage. OBJECTIVES To determine the relationship between medication adherence and health locus of control as well as medication wastage and health locus of control in patients with chronic conditions. METHODS Outpatients having a diagnosis of asthma, cardiovascular conditions, or diabetes participated in a cross-sectional study employing a self-administered questionnaire. The questionnaire determined presence of unused medication (wastage), adherence using 'Tool for Adherence Behaviour Screening' (TABS), and health locus of control using 'Multidimensional Health Locus of Control' (MHLC) scale Form C. Logistic regression was performed to ascertain the effects of MHLC and demographics in relation to adherence and wastage. MHLC beliefs were divided into 8 types of health locus of control. One-Way ANOVA was used to assess differences between conditions and belief types. P-values ≤ .05 were considered significant. RESULTS There were 330 patients recruited (58% male; age, mean±(SD): 61 ± 15 years; 110 asthma, 110 cardiovascular, 110 diabetes). In terms of health locus of control, females had higher 'doctors' beliefs (p = .054) and significantly lower 'other people' beliefs (p = < .0005). Lower 'chance' beliefs (p = .016) were associated with adherence. Lower 'doctors' beliefs and higher 'other people' beliefs were significantly associated with wastage (p = < .0005). There was a significant difference in adherence (p = < .0005) and in wastage (p = .002) between the eight types of health control. 'Yea-sayers' had the least presence of unused medication, followed by 'pure internal' believers. 'Pure powerful others external' had the highest presence of unused medication. CONCLUSIONS Healthcare professionals should take into account patients' health locus of control beliefs whilst conducting an intervention with patients; this can impact positively medication adherence and minimisation of medication wastage.
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Sarkar K, Dasgupta A, Sinha M, Shahbabu B. Effects of health empowerment intervention on resilience of adolescents in a tribal area: A study using the Solomon four-groups design. Soc Sci Med 2017. [PMID: 28625414 DOI: 10.1016/j.socscimed.2017.05.044] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
RATIONALE Resilience prevents the emergence of stress-related mental health problems among adolescents. Adolescents in tribal areas of India are more prone to develop such problems. OBJECTIVES The primary objective was to determine the effect of combined life skills-based health empowerment intervention on the resilience of school-going adolescents in a tribal area. The secondary objectives were to determine the effect of the intervention on internal health locus of control and self-determination and to compare the effect of intervention on resilience between non-tribal and tribal adolescents. METHODS We conducted this quasi-experimental study using a Solomon four-group design among 742 adolescents in two schools of Purulia, West Bengal, India. Students of the pretested group were examined for resilience using the Child Youth Resilience Measurement scale. A life skills education-based health empowerment intervention was administered among students of the experimental group. Post-test data on resilience, self-determination, internal health locus of control and pathological behaviour was obtained 3 months after the completion of intervention. A multi-level general linear mixed model was constructed to determine the effect of intervention on resilience. RESULTS Resilience was less among tribal adolescents at baseline. The intervention significantly improved resilience [βAdjusted = 11.19 (95% CI = 10.55, 11.83], with a greater increase for tribal adolescents [βtribal-nontribal = 1.53 (95% CI = 0.03, 3.03)]. The intervention also significantly improved internal health locus of control (marginal mean increment 1.38 ± 0.05), self-determination (marginal mean increment 3.71 ± 0.09) and reduced pathological behaviour of the adolescents. CONCLUSION Our study informed the current health policy that the existing life skills education-based programme should be reviewed and modified to include generic life skills, and the life skills education-based programme should be coupled with developmental interventions aimed at improving adult education and family climate for optimum effect on mental health and health behaviour of adolescents.
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Affiliation(s)
- Kaushik Sarkar
- Department of Preventive & Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India.
| | - Aparajita Dasgupta
- Department of Preventive & Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India
| | | | - Bhaskar Shahbabu
- Department of Preventive & Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India
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Abstract
OBJECTIVE To investigate the health locus of control (HLOC) beliefs of patients and visitors at a free, state-run medical clinic in Faridabad, India, in order to establish a norm for this population and to explore potential associations between the different categories of causal health beliefs. DESIGN Participants (110 men, 96 women) were interviewed in Hindi and asked a shortened version of the Multidimensional Health Locus of Control Scale assessing both internal HLOC and three aspects of external HLOC (chance, powerful others, and God). Additional variables of interest included a Traditional Values Scale, a measure of spirituality, an assessment of health status, and demographic information including gender, age, employment status, and religion. RESULTS Participants rated the external-God factor as a stronger determinant of their health than the internal or other external HLOC factors. Internal HLOC was positively correlated with external HLOC in terms of chance and the role of powerful others and these associations were strongest for the most interdependent participants (i.e. women and the unemployed). CONCLUSIONS For patients and visitors at the Faridabad clinic, religion played a significant role in their causal health beliefs. In addition, internal HLOC was positively associated with aspects of external locus of control, suggesting that causal health beliefs were viewed in a holistic, integrated fashion. Interventions based on these findings are suggested.
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Affiliation(s)
- Michael B Berg
- a Department of Psychology , Wheaton College , Norton , MA , USA
| | - Avi Anshika
- a Department of Psychology , Wheaton College , Norton , MA , USA
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Cartmill B, Wall LR, Ward EC, Hill AJ, Porceddu SV. Computer Literacy and Health Locus of Control as Determinants for Readiness and Acceptability of Telepractice in a Head and Neck Cancer Population. Int J Telerehabil 2016; 8:49-60. [PMID: 28775801 PMCID: PMC5536729 DOI: 10.5195/ijt.2016.6203] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Understanding end-user populations is required in designing telepractice applications. This study explored computer literacy and health locus of control in head/neck cancer (HNC) patients to inform suitability for telerehabilitation. Sixty individuals with oropharygneal cancer were recruited. Computer literacy was examined using a 10-question survey. The Multidimensional Health Locus of Control Scale Form C (MHLC-C) examined perceptions of health “control”. Participants were mostly middle-aged males, from high socioeconomic backgrounds. Only 10% were non-computer users. Of the computers users, 91% reported daily use, 66% used multiple devices and over 75% rated themselves as “confident” users. More than half were open to using technology for health-related activities. High internal scores (MHLC-C) signified a belief that own behaviour influenced health status. HNC patients have high computer literacy and an internal health locus of control, both are positive factors to support telepractice models of care. This may include asynchronous models requiring heightened capacity for self-management.
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Affiliation(s)
- Bena Cartmill
- CENTRE FOR FUNCTIONING AND HEALTH RESEARCH, QUEENSLAND HEALTH, AUSTRALIA.,SCHOOL OF HEALTH AND REHABILITATION SCIENCES, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA.,SPEECH PATHOLOGY DEPARTMENT, PRINCESS ALEXANDRA HOSPITAL, QUEENSLAND HEALTH, AUSTRALIA
| | - Laurelie R Wall
- CENTRE FOR FUNCTIONING AND HEALTH RESEARCH, QUEENSLAND HEALTH, AUSTRALIA.,SCHOOL OF HEALTH AND REHABILITATION SCIENCES, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA.,CENTRE FOR RESEARCH EXCELLENCE IN TELEHEALTH, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA
| | - Elizabeth C Ward
- CENTRE FOR FUNCTIONING AND HEALTH RESEARCH, QUEENSLAND HEALTH, AUSTRALIA.,SCHOOL OF HEALTH AND REHABILITATION SCIENCES, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA.,CENTRE FOR RESEARCH EXCELLENCE IN TELEHEALTH, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA
| | - Anne J Hill
- SCHOOL OF HEALTH AND REHABILITATION SCIENCES, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA.,CENTRE FOR RESEARCH EXCELLENCE IN TELEHEALTH, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA
| | - Sandro V Porceddu
- RADIATION ONCOLOGY DEPARTMENT, PRINCESS ALEXANDRA HOSPITAL, QUEENSLAND HEALTH, AUSTRALIA.,SCHOOL OF MEDICINE, THE UNIVERSITY OF QUEENSLAND, AUSTRALIA
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McClive-Reed KP, Gellis ZD. Psychological Distress and Help-Seeking by Residents of a Neighborhood Naturally Occurring Retirement Community (NNORC). J Gerontol Soc Work 2016; 59:572-586. [PMID: 27585987 DOI: 10.1080/01634372.2016.1222474] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This article presents findings from an annual program survey of residents of a horizontal neighborhood naturally occurring retirement community (NNORC). The study explored the relationship between several factors (age, co-residents, number of chronic illnesses, self-reported health, loneliness, sense of mastery, locus of control, pain, and psychological distress) and their ability to predict general health, level of psychological distress, and the quantity and type of help-seeking behaviors. Although residents generally reported moderate to high levels of chronic disease, pain, loneliness, and concerns about life issues, 25% of them sought no help from any of the listed resources, and 65% sought help from only one of seven resources. The most common source of help for most (70%) was a primary care physician (PCP), and comparatively few respondents sought help from other sources. Older adults, especially those with chronic illness, generally consider their PCP to be the first, and perhaps only, source to consult. However, research indicates that the most effective health promotional programs for older adults are social and educational group activities, rather than individual health-focused interventions. Possible means of redirecting residents toward NNORC services include more vigorous outreach and creating collaborative partnerships between local PCPs serving older populations and the NNORC.
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Affiliation(s)
- Kimberly P McClive-Reed
- a Center for Mental Health & Aging, School of Social Policy and Practice , University of Pennsylvania , Philadelphia , Pennsylvania , USA
| | - Zvi D Gellis
- a Center for Mental Health & Aging, School of Social Policy and Practice , University of Pennsylvania , Philadelphia , Pennsylvania , USA
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Rideout A, Tolmie E, Lindsay G. Health locus of control in patients undergoing coronary artery surgery - changes and associated outcomes: a seven-year cohort study. Eur J Cardiovasc Nurs 2016; 16:46-56. [PMID: 26957513 DOI: 10.1177/1474515116636501] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
INTRODUCTION Health locus of control is a measure of an individual's beliefs in factors that are thought to determine health experiences. Scores are generated and form a graduated linear scale from external to internal control, with respect to their views on health causality. Health locus of control has been considered to be a relatively stable entity. However, it is not clear if this status changes in the advent of serious health challenges, such as coronary artery bypass graft surgery. The aim of this study is to explore the variability of health locus of control and its association with postoperative health in this context. METHODS In a longitudinal cohort study of patients undergoing coronary artery bypass graft surgery, a purposive sample ( n=215) were recruited from the waiting list and followed up postoperatively, at approximately one year and seven years later. RESULTS Patients undergoing coronary artery bypass graft surgery demonstrated marked fluctuations in health locus of control in their peri-operative and rehabilitative phases. Mean health locus of control became more external (often associated with poorer outcomes) peri-operatively, and more internal (generally associated with better health outcomes) in the rehabilitative period. CONCLUSIONS Health locus of control scores were shown to be changeable during a major health care intervention, with possible consequences for patient outcomes and care needs. The significant health belief upheaval demonstrated in this cohort should be considered in assessing patients preoperatively, and managed as part of the patients' clinical journey by both acute and rehabilitation staff. It is likely to have particular importance in individualised assessment and management of future prevention advice for patients.
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Affiliation(s)
- Andrew Rideout
- 1 NHS Dumfries & Galloway, UK.,2 School of Health & Life Sciences, Glasgow Caledonian University, UK
| | | | - Grace Lindsay
- 2 School of Health & Life Sciences, Glasgow Caledonian University, UK.,4 Umm Al-Qura University, Saudi Arabia
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Nugent LE, Wallston KA. Modified social learning theory re-examined: correlates of self-management behaviors of persons with Type 2 diabetes. J Behav Med 2016; 39:947-956. [PMID: 27263097 DOI: 10.1007/s10865-016-9753-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 05/26/2016] [Indexed: 10/21/2022]
Abstract
Modified social learning theory (MSLT) applied to health predicts that health behavior is a multiplicative function of health value and perceptions of control over health. The self-management behaviors of persons with Type 2 diabetes mellitus, internal diabetes locus of control (IDLC), diabetes self-efficacy (DSE), and health value (HV) were assessed with an index of diabetes self-care activities in 107 patients receiving insulin. Multiple regression analysis showed DSE as the only MSLT construct that correlated with the index of diabetes self-care behaviors (β = .21, p < .05). While the predicted three-way interaction of IDLC × DSE × HV was significant (∆R2 = 4.5 %, p < .05) in the final step of the hierarchical model, the pattern of the findings only partially supported MSLT. Instead of finding that patients who were simultaneously high on all three predictors scored highest on the behavioral index, we found that patients who were low on all three constructs reported the least amount of diabetes self-care behavior. Implications for further modification of MSLT and its applications to clinical practice are discussed.
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Affiliation(s)
- Linda E Nugent
- RCSI School of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St Stephens Green, Dublin 2, Ireland.
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Pascoe AE, Hill TD, Mossakowski KN, Johnson RJ. Religious Involvement and Perceptions of Control: Evidence from the Miami-Dade Health Survey. J Relig Health 2016; 55:862-873. [PMID: 26118384 DOI: 10.1007/s10943-015-0081-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This study uses data collected through the 2011 Miami-Dade Health Survey (n = 444) to test whether religious involvement is associated with three distinct control beliefs. Regression results suggest that people who exhibit high levels of religious involvement tend to report higher levels of the sense of control, self-control, and the health locus of control than respondents who exhibit low levels of religious involvement. Although this study suggests that religious involvement can promote perceptions of control over one's own life, this pattern is apparently concentrated at the high end of the distribution for religious involvement, indicating a threshold effect.
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Affiliation(s)
- Anita E Pascoe
- Department of Sociology, University of Utah, Salt Lake City, UT, USA
| | - Terrence D Hill
- School of Sociology, University of Arizona, Social Sciences Building, 1145 E. South Campus Drive, Tucson, AZ, 85721, USA.
| | | | - Robert J Johnson
- Department of Sociology, University of Miami, Coral Gables, FL, USA
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Milz RU, Husstedt IW, Reichelt D, Evers S. Control beliefs and health locus of control in Ugandan, German and migrated sub-Saharan African HIV infected individuals. J Psychosom Res 2016; 83:22-6. [PMID: 27020072 DOI: 10.1016/j.jpsychores.2016.02.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2015] [Revised: 01/26/2016] [Accepted: 02/16/2016] [Indexed: 12/12/2022]
Abstract
OBJECTIVES Little is known about the influence of control beliefs on antiretroviral drug adherence in patients who migrated from sub-Saharan Africa to Europe. The aim of this study was to explore the differences in health locus of control and control beliefs between HIV infected patients from sub-Saharan Africa with and without a lifetime experience of migration. METHODS A sample of 62 HIV infected consecutive patients referred to the HIV clinics at the University Hospital of Münster (Germany) and at the Rubaga Hospital Kampala (Uganda) were enrolled into this study. We compared three groups of patients: sub-Saharan African migrants, German patients, and local Ugandan patients. We used the German health and illness related control beliefs questionnaire (KKG), the Competence and control beliefs questionnaire (FKK), and the Powe Fatalism Inventory-HIV/AIDS-Version (PFI-HIV/AIDS-Version) and translated these scales into English and Luganda. In addition, the patients' sociodemographic, acculturation, clinical, and immunological data were registered. RESULTS Significant results were shown in HIV related external locus of control between migrated sub-Saharan African and local Ugandan patients compared to German patients. General control beliefs showed no significant differences. In the PFI-HIV-Version, there was a significant difference between migrated sub-Saharan African and Ugandan patients compared to German patients. CONCLUSIONS Our data suggest that the experience of migration does not influence the locus of control. Compared to German HIV patients, African patients in general showed a significantly higher external health locus of control which might have implications for drug adherence.
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Soliday E, Strahm A, Mammenga S. Fetal health locus of control: Scale properties and applications in preconception health programs. Eval Program Plann 2016; 55:85-90. [PMID: 26766546 DOI: 10.1016/j.evalprogplan.2015.12.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 11/05/2015] [Accepted: 12/16/2015] [Indexed: 06/05/2023]
Abstract
Preconception health programs have resulted in improved health behaviors among participants and have shown promise in reducing adverse birth outcomes. However, the role of health beliefs in preconception health program outcomes has been overlooked but warrants attention due to reported positive associations between women's views of control over fetal health and health behavior in pregnancy. Towards an ultimate aim of improving preconception health program reach and effectiveness, we examined properties of a fetal health locus of control (FHLC; Labs & Wurtele, 1986) measure in nulliparous, childbearing aged university women and men. Students (n=1467) completed an online survey that included the FHLC subscales maternal, powerful others', and chance control over fetal health. Factor analyses and correlations with related scales supported the soundness of FHLC constructs in both women and men. All participants rated maternal control in fetal health nearly twice as highly as powerful others' and chance. We therefore recommend that FHLC be integrated into preconception health program evaluation as personal agency in fetal health likely has an important role in women's and men's preconception health behavior and health behavior change.
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Affiliation(s)
- Elizabeth Soliday
- Human Development, Washington State University Vancouver, WSU Vancouver, 14204 NE Salmon Creek Ave., Vancouver, WA 98686, United States.
| | - Anna Strahm
- Psychology Department, Washington State University Vancouver, Vancouver, WA, United States
| | - Stefani Mammenga
- Prevention Science Program, Washington State University Vancouver, Vancouver, WA, United States
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Williams JS, Lynch CP, Voronca D, Egede LE. Health locus of control and cardiovascular risk factors in veterans with type 2 diabetes. Endocrine 2016; 51:83-90. [PMID: 26148703 PMCID: PMC4704995 DOI: 10.1007/s12020-015-0677-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Accepted: 06/27/2015] [Indexed: 10/23/2022]
Abstract
Perceptions of control impact outcomes in veterans with chronic disease. The purpose of this study was to examine the association between control orientation and clinical and quality of life (QOL) outcomes in male veterans with type 2 diabetes (T2DM). Cross-sectional study of 283 male veterans from a primary care clinic in the southeastern US. Health locus of control (LOC) was the main predictor and assessed using the Multidimensional Health LOC Scale. Clinical outcomes were glycosylated hemoglobin A1c (HbA1c), systolic and diastolic blood pressure, and low-density lipoprotein cholesterol (LDL-C). Physical (PCS) and mental (MCS) health component scores for QOL were assessed using the Veterans RAND 12-Item Health Survey. Unadjusted and adjusted multivariate analyses were performed to assess associations between LOC and outcomes. Unadjusted analyses showed internal LOC associated with HbA1c (β = 0.036; 95% CI 0.001, 0.071), external LOC:powerful others inversely associated with LDL-C (β = -0.794; 95% CI -1.483, -0.104), and external LOC:chance inversely associated with MCS QOL (β = -0.418; 95% CI -0.859, -0.173). These associations remained significant when adjusting for relevant covariates. Adjusted analyses also demonstrated a significant relationship between external LOC:chance and PCS QOL (β = 0.308; 95% CI 0.002, 0.614). In this sample of male veterans with T2DM, internal LOC was significantly associated with glycemic control, and external was significantly associated with QOL and LDL-C, when adjusting for relevant covariates. Assessments of control orientation should be performed to understand the perceptions of patients, thus better equipping physicians with information to maximize care opportunities for veterans with T2DM.
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Affiliation(s)
- Joni S Williams
- Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA.
| | - Cheryl P Lynch
- Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC, USA.
- Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA.
| | - Delia Voronca
- Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA.
| | - Leonard E Egede
- Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC, USA.
- Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA.
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Zilioli S, Slatcher RB, Ong AD, Gruenewald T. Purpose in life predicts allostatic load ten years later. J Psychosom Res 2015; 79:451-7. [PMID: 26526322 PMCID: PMC4684637 DOI: 10.1016/j.jpsychores.2015.09.013] [Citation(s) in RCA: 76] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Revised: 09/02/2015] [Accepted: 09/26/2015] [Indexed: 12/18/2022]
Abstract
OBJECTIVE Living a purposeful life is associated with better mental and physical health, including longevity. Accumulating evidence shows that these associations might be explained by the association between life purpose and regulation of physiological systems involved in the stress response. The aim of this study was to investigate the prospective associations between life purpose and allostatic load over a 10-year period. METHODS Analyses were conducted using data from the Midlife in the United States (MIDUS) survey. Assessment of life purpose, psychological covariates and demographics were obtained at baseline, while biomarkers of allostatic load were assessed at the 10-year follow-up. RESULTS We found that greater life purpose predicted lower levels of allostatic load at follow-up, even when controlling for other aspects of psychological well-being potentially associated with allostatic load. Further, life purpose was also a strong predictor of individual differences in self-health locus of control-i.e., beliefs about how much influence individuals can exert on their own health-which, in turn, partially mediated the association between purpose and allostatic load. Although life purpose was also negatively linked to other-health locus of control-i.e., the extent to which individuals believe their health is controlled by others/chance-this association did not mediate the impact of life purpose on allostatic load. CONCLUSION The current study provides the first empirical evidence for the long-term physiological correlates of life purpose and supports the hypothesis that self-health locus of control acts as one proximal psychological mechanism through which life purpose may be linked to positive biological outcomes.
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Affiliation(s)
- Samuele Zilioli
- Department of Psychology, Wayne State University, United States.
| | | | | | - Tara Gruenewald
- Davis School of Gerontology, University of Southern California
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Abredari H, Bolourchifard F, Rassouli M, Nasiri N, Taher M, Abedi A. Health locus of control and self-care behaviors in diabetic foot patients. Med J Islam Repub Iran 2015; 29:283. [PMID: 26913246 PMCID: PMC4764266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Accepted: 03/25/2015] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND Diabetic foot affects more than 25% of diabetic patients and finally up to 20% of cases result in amputation. The most important factor resulting in severe complications or even death is lack of self-care. Health locus of control has been introduced as one of health factors and predicting factors of self-care. This research was performed for analyzing the correlation between self-care behaviors and health locus of control in diabetic foot patients. METHODS In this descriptive study, 120 patients with diabetic foot were chosen using convenience sampling from endocrine clinic and wards of endocrine and vascular surgery of Teleqani Hospital of Shahid Beheshti Medical University. The data were gathered by demographic, self-care behavior, and health locus of control questionnaires. The t-test, analysis of variance (ANOVA) and spearman coefficient were used to analyze the data. RESULTS RESULTS of this research showed that there is a direct and significant relation between selfcare behaviors and internal health locus of control (p<0.001), and also in contrast with chance health locus of control (p<0.001). CONCLUSION We have to consider these factors' role in nursing interventions and patient-care education programs and plans. Probably, interventions and programs that will lead to the strengthening of internal health locus of control improve and strengthen patients' self-care behaviors and their involvement in treatment.
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Affiliation(s)
- Hamid Abredari
- 1 MSN, BSN, RN, of Nursing, Academic Member of Saveh University of Medical Sciences & Kaveh Industrial Estate Company, Saveh, Iran. .
| | - Fariba Bolourchifard
- 2 PhD in Nursing, Assistant Professor, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,(Corresponding author) PhD in Nursing, Assistant Professor, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Maryam Rassouli
- 3 PhD in Nursing, Associate Professor, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. .
| | - Navideh Nasiri
- 4 PhD in Biostatistics, Associate Professor, School of Paramedical, Shahid Beheshti University of Medical Sciences Tehran, Iran.
| | - Mohammad Taher
- 5 MSN, BSN, RN, of Nursing, Academic Member of Saveh University of Medical Sciences & Kaveh Industrial Estate Company, Saveh, Iran, .
| | - Ahmadreza Abedi
- 6 PhD of Nursing Education, MSN, BSN,RN, Academic Member of Medical–Surgical Department, School of Nursing & Midwifery, Arak University of Medical Sciences, Arak, Iran. .
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Moshki M, Kharazmi A, Cheravi K, Beydokhti TB. The prediction of postpartum depression: The role of the PRECEDE model and health locus of control. J Family Med Prim Care 2015; 4:454-60. [PMID: 26288792 PMCID: PMC4535114 DOI: 10.4103/2249-4863.161354] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The main purpose of this study was to investigate the effect of the PRECEDE model and health locus of control (HLC) on postpartum depression. This study used the path analysis to test the pattern of causal relations through the correlation coefficients. MATERIALS AND METHOD The participants included 230 pregnant women in the north-east of Iran who were selected by convenience sampling. To analyze data, Pearson correlation and path analysis were applied to examine the relationships between variables using SPSS 20 and LISREL 8.50software. RESULTS The result of path analysis showed that a positive correlation exists between predisposing (knowledge, internal HLC, powerful others HLC, chance HLC) enabling and reinforcing factors with postpartum depression by GHQ score (GFI = 1, RSMEA = 000). CONCLUSION The current study supported the application of the PRECEDE model and HLC in understanding the promoting behaviors in mental health and demonstrated their relationships with postpartum depression.
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Affiliation(s)
- Mahdi Moshki
- Department of Public Health, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran ; Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Akram Kharazmi
- Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Khadijeh Cheravi
- Department of Public Health, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Tahereh Baloochi Beydokhti
- Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran ; Department of Nursing, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran
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Pharr J, Enejoh V, Mavegam BO, Olutola A, Karick H, Ezeanolue EE. Relationship between Health Locus of Control and Risky Sexual Behaviors among Nigerian Adolescents. ACTA ACUST UNITED AC 2015; 6. [PMID: 26779383 PMCID: PMC4712957 DOI: 10.4172/2155-6113.1000471] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
HIV/AIDS knowledge has been rated as the most important factor for HIV prevention. However, studies have also shown that knowledge alone does not always translate into reduced risky sexual behavior (RSB). Health locus of control (HLC) categorized as perceived control over health status (internal locus of control) or attribution of health status to chance or fate (external health locus of control) is a psychological construct that has been shown to impact health outcomes including RSB. This study thus investigated the relationship between HLC and RSB among Nigerian adolescents. A cross-sectional survey design was employed among 361 adolescents from nine senior secondary schools selected through stratified random sampling from Jos, Plateau State Nigeria. Data were collected between August and October of 2008. Health Locus of Control Scale was used to categorize individuals into having either an internal or external HLC. RSB was assessed using the Brief HIV Screener (BHS). Descriptive statistics were computed and Mann-Whitney U test was used to determine differences in BHS scores by HLC categories. Odds ratios and adjusted odds ratios were calculated for individual BHS question responses based on HLC. Participants were 169 males (46.8%) and 192 females (53.2%) with a mean age of 16.9. When grouped into HLC categories, 141 were internal and 220 were external. The mean score on the BHS showed statistically significant difference based on HLC (p=0.01). Odds for using a condom during sexual intercourse were higher for adolescents with an internal HLC while adolescents with an external HLC had significantly higher RSB scores. Prevention programs targeted at adolescents should also aim to internalize their HLC.
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Affiliation(s)
- Jennifer Pharr
- Department of Environmental and Occupational Health, University of Nevada, Las Vegas, USA ; HealthySunrise Foundation, USA
| | - Victor Enejoh
- Centre for Clinical Care and Clinical Research, Nigeria
| | | | | | - Haruna Karick
- Department of Psychology, University of Jos, Nigeria
| | - Echezona E Ezeanolue
- HealthySunrise Foundation, USA ; Department of Pediatrics, University of Nevada School of Medicine, USA
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Lohse A, Kjaer TW, Sabers A, Wolf P. Epileptic aura and perception of self-control. Epilepsy Behav 2015; 45:191-4. [PMID: 25843341 DOI: 10.1016/j.yebeh.2015.01.030] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 01/02/2015] [Accepted: 01/21/2015] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The health locus of control is the subjective perception of control over one's health. It has been studied for years as one of several factors that determine patient health-related behaviors. The aim of this study was to investigate how the epileptic aura is associated with the health locus of control, anxiety, and depression. METHODS Patients were included retrospectively, based on patient records from the epilepsy monitoring unit of the Rigshospitalet University Hospital. Participants were asked about the presence and nature of auras in a semistructured interview. The Multidimensional Health Locus of Control Scale, Form C was used to evaluate the health locus of control. Three domains were evaluated: internal, where health is controlled by personal action; chance, where health is controlled by fate or luck; and powerful others, where health is controlled by the actions of others (e.g., doctors and parents). The Hospital Anxiety and Depression Scale was used to evaluate levels of anxiety and depression. RESULTS Forty-nine patients, with mean age of 38years, participated in the study. Of these, 67% reported experiencing one or more auras; i.e., subjective warning signs prior to a generalized or focal seizure with an impairment in consciousness. Patients that could react to their aura prior to a seizure scored higher on the internal subscale of the Multidimensional Health Locus of Control questionnaire compared to participants that could not react to their aura. CONCLUSIONS The ability to react to an aura prior to a seizure correlated positively with the internal subscale of the health locus of control. However, it did not significantly correlate with the external subscales of chance and powerful others in the health locus of control. Moreover, there was no significant relation between the ability to react to an aura prior to a seizure and the levels of anxiety or depression.
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Rongen A, Robroek SJW, Burdorf A. The importance of internal health beliefs for employees' participation in health promotion programs. Prev Med 2014; 67:330-4. [PMID: 25088410 DOI: 10.1016/j.ypmed.2014.07.037] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2014] [Revised: 07/21/2014] [Accepted: 07/23/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To investigate associations between employees' health locus of control (HLOC) and self-perceived health, health behaviors, and participation in health promotion programs (HPPs) and the mediating effect of self-perceived health and health behaviors on the relation between HLOC and participation. METHOD Between 2010 and 2012, a six-month longitudinal study was conducted among 691 Dutch employees. Using questionnaires, information was collected on health behaviors, self-perceived health, HLOC, and intention to participate at baseline. Actual participation was assessed at follow-up. Logistic regression analyses were used to study associations between HLOC and self-perceived health, health behaviors, and participation, and to examine whether associations between HLOC and participation were mediated by self-perceived health and health behaviors. RESULTS Higher internal HLOC was associated with sufficient physical activity (moderate: OR:1.04, 95%CI:1.00-1.08; vigorous: OR:1.05, 95%CI:1.01-1.10) and fruit and vegetable intake (OR:1.05, 95%CI:1.01-1.09), a good self-perceived health (OR:1.20, 95%CI:1.11-1.30), a positive intention towards participation (OR:1.05, 95%CI:1.00-1.09), and actual participation (OR:1.06, 95%CI:1.00-1.13). Self-perceived health or health behaviors did not mediate associations between HLOC and participation. CONCLUSION Employees with a higher internal HLOC behaved healthier and were more likely to participate in HPPs, irrespectively of their health. Increasing internal HLOC seems a promising avenue for improving employees' health and participation in HPPs.
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Affiliation(s)
- Anne Rongen
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, The Netherlands
| | - Suzan J W Robroek
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
| | - Alex Burdorf
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, The Netherlands
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De las Cuevas C, Peñate W, de Rivera L. Psychiatric patients' preferences and experiences in clinical decision-making: examining concordance and correlates of patients' preferences. Patient Educ Couns 2014; 96:222-228. [PMID: 24894880 DOI: 10.1016/j.pec.2014.05.009] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2014] [Revised: 04/13/2014] [Accepted: 05/08/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To assess the concordance between patients' preferred role in clinical decision-making and the role they usually experience in their psychiatric consultations and to analyze the influence of socio-demographic, clinical and personality characteristics on patients' preferences. METHODS 677 consecutive psychiatric outpatients were invited to participate in a cross-sectional survey and 507 accepted. Patients completed Control Preference Scale twice consecutively before consultation, one for their preferences of participation and another for the style they usually experienced until then, and locus of control and self-efficacy scales. RESULTS Sixty-three percent of psychiatric outpatients preferred a collaborative role in decision-making, 35% preferred a passive role and only a 2% an active one. A low concordance for preferred and experienced participation in medical decision-making was registered, with more than a half of patients wanting a more active role than they actually had. Age and doctors' health locus of control orientation were found to be the best correlates for participation preferences, while age and gender were for experienced. Psychiatric diagnoses registered significant differences in patients' preferences of participation but no concerning experiences. CONCLUSION The limited concordance between preferred and experienced roles in psychiatric patients is indicative that clinicians need to raise their sensitivity regarding patient's participation. PRACTICE IMPLICATIONS The assessment of patient's attribution style should be useful for psychiatrist to set objectives and priority in the communication with their patients.
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Affiliation(s)
- Carlos De las Cuevas
- Department of Internal Medicine, Dermatology and Psychiatry, University of La Laguna, San Cristóbal de La Laguna, Spain.
| | - Wenceslao Peñate
- Department of Personality, Assessment and Psychological Treatments, University of La Laguna, San Cristóbal de La Laguna, Spain
| | - Luis de Rivera
- Department of Psychiatry, University Autonoma de Madrid, Madrid, Spain
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Thakral S, Bhatia T, Gettig EA, Nimgaonkar VL, Deshpande SN. A comparative study of health locus of control in patients with schizophrenia and their first degree relatives. Asian J Psychiatr 2014; 7:34-7. [PMID: 24524707 PMCID: PMC3925311 DOI: 10.1016/j.ajp.2013.10.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2013] [Revised: 09/26/2013] [Accepted: 10/06/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND AND AIMS An individual's behaviour may be predicted from their beliefs about their locus of control (attribution). A person's "locus" can be internal or external. The present study aimed at comparing the locus of control as measured by Multidimensional Health Locus of Control Scale (MHLC) in patients with schizophrenia and their healthy first degree relatives. We hypothesized that persons with schizophrenia have different locus of control than their first degree relatives. METHOD Multidimensional Health Locus of Control Scale (MHLC) was first translated and validated in Hindi by bilingual students (N = 71). Consecutive patients affected with schizophrenia (SZ) (N = 125) and their siblings/offsprings (N = 119) were recruited. Diagnostic Interview for Genetic Studies and MHLC Scale were administered after written informed consent. RESULTS There was moderate intra-class correlation between Hindi and English versions of MHLC Scale. Schizophrenia patients were found to have more of 'chance' locus of control (F 6.625, p = 0.011) whereas their first degree relatives have more of 'internal' locus of control (F 6.760, p = 0.010). CONCLUSION Patients with SZ attributed their health to external factors which has been found to be associated with poor or late recovery. These findings may provide a theoretical base for developing intervention strategies to promote behavioural changes in patients.
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Affiliation(s)
- Sarika Thakral
- Formerly of DST MR Autism Project, Department of Psychiatry, PGIMER-Dr. R.M.L. Hospital, New Delhi, India
| | - Triptish Bhatia
- GRIP-NIH Project, Department of Psychiatry, PGIMER-Dr. R.M.L. Hospital, New Delhi, India.
| | | | - V L Nimgaonkar
- Department of Human Genetics, University of Pittsburgh, Pittsburgh, USA; Department of Psychiatry, University of Pittsburgh, Pittsburgh, USA
| | - Smita N Deshpande
- Department of Psychiatry, PGIMER-Dr. R.M.L. Hospital, New Delhi, India
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