Stability in the structure of health locus of control among adolescents

Stanton, Warren R.; Raja, Shyamala Nada; Langley, John Desmond

doi:10.1111/j.2044-8260.1995.tb01462.x

Cited by 20 publications

(14 citation statements)

References 8 publications

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“…These three scales have acceptable internal consistency in previous studies (a = .67-.77). In addition, the scales are statistically independent, with high levels of concurrent and discriminant validity [30]. In the current study, the Cronbach's alphas for each scale also are in the acceptable range (a = .71-.75).…”

Section: Locus Of Controlmentioning

confidence: 81%

Locus of Control and Self-Efficacy: Potential Mediators of Stress, Illness, and Utilization of Health Services in College Students

Roddenberry

Renk

2010

Child Psychiatry Hum Dev

164

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Although many studies examine the biological phenomena that mediate the relationship between stress and illness, more research is needed regarding psychological variables that may mediate this relationship. Thus, the current study investigates the mediating effects of locus of control and self-efficacy in the relationships among stress, illness, and the utilization of health services in a sample of 159 college students. Results suggest that participants who endorse higher levels of stress also endorse higher levels of illness, higher levels of external locus of control, and lower levels of self-efficacy. In addition, structural equation modeling suggests that there are direct relationships between stress and illness and between illness and the utilization of health services. Further, locus of control appears to be a partial mediator in the relationship between stress and illness. Given the link established between stress and illness and the individual differences associated with reactions to stressful situations, it is important for future examinations to continue to identify potential mediators of the stress-illness link.

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Section: Locus Of Controlmentioning

confidence: 81%

Locus of Control and Self-Efficacy: Potential Mediators of Stress, Illness, and Utilization of Health Services in College Students

Roddenberry

Renk

2010

Child Psychiatry Hum Dev

164

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“…An external locus indicates a belief that health is primarily determined by external factors (chance or physicians; for example, ''Most things that affect my health happen to me by accident''; ''I can only do what the doctor tells me to do''). 19 An individual does not have either an internal or an external locus of health control-they are coexistent to a larger or lesser extent. Individuals who believe that health is a function of personal behaviour (internal locus of control) have been shown to take greater responsibility for their own health than those with an external control orientation.…”

mentioning

confidence: 99%

Chronic fatigue syndrome and health control in adolescents and parents

Putte

Engelbert

Kuis

et al. 2005

Archives of Disease in Childhood

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Aims: To explore the locus of health control in adolescents with chronic fatigue syndrome (CFS) and their parents in comparison with healthy adolescents and their parents. Methods: In this cross-sectional study 32 adolescents with CFS were compared with 167 healthy controls and their respective parents. The Multidimensional Health Locus of Control (MHLC) questionnaire was applied to all participants. Results: There was significantly less internal health control in adolescents with CFS than in healthy controls. An increase of internal health control of one standard deviation was associated with a 61% reduced risk for CFS (OR = 0.39, 95% CI 0.25 to 0.61). Internal health control of the parents was also protective (OR fathers: 0.57 (95% CI 0.38 to 0.87); OR mothers: 0.74 (95% CI 0.50 to 1.09)). The external loci of health control were higher in adolescents with CFS and in their parents. Increased levels of fatigue (56%) were found in the mothers of the adolescents with CFS, in contrast with the fathers who reported a normal percentage of 13. Conclusions: In comparison with healthy adolescents, adolescents with CFS and their parents show less internal health control. They attribute their health more to external factors, such as chance and physicians. This outcome is of relevance for treatment strategies such as cognitive behaviour therapy, for which health behaviour is the main focus. C hronic fatigue syndrome (CFS) is mainly characterised by a complaint of chronic and disabling fatigue in addition to other symptoms. A great variety of explanations have been explored, including infectious, metabolic, immunological, and endocrine causes, but no one factor can be shown to be the single causative agent. Similarly, a single psychiatric cause cannot be established, although comorbidity with depression and anxiety is common in CFS adolescents.1 There is currently insufficient support for either a purely somatic or psychic chain of causation. CFS is believed to have a multifactorial origin, and a distinction is made between constitutional, initiating, and perpetuating factors on both a biological and psychosocial level. and seem to depend much on criteria and methods. Selfreported CFS yields a higher prevalence rate than physician reported CFS, which is the basis for the prevalence rate in the Netherlands. 3 A more recent prevalence study in the UK based on physicians' reports of severe unexplained fatigue of at least three months' duration, reported a prevalence rate of 0.06%. 6 A recent study showed that two thirds of children with CFS finally recover with a resumption of social activities and school attendance and a marked decrease in number and severity of symptoms.7 Although most adolescents recover, disability during illness is high and affects all aspects of life. [8][9][10][11][12] This disability may have lasting effects and it is therefore important to detect factors that influence the start and the course of the CFS symptomatology.The lack of a definite aetiology for CFS limits the treatment options to symptomat...

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“…Nuestro estudio da lugar a tres conceptos que surgen de las observaciones hechas por Stanton (1995) y Zdanowicz (2002, 2003 en los adolescentes "sanos": 1) El sentido de responsabilidad hacia la salud (LCSI) parece, en la adolescencia, haber sido determinado ya antes de alcanzar la misma, como si no cambiase con la edad ni en sujetos "sanos" ni en "enfermos". Sin embargo, es más bajo en los adolescentes "enfermos" que en los "sanos".…”

Section: Discussionunclassified

“…El estudio de W.R. Stanton (1995) investigó la utilidad y estabilidad del LCSM en la adolescencia. Además de confirmar la utilidad del LCSM, el estudio también resaltó las diferencias de género en el locus de control.…”

Section: Introductionunclassified

¿Juega el locus de control de la salud un papel clave en la salud durante la adolescencia?

Zdanowicz¹,

Janne²,

Reynaert³

2004

Eur. J. Psychiat. (Ed. esp.)

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Stockholm SWEDENRESUMEN -Objetivos: Examinar las diferencias en el locus de control de la salud en una población de jóvenes "sanos" entre 13 y 25 años de edad y en una población con trastornos mentales.Método: 814 jóvenes "normales" completaron el cuestionario sobre el locus de control de la salud y se compararon con una población de 358 jóvenes que padecían trastornos mentales.Resultados: Los jóvenes del grupo sano obtuvieron una puntuación del locus de control de la salud "interno" (internal health locus of control, LCSI) más alta, y una ratio "interno" versus "externo" (I/E) más alta que los del grupo "enfermo". Por otra parte, las puntuaciones para la escala del locus de control de la salud de los "otros con poder" (powerful others health locus of control scale, LCSP) y para la escala del locus de control de la salud "por azar" (chance health locus of control scale, LCSA) fueron más altas en el grupo "enfermo". Mientras que la edad sólo influenció el locus de control de la salud en el grupo "sano", el género jugó un papel determinante en ambos grupos, en términos del LCSI.Conclusiones: Los adolescentes que padecen trastornos mentales tienen un nivel de interiorización más bajo en el locus de control de la salud multidimensional (LCSM), que se expresa por un menor sentido de responsabilidad personal y un alto nivel de dependencia de los demás. IntroducciónEn 1978, K.A. Wallston y colaboradores desarrollaron la escala del locus de control de la salud multidimensional (LCSM), que investigaba las creencias de una persona en relación al control que creía tener para determinar su estado de salud. Esta escala es multidimensional, de manera que identifica tres tipos distintos de creencias: dos "exter-

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Stability in the structure of health locus of control among adolescents

Cited by 20 publications

References 8 publications

Locus of Control and Self-Efficacy: Potential Mediators of Stress, Illness, and Utilization of Health Services in College Students

Locus of Control and Self-Efficacy: Potential Mediators of Stress, Illness, and Utilization of Health Services in College Students

Chronic fatigue syndrome and health control in adolescents and parents

¿Juega el locus de control de la salud un papel clave en la salud durante la adolescencia?

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