The influence of locus of control on self-rated health in context of chronic disease: a structural equation modeling approach in a cross sectional study

Abstract

BackgroundSelf-rated health is a robust predictor of several health outcomes, such as functional ability, health care utilization, morbidity and mortality. The purpose of this study is to investigate and explore how health locus of control and disease burden relate to self-rated health among patients at risk for cardiovascular disease.MethodsIn 2009, 414 Swedish patients who were using statins completed a questionnaire about their health, diseases and their views on the three-dimensional health locus of control scale. The scale determines which category of health locus of control – internal, chance or powerful others – a patient most identifies with. The data was analyzed using logistic regression and a structural equation modeling approach.ResultsThe analyses showed positive associations between internal health locus of control and self-rated health, and a negative association between health locus of control in chance and powerful others and self-rated health. High internal health locus of control was negatively associated with the cumulative burden of diseases, while health locus of control in chance and powerful others were positively associated with burden of diseases. In addition, age and education level had indirect associations with self-rated health through health locus of control.ConclusionsThis study suggests that self-rated health is positively correlated with internal locus of control and negatively associated with high locus of control in chance and powerful others in patients at high risk for cardiovascular disease. Furthermore, disease burden seems to be negatively associated with self-rated health.

Propiedades psicométricas de la escala de locus de control de la salud en Dios en una muestra de mexicanos con diabetes mellitus tipo 2

“…El empleo de estas escalas ha permitido acumular evidencia a lo largo de casi cuatro décadas que apunta a que las personas que se sienten más en control de sí mismas (LCI) tienden a exhibir conductas más saludables (Wallston, 2005;Berglund, Lytsy, & Westerling, 2014), lo que para el caso de la DM2 se interpreta como una mejor adherencia al tratamiento al producir un mejor control glucémico (Indelicato et al, 2017;Williams, Lymch, Voronca, & Egede, 2016); en cambio, el LCE-A ha sido considerado como un predictor de mal control glucémico (Aberle et al, 2011;Morowatisharifabad, Mahmoodabad, Baghianimoghadam, & Tonekaboni, 2010) y se ha asociado a mayores niveles de ansiedad estado en mujeres con diabetes gestacional (Miazgowski, Bikowska, Ogonowski, & Taszarek, 2017). Por su parte, la influencia de Dios ha mostrado mejorar o empeorar los comportamientos en salud en poblaciones y condiciones diversas (Moore, 2014;Pomeranz et al, en prensa;Tsimtsiou, Kirana, & Hatzichristou, 2014) y puede actuar como barrera o motivador de la adherencia al tratamiento (Ahmedani, Peterson, Wells, Rand, & Williams, 2013;Kremer, Ironson, & Porr, 2009) o de condiciones anómalas como la depresión en adultos mayores con enfermedades crónicas (Aflakseir & MohammadAbadi, 2017).…”

Composición Factorial de la Escala de Locus de Control de Rotter en Universitarios Mexicanos

“…Los sujetos con locus de control interno tendrían la expectativa de que los resultados que logran son contingentes u ocasionados por sus conductas o por sus características personales, lo que hace que se perciban como capaces de influir en su propio destino, de transformar una situación desfavorable, o de incrementar su probabilidad de éxito (Berglund et al, 2014;Sagone y De Caroli, 2014). La percepción de control sobre la situación aumenta la motivación para enfrentarla, de esta manera se espera que las personas con un locus de control interno se sientan más comprometidas, y actúen de forma más activa ante la situación.…”

Perspectives on living with coeliac disease in remission : Daily life experiences, symptoms and well-being

“…Health-related LOC refers to the person's beliefs about the source of their illness and the degree to which they can have control over the development of the disease [37]. People with a high internal LOC believe that their own health is mostly determined by their personal choices and actions.…”

“…Subjective assessment offers perspectives beyond the traditional biomedical markers and is a necessary complement to objective evidence of disease [85]. Self-rated health has been shown to be consistent with more objective health status measures in the general population [86], and because of its predictable functions, self-rated health is frequently used as an outcome measure in health service interventions [37]. This can be considered as indicating health authorities' trust in individuals´ own ability to report symptoms in a reliable and, for healthcare services, useful way.…”