A Comparison of Two Multidimensional Health Locus of Control Instruments

This study examined the factor structure, internal consistency reliability and construct validity of the multidimensional health locus of control (MHLC) instruments developed by K. A. Wallston, B. S. Wallston, and DeVellis (1978) and Lau (Lau, 1982; Lau & Ware, 1981), Both measures were administered to a sample of Veterans Administration (VA) medical outpatients (N = 181). Only minimal evidence of convergence was found between corresponding scales of the two MHLC instruments. Low convergent validity appears attributable to the poor internal consistency reliability of the Lau-Ware subscales. Moreover, results of factor analysis largely supported the a priori factor structure of the K. A. Wallston et at. (1978) MHLC instrument but failed to support the factor structure of the Lau-Ware instrument, Health locus of control (HLC) dimensions that emerged from simultaneous factor analysis of both instruments were most consistent with a three-dimensional typology (i.e., Personal Control, Professional Control and Chance) rather than the four-dimensional typology proposed by Lau (Lau, 1982; Lau & Ware, 1981). Implications for HLC conceptualization and measurement are discussed.     

Comparison of Response Formats for Mulitdimensional Health Locus of Control Scales: Six Levels Versus Two Levels

Two formats of the Multidimensional Health Locus of Control (MHLC) Scales were administered to 54 college students. Each subject completed the MHLC Scales in the standard 6-level response format (ranging from strongly disagree to strongly agree) and in a revised 2-level format (ranging from disagree to agree). Comparisons of internal consistency measures, principal components, and classification of subjects into groups indicate that the 2-level response format yields comparable data to those obtained with the 6-level format, particularly when classification of subjects is the goal.     

Development of the Mental Health Locus of Control and Mental Health Locus of Origin Scales

The Mental Health Locus of Control (MHLC) Scale is an area-specific measure of locus of control expectancies designed to predict mental health related behaviors, particularly those occurring in treatment situations. The discriminant validity of the MHLC, in contrast with Rotter's 1-E measure of generalized expectancies, was demonstrated with two mental health related variables: beliefs concerning etiology of psychopathology, and information about abnormal psychology. Beliefs about etiology were measured by the Mental Health Locus of Origin (MHLO) Scale. The primary hypothesis, that individuals with 'endogenous' beliefs about etiology tend to have 'external' expectations for the client's role in treatment, was supported by a statistically significant (p < .001) correlation between the MHLC and MHLO Scales.     

Multidimensional Locus of Control in Prison Inmates1

This study examined public offenders' generalized expectancies of control as they relate to length of time in prison and behavior within the institution, in order to demonstrate the usefulness of a multidimensional modification of Rotter's locus of control scale with a prison sample. Inmates (N= 145) serving sentences in a large, state prison responded to three locus of control scales designed to measure separately expectancies of internality, of control by powerful others, and of control by chance forces. It was reasoned that if the separation of control into these three orientations is meaningful, then changes in perceptions of control by powerful others should be particularly relevant to the prison experience. As predicted, scores on the Powerful Others scale were significantly related to length of time in prison and number of times punished by solitary confinement.     

Health Locus of Control After Lung Transplantation: Implications for Managing Health

Health locus of control (HLC) beliefs may influence the health behaviors that patients perform on their own behalf. Likewise, the HLC beliefs that clinicians consider desirable may influence how active they encourage patients to be in managing health. It remains unclear how involved lung recipients want to be and how involved transplant clinicians believe they should be. The aims of this study were to describe HLC beliefs and behaviors manifested by recipients and clinicians in the setting of lung transplantation. Mixed-methods were used, including quantitative techniques to measure demographics, clinical characteristics, and HLC using the Multidimensional Health Locus of Control Scale (MHLC), and qualitative techniques to explore how HLC beliefs were manifest in the clinical setting. Nearly all participants manifested behaviors consistent with high internality and externality, highlighting the importance of holding ‘dual health locus of control’ beliefs for optimal health management and lending support for recipients and clinicians to share responsibility for managing post-transplant health.Funded by the Nursing & Social Sciences Council of the International Society of Heart and Lung Transplantation.     

Form C of the MHLC Scales: A Condition-Specific Measure of Locus of Control

Form C of the Multidimensional Health Locus of Control (MHLC) scales is an 18 item, general purposes condition-specific locus of control scale that could easily be adapted for use with any medical or health-related condition. Data from 588 patients with one of four conditions—rheumatoid arthritis, chronic pain, diabetes, or cancer—were utilized to establish the factor stucture of Form C and to establish the reliability and validity of the resultant four subscales: Internality; Chance; Doctors; and Other (powerful) People. The alpha reliabilities of the subscales are adequate for research purposes. Data from the arthritis and chronic pain subjects established that the Form C subscales were moderately stable over time and possessed considerable concurrent and construct validity. Some discriminant validity of Form C with Form B of the MHLC was also demonstrated.     

Measuring health beliefs on the Internet: A comparison of paper and Internet administrations of the Multidimensional Health Locus of Control Scale

A growing number of studies have supported the use of unidimensional psychometric test instruments administered via the Internet; however, support for the use of multidimensional scales is weak. The present study compares paper and Internet administrations of the Multidimensional Health Locus of Control (MHLC) Scale (Wallston & Wallston, 1981). In terms of reliabilities and factor structures, the Internet data were found to be at least as good as the paper data. MHLC scores were comparable for paper and Internet administrations, although the Internet sample scored significantly lower on the Powerful Others subscale. Overall, the results show that administration of the MHLC Scale via the Internet can produce data comparable to that obtained by pen-and-paper methods. However, it is concluded that generalization of these findings beyond the psychometric test instrument and sampling procedures used here is not warranted.     

Social Comparison of Health Risks: Locus of Control,the Person-Positivity Bias,and Unrealistic Optimism1

People typically attribute lower health risks to themselves than to others, a phenomenon referred to as unrealistic optimism. The present study tested the person positivity bias as a previously unexamined explanation of the phenomenon and analyzed the relationship between unrealistic optimism and expectations of control. High-school students estimated their own and one of three other persons’(the average student's, a randomly chosen student's, or their best same-sex friend's) chances of getting health problems. They also filled out questionnaires measuring locus of control and health-protective behavior. In contrast with the person positivity explanation, unrealistic optimism was not restricted to the “average other” condition. However, unrealistic optimism was stronger in subjects with a more internal locus of control than in subjects with a rather external locus of control. An unpredicted effect of estimation order was observed: Unrealistic optimism was stronger in subjects who estimated the comparison person's risks first than in subjects who started with own risks. This effect can be understood in terms of Codol's observation that people perceive others as more similar to themselves than they themselves are to others.     

Health Promotion,Health Locus of Control,and Health Behavior: Two Field Experiments1

In spite of a sizable body of research on the effects of information promotions on health knowledge and health behavior, relatively little is known about how such efforts affect change (or why they do not). This paper addresses that problem by exploring the particular role that health locus of control (HLC) beliefs play in individual responses to health promotion efforts aimed at encouraging preventive health behaviors. Two field experiments are presented. The first experiment examined the extent to which HLC beliefs are related to differences in individual levels of health knowledge following the distribution of an informational booklet on health. Internals high on health value who received the information booklet demonstrated greater health knowledge three months later than did other subjects, although this difference was greater among men than among women. The second experiment explored how HLC beliefs interact with differently framed “control” messages to promote behavior change in breast self-examination (BSE). HLC beliefs interacted with the control language of the BSE promotional message and a neutral reminder to affect subsequent BSE practice. Together, these studies suggest a more influential role for health locus of control beliefs in shaping responses to health messages than has previously been documented in field settings.     

Predictors of Health Locus of Control in Older Adults

Health locus of control has been shown to influence how individuals approach their health and health-related decisions. The present study examined the variables predictive of older adults’ health locus of control. A total of 261 adults aged 54–84 years completed a questionnaire about their health, approach to health, and background information about themselves. The results revealed that demographic indicators, health-related variables, and psychological variables—particularly health risk tolerance, future time perspective, health self-efficacy, and emotional instability—were related to older adults’ health locus of control. Findings have implications for programs aimed at modifying older adults’ health locus of control.     

Health Locus of Control Beliefs in Low Back Pain Patients

Abstract

Associations between health locus of control (HLC) beliefs, illness characteristics, psychological distress and self-care behaviour were studied in a group of subjects (n=459) aged 35 to 54 years suffering from chronic or recurrent low back pain (LBP). The results showed that younger subjects and men were more internal in their beliefs, and that duration and severity of LBP, psychological distress, and back care were associated with the individual's beliefs in his/her control over illness. The associations found were, however, of a low magnitude. More conclusive evidence on the development and modification of HLC beliefs are required before practical applications are possible.     

Deconstructing Locus of Control: Implications for Practitioners

Locus of control is demonstrated as being an important individual belief for counselors to consider in their work. Western cultural bias that has influenced the research with locus of control, and may influence how counselors conceptualize clients' problems, is the notion that internal control is always more desirable than external control. Several areas of locus of control theory are reviewed, including sociocultural influences in the formation of the theory, cultural differences in locus of control, and differing conceptualizations of the construct. In addition, selected research with locus of control and mental health is briefly reviewed. Finally, important implications for practitioners are suggested.     

A Comparison of Multidimensional Health Profiles across Three Trauma-Exposed Diagnostic Groups

Posttraumatic stress disorder has been associated with adverse health outcomes. The extent to which the health effects of PTSD differ from other diagnoses has not been explored empirically. The current study investigated the Multidimensional Health Profile (including both Psychosocial and Health factors), across three diagnostic groups and one group of well-adjusted participants (N = 92) in a contrasted-groups design. Participants were all trauma-exposed and were assessed using structured clinical interviews. The PTSD and depression groups tended to differ from the social phobia and well-adjusted groups. Both the PTSD and depression groups demonstrated elevated profiles on variables assessing psychological distress, negative social exchange, and hypochondriasis. Results are consistent with prior research suggesting PTSD is associated with worse psychological and health functioning relative to trauma-exposed individuals without PTSD, although these health outcomes seem to differ little between those with PTSD and those with depression.     

藏族学生控制源、社会支持与心理健康的研究

目的探讨玉树民族中学藏族学生控制源、社会支持与心理健康的关系。方法采用心理健康、内外控制源和领悟社会支持量表。结果①不同性别学生心理健康总分差异显著,社会支持和控制源得分差异不显著。②不同年级学生在控制源差异显著,其余变量差异不显著。③除家庭支持外,心理控制源、社会支持及其各维度与心理健康显著相关。④控制源和朋友支持对心理健康有很好的预测作用。结论控制源和社会支持在一定程度上对心理健康有预测作用。     

Locus of Control Beliefs Mediate the Relationship Between Religious Functioning and Psychological Health

Theistic and spiritually based beliefs and behaviors have been demonstrated to consistently predict physical and mental health, although the psychological processes underlying these relationships are unclear. This study investigated associative relationships and pathways of mediation between religious functioning, locus of control (LOC) and health. The sample consisted of 122 Christians (79 women, 43 men) who were predominately Catholic, ranging in age from 18 to 80 (M = 45.47, SD = 15.0). Participants were recruited from churches in the Western suburbs of Melbourne, Australia, and completed a questionnaire package measuring (1) psychological and physical health, (2) the religious variables of awareness of God, instability and impression management, and (3) God, internal and external LOC domains. Results indicated that awareness of God and internal LOC were associated with better health, whereas external LOC and instability were associated with poorer health. God LOC and impression management were not significantly associated with health. Sobel tests were used to analyse mediation hypotheses. Internal LOC was found to mediate the relationship between awareness of God and better psychological health, and external LOC was found to mediate the relationship between instability and poorer psychological health. These findings are of considerable clinical significance.     

A comparison of two report formats for alcohol and caffeine use

Abstract

The present study compared two different methods of assessing alcohol and caffeine use in a community sample of adults over a one-year period. Daily reporting of beer/wine intake was more stable over time and showed higher correspondence with Quantity-frequency measures than daily reporting of hard liquor use. Coffee and tea use showed high temporal stability and good alternate form reliability, though a tendency to underreport typical use of coffee use was observed. The psychometric properties of substance use measures appear to vary with type of beverage consumed and report format.     

Locus of Control for Consumer Outcomes: Predicting Consumer Behavior1

In order to predict which persons approach the task of shopping strategically, we constructed a measure of locus of control focused specifically on consumer behaviors and outcomes. Psychometric evaluations of the 14-item Consumer Locus of Control scale indicated that it was a reliable instrument whose characteristics were replicated in two separate samples. The scale was used to predict shopping behavior ranging from impulsive to strategic. The measure of consumer locus of control was significantly related to consumer behavior, whereas measures of economic and generalized locus of control proved to be unrelated to shopping effort, planning, and product knowledge. The more internal their consumer control beliefs, the more likely were subjects to be planful and purposive in the act of shopping.     

Locus of Control and Hostility: Sex Differences

The Nowicki-Strickland Internal-External locus of control scale and the Hostility and Direction of Hostility Questionnaire were administered to 35 male and 35 female college students. In both the total sample and the female sample, significant correlations were observed between locus of control and hostility with an external locus of control being associated with greater hostility. Although locus of control was significantly related to all of the hostility scores in the female sample, the male sample generally showed no significant relationship between locus of control and hostility. The sex differences in the data and the possibility of item overlap between the locus of control and hostility measures are discussed.