Gender and health behaviours of hypertensive patients: mediating role of control beliefs

Previous studies have reported gender differences in patients’ health behaviours but few studied hypertensive patients. The potential underlying factors that may mediate gender influences on health behaviours is also a more critical area worthy of investigation. This study examined health locus of control (HLC) as a pathway of gender effects on health behaviours of hypertensive patients. The Multidimensional HLC Scale (Form C) and Wellness behaviour subscale of Health Behaviour Checklist were completed by 400 hypertensive outpatients in two Nigerian hospitals: Enugu State University Teaching Hospital, Park Lane, Enugu, and Bishop Shanahan Specialist Hospital, Nsukka. Hierarchical multiple regression results showed that gender significantly predicted health behaviours. Gender also significantly predicted internal HLC, chance HLC, and other people HLC, but did not predict doctor HLC. The association between gender and health behaviours was fully mediated by internal HLC, chance HLC and other people HLC. Understanding the explanatory mechanisms linking socio-demographic factors and health behaviours is considered of great importance for future research and healthcare intervention.     

Predictors of proficient technique and successful lesion detection in breast self-examination

Seventy-three women attending a health fair completed a questionnaire that measured demographic and health history variables, knowledge, and current practice of breast self-examination (BSE), Multidimensional Health Locus of Control (MHLC; Wallston, Wallston, & DeVellis, 1978), and components of the Health Belief Model (HBM; Rosenstock, 1974) in relation to breast cancer and BSE. These variables formed the basis of a conceptual model of BSE behavior that was examined by having each woman participate in a behavioral trial with a breast model in which her BSE technique and ability to detect simulated tumors was assessed. Regression analyses revealed that self-confidence in the efficacy of BSE was the best single predictor of proficient BSE. Powerful others HLC, knowledge of correct BSE behaviors, and chance HLC, respectively, also contributed significantly to the variance in performance. As anticipated, successful lesion detection was most strongly associated with more proficient BSE technique and higher frequency of BSE practice in the past six months. Internal HLC scores were not predictive of either behavioral measure. Similarly, except for perceived efficacy of BSE, HBM variables showed no strong relationships to observed behavior.     

Time perspective,socioeconomic status,and psychological distress in chronic pain patients

Time perspective (TP) is a fundamental dimension of the psychological construction of time. It refers to a subjective experience and can be defined as the relationship that individuals and groups have with the present, past, and future. Studies have shown that it is interesting to take into account TP in the field of health, especially for the study of the psychological distress (PD) of individuals faced with aversive situations. We conducted a research, which aimed to explore the relationship between TP and PD in patients with chronic pain. A total of 264 first-time patients (72.3% women; mean age = 49 years) at CHU Timone (Marseille) pain center answered a questionnaire included TP, socioeconomic status, pain beliefs (PB), pain characteristics, and sociodemographic characteristics. Using hierarchical regression analyses adjusted to the characteristics of pain, sociodemographic characteristics, and PB, we can observe significant relationships between different components of TP, socioeconomic status, and PD. These results emphasize the importance of TP as psychosocial variable in the analysis of PD in patients with chronic pain. These results also lead us to point out the role of the socioeconomic status that predicts levels of PD.     

How does education lead to healthier behaviours? Testing the mediational roles of perceived control,health literacy and social support

Abstract

Objectives: Educational attainment is increasingly recognised as a unique dimension of socioeconomic status (SES) and a powerful determinant of health behaviour—and thus physical health and mortality. However, very little is known about the specific pathways through which education influences these health behaviours. Design: The present study used a nationally representative US survey to test three potential psychosocial pathways (perceived control, health literacy and social support) through which education might influence intake of fruits and vegetables (FV), physical activity (PA) and sedentary behaviour (SB), controlling for other aspects of SES (income, health insurance status) and demographics (age, gender, race/ethnicity). Results: Both aspects of perceived control (locus of control, cancer fatalism) mediated the impact of education on FV and PA while only locus of control mediated the impact of education on SB. Further, only one aspect of health literacy (ability to understand recommendations) mediated education’s effect on any health behaviour (FV). Social support did not mediate any of the effects of education on health behaviors. Conclusion: Future work explicitly assessing and testing these mediational pathways is needed to better understand how education influences people’s health behaviours throughout their lives.     

Direct and relational bullying among primary school children and academic achievement

The association between bullying behaviour and academic achievement was investigated in 1016 children from primary schools (6-7-year-olds/year 2: 480; 8-9-year-olds/year 4: 536). Children were individually interviewed about their bullying experiences using a standard interview. Key Stage I National Curriculum results (assessed at the end of year 2) were collected from class teachers, and parents completed a behaviour and health questionnaire. Results revealed no relationship between direct bullying behaviour and decrements in academic achievement. Conversely, higher academic achievement at year 2 predicted bullying others relationally (e.g. social exclusion at year 4). Relational victimisation, Special Educational Needs (SEN), being a pupil from a rural school or small classes and low socioeconomic status (SES) predicted low academic achievement for year 2 children. Findings discount the theory that underachievement and frustration at school leads to direct, physical bullying behaviour.     

THE MODERATING EFFECTS OF ACTIVITY LEVEL AND LOCUS OF CONTROL IN THE PERSONAL CONTROL-JOB STRESS RELATIONSHIP

The present study examines the moderating effects of two personality types in the personal control-job stress relationship. Individuals with a high activity level and belief in powerful others (dimension of external locus of control) had the strongest negative relationship between personal control and psychological anxiety. In addition, individuals with a high belief in chance or fate (dimension of external locus of control) had the strongest negative relationship between personal control and pulse rate. The findings suggest that employees with a high activity level and/or external locus of control benefit the most from having control over their work environment.     

Body image and health locus of control among male patients with incisional hernias

Incisional hernias form after surgery through incision sites and can enlarge over time. Relations between body image (BI) and health locus of control (HLC) were investigated in male patients undergoing evaluation for incisional hernia repair (n = 32) and non-hernia controls (n = 34). Analyses revealed that patients with incisional hernias reported significantly less satisfaction with general appearance and appearance of the mid-torso than non-hernia controls. Although HLC beliefs did not vary by group, post hoc analyses revealed several significant relations between BI factors and HLC beliefs. Results suggest that poor BI is a significant area of concern among patients with incisional hernias.     

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.     

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.     

Perceived threat and depression among patients with cancer: the moderating role of health locus of control

Illness perception was found to be a better predictor of psychological outcome among cancer patients than the objective characteristics of illness. The current study explored the association between the perceived threat of illness (a major aspect of illness perception) and depression among cancer patients. We examined the hypothesis that this association will be higher for persons with low External (others) or internal (self) Health Locus of Control (HLC) than for those with high HLC. The study took an exploratory approach regarding the role that different sources of control (external and internal) may assume. Fifty-seven cancer patients completed self-report measures of Perceived Life Threat (PLT), HLC and Depression. The possible moderating role of HLC on the relationship between PLT and Depression was examined. A significant relationship between perceived threat and depression was found only among participants reporting low levels of internal locus of control. The results support the hypothesis that perception of cancer as life threatening is important factor in determining the level of depression among cancer patients. The results also support the differentiation between internal and external HLC and suggest that internal HLC may be more relevant than external HLC in managing perceived threat. Internal locus of control can be interpreted as having a sense of agency and mastery which is important in managing the cognitive perception of the threat of illness. Further research is needed in order to determine the role of external HLC in managing perceived or actual threats.     

Electrophysiological evidence of perceived sexual attractiveness for human female bodies varying in waist-to-hip ratio

The dynamics of brain activation reflecting attractiveness in humans are unclear. Among the different features affecting attractiveness of the female body, the waist-to-hip ratio (WHR) is considered to be crucial. To date, however, no event-related potential (ERP) study has addressed the question of its associated pattern of brain activation. We carried out two different experiments: (a) a behavioural study, to judge the level of attractiveness of female realistic models depicting 4 different WHRs (0.6, 0.7, 0.8, 0.9) with and without clothes; (b) an EEG paradigm, to record brain activity while participants (heterosexual men and women) viewed these same models. Behavioural results showed that WHRs of 0.7 were considered more attractive than the others. ERP analyses revealed a different pattern of activation for male and female viewers. The 0.7 ratio elicited greater positivity at the P1 level in male viewers but not females. Naked bodies increased the N190 in both groups and peaked earlier for the 0.7 ratio in the male viewers. Finally, the late positive component (LPC) was found to be greater in male than in female viewers and was globally more marked for naked bodies as well as WHRs of 0.7 in both groups of viewers. These results provide the first electrophysiological evidence of specific time periods linked to the processing of a body feature denoting attractiveness and therefore playing a role in mate choice.     

Verbally Expressed Wishes of Children and College Women Students

This research examined the relationship between locus of control and two academic-related variables: study habits and attitudes, and college academic performance. Subjects were administered (a) the Brown-Holtzman Survey of Study Habits and Attitudes and (b) the Levenson Internal, Powerful Others, and Chance scales, the latter providing separate measures of two external control dimensions. Results indicated that internal control was related positively to effective study habits and attitudes and to college academic success, while the opposite was true for powerful others and chance control. Additional findings demonstrated significant differences between powerful others and chance control as related to study habits and attitudes and to college grade-point averages.     

Hostility patterns and health implications: correlates of Cook-Medley Hostility Scale scores in a national survey

Correlated Cook-Medley Hostility Scale (Ho) scores with sociodemographic variables in a national survey of 2,536 adults. Multiple regression models revealed that Ho scores were associated with race (p less than .0001), years of education (p less than .001), sex (p less than .001), occupation (p = .0002), and income (p = .0025). Higher scores were found in non-Whites, men, and those of lower socioeconomic status. There was a Race x Income interaction (p less than .005), such that the greatest Ho score differences between the races occurred among those with the lowest incomes. Age was related to Ho scores in a curvilinear fashion: higher scores in the youngest and oldest age groups than in the middle-aged groups (p = .025). Marital status was unrelated to Ho scores. These patterns of hostility are similar to the patterns of health indicators in the population. Because hostility has been found to be associated with adverse health outcomes, hostility may account for some of the demographic variations in health status. However, it is argued that research must first establish the generality of the hostility-health relationship across subgroups of the population.     

Spirituality and Religiousness Among American Jews

In this article we examine the association between spirituality and religiousness for Jews in the United States. Using data from the most recent National Jewish Population Survey of 2000–2001, a large national sample, we examined the extent to which these two concepts correlate. In addition, we compared the relative importance of sociodemographic factors, stressors, and Jewish contextual factors in predicting spirituality and religiousness. We found that spirituality and religiousness correlated, but modestly; some variables were predictive of both concepts (less education, younger age, experienced anti-Semitism in last year, ethnic identity, social identity), some of being highly spiritual only (female, not living in the Northeast), and others of being highly religious only (being married, having a child at home, living in the Northeast, not living in the West, and Jewish background). The differences in sociodemographic characteristics and Jewish background suggest that family life (marriage, having children at home), knowledge about Judaism, and living in a geographic area where there is a high population of Jews are conducive to religiousness as a framework for meaning. Jewish contextual factors were salient for both spiritual and religious pathways.     

特殊教育教师工作要求与职业倦怠：心理控制源的中介作用

目的：考察心理控制源在特殊教育教师工作要求与职业倦怠间的中介作用.方法：整群抽取252名特殊教育教师接受量表测量.结果：（1）工作要求与职业倦怠存在显著的性别差异;（2）相关分析表明,工作要求、职业倦怠与心理控制源之间呈显著相关;（3）心理控制源在工作要求与职业倦怠间起着中介作用;独立的中介效应检验中,三种控制源（内控性、有势力的他人、机遇）在工作要求与职业倦怠间都起着部分中介作用;综合模型中,工作要求主要通过有势力的他人这一中介与职业倦怠产生联系,同时也与职业倦怠间存在直接效应.结论：心理控制源是工作要求预测职业倦怠的部分中介因素.     

合作指数与社会距离对合作行为的影响

利用囚徒困境范式,考察了合作指数CI（0.1~0.9）与社会距离（亲密、陌生）对个体合作行为的影响。结果发现,社会距离和合作指数均会对合作行为产生影响,两者的交互效应不显著;合作率会受到合作指数的促进作用,但不会随合作指数的增高立即增长;在CI = 0.1~0.9这9个水平下,亲密被试间的合作率均显著高于陌生被试间的合作率。这一结果说明,合作指数对合作行为的促进作用存在阈值;社会距离缩小可促进个体的合作倾向增强,并更快地达到合作水平;合作指数与社会距离相互独立地影响合作行为。     

Is This Relevant? Physician Perceptions,Clinical Relevance,and Religious Content in Clinical Interactions

Despite wide support among physicians for practicing patient‐centered care, clinical interactions are primarily driven by physicians’ perception of relevance. While some will perceive a connection between religion and patient health, this relevance will be less apparent for others. I argue that physician responses when religious/spiritual topics come up during clinical interactions will depend on their own religious/spiritual background. The more central religion is for the physician, the greater his or her perception of religion's impact on health outcomes and his or her inclusion of religion/spirituality within clinical interactions. Using a nationally representative sample of physicians in the United States and mediated path models, I estimate models for five different physician actions to evaluate these relationships. I find that a physician's religious background is strongly associated with whether or not he or she thinks religion impacts health outcomes, which is strongly predictive of inclusion. I also find that not all of the association between inclusion and physicians’ religious background is mediated by thinking religion impacts health outcomes. Issues of religion's relevance for medicine are important to the degree that religious beliefs are an important dimension of patients’ lives.     

When it matters how you pronounce it: the influence of regional accents on job interview outcome

The visual dimension has featured prominently in person perception in the last 25 years. Alone, this dimension cannot give the complete 'picture' of others because language and speech (i.e., the auditory dimension) are also highly informative. Social-cognition research investigates the role of auditory information for impression formation. In a series of experiments, we tested perceived competence, hirability, and socio-intellectual status of different targets based on their regional accents. Given identical content of statements in different conditions of an alleged job interview, regional German accents (Saxon, Bavarian, and Berlin) resulted in lower perceived competence and hirability than standard German, even though the Bavarian accent at the same time resulted in higher ratings of socio-intellectual status compared to other regional accents (Experiment 1). These findings were confirmed when using a broader population sample and a 'matched guise' technique (Experiment 2). Our findings indicate that regional accents, similar to faces, can be very powerful in creating differentiated pictures of individuals.     

Help-seeking behavior and attitude of Chinese Americans regarding psychological problems

Investigated the help-seeking behavior and attitude regarding psychological problems as mediated by mental health status, acculturation level, and sociodemographic characteristics in a community sample of Chinese Americans. Of the 128 respondents, 17 (13.3%) had consulted professional help for a nervous or emotional problem. Compared to the others, they reported significantly poorer mental health status (i.e., had more physical symptoms, had once come close to experiencing a "nervous breakdown," and had a relative who had been in treatment), and were more likely to be American-born. For those who had not previously sought help, attitude toward help seeking was examined. A positive attitude was mediated by superior English ability, being younger, married, and from a lower SES background. The findings suggested help-seeking behavior is primarily mediated by presence of need, whereas attitude reflected a general propensity. Acculturation was an important predictor of both behavior and attitude, with the less acculturated most in need of education about the utility of mental health service.     

Zur Häufigkeit der Schuldfähigkeitsbegutachtung von Sexualstraftätern im Erkenntnisverfahren

This study investigated how often and depending on which factors sexual offenders are examined by mental health experts regarding their criminal responsibility. Out of a total of 306 legal charges against sex offenders accused of child sexual abuse (CSA: n?=?145), rape or sexual assault (n?=?89), exhibitionism (n?=?39), sexual abuse of adolescents, mentally defective, physically helpless or warded persons (n?=?18) that were admitted by a criminal court in 2001 in the German federal state of Schleswig-Holstein, 209 (95.6 %) were analyzed regarding the following questions: how often was the accused examined by a mental health professional regarding mental responsibility? Was the chance of being examined systematically related to certain factors (e.g., personality of the accused)? Expert advice regarding the mental responsibility of the accused was obtained by the court in only 34 cases (11.7 %). No systematic relationships of personal variables as well as the modus operandi and the chance of commissioning a mental health expert were found. The main reason for assigning a forensic expert opinion was the vague impression of a psychic disorder. Re-offending increased the rate of a mental health examination only in CSA (34.6 % of re-offenders were examined compared to 9.2 % of first-time offenders), but not in rape or sexual assault. Also age does not predict the commissioning of an expert opinion. Only one fifth of all accused below the age of 21 were investigated by a mental health professional. Results are discussed in terms of legal background, consequences for risk assessment and relapse prevention.