Role of health locus of control beliefs and expectations of treatment efficacy in adjustment to cancer

We examined the effects of health locus of control beliefs (self-, doctor, and chance control) and expectations of treatment efficacy on short-term psychological adjustment in a sample of newly diagnosed cancer patients. The role of these beliefs and expectations in moderating the relation between (perceived and actual) disease severity and depression was also examined. The data were collected within one week of diagnosis. The relation between perceptions of disease severity and depression was weaker for those who believed that they could personally control their health and for those who held positive expectations about the effects of complying with medical treatment. Similar patterns were found when disease severity was defined in terms of prognosis for survival. Strong negative correlations between self-control/treatment expectations and depression were found for those who perceived that their illness was very severe. The results for chance and doctor control were less consistent. The stability of health control beliefs and treatment expectations over the course of a serious long-term illness is discussed.     

Age and health care beliefs: self-efficacy as a mediator of low desire for control

The relation between individuals' age, desire for control, information, and perceived self-efficacy was examined using a cross-sectional comparison of 116 noninstitutionalized adults, ages 20 to 99. We found that individuals over 60 years of age desired less health-related control than did younger adults, and preferred that health professionals make decisions for them. Differences in desire for health-related information were in the same direction but were not significant. Older adults also desired less control in general day-to-day living. Perceived self-efficacy was also lower for individuals over 60 years of age. Results suggested that perceived self-efficacy mediated the age differences in health-related desire for control. Mediation of general desire for control, however, was not strong. Cohort and developmental explanations are provided for these findings. It is suggested that those individuals most at risk for chronic illnesses and hospitalization are also those who are most likely to fail to take an active role in their health care.     

Depression and attributions for problems and solutions in college students

50 adult clients at college counseling centers completed scales measuring depression, attributions for their primary problem and its expected improvement, and locus of control. Subjects who were more depressed made relatively internal and stable attributions for their primary problems, were less likely to believe they would improve, and expressed more belief in the importance of chance and powerful others. As a group, subjects tended to view their improvement as more internal and controllable than the cause of their problems. The results suggest that knowledge of clients' attributions for their problems could prove relevant to the treatment of depression.     

Perceived control,causality, expectations and help-seeking behaviour

Undergraduates recruited from an introductory psychology course who were currently not seeking professional help (n=81) were compared with a comparable sample seeking professional help at a university psychological services centre (n=53). Participants answered an assessment instrument with reference to the problem currently upsetting them most. As hypothesized, those students seeking help tended to internalize causality, report lower levels of perceived control over their problems, and consider themselves more likely to expend time and energy in resolving their problem. Contrary to expectations, the groups did not differ in optimism about problem resolution. Results from an exploratory analysis of perceptions about the nature of professional and non-professional help are also reported. The findings, consistent with previous research, underscore the importance of differentiating the constructs of locus of control, causal attributions, and perceived control in studying mediators of help-seeking behaviour.     

Personal efficacy, external locus of control, and perceived contingency of parental reinforcement among depressed, paranoid, and normal subjects

Bandura (1982) suggested that judgments of personal efficacy and outcome expectancies (i.e., locus of control) jointly affect behavior. We hypothesized that different combinations of these two sets of beliefs would characterize the thought structures of normal subjects and of psychiatric patients suffering from distinctly different disorders. Normal subjects, depressed subjects, and paranoid subjects completed scales with which we measured beliefs in personal efficacy and beliefs that outcomes are controlled either by chance or by powerful others, as well as a scale with which we assessed perceived contingency of parental reinforcement. The major findings were as follows: Normals judged themselves to be more efficacious than did psychiatric subjects; whereas depressives expected outcomes to be controlled by chance, paranoids expected outcomes to be under the control of powerful others; among the normals, outcome expectancies were strongly associated with personal efficacy, but among the psychiatric patients, these beliefs were unrelated; depressives and paranoids equally reported more noncontingent parental reinforcement than did normals; and perceived contingency of parental reinforcement was predictive of outcome expectancies but not of personal efficacy. The data suggest that low personal efficacy may be a distinguishing characteristic of all psychiatric patients, whereas outcome expectancies may determine the specific nature of the psychiatric disorder.     

Desired control,felt control,and dental pain: Recent findings and remaining issues

This paper reviews a series of studies examining how desire for control among dental patients affects their reaction to dental treatment. This research (across eight samples) indicates that low perceived control is associated with heightened stressful responding before and during dental treatment only among patients reporting high desire for control Thus, the impact of low perceived control appears to be moderated by desire for control. An additional finding is that manipulations of control (e.g., providing information, stress inoculation training) primarily impact patients reporting both a high desire for control (during treatment) and low initial perceived control. These data suggest that consideration of patients' desire for control in addition to their perceived control increases our ability to predict their level of dental stress. Additionally, these data provide initial support for the view that the discrepancy between high desire for control and low perceived control play a causal role in patient's perceptions of dental pain and fear.This research was supported by grant USPHS-NIH 5 RO1 DEO 9419-02 (H. L. and R. B. coprincipal investigators) and by BRSG/College of Dentistry seed money.     

The Adolescent Mattering Experience: Gender Variations in Perceived Mattering,Anxiety, and Depression

Individuals who perceive that they matter to others are likely to experience lower anxiety and depression levels. The effects of young adolescents' perceived mattering on their anxiety and depression levels were examined. Results indicated that female adolescents reported lower anxiety levels but greater depression levels than did male adolescents, perceived mattering was inversely related to adolescents' anxiety and depression levels, and the associations between mattering and anxiety and between mattering and depression varied by gender.     

Perfectionism,life events,and depressive symptoms: A test of a diathesis-stress model

The present research tested the hypothesis that perfectionists who experience stress are vulnerable to depression, in part because negative life events represent a failure to maintain control over negative outcomes. In Study 1, 215 subjects completed the Multidimensional Perfectionism Scale (MPS) and control measures. The MPS assesses self-oriented, other-oriented, and socially prescribed perfectionism. It was confirmed that self-oriented and other-oriented perfectionism were associated with both higher desire for control and greater perceived personal control. Study 2 examined whether trait levels of perfectionism moderate the link between life stress and symptoms of depression. In addition, prospective analyses investigated whether perfectionism accounts for changes in levels of depressive symptomatology over time. Two samples comprised of 374 students (Sample 1) and 173 students (Sample 2) completed the MPS and measures of major life stress and depression symptoms. Subjects in Sample 2 completed these measures at two timepoints separated by a three-month interval. Regression analyses indicated that self-oriented perfectionism and life stress interact significantly to produce higher levels of depressive symptomatology. Moreover, in Sample 2, self-oriented perfectionism at Time 1 was associated with increases in depression symptoms three months later for those individuals who had experienced a major life event. The results provide support for diathesis-stress models, which maintain that perfectionists exposed to life stress are vulnerable to symptoms of depression. The results are discussed in terms of their implications for the study of personality, stress, and vulnerability to symptoms of depression. This research was supported by grants #410-89-0335, #410-91-8056, and #410-93-1256 from the Social Sciences and Humanities Research Council of Canada awarded to the authors.     

Perfectionism, life events, and depressive symptoms: A test of a diathesis-stress model

The present research tested the hypothesis that perfectionists who experience stress are vulnerable to depression, in part because negative life events represent a failure to maintain control over negative outcomes. In Study 1, 215 subjects completed the Multidimensional Perfectionism Scale (MPS) and control measures. The MPS assesses self-oriented, other-oriented, and socially prescribed perfectionism. It was confirmed that self-oriented and other-oriented perfectionism were associated with both higher desire for control and greater perceived personal control. Study 2 examined whether trait levels of perfectionism moderate the link between life stress and symptoms of depression. In addition, prospective analyses investigated whether perfectionism accounts for changes in levels of depressive symptomatology over time. Two samples comprised of 374 students (Sample 1) and 173 students (Sample 2) completed the MPS and measures of major life stress and depression symptoms. Subjects in Sample 2 completed these measures at two timepoints separated by a three-month interval. Regression analyses indicated that self-oriented perfectionism and life stress interact significantly to produce higher levels of depressive symptomatology. Moreover, in Sample 2, self-oriented perfectionism at Time 1 was associated with increases in depression symptoms three months later for those individuals who had experienced a major life event. The results provide support for diathesis-stress models, which maintain that perfectionists exposed to life stress are vulnerable to symptoms of depression. The results are discussed in terms of their implications for the study of personality, stress, and vulnerability to symptoms of depression. This research was supported by grants #410-89-0335, #410-91-8056, and #410-93-1256 from the Social Sciences and Humanities Research Council of Canada awarded to the authors.     

Locus of control in aging research: a case for multidimensional and domain-specific assessment

Do locus of control beliefs change in later life? Is locus of control related to aging-relevant outcomes involving intelligence and health? In past research on these topics, the use of unidimensional and generalized measures of locus of control has led to a set of inconsistent findings. Three studies were conducted to examine the usefulness of multidimensional and domain-specific measures of locus of control for examining age differences and correlates. College students and elderly adults were compared on Levenson's multidimensional and generalized (internal, chance, and powerful others) locus of control scales and two domain-specific versions related to intelligence and health. As predicted, no age differences were found with generalized measures, but the elderly were more external on intelligence- and health-specific locus of control dimensions. Age differences were found most often on the chance and powerful others control dimensions, suggesting that the elderly acknowledge the importance of external sources of control and at the same time preserve their sense of internal control. In addition, the domain-specific scales were better predictors of behavioral outcomes within their respective domains for the elderly but not for the young. The findings suggest that multidimensional and domain-specific conceptions of control are advantageous for aging research.     

Exploring the long-term experience of vasomotor instability: A 5 year follow-up study of distress,perceived control and catastrophizing

Some women experience vasomotor instability for many years post-menopause, but little is known about their appraisals of this health problem, their levels of distress or their coping strategies, and whether these change over time. This study followed up a group of women over 5 years, to examine changes and consistencies in frequency of flushing, flush-related distress/ discomfort, control beliefs and catastrophic thoughts. A further aim was to examine the validity of previously developed measures of perceived control and catastrophizing against conceptually relevant standardized scales. A questionnaire of 20 women (average age 53 years) was carried out, with follow-up 5 years later. Measures of flush distress, flush frequency, perceived control over hot flushes, and catastrophic thoughts about flushing was compared at Time 1 and Time 2. Additionally, multidimensional health locus of control (MHLC) and depression (CES-D) scores were taken at follow-up. All measure showed improvements in well-being. Nevertheless, there were many individual consistencies in scores on most variables at Time 1 and 2. Flush distress at Time 2 was most related to catastrophic thinking, and was slightly elevated in more depressed women. Flush distress was completely unrelated to health locus of control. Psychological responses to hot flushes seem to improve over a 5-year period, yet women show some consistency in their appraisals of this mid-life health problem. Counsellors may find that cognitive re-framing strategies are helpful for alleviating flush distress in women who are continue to be distressed by chronic vasomotor instability, as distress is so closely related to catastrophic thinking.     

Parental locus of control and the assessment of children's personality characteristics

The relationships between different parental locus of control orientations and their children's personality characteristics of locus of control, anxiety, intelligence, achievement, and behavioral adjustment were examined for 134 fourth-grade children and their parents. Correlational results showed that mothers' locus of control was more Consistently related to their children's Characteristics than was the fathers' locus of control although this depended somewhat on the sex of the children. Further analyses revealed that parents who were both high in external locus of control had children who scored high in anxiety and low in intelligence. However, sets of parents in which at least one of the spouses was internally controlled had children who did not differ in their personality characteristics. Results indicate that further investigative research is warrented on how parenting attitudes and behaviors affect the development of such personality characteristics in children.     

Gender and locus of control correlates of body image dissatisfaction

The study concerned sex and various locus of control correlates of body image satisfaction. The results indicated that men and women differ significantly in the degree and in the direction of dissatisfaction towards their bodies, which were consistent with the culturally defined ideals for men and women. Significant differences were also observed regarding self-perceptions, suggesting that women more than men are more likely to suffer from depression and have lower self-esteem which was itself associated with body image satisfaction. Individual beliefs about perceived control towards achieving an ‘ideal’ body shape were assessed using a new locus of control scale which correlated significantly with two scales measuring attitudes relating to body shape. The results from this new scale suggest that perceived locus of control beliefs are important predictors of the resulting behaviours and self-perceptions associated with body shape satisfaction and dissatisfaction.     

Maternal Depression,Locus of Control,and Emotion Regulatory Strategy as Predictors of Preschoolers’ Internalizing Problems

Childhood internalizing problems may occur as early as preschool, tend to be stable over time, and undermine social and academic functioning. Parent emotion regulatory behaviors may contribute to child internalizing problems and may be especially important during the preschool years when parents model emotion coping and regulation for their children. Parents who feel out of control of their preschoolers’ behavior and emotional states may adopt avoidant emotion regulatory strategies. We proposed that parent depression, perceived locus of control, and experiential avoidance would be linked with internalizing symptoms in a high-risk sample of preschool-aged children. We also expected that locus of control would mediate the relationship between maternal depression, experiential avoidance, and child internalizing problems. Seventy-four urban, low-income, diverse mothers of Head Start preschool children completed rating scales measuring their own depression, locus of control, experiential avoidance, and their children’s internalizing behaviors. Correlational analyses revealed that mothers reporting higher levels of depression were more likely to report experiential avoidance, feeling out of control in their parenting role, and internalizing symptoms in their children. Hierarchical multiple regressions showed that locus of control explained additional unique variance in child internalizing problems over and above that explained by maternal depression. Locus of control mediated the relationship between maternal depression and child internalizing symptoms. The importance of considering parent locus of control and its relation to children’s internalizing symptoms is discussed as a potential target for early childhood prevention programs.     

Subjective well‐being in times of social change: Congruence of control strategies and perceived control

This paper investigates the association between perceptions of broader changes in the social‐ecological context and individuals’ subjective well‐being (SWB). Macro‐level societal changes such as globalization or demographic change give rise to new demands for individual functioning at work and/or in the family. Such new demands associated with social change are stressful and likely to be related to lower levels of SWB. Being active agents, individuals attempt to deal with social change and its increasing demands to protect their SWB. The present study investigates which kinds of control strategies are most effective in protecting one's SWB. Specifically, we predicted that control strategies of goal engagement will be most effective under conditions of perceived high control, and control strategies of goal disengagement will be most effective under conditions of perceived low control. In a large sample of 2537 German adults, work‐ and family‐related demands associated with social change were found to be negatively linked to SWB. Moreover and in line with the motivational theory of lifespan development, control strategies of goal engagement and disengagement were beneficial for SWB to the extent that they matched the perceived control of the demands associated with social change.     

Surrendering personal control to automation: Appalling or appealing?

There has been a growing interest in Autonomous Vehicle (AV) technology worldwide over the last decade. Nevertheless, various studies have noted some potential socio-psychological challenges to AV use and ownership. These challenges can be mitigated by designing AV that accounts for users’ personalities, such as their perceived control and power. The complex relationship between personal control and automation, two concepts that intuitively sound contradictory to each other, is less explored. In this study, two dimensions of personal control, the desire for control and the driver locus of control, were hypothesized to influence the attitude toward AV. The relationships were moderated by power distance, a cultural factor related to one’s sense of control. The hypotheses were tested using Structural Equation Modelling (SEM) approach via the Analysis of Moment Structures (AMOS) software. As many as 457 respondents from two sample groups, Hungarian and Indonesian drivers were gathered via an online questionnaire and compared. The results reveal that 1) the higher the desire for control, the more negative the attitude toward AV 2) the higher the external driver locus of control, the more positive the attitude toward AV 3) the more positive the attitude toward AV, the higher the intention to use AV and 4) power distance moderates the relationship between the desire for control and the attitude toward AV, such that the negative effect of the desire for control is strengthened in high power distance orientation. This study also provides theoretical contributions and managerial implications, especially to AV designers.     

Attitudes, perceptions, and risk-taking behaviors of smokers, ex-smokers, and nonsmokers.

A sample of American adults completed questionnaires relevant to cigarette smoking. The questions were related to three areas: risk, perceptions of their or others' smoking, and satisfaction with life and health. The results revealed that smokers were greater risk-takers, that they perceived their smoking to be due to both physical and psychological addictions, and that they expressed less satisfaction and control. Results also indicated that smokers who saw their smoking as being addictive tended to be less satisfied with their health and felt less control over their lives. On the other hand, those smokers who were more likely to deny the health risks did not differ from either non- or ex-smokers on any of the satisfaction or control questions.     

Attribution of control and teenage pregnancy

In rural Appalachia in Tennessee, data on 13 female adolescents who had experienced a pregnancy (mean age=16 years, 7 months) were compared with those on 38 female adolescents who had not experienced a pregnancy (mean age-16 years, 4 months) to test the hypothesis that teenagers who experience a pregnancy have external attributions of control over their life events. The Nowicki-Strickland Locus of Control Scale for Children was administered to determine their beliefs about causes of events in their lives. All the girls were white and matched for socioeconomic status, housing, and cultural background. The mean attribution of control to external agents score stood at 14.5 for girls who had experienced a pregnancy compared with 12.7 for those who had not experienced a pregnancy, but the difference was not significant (p=.08).54% of the cases exhibited external attributional orientation compared with 16% of the controls (p.02). This finding concurred with that of earlier studies. The fact that not all the girls who had experienced a pregnancy had external attributional orientation suggested that it is not the only factor linked to adolescent pregnancy. Studies have not identified whether external attributional orientation is a causal factor or consequence of adolescent pregnancy. A 1980 study found that women who had shown more external locus of control scores during pregnancy and tended to castigate themselves had a high probability of postpartum depression. Another study indicated that rises in depression among adolescents were linked to prechange orientations toward external attributions of control. Practitioners should selectively pay attention to teenagers who have extreme attributional orientations since many teenagers carry their pregnancies to term and choose to rear their infants. These orientations appear to pose risks for the adolescent mother and her children.     

Personality through metaphor: Optimism, pessimism, locus of control, and sensation seeking

In two experiments, several personality attributes evident in metaphors people use to describe everyday experiences were examined. Subjects either generated (Experiment 1) or endorsed (Experiment 2) a metaphor that represented their views about six facets of their lives (e.g., work, relationships, graduating). In self-generated metaphors, content analyses of the metaphors revealed that attributes of optimism (e.g., looking forward to the future) and pessimism (e.g., cynicism) were significant components of metaphor content. Also, modest relationships were found between the themes of optimism contained within their metaphors and scores on an optimism scale of a questionnaire designed to evaluate the optimistic and pessimistic orientations. In a second study, subjects endorsed how strongly preselected metaphors represented important aspects of their lives. These preferences were significantly related to their scores on an optimism/pessimism instrument and a locus of control inventory. These results support the notion that metaphors, like other creative productions, may prove a useful vehicle for studying personality characteristics. They also provide evidence for the construct validity of the optimism and pessimism questionnaire.