Perceived control and health

Perceived control (PC) is defined as thebelief that one can determine one’s own internal states and behavior, influence one’s environment, and/or bring about desired outcomes. Two important dimensions of PC are delineated: (1) whether the object of control is located in the past or the future and (2) whether the object of control is over outcome, behavior, or process. A variety of constructs and measures of PC (e.g., efficacy, attribution, and locus of control) are discussed in relation to these dimensions and selected studies are reviewed. The issues, controversies, and limits of the research on perceived control and health are addressed in terms of the antecedents and consequences of perceived control. Investigations should clearly conceptualize the object of perceived control, use measures that match the conceptualization, and when attempting to manipulate control, directly measure perceived control. The relation between PC and health outcomes is complex, and different aspects of PC may interact to affect health outcomes.     

Dimensions of perceived control: A factor analysis of three measures and an examination of their relation to activity level and mood in a student and cross-cultural patient sample

Abstract

This study investigated whether measures of three perceived control (PC) concepts tapped independent dimensions, were invariant to population characteristics of health and culture, were differentially sensitive to health outcomes, and were discriminable from self-report disability. The Multidimensional Health Locus of Control, Generalized Self-efficacy, and Perceived Health Competence (PHC) Scales were administered to 106 Scottish students and 145 Scottish, Spanish and Irish patients, who also completed versions of the Sickness Impact Profile. Principal Components analyses revealed five factors reflecting scale constructions for students and six factors for patients, as PHC items fell on two factors. Disability items fell on a separate factor from all PC items. Results suggest: (a) PC is multidimensional regardless of health and culture; (b) adequate assessment requires multiple PC measures; and (c) it is meaningful to consider PC as a possible influence on disability.     

A game-to-game investigation of the relation between need-supportive and need-thwarting coaching and moral behavior in soccer

ObjectiveAlthough perceived need-supportive and need-thwarting coaching have received considerable attention, the question whether coach behavior fluctuates from game to game, with resulting associations with players’ moral behavior has not been examined.Design and methodA Belgian sample of soccer players (N = 197; M = 26.57) was followed during five competition games, with players completing measures both prior to and following each game assessing, pre-game and on-game perceived coaching as well as athletes’ moral behavior.ResultsResults of multilevel analyses indicated that there exists substantial variation in perceived need-thwarting and need-supportive coaching behavior from game to game. The game-to-game variation in perceived pre-game need-thwarting coaching behavior related positively to variation in the adoption of an objectifying stance, which, in turn, related to variation in antisocial behavior oriented towards the opponent, the referee, and even their own teammates. Variation in perceived on-game need-supportive and need-thwarting coaching behavior yielded an additional relation to team-related moral outcomes. Finally, supplementary analysis indicated that these effects also held for an objective marker of moral functioning (i.e., number of yellow cards) and that players’ level of competition-contingent pay related to their antisocial behavior via an objectifying stance.ConclusionThe discussion highlights the fluctuating and dynamic nature of motivating coaching behavior, and its association with players’ moral functioning.     

Health incongruence in later life: implications for subsequent well-being and health care.

OBJECTIVE: The premise that pessimistic health appraisals compromise well-being whereas optimistic appraisals are compensatory was examined in a longitudinal study of 232 community-dwelling older adults (ages 79-98 years). DESIGN: Subjective health (SH) appraisals were contrasted with objective health (OH) to identify realists, whose ratings were congruent (SH = OH), distinguishing them from health pessimists (SH < OH) and health optimists (SH > OH), whose ratings were incongruent. Analyses of covariance were used to examine group differences 2 years later on well-being and health care. MAIN OUTCOME MEASURES: Outcome measures were psychological well-being (life satisfaction, positive and negative emotions), functional well-being (objective and perceived physical activity, activity restriction), and health care (health care management, hospital admissions, length of hospital stays). RESULTS: Compared with realists, pessimists had significantly poorer outcomes and optimists had better outcomes. Because perceived control (PC) was weaker among pessimists and stronger among optimists, supplemental analysis determined whether PC differences explained these findings. When accounting for PC, many pessimism and optimism effects became nonsignificant, yet effects on functional well-being remained unchanged. CONCLUSION: Findings have implications for older adults at risk of functional decline.     

Perceptions of the Efficacy of Prayer and Conventional Medicine for Health Concerns

Previous research has associated prayer practices with positive health outcomes, but few studies have examined: (a) the perceptions of prayer in relation to perceptions of the efficacy of conventional medicine, and (b) whether the perceptions of prayer efficacy differ based on illness type, context of prayer, and whether prayer is for the self or someone else. The current study surveyed 498 emerging adults at a public university. Conventional medicine was perceived as more effective for alleviating health concerns overall, but participants perceived prayer as most effective when performed in a group setting for someone else. Individuals perceived prayer as more effective than conventional medicine when they reported greater religious activity, lower health locus of control, and higher spiritual locus of control.

     

Distinguishing between self-control and perceived control over the environment to understand disadvantaged neighbourhood health and lifestyle outcomes

Abstract

Objective: The current study aimed to test whether and how self-control and perceived control play a role in health outcomes and lifestyle differences between disadvantaged and non-disadvantaged neighbourhoods.

Design: Cross-sectional survey data including demographics was collected from 3758 participants. Main outcome measures: With the survey, self-control, perceived control, health status and lifestyle variables were assessed.

Results: Participants in disadvantaged neighbourhoods reported poorer general health, as well as unhealthier lifestyles compared to participants in non-disadvantaged neighbourhoods. Self-control was likewise positively associated with health and lifestyle variables. However, self-control did not differ between participants from different neighbourhoods. Perceived control over the environment mediated between type of neighbourhood and health, with participants from a disadvantaged neighbourhood reporting a lower sense of perceived control, which in turn was associated with poorer self-reported general health and less healthy lifestyle choices.

Conclusion: This reveals that perceived control over one’s life and the environment is more important than self-control when explaining health differences between neighbourhoods.     

Gender-specific Normative Misperceptions of Risky Sexual Behavior and Alcohol-related Risky Sexual Behavior

This research examined gender-specific perceptions of risky sexual behavior norms among college students and their relationship with one’s own sexual behavior. We expected that students would misperceive the risky sexual behavior of their peers and that these perceptions would positively relate to their sexual behavior. Undergraduate students from the United States (N?=?687; 57.6% female) completed measures assessing perceived sexual behavior, sexual behavior, and other behaviors (e.g., marijuana use, alcohol consumption). Findings demonstrated that students perceived that others engaged in more risky sexual behavior than they do and that perceived norms were positively associated with one’s own behavior. The incorporation of personalized normative feedback regarding risky sexual behavior into brief interventions aimed at reducing risky sexual behavior is discussed.     

Comparative optimism for severity of negative health outcomes

People tend to be comparatively optimistic (i.e., believe that negative outcomes are less likely for themselves than for typical others) regarding their susceptibility to negative health outcomes. The present study investigates the extent to which perceptions of the severity of these health outcomes show similar comparative optimism. A student sample (study 1; N = 200) and a healthy non-student adult sample (study 2; N = 257) completed self-report measures of susceptibility, severity, worry, control and experience in relation to negative health outcomes. Participants in both studies demonstrated significant levels of comparative optimism for both perceived likelihood and severity of health outcomes. Comparative optimism concerning severity was very strongly associated (r = 0.85 to 0.89) with comparative optimism concerning susceptibility. In addition to being comparatively optimistic over their chances of experiencing negative health outcomes, people are also comparatively optimistic regarding how severe the health outcomes will be.     

A Comparison of Health Behavior Constructs: Social Psychological Predictors of AIDS-Preventive Behavioral Intentions

The present study focused on predicting AIDS-preventive behavioral intentions (i. e., intentions to discuss AIDS-related information and to use condoms) from constructs taken from the health belief model, the theory of reasoned action/planned behavior, and social cognitive theory. Questionnaire data were collected from 124 undergraduates using scales from previously published work as well as some new measures designed for this study. Perceived behavioral control, perceived risk, attitudes, self-efficacy, subjective norms, negative expected outcomes, and perceived severity of HIV infection were correlated with at least one intention measure; but regression analyses showed that perceived behavioral control was the strongest independent predictor of condom use intentions and of intentions to discuss AIDS information with a partner. Implications for theory and application are discussed.     

A multidimensional analysis of internal health locus of control beliefs: separating the wheat from the chaff?

The current study examined the hypotheses that internal health locus of control comprises multiple dimensions and that these dimensions are differentially associated with physical health status. As expected, using covariance structure modeling of data derived from 181 medical outpatients, internal health locus of control was found to be multidimensional. Predicted dimensions included recognition that illness prevention is contingent on successful execution of potential health actions, recognition that illness management is contingent on successful execution of potential health actions, and self-mastery over health outcomes (i.e., the perceived capacity to achieve desired health outcomes). A 4th dimension (i.e., self-blame for negative health outcomes) also emerged. Moreover, as predicted, only perceptions of self-mastery were independently associated with indexes of physical health and well-being.     

Salient Volunteering Behavior Increases Monetary Risk‐taking

Research finds that engaging in prosocial behavior has many positive psychological outcomes (e.g., enhanced well‐being, optimism, perceived control, and a boost in self‐concept), and research on monetary risk‐taking reveals these psychological outcomes are associated with increased risk‐taking. Merging these findings, we propose that when people's volunteering behavior is made salient in their minds, they take more monetary risks. Making research participants’ volunteering behavior salient by having them recall an act of prior volunteering (studies 1 and 3), choosing whether to volunteer (study 2), or choosing one of two volunteering activities (study 4), four experiments (and a fifth reported in the Appendix S2) reveal increased risk‐taking across several monetary‐risk outcomes (incentive‐compatible gambles, allocation of a windfall gain, and a behavioral risk‐taking measure involving escalating risk). Lastly, when the decision maker attributes a decision to volunteer to an external source, the effect of salient volunteering on monetary risk‐taking attenuates.     

Asian Indian Immigrant and White American Maternal Emotion Socialization and Child Socio-Emotional Functioning

Previous research provides an inadequate account of parental emotion socialization and its relation to child functioning among ethnic minority groups in the United States. This study compared reports of Asian Indian immigrant and White American mothers’ emotion socialization and examined relations between mothers’ emotion socialization and child outcomes in these two groups. Indian immigrant (n = 34) and White American (n = 38) mothers completed measures of child behavior problems and social competence, as well as self-report measures of two types of emotion socialization, responses to children’s negative emotions and emotion expressivity. Children completed a self-report measure of social competence. Results revealed that Indian immigrant mothers were more likely than White American mothers to report responding nonsupportively to their children’s negative emotions. However, reports of mothers’ nonsupportive responses were not related to child outcomes in the Indian immigrant group. In the White American group, reports of mothers’ nonsupportive responses were positively related to child behavior problems. Mothers’ self-reported negative emotion expressivity was positively related to child behavior problems and negatively related to mother-rated child social competence for Indian immigrants, while no significant relation was found between mothers’ negative emotion expressivity and child outcomes for White Americans. Moderation analyses were performed with these variables but were nonsignificant. Results are discussed in the context of cultural influences on emotion socialization and subsequent impact on child functioning.     

What do you (think you) need? Perceived vs. experienced effects of need fulfillment on well-being

We compared two approaches towards assessing inter-individual differences in the effect of satisfaction and frustration of basic needs (autonomy, competence, relatedness) on well-being: perceived need effects (beliefs about the effect of need fulfillment on one’s well-being) and experienced need effects (the within-person coupling of need fulfillment and well-being). In two studies (total N = 1281), participants reported perceived need effects in a multidimensional way. In Study 2, daily need fulfillment and affective well-being were additionally assessed (daily-diary study; ten days). Associations between perceived and experienced need effects were significant (albeit small) for all three frustration dimensions, but only for one satisfaction dimension (relatedness), suggesting that they capture different constructs and might be related to different outcomes.     

Correlates of parental control and autonomy support in an interdependent culture: A look at Ghana

It is unclear whether, similar to research findings in Western societies, autonomy support is associated with positive child outcomes, and forceful control with negative outcomes in collectivist societies. A two-part study (N = 190 Ghanaian sixth graders) examined the relations of parental structure, control, and autonomy support in Ghana with child outcomes, and whether autonomy support was at odds with Ghanaian children’s values of interdependence and respect for elders. Results showed that structure was related to cognitive perceived competence, parental control was related to controlled regulation around school work and decreased academic engagement, and autonomy support was negatively related to depression and positively related to autonomous forms of motivation, engagement in school, and interestingly, children’s endorsement of collectivist cultural values. The importance of distinguishing between parental control and provision of structure, and the implication of the findings for understanding the role of parental autonomy support in diverse cultures, are discussed.     

Appropriation cognitive du feedback en évaluation du potentiel : validation d’une mesure

IntroductionLimited instruments are available to measure candidate's cognitive integration of the feedback in the context of individual psychological assessment related to the work context.ObjectiveThe objective of this article is to validate a questionnaire measuring two dimensions of feedback integration: feedback acceptance and awareness gained from feedback.MethodTwo studies were conducted with candidates who completed a questionnaire further to their individual psychological assessment feedback session. A first study (n = 111) was conducted to explore the factor structure and psychometric properties of the questionnaire. A second study (n = 178) was conducted to confirm the questionnaire factor structure and to substantiate the nomological and discriminant validity of its two dimensions.ResultsResults confirm that the questionnaire measures the two hypothesized dimensions which are only moderately correlated. Nomological and discriminant validity were established by showing that the two dimensions are correlated with meaningful antecedents and outcomes following a distinctive expected pattern for acceptance (more related to assessor’ perceived expertise) and awareness (more related to perceived message relevance and intent to act upon feedback).DiscussionGiving preliminary evidences of reliability and validity, this questionnaire can be used by practitioners and researchers to study candidates’ cognitive integration of feedback.     

The Effect of Stigma on Criminal Offenders’ Functioning: A Longitudinal Mediational Model

Research has rarely considered criminal offenders’ psychological responses to stigma, but these responses may significantly influence behavior after release from jail/prison. Jail inmates’ perceived and anticipated stigma was assessed prior to release from jail/prison (N = 163), and outcomes were assessed one year post-release (N = 371). We hypothesized that perceived stigma would predict poor adjustment in several domains (i.e., recidivism, substance dependence, mental health symptoms, community adjustment) through anticipated stigma. Results showed that perceived stigma predicted worse community adjustment through anticipated stigma, and this varied by race. Results are explored from an interdisciplinary perspective.     

The theory of planned behavior and healthy eating.

Application of the theory of planned behavior (TPB) to healthy eating in 144 health promotion clinic attendees is reported. Respondents completed self-report TPB measures after the clinic (Time 1) and 6 months later (Time 2) with a measure of perceived past behavior. Intention stability was assessed on Time 1-2 differences. Six years later (Time 3), respondents completed measures of healthy eating intentions and behavior. Intentions were predicted by attitudes, perceived behavioral control, and perceived past behavior (cross-sectionally). Healthy eating behavior (Time 3) was predicted from intentions (Time 2). As intention stability increased, intentions and perceived past behavior became stronger and weaker predictors of behavior, respectively. Implications for understanding health cognitions in long-term performance of health behavior are discussed.     

Spiritual health locus of control and breast cancer beliefs among urban African American women.

The present study examined the relationship between spiritual health locus of control, breast cancer beliefs, and mammography utilization among a sample of 1,227 African American women from urban public health centers. Spiritual health locus of control was conceptualized as having an active and passive dimension, empowering individuals in their health beliefs and behaviors or rendering them to rely on a higher power (e.g., God) to determine their health outcomes, respectively. The active dimension was negatively associated with perceived benefits of mammography and positively associated with perceived barriers to mammography. The active and passive spiritual dimensions are distinct from internal and external health locus of control. Further study of their associations with other health-related beliefs and behaviors is warranted.     

Hope,optimism, and affect as predictors and consequences of expectancies: The potential moderating roles of perceived control and success

Hope and optimism may be differentially influential depending on the situational context. This study sought to (1) experimentally test whether hope and optimism differentially predict specific expectancies in controllable versus uncontrollable situations and (2) examine the relative impact of specific expectancies on affect when desired outcomes are (or are not) achieved. A 2 × 2 independent samples design was used to experimentally manipulate perceived control and situational outcome (i.e., success or failure). Online participants (N = 571) completed self-report measures of hope and optimism before being randomly assigned to one of four experimental conditions. Results showed that hope, but not optimism, predicted specific expectancies in the perceived control condition. Conversely, optimism, but not hope, predicted specific expectancies in the no perceived control condition. More optimistic specific expectancies of success predicted greater positive affect regardless of success or failure outcome.     

Positive facial affect looks healthy

A healthy appearance is linked to important behavioural outcomes. Here we investigated whether positive facial affect is a cue for perceived health. In study one, two groups of participants rated the perceived health or perceived happiness of a large set of faces with neutral expressions. Perceived happiness predicted perceived health, as did anthropometric measures of expression. In a second experimental study, we collected ratings of perceived health for a wide age range of target faces with either neutral or smiling expressions. Smiling faces were rated as being much healthier looking than neutral faces, confirming that facial expression plays a role in the perception of health. A third study investigating attractiveness as a possible mediator found that expression still had a significant direct effect on perceived health, after accounting for attractiveness. Together, these studies systematically show that facial affect plays a critical role in shaping our perceptions of health in others.