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.     

Locus of Control as a Stress Moderator and Mediator in Children of Divorce

This paper examined the stress moderator and mediator effects of four dimensions of perceived control in children of divorce. The dimensions of locus of control included internal control for positive events, internal control for negative events, unknown control for positive events, and unknown control for negative events. The sample consisted of 222 children between the ages of 8 and 12 whose parents had divorced in the previous 2 years. Moderational analyses showed that unknown control for positive events interacted with negative events to predict total symptoms. Plots of the simple slopes indicated a stress buffering effect whereby the slope of negative events on symptoms was higher for high than for low levels of unknown control for positive events. Mediational analysis showed that the relations between negative events and symptoms were mediated by both unknown control for positive events and unknown control for negative events. In contrast, evidence was not found for either a stress mediational or a moderational model for perceived internal control for positive or negative events. These results suggest that unknown control beliefs may be a particularly important dimension of control for children of divorce.     

Psychological Variables Associated with Pain Perceptions Among Individuals with Chronic Spinal Cord Injury Pain

Structural equation modeling was used to examine the relationships between selected psychological variables and pain perceptions in 103 individuals experiencing chronic pain following traumatic spinal cord injury (SCI). Previous studies have suggested strong relationships between psychological variables and chronic SCI pain, but further delineation of such relationships is needed in order ultimately to develop more effective pain management strategies for individuals afflicted with such pain. Anger was found to be significantly related to perceptions of pain (p < .05), but neither guilt nor anger suppression was significantly associated with perceived pain. Internal health locus of control was associated with decreased pain perceptions (p < .05), but there was no significant relationship between internal health locus of control and anger. Punishing responses from significant others to pain complaints were related to feelings of guilt (p < .05) and perceived pain (p < .05), but this relationship was not mediated by guilt.     

Open-field behavior in two models of genetic hypertension and the behavioral effects of salt excess

In order to assess the relationship of behavior to blood pressure and salt intake, open-field behavior was studied in 123 rats of the spontaneously hypertensive (SHR), Wistar-Kyoto (WKY), Sprague-Dawley (SD), and Dahl resistant (DR) and sensitive (DS) strains. DS rats become hypertensive upon exposure to either high dietary salt or psychogenic stress, while DR rats remain normotensive. A circular photobeam open field was used under full room illumination. Three 5-min trials were given on consecutive days. Rats were tested with or without 5 days of an 8% NaCl diet. We found that DS rats were less active than DR rats, regardless of diet. In contrast, SHR rats were more active than WKY rats. However, DS and SHR rats were equally active. Thus, behavioral differences between these two models of hypertension are expressed by the normotensive control strains. The relative ranking of activity levels between strains was DR = SD greater than SHR = DS greater than WKY. High-salt-enhanced intertrial habituation, defined as the decrease in activity across trials (DS, 100%; SD, 82%; SHR, 90%; WKY, 1350%; but DR, -50%) as well as intratrial habituation, defined as the decrease from the first to the second half of the trial (14%, all subjects). Defecation was increased with high salt (DS, 975%; SD, 59%; SHR, 267%; WKY, 89%; but DR, 40%). These effects of high salt may reflect an increase in an emotionality factor. DR rats were largely resistant to the behavioral effects of salt. Total activity was positively correlated with blood pressure in hypertensive rats, r(42) = 0.33, p less than .01, but negatively correlated in normotensive rats, r(81) = -0.34, p less than .01. The proportion of total activity occurring in the first half of the trial for the initial test day was correlated with blood pressure in normotensive rats r(81) = 0.44, p less than .01. Dietary salt excess has behavioral as well as cardiovascular consequences.     

Perceived career barriers and vocational outcomes among university undergraduates: Exploring mediation and moderation effects

This study explores the role of perceived internal and external career barriers on undergraduates' vocational outcomes, such as academic major satisfaction and vocational identity commitment. Moreover, it tests career adaptability as a moderator in the barriers-vocational outcomes link. The study was carried out in three public universities in Lithuania. In total, 288 first and second year undergraduate students took part in it. Results demonstrated internal but not external barriers to be negatively associated with undergraduates' vocational outcomes.     

Relationship between exercise professionals' behavioral styles and clients' adherence to exercise

Exercise professionals (n = 15) were tested to assess whether specific personal traits or behavioral styles were associated with their clients' adherence to exercise. Assessments with the Personal Profile and the Personal Strengths Profile yielded one trait, "Controlling," that showed a mean difference (z = 2.99, p < .01) between the high and low adherence groups of professionals. Controlling was also significantly correlated (rs = .66, p < .01) with clients' adherence. This trait may be consistent with the interpersonal delivery requirements of interventions known to support adherence to exercise. Limitations and practical implications across exercise venues and types of participants were discussed.     

Does Happiness Predict Medication Adherence among African Americans with Hypertension?

Poor medication adherence is a leading cause of excessive cardiovascular morbidity among African Americans. Many adherence-promoting interventions have addressed economic barriers, improved the patient-provider relationship, simplified regimens, and used reminder systems; however, the problem of low adherence remains intractable. Meanwhile, positive psychological attributes that might serve to promote medication adherence have not been fully explored. To address this gap, we examined the association between happiness and medication adherence among low-income African Americans with hypertension treated in a safety-net setting. Data were obtained from the Alabama Collaboration for Cardiovascular Equality, 2007?C2008. Happiness was measured using the 4-item scale of Lyubomirsky and Lepper; low, moderate, and high happiness were defined by tertiles because of the non-normal distribution. Medication adherence was assessed with the Morisky Medication Adherence Scale. Associations were quantified with ordinal logistic regression. Our sample of 573 African Americans was 71.6?% female and had an average age?±?SD of 53.6?±?9.7?years and a median happiness score of 5.2. Compared to participants with low happiness, the odds (OR; 95?% CI) of being in a better medication adherence category were greater for those with moderate (1.53; 1.02?C2.27) and high (2.26; 1.52-3.37) happiness, after adjusting for age, sex, income, education, and difficulty paying for medical care. Within this cohort of low-income African Americans with hypertension, participants with greater happiness exhibited better medication adherence. Although one interpretation of our study is that more adherent patients are naturally happier, our findings raise the possibility that adding happiness-boosting components may increase the effectiveness of more traditional adherence interventions.     

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.     

Problem Clarity as a Moderator between Trait Affect and Self‐Perceived Creativity

Empirical studies on the relationship between affect and creativity often produce conflicting results. This inconsistency has led us to believe that the relationship between affect and creativity may be better understood by looking at potential moderators. Our study looked specifically at trait affect and self‐perceived creativity. Using the Affect Infusion Model (AIM) theory with problem clarity as the potential moderator, we hypothesized that when individuals are faced with problems that lack clarity, trait affect has greater sway over their self‐perceived creativity. Our results provided evidence that problem clarity moderated the relationship between positive trait affect and self‐perceived creativity; the positive relationship between positive trait affect and self‐perceived creativity is stronger when problem clarity is low and weaker when problem clarity is high. No moderating effect was found in the relationship between negative trait affect and self‐perceived creativity.     

Deviance and a generalized disposition toward internality: An attributional approach

Two studies were carried out to test the hypothesis, derived from attribution theory, that adolescents might acquire an identity and mediating beliefs about reality (internal locus of control) by deviating from norms when they perceived adults to be powerful. In line with this expectation, the major study found that students rated by teachers as "deviant," but not those rated as "conformant," showed greater internality in beliefs about man (control ideology), p = .024, under conditions of high power. Despite the following limitations or exceptions, attribution theory seemed to best explain the predicted effect: (1) the effect for beliefs about control was nonsignificantly weaker for females then males, perhaps because of different meanings of deviance for males and females and female socialization for conformity rather than independence; (2) in the major study the effect was absent for questions dealing with respondents' personal feelings of control ("self-attributions"); and (3) in both studies there was a tendency for deviant females to show more personal externality (relative to conformers) when perceived power was high.     

儿童期心理虐待对青少年网络欺负的影响:领悟社会支持及性别的调节作用

近年来,网络欺负现象逐渐成为网络心理学研究的热点问题。青少年网络欺负的发生率约为60.8%,且每年都在呈增长的趋势,这对青少年正常的学习生活造成了严重的影响。故本研究主要探讨儿童期心理虐待对青少年网络欺负的影响,以及领悟社会支持和性别起到的调节作用。本研究以447名青少年作为被试(男生205人,女生242人,被试年龄范围为11~17岁,平均年龄为14.17±1.35岁),采用儿童期心理虐待量表、网络欺负问卷及领悟社会支持量表进行调查。运用SPSS 22.0及AMOS 21.0统计软件进行数据处理,Harman单因素法表明,本研究不存在严重的共同方法偏差问题。研究结果表明:(1)儿童期心理虐待与领悟社会支持呈显著负相关(r=-.14,p<.01),儿童期心理虐待与青少年网络欺负呈显著正相关(r=.44,p<.01),领悟社会支持与青少年网络欺负呈显著负相关(r=-.15,p<.01);(2)结构方程模型显示,模型各指标均达到了临界值(χ^2/df=2.67,GFI=.90,TLI=.91,CFI=.92,RMSEA=.07);(3)儿童期心理虐待对青少年网络欺负具有显著的正向预测作用(β=.21,p<.01),领悟社会支持对青少年网络欺负具有显著的负向预测作用(β=-.11,p<.05),同时,儿童期心理虐待与领悟社会支持的交互项对青少年网络欺负具有显著的负向预测作用显著(β=-.19,p<.01),简单斜率检验表明,对于低领悟社会支持水平的青少年,儿童期心理虐待对网络欺负有显著的正向预测作用(β=.54,p<.001);对于高低领悟社会支持水平的青少年,儿童期心理虐待对网络欺负的预测作用不显著(β=-.17,p>.05);(4)儿童期心理虐待与性别的交互项对青少年网络欺负具有显著的正向预测作用(β=.28,p<.001),简单斜率检验表明,对于男青少年,儿童期心理虐待对网络欺负有显著的正向预测作用(β=.54,p<.001);对于女青少年,儿童期心理虐待对网络欺负的预测作用不显著(β=.13,p>.05);由此可说明,儿童期心理虐待是青少年网络欺负出现的助推机制,而领悟社会支持和性别是青少年网络欺负出现的抑制机制,它可以弱化儿童期心理虐待对青少年网络欺负造成的创伤。     

‘The lesser of two evils…’ – views of persons with rheumatoid arthritis on medication adherence: a qualitative study

Objective: This study aimed to explore medication adherence among adherent and non-adherent persons suffering from rheumatoid arthritis (RA). A special focus was put on the reasons accounting for successful medication adherence and on potential barriers or facilitating factors.

Design: A qualitative study with semi-structured interviews was conducted. Eighteen participants were recruited through stratified purposive sampling according to their medication adherence level. Interviews were analysed by interpretative phenomenological analysis.

Results: Medication adherence behaviour was described on a continuum ranging from non-adherent to adherent. Participants’ current adherence level was represented as a result of inner negotiations between a variety of influential factors and the successful application of a range of strategies. The influential factors were: experiences with medication, outcome expectations, knowledge of therapeutic options, the traits ‘openness’ and ‘conscientiousness’, belief in medical progress, characteristics of the medication, level of trust in one’s physician, and perceived autonomy. Facilitating strategies were: establishing routines, using social support and the deliberate suppression of information about potential adverse events.

Conclusion: The experience of and the reasons for medication (non-)adherence from the perspective of people with RA were explored comprehensively. Participants’ ongoing negotiations between adherence and non-adherence emerged as a key finding with implications for health service providers.     

亲亲为大，亲贤仍重：亲疏关系、人情取向对人际信任的影响

本文基于以往理论,提炼出人际交往中影响信任的两大因素：关系因素和个人特质因素,通过两个情景启动实验尝试探索亲疏关系、可信赖特质（能力、善意和诚信）对人际信任的影响机制及其作用的边界条件。结果发现：亲疏关系除了可以直接预测人际信任之外,还可以通过感知被信任者的可信赖特质产生间接影响。此外,个体的人情取向可以分别调节亲疏关系对感知被信任者的能力、诚信特质的效应和通过感知被信任者的能力、诚信特质影响人际信任的间接效应,并且作用的主要对象是关系网中的熟人。本研究对理解当代中国社会在多元文化交融下的人际信任具有重要意义。     

Predicting Zimbabwean women's ability to tell their partners to use condoms.

The effectiveness of AIDS education may depend on the development of models that predict and explain HIV prevention behavior. In this study, the aim was to test Fishbein and Ajzen's theory of reasoned action model in predicting women's capacity to tell their partner to use condoms. The basic theory pertains to the relationship of 1) attitude toward behavior and 2) the subjective norms to behavior; further refinements reflect factors such as 3) perceived behavioral control or self-efficacy, 4) and perceived barriers. A sample was drawn of 123 female first-year teacher trainees in Harare, Zimbabwe, in late 1990; a self-administered questionnaire was distributed and returned. 72% of the respondents were sexually experienced. The mean age of the entire sample was 24 years. The results of the multiple linear regression indicated that the model was able to predict were F(2,74)=32.81, p.0001. 47% of the variance was explained by this Fishbein model. Attitude toward behavior was significantly associated with the intention to tell one's partner to use condoms (beta = .60, p .05). Subjective norms were not significant (beta = .15, p .05). Perceived behavioral control and perceived barriers were also not significantly associated with the intention to tell one's partner to use condoms. A caveat was that the subjective norm was measured by only one item, and an improved conceptualization and measurement of this construct might have changed the relationship. The suggestion is that health educators should address women's underlying beliefs and attitudes about the benefits of telling their partners to use condoms. Future prospective studies will better delineate the relationship between attitude and behavior.     

家长投入对子女成就目标的影响:教养风格的调节作用

本研究通过调查2038名中小学生,考察不同方面的家长投入(学业社会化、基于家庭的投入、基于学校的投入)与子女成就目标的关系,以及教养风格(自主支持/控制)在其中的调节作用。结果表明,学业社会化正向预测三种成就目标,基于家庭的投入正向预测成绩回避目标,基于学校的投入正向预测掌握目标;自主支持的教养风格增强了家长投入与掌握目标的关系,控制的教养风格增强了家长投入与成绩目标的关系;结果存在一定的年龄差异。     

Correlates of life satisfaction among military wives

Military life includes constant change. This study explored the relationship of life satisfaction among military wives with the individual attitudinal and personality variables of perceived social support, locus of control, and temperament. Sixty wives of noncommissioned military personnel were selected as participants. Life satisfaction was found to be related to high levels of perceived social support from family and from friends, to an internal locus of control, and to low levels of emotionality-stress and emotionality-fear. The results supported the role of individual resources for mediating adjustment and enhancing life satisfaction during the changes inherent in military life. Implications for identifying and helping high-risk women emerged.     

Locus of Control and Attitudes Toward Work and Retirement

Fifty-three older workers (M = 57.2) enrolled in a preretirement training program were administered a battery of measures designed to further evaluate the role that locus of control plays in determining attitudes toward work and retirement. Results suggested that perceived control related to work commitment. The extent of the relationship between perceived control and attitudes toward retirement, however, was mediated by sex, level of education, and self-rated health. Consistent with previous research, perceived control related to measures of adjustment.     

The Beliefs About Medication Scale: Development, Reliability, and Validity

The purpose of the study was to develop and evaluate a psychometrically sound health belief measure, the Beliefs About Medication Scale (BAMS) that can be used with adolescent chronic illness populations whose prescribed treatment includes oral medication. One hundred and thirty-three adolescents (age 11–18 years) with asthma (n = 60), HIV (n = 31), or inflammatory bowel disease (n = 42) completed the BAMS and, along with their parent, a self-report medication interview. A confirmatory factor analysis supported the hypothesized subscales of Perceived Threat, Positive Outcome Expectancy, Negative Outcome Expectancy, and Intent to Adhere to treatment. The subscales evidenced good internal consistency and 3-week test-retest reliability. Univariate and multivariate analyses demonstrated that the health belief constructs accounted for 22% of the variance in medication adherence beyond demographic and illness characteristics. The study provides preliminary evidence of the reliability and validity of a theoretically based measure of health beliefs for adolescents. The BAMS may be a useful tool to evaluate the psychological barriers to adherence that place teenagers at risk for nonadherence.     

The relationship between multidimensional health locus of control and perceived behavioural control: How are distal perceptions of control related to proximal perceptions of control?

The present article tests the predictive and convergent validity of distal and proximal indices of perceived control, as measured by multidimensional health locus of control (MHLC) and perceived behavioural control (PBC), across 12 health behaviours. The study (n = 235) employed a cross-sectional design and examined 12 health-related behaviours: binge drinking, fruit and vegetable consumption, exercise, eating junk food, safe sex (condom use), teeth brushing, teeth flossing, cigarette smoking, blood donation, taking vitamin supplements, using marijuana, and attending health screening. Respondents completed questionnaire measures of MHLC, health value, PBC, and behavioural intention. The data were analysed using a combination of between- and within-persons correlations and hierarchical multiple regression. Between-persons analyses showed that although MHLC accounted for 4% of the variance in behavioural intentions whereas PBC accounted for 21%, PBC did not fully mediate the effects of MHLC on intention. Within-persons analyses demonstrated that internal health locus of control was predictive of the within-persons correlation between PBC and intention, suggesting there may be a dispositional basis to perceived control. Further work that examines the relationship between distal and proximal perceptions of control is required.