ORIGINAL PAPER
Health locus of control as a psychological factor in improving treatment results in adolescents with primary hypertension and diabetes
1
Children Memorial Health Institute, Warsaw, Poland
Submission date: 2016-01-10
Final revision date: 2016-03-16
Acceptance date: 2016-04-02
Online publication date: 2016-10-10
Publication date: 2016-09-30
Health Psychology Report 2017;5(1):20-29
KEYWORDS
adolescenthealth locus of controlhypertensioncooperation in the treatment processType-1 diabetestype 1 diabetes
TOPICS
ABSTRACT
Background
The belief that an individual can influence and control the course of events is a factor which enables a person to overcome difficulties. Some studies, however, have questioned the universality of this statement. This study aims to investigate and explore the relationship between the self-health locus of control and the effectiveness of cooperation in the treatment process in adolescents with chronic diseases.
Participants and procedure
One hundred and sixty-four adolescent patients suffering from chronic diseases (61 girls and 103 boys) ranging from 11 to 17 years old participated in the study. Eighty-seven had primary hypertension and 77 had type 1 diabetes. To investigate their sense of health control we used the Health Locus of Control Scale (HLC). Cooperation in the treatment process was assessed using a 4-item scale completed by a doctor.
Results
Better results in the treatment were positively correlated with a better internal health locus of control. A negative correlation between the chance health locus of control and results in the treatment was found. Differences in the health locus of control proved to be dependent on gender, age and different clinical groups.
Conclusions
Health locus of control in patients with chronic diseases seems to be a crucial factor in determining the results of the treatment process in such patients.
The belief that an individual can influence and control the course of events is a factor which enables a person to overcome difficulties. Some studies, however, have questioned the universality of this statement. This study aims to investigate and explore the relationship between the self-health locus of control and the effectiveness of cooperation in the treatment process in adolescents with chronic diseases.
Participants and procedure
One hundred and sixty-four adolescent patients suffering from chronic diseases (61 girls and 103 boys) ranging from 11 to 17 years old participated in the study. Eighty-seven had primary hypertension and 77 had type 1 diabetes. To investigate their sense of health control we used the Health Locus of Control Scale (HLC). Cooperation in the treatment process was assessed using a 4-item scale completed by a doctor.
Results
Better results in the treatment were positively correlated with a better internal health locus of control. A negative correlation between the chance health locus of control and results in the treatment was found. Differences in the health locus of control proved to be dependent on gender, age and different clinical groups.
Conclusions
Health locus of control in patients with chronic diseases seems to be a crucial factor in determining the results of the treatment process in such patients.
REFERENCES (28)
1.
Altman, D. G., & Revenson, T. A. (1985). Children’s understanding of health and illness concepts: a preventive health perspective. Journal of Primary Prevention, 6, 53–67.
2.
Bares, C., & Gelman, S. A. (2008). Knowledge of illness during childhood: Making distinctions between cancer and colds. International Journal of Behavioral Development, 32, 443–450.
3.
Bissiacchi, P., Cardolesi, C., Cappelari, G., Savadori, G., & Tarantino, V. L’aderenza del paziente alle cure: primi dati di una ricerca longitudinale [Patient adherence to treatment: initial results from a longitudinal study]. Trentinosalute.net (Documenti per la salute 10), Cap. 11.
4.
Braman, A. C., & Gomez, R. G. (2004). Patient personality predicts preference for relationships with doctors. Personality and Individual Differences, 37, 815–826.
5.
Burker, E. J., Evon, D. M., Galanko, J., & Egan, T. (2005). Health locus of control predicts survival after lung transplant. Journal of Health Psychology, 10, 695–704.
6.
Burkhart, P. V., & Rayens, M. K. (2005). Self-concept and health locus of control: factors related to children’s adherence to recommended asthma regimen. Pediatric Nursing, 31, 404–409.
7.
Carraccio, C. L., McCormic, M. C., & Weller, S. C. (1987). Chronic disease: Effect on health cognition and health locus of control. The Journal of Pediatrics, 110, 982–987.
8.
Del Castillo, A., Godoy-Izquierdo, D., Vázquez, M. L., & Godoy, J. F. (2013). Illness beliefs about hypertension among non-patients and healthy relatives of patients. Health, 5, 47–58. doi: 10.4236/health.2013.54A007.
9.
Gale, C. R., Batty, G. D., & Deary, I. J. (2008). Locus of control at age 10 years and health outcomes and behaviors at age 30 years: the British cohort study. Psychosomatic Medicine, 70, 397–403.
10.
Heszen, I., & Sęk, H. (2007). Psychologia zdrowia [Health Psychology]. Warszawa: Wydawnictwo Naukowe PWN.
11.
Juczyński, Z. (2001). Narzędzia pomiaru w promocji i psychologii zdrowia [Measurement tools in promotion and health psychology]. Warszawa: Pracownia Testów Psychologicznych.
12.
Lacroix, A., & Assal, J. P. (2000). Therapeutic education of patients. New approaches to chronic illness. Paris: Editions Vigot.
13.
Lahdenpera, T. S., & Kyngas, H. A. (2001). Levels of compliance shown by hypertensive patients and their attitude toward their illness. Journal of Advanced Nursing, 34, 189–195.
14.
Ljungman, G., & Myrdal, U. (1993). Compliance in teenagers with coeliac disease – a Swedish follow-up study. Acta Pediatrica, 82, 235–238.
15.
Łuszczyńska, A. (2004). Zmiana zachowań zdrowotnych. Dlaczego dobre chęci nie wystarczają [Changing health behavior. Why good intentions are not enough]. Gdańsk: Gdańskie Wydawnictwo Psychologiczne.
16.
Mutlu, T., Balbag, Z., & Cerek, F. (2010). The role of self-esteem, locus of control and big five personality traits in predicting hopelessness. Procedia Social and Behavioral Sciences, 9, 1788–1792.
17.
Nabors, L., McGrady, M. E., & Kichler, J. (2010). Children’s attitudes toward their diabetes, locus of control, and HbA1c levels. The Journal of Developmental and Physical Disabilities, 22, 475–484.
18.
Rianthavorn, P., & Ettenger, R. B. (2005) Medication non-adherence in adolescent renal transplant recipient: A clinician’s viewpoint. Paediatric Transplantation, 9, 398–407.
19.
Santos-Ruiz, A., Garcia-Rios, M. C., Fernandez-Sanchez, J. C., Perez-Garcia, M., Muñoz-García, M. A., & Peralta-Ramirez, M. I. (2012). Can decision-making skills affect responses to psychological stress in healthy women? Psychoneuroendocrinology, 37, 1912–1921.
20.
Schwarzer, R. (1997). Poczucie własnej skuteczności w podejmowaniu i kontynuowaniu zachowań zdrowotnych. Dotychczasowe podejście terapeutyczne i nowy model [Self-Efficacy in the Adoption and Maintenance of Health Behaviors: Theoretical Approaches and a New Model]. In I. Heszen-Niejodek & H. Sęk (eds.), Psychologia [Psychology] (pp. 175–205). Warszawa: PWN.
21.
Sęk, H. (2007). Psychologia kliniczna [Clinical Psychology]. Warszawa: Wydawnictwo Naukowe PWN.
22.
Sęk, H. (2014). Społeczna psychologia kliniczna [Social Clinical Psychology]. Warszawa: Wydawnictwo Naukowe PWN.
23.
Sheridan, C. L., & Radmacher, S. A. (1998). Psychologia zdrowia. Wyzwanie dla biomedycznego modelu zdrowia [Health psychology: challenging the biomedical model]. Warszawa: Instytut Psychologii Zdrowia, Polskie Towarzystwo Psychologiczne.
24.
Smith, S. M., Bayliss, E. A., Mercer, S. W., Gunn, J., Vestergaard, M., Wyke, S., Salisbury, C., & Fortin, M. (2013). How to design and evaluate interventions to improve outcomes for patients with multimorbidity. Journal of Comorbidity, 3, 10–17.
25.
Ścigała, I. (2001). Psychoneuroimmunologia jako dziedzina współczesnej psychosomatyki [Psychoneuroimmunology as a contemporary psychosomatic discipline]. In L. Cierpiałkowska & H. Sęk (eds.), Psychologia kliniczna i psychologia zdrowia [Clinical psychology and health psychology] (pp. 33–60). Poznań: Wydawnictwo Fundacji Humaniora.
26.
Taher, M., Safavi Bayat, Z., Niromand Zandi, K., Ghasemi, E., Abredari, H., Karimy, M., & Abedi, A. R. (2015). Correlation between compliance regimens with health locus of control in patients with hypertension. Medical Journal of the Islamic Republic of Iran, 29, 194.
27.
Taylor, S. E. (1984). Przystosowanie do zagrażających wydarzeń [Adjustment to threatening events]. Nowiny Psychologiczne, 6-7, 15–38.
28.
Twenge, J. M., Zhang, L., & Im, C. (2004). It’s beyond my control: a cross-temporal meta-analysis of increasing externality in locus of control, 1960-2002. Personality and Social Psychology Review, 8, 308–319.
Copyright: © Institute of Psychology, University of Gdansk This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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