WWW.THESES.XLIBX.INFO
FREE ELECTRONIC LIBRARY - Theses, dissertations, documentation
 
<< HOME
CONTACTS



Pages:   || 2 | 3 |

«Does God Determine Your Health? The God Locus of Health Control Scale Kenneth A. W a l l ~ t o n, ~ Vanessa L. Malcarne; Lise P l ~ r e sIngunn ...»

-- [ Page 1 ] --

Cognitive Therapy and Research. Vol. 23. N o. 2, 1999, pp. 131-142

Does God Determine Your Health? The God Locus of

Health Control Scale

Kenneth A. W a l l ~ t o n, " ~

Vanessa L. Malcarne; Lise P l ~ r e sIngunn Hansdottir,'

,~

Craig A. Smith: Mitchell J. Stein,' Michael H. weism a n t and

Philip J. clements7

Although perceptions of internal control have been related to physical and psychosocia1 outcomes in chronic illness, less attention has been paid to perceptions of external sources of control and their implications for adaptation. One reason for this has been the dearth of adequate measures for assessing specific external control constructs.

The God Locus of Health Control (G L H C ) scale was developed to assess the extent of an individual's belief that God controls his or her health status. The G L H C was designed as an adjunct to the widely used Multidimensional Health Locus of Control ( M H L C ) scales. Initial studies of the psychometric properties of the G L H C scale in samples of persons with two rheumatic diseases, rheumatoid arthritis and systemic sclerosis, provide evidence of the scale's reliability and validity.

K E Y WORDS: control; religion; health; illness; measurement.

The positive and negative consequences of seeking and gaining control over life events has been systematically studied by psychologists since the late 1960s (Shapiro, Schwartz, & Astin, 1996). Control-related cognitions have been examined in numerous contexts, including both mental and physical health and illness. Within the context of physical illness, substantial literature exists supporting the importance of health-related control beliefs to both physical and psychological adjustment. A sense of personal control has been related to positive outcome in individuals with physical illness; generally, a large body of research has shown that those who believe that there are ways of exercising control over their illness or related circumstances 'Vanderbilt University.

2San Diego State University, San Diego, California.

'SDSUIUCSD Joint Doctoral Program in Clinical Psychology.

4Peabody College of Vanderbilt University.

'Nashville, Tennessee.

'UCSD School of Medicine.

'UCLA School of Medicine.

'Requests for reprints should be addressed to Ken Wallston, Ph.D., School of Nursing, Vanderbilt University, Nashville, Tennessee 37240.

0147-591619910400-0131 $16.0010 Q 1999 Plenum Publishing Corporation Wallston et al.

have more positive psychological and physical adaptation than those who do not (Affleck, Tennen, Pfeiffer, & Fifield, 1987; Shapiro e t al., 1996).

Many of these studies have focused primarily on perceptions of internal control in relation to adaptation to illness, despite the long-established validity of conceptualizing control as multidimensional (Shapiro e t al., 1996; Wallston, 1989). Shapiro et al. (1996) suggest that, in particular, beliefs andlor cognitions that focus on external sources or agents of control have received far less attention.

One notable exception to this is the measurement approach underlying the Multidimensional Health Locus of Control (MHLC) scales developed by Wallston and colleagues (Wallston, Wallston, & DeVellis, 1978). The MHLC originally contained three subscales describing various types of control-related cognitions

an individual may have about his or her current state of health. These were:

Internal Health Locus of Control (IHLC); Powerful Others Health Locus of Control (PHLC); and Chance Health Locus of Control (CHLC). The two original versions of the MHLC (Forms A and B) deal with general health status, whereas a third version, Form C (Wallston, Stein, & Smith, 1994) assesses control-related cognitions about a specific disease state. The psychometric properties and practical utility of the MHLC scales have been established in hundreds of studies since the 1970s (see Wallston, 1989), including a number of studies of adaptation to chronic illness. Among the more important findings emerging from this literature is that internal and external control perceptions are differentially related to physical and psychosocial outcomes in chronic illness (Wallston, 1989). This underscores the need for a more fine-grained analysis of people's cognitions about various external sources of control over illness.

One external source of health control that has not received sufficient attention is that of religion or "Supreme Beings" such as God. Based on surveys of adults in the United States, 94% believe in God, 90% pray to God, and a majority actively practice their religion (Park & Cohen, 1992). It seems likely that religion may be a source of control-related cognitions. However, to date, religiously based healthrelated control beliefs have received little attention. One central reason for this lack of research study has been a dearth of measurement tools. In 1996, an intial effort was made to expand the MHLC to include a construct termed "God control" (Welton, Adkins, Ingle, & Dixon, 1996). Welton e t al. wrote six new items for insertion into the general (non-condition-specific) health form of the MHLC, modified the response format, and administered the new scale to two samples of healthy undergraduates. The new scale was internally consistent, positively related to religiosity, and generally uncorrelated with the other MHLC subscales. G o d healthcontrol beliefs predicted general health habits in one of the two undergraduate samples, but were unrelated in the other.





The modification of the general form of the MHLC made by Welton et al. is a useful step in the development of tools for assessing religiously based health control beliefs. However, to date, there has still been no scale available to assess this construct in people who have acute or chronic health conditions. The purpose of this paper is to describe expansion of the MHLC Form C (specific disease state) to include a new subscale: God Locus of Health Control (GLHC). This scale is designed to assess the extent of the belief that God exerts control over one's current God Locus of Health Control disease state9. The G L H C consists of six items and is similar in format to the other MHLC scales. The purpose of this paper is to introduce the G L H C and present psychometric data drawn from three samples of individuals with two different rheumatic diseases, specifically rheumatoid arthritis ( R A ) and systemic sclerosis (SSc).

METHOD

Participants Rheumatoid Arthritis Two independent samples of persons with a confirmed diagnosis of RA participated in this study. RA is a systemic autoimmune disease that involves the chronic and painful inflammation of the joints. However, the pain varies greatly over time, and for many the disease is characterized by unpredictable periods of remission and exacerbation; R A can be quiescent and then "flare" without warning into a bout of intense pain (Brown, Wallston, & Nicassio, 1989; Skevington, 1987). When flares are frequent or of long duration, the results often include disfigurement, fatigue, and loss of functional ability. The net result is that more than 50% of R A patients suffer significant work disability within 5-10 years of disease onset (Canosco, 1997; Yelin, Meenan, Nevitt, & Epstein, 1980). There is no cure for R A, and most treatments are only marginally and temporarily effective. However, although associated with significant side effects, some disease-modifying agents, such as methotrexate, have proved to be effective in slowing down or sometimes even reversing the progression of the disease (Canosco, 1997).

The first sample (RA-1; N = 145) was initially recruited in 1984 and participants were in their 1lth wave of data collection at the time they were administered the G L H C items. Seventy-five percent of RA-1 participants were women, which is representative of the gender ratio in the disease population (Callahan & Rao, 1996;

Canosco, 1997; Schumacher, Klippel, & Koopman, 1993). A t the time they filled out the G L H C, they had been diagnosed with R A, on average, for approximately 12 years and averaged slightly more than 60 years of age. Ninety-five percent of RA-1 participants were European American. The second sample of persons with R A (RA-2; N = 163), was recruited in 1992. Participants in RA-2 were in their second wave of data collection when the G L H C was administered. Seventy-one percent of RA-2 participants were women, and 91% were European American. A t wave two, participants in RA-2 averaged 56 years of age and had been diagnosed with R A for an average of 4 years. The majority of participants in both RA-1 and RA-2 lived in the middle Tennessee area.

–  –  –

System ic Sclerosis This sample consisted of 93 individuals with confirmed diagnoses of SSc. SSc is a severe, chronic, and progressive rheumatic disease characterized by the thickening and hardening of the skin, which may sometimes extend t o other organ systems. Progression of the disease is unpredictable, and only palliative treatment is available. Significant mortality is associated with the disease if the skin thickening affects the trunk (Medsger & Steen, 1996).

Participants were recruited from patient lists a t the medical centers of the University of California, Los Angeles, and the University of California, San Diego.

They averaged 50 years of age and had been diagnosed with SSc for an average of 5 years. Eighty-six percent of participants were women, which is representative of the gender ratio in the disease population (ratio of women to men is approximately 4:l; Steen, 1990; Steen & Medsger, 1990). Sixty-nine percent of participants were European American, 12% were Hispanic American, 8% were African American, 4% were Asian American, and 7% represented other groups.

Measures Demographics For both groups, demographic information was collected via self-report questionnaire. Information collected included date of birth, sex, marital status, number and age of children, occupation, highest level of education completed, annual family income, and ethnic background. The participants with R A responded to a threeitem measure assessing how important their religion was to them (coefficient alpha =.87 {RA-1) and.85 {RA-2)). The SSc participants were asked for their religious affiliation and whether they actively practiced their religion.

Perceptions o f Control For all participants, the 18-item Form C of the M H L C scales was used. This self-report instrument assesses the extent to which participants believe their condition (i.e., R A or SSc) is due to: (I) their own behavior (internality); (2) the behavior of doctors; (3) the behavior of other people, not including doctors; and (4) chance, luck, or fate. Form C of the M H L C has been thoroughly tested and has been shown to have adequate psychometric properties (Wallston e t al., 1994). Subscales from Form C predictably relate to changes resulting from an intervention program (Sinclair eta]., 1998), to other measures of perceived control (e.g., arthritis helplessness), and to health-related criteria such as pain, functional impairment, and depression (Wallston e t al., 1994).

All participants also completed the newly developed God Locus of Health Control (GLHC) scale. The G L H C scale represents a new dimension of the M H L C scales and shares the same format. The six items constituting the G L H C scale can be found in Table I. The G L H C scale can be used alone or incorporated within the M H L C scales, as was done in these studies. Reliability and validity data for the G L H C is presented in the Results section.

God Locus of Health Control Table I. God Locus of Health Control (GLHC) Items If my {condition} worsens, it is up to God to determine whether I will feel better again.

Most things that affect my {condition}happen because of God.

God is directly responsible for my {condition} getting better or worse.

Whatever happens to my (condition) is God's will.

Whether or not my (condition} improves is up to God.

God is in control of my (condition}.

Note. To make the GLHC condition-specific, replace the word "condition" in each item with the actual condition being studied (e.g., "arthritis").

Cop in g Different measures of coping were administered to the RA and SSc samples.

The RA participants completed the Vanderbilt Multidimensional Pain Coping Inventory (VMPCI; Smith, Wallston, Dwyer, & Dowdy, 1997) along with a shortened version of the Vanderbilt Pain Management Inventory (VPMI; Brown & Nicassio, 1987). The VMPCI contains a 4-item subscale assessing the use of religion (alpha =.93 {RA-1) and.90 {RA-2)) along with 10 other subscales (e.g., planful problem solving, positive reappraisal, distraction, wishful thinking, disengagement).

The shortened VPMI consists of a five-item subscale assessing active pain coping and a six-item subscale assessing passive pain coping. With the exception of two VMPCI subscales (stoicism and self-blame), all of the pain-coping subscales had acceptable levels of reliability (Smith e t al., 1997). Although the validity of the VPMI has been well established (Brown & Nicassio, 1987), Smith e t al. (1997) report that the VMPCI has incremental validity over the VPMI in predicting impairment, physical functioning, and psychological well-being.

The Revised Ways of Coping Checklist (WCCL-R; Vitaliano e t al., 1985;

Vitaliano, 1991) was administered to the SSc sample. The WCCL-R is a 57-item self-report instrument that assesses cognitive and behavioral coping within the context of an identified stressor. For this study, participants used a 4-point scale to indicate the extent to which they used each of the described strategies to cope with their medical condition. The WCCL-R yields a three-item subscale assessing the use of religious coping (alpha =.71) plus seven other coping subscales (problemfocused, wishful thinking, seeking social support, avoidance, self-blame, blaming others, and counting one's blessings). The subscale s have acceptable reliability and concurrent and construct validity, and low interscale correlations. For the present sample internal consistencies for the subscales ranged from.67 to.84. The WCCL-R has been validated for use with SSc in a previous study (Malcarne & Greenbergs, 1996).

Psychosocial Outcomes As with coping, different measures of psychosocial outcomes were administered to the RA and SSc samples. Both yield validated negative affectivity constructs.



Pages:   || 2 | 3 |


Similar works:

«Contributing to NICE interventional procedure guidance – a guide for patients and carers This booklet is for: • patient and carer organisations • individual patients and carers Contributing to NICE interventional procedure guidance: a guide for patients and carers Online issue date June 2006 Ordering information This document is available from the NICE website (www.nice.org.uk/xxx). National Institute for Health and Clinical Excellence MidCity Place 71 High Holborn London WC1V 6NA Web:...»

«NVA RESEARCH UPDATE NEWSLETTER June 2004 www.nva.org This newsletter has been supported, in part, through a grant from the Enterprise Rent-A-Car Foundation. www.enterprise.com This newsletter is quarterly and contains abstracts from medical journals published between March and June 2004 (abstracts presented at scientific meetings may also be included). Please direct any comments regarding this newsletter to chris@nva.org. Vulvodynia / Pain Immunoglobulin E antibodies to seminal fluid in women...»

«Consultation on Proposals to introduce a Statutory Duty of Candour for Health and Social Care Services BMA SCOTLAND RESPONSE Background The British Medical Association is a registered trade union and professional association representing doctors from all branches of medicine. The BMA has a total membership of around 140,000 representing 70% of all practising doctors in the UK. In Scotland, the BMA represents around 16,000 doctors. BMA Scotland welcomes the opportunity to comment on the Scottish...»

«& AROMATHERAPY Infectious Disease by A l e x a n d r i a Brighton & AROMATHERAPY Infectious Disease ©2014 All rights reserved. No part of this book, including imagery and/or original artworks, may be reproduced or used in any form without written permission from goDésana, LLC. Original Aromatherapy & Infectious Diseases Text ©2009 Alexandria Brighton The information in this document has not been evaluated by the FDA and is not intended to treat, diagnose, cure, or prevent any disease. This...»

«Statewide Parent Advocacy Network (SPAN) 35 Halsey Street 4th Floor Newark, NJ 07102 (973) 642-8100 (973) 642-8080 – Fax E-Mail address: familyvoicesnj@aol.com Website: www.spannj.org Empowered Parents: Educated, Engaged, Effective!Family Healthcare Story Book: Why children with special healthcare needs and their families need healthcare reform now! Family Voices-New Jersey Family to Family Health Information Center of New Jersey Federation of Families for Children’s Mental Health Chapter...»

«Hull & East Riding Prescribing Committee Bulletin 67 | July 2014 | 2.2 Appropriate Prescribing of Specialist Infant Formulae Adapted from the guidance written by Central Eastern Commissioning Support Unit Medicines Management Team and PrescQIPP.Colour key used on the following pages: Over the counter products to be purchased Prescribe as first line Prescribe as second line Should not routinely be commenced in primary care Should not routinely be prescribed Over the counter products to be used...»

«Asistencia Personal para la Vida en Comunidad ♦Guía para recobrar la vida♦ Por Laurie Ahern y Daniel Fisher, M.D., Ph.D. Recobrar la vida a nuestro propio ritmo: PACE National Empowerment Center, Inc. 599 Canal Street Lawrence, MA 01840 800-POWER2U www.power2u.org Traducido por: Marcel Valasquez Landmann Mental Disability Rights International 1156 15th Street, NW, Suite 1001 Washington, DC 20005 www.mdri.org Con ayuda técnica de: Ramiro Guevarra, STAR Center y Aurora Lauzardo, Ph.D....»

«Human Resources Division MATERNITY POLICY CONTENTS 1.0 Maternity Benefits 1.1 Introduction 2.0 Arrangement for Pregnant Staff 2.1 Will I be able to take time off to attend Ante-Natal Care Appointments?2.2 What arrangements will be made in respect of Health and Safety?3.0 Maternity Leave Entitlement 3.1 Will I qualify for maternity leave? 3.2 How do I apply for Maternity Leave? 3.3 Will my previous continuous service be recognised for the purposes of calculating my maternity leave and pay...»

«INFORME TECNOLÓGICO DE PATENTES DEPARTAMENTO DE PATENTES E INFORMACIÓN TECNOLÓGICA SERVICIO DE BÚSQUEDAS Página 1 DEPARTAMENTO DE PATENTES E INFORMACIÓN TECNOLÓGICA. SERVICIO DE BÚSQUEDAS Paseo de la Castellana, 75 28071 MADRID (ESPAÑA). Tel.: 902.157.530. FAX: 91-457-25-86. http://www.oepm.es Departamento de Patentes e Información Tecnológica Servicio de Búsquedas V1135 NÚMERO DE ORDEN: 2 de enero de 2013 FECHA: SOLICITANTE: XXXXXX Uso de ARN de interferencia en el tratamiento de...»

«Consultation on proposals to introduce a statutory duty of candour for health and social care services Healthcare Improvement Scotland response January 2014 Introduction Healthcare Improvement Scotland is the national healthcare improvement organisation for Scotland. We have a vital role in supporting healthcare providers to deliver safer, more effective and more person-centred care and to achieve Scotland’s 2020 vision for health and social care.Our key priorities are to work together with...»

«Inhibition of human chronic myelogenous leukemia K562 cell growth following combination treatment with resveratrol and imatinib mesylate X.J. Wang1,2 and Y.H. Li1 Department of Hematology, ZhuJiang Hospital of Southern Medical University, Guangdong, Guangzhou, China Department of Hematology, Ankang City Central Hospital, Shaanxi, Ankang, China Corresponding author: Y.H. Li E-mail: liyuhua108@126.com Genet. Mol. Res. 14 (2): 6413-6418 (2015) Received October 14, 2014 Accepted February 10, 2015...»

«1 Attitudes of nurses and health practitioners towards substance abuse and their attitudes towards intervention at primary health level Fathima Rawat Supervisor: Catherine Ward ABSTRACT Substance misuse is a major problem in South Africa. The implementation of screening and intervention at primary healthcare could assist in this regard. It is believed on the basis of the attitudes of nurses and health practitioners a successful intervention can be implemented. The study aims at exploring the...»





 
<<  HOME   |    CONTACTS
2016 www.theses.xlibx.info - Theses, dissertations, documentation

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.