Academic literature on the topic 'Sveikatos kontrolės lokusas'

Su sveikata susijusį elgesį lemia tai, kaip asmuo pats paaiškina savo ligą. Priklausomybės nuo alkoholio suvokimo ir pripažinimo dėsningumų analizė leistų parinkti efektyvesnes profilaktikos ir psichologinės korekcijos priemones. Šio tyrimo tikslas buvo išanalizuoti priklausomų nuo alkoholio asmenų savo ligos suvokimo ir sveikatos kontrolės lokuso ypatumus bei sąsajas. Buvo tirta 70 priklausomybės ligų centre, detoksikacijos skyriuje besigydančių priklausomų nuo alkoholio asmenų. Taikytos metodikos: trumpasis ligos suvokimo klausimynas (Brief IPQ; Broadbent et al., 2006), Daugiamatė sveikatos kontrolės lokuso skalė (Multidimensional Health Locus of Control Scale; Wallston et al., 1978). Tyrimo metu nustatyta, kad turintiems partnerį kitų poveikio sveikatos kontrolės lokusas yra labiau išreikštas, nei neturintiems partnerio tiriamiesiems. Be to, nustatyta, kad kuo labiau išreikštas kitų poveikio sveikatos kontrolės lokusas, tuo suvokiama trumpesnė priklausomybės nuo alkoholio trukmė. Tyrimas parodė, kad kuo ilgesnė priklausomybės nuo alkoholio trukmė, tuo labiau tiriamieji pripažįsta savo ligą ir tiki, kad ji truks ilgiau, o ilgiausio abstinencijos laikotarpio trukmė teigiamai susijusi su ligos pripažinimu, ilgesnės jos trukmės ir neigiamų padarinių suvokimu. Vyrams sveikatos kontrolės lokusas yra susijęs su ligos suvokimu. Tyrimas parodė, kad priklausomiems nuo alkoholio asmenims labiau išreikštas vidinis sveikatos kontrolės lokusas, palyginti su atsitiktinumų ir kitų poveikio sveikatos kontrolės lokusu, o pripažinti, kad alkoholio vartojimas yra liga, tiriamuosius verčia neigiami alkoholio vartojimo padariniai, bet ne patiriamų simptomų stiprumas.Pagrindiniai žodžiai: priklausomi nuo alkoholio asmenys, ligos suvokimas, sveikatos kontrolės lokusas.Pecularities of illness perception and health locus of control of alcohol addictsJurgita Dirsienė, Loreta Zajančkauskaitė-Staskevičienė SummaryLeventhal’s common sense model is a popular model for studying responses to health threats. The central prediction of the model is that coping responses are determined by an interrelated set of beliefs known as illness perceptions, which appear to be directly related to patient’s receptivity to the treatment and outcomes of the illness. The examination of how individuals perceive alcohol addiction may be important in prevention and may help health-care professionals individualize treatment strategies, thereby improving illness outcomes.The goal of the research was to determine the pecularities of and correlations between illness perception and health locus of control of alcohol-addicted people.The object and methods of research: 70 individuals with the diagnosis of alcohol addiction, currently going through alcohol detoxification in an addiction centre (49 men and 21 women). They completed the Brief Illness Perception Questionnaire (Broadbent et al., 2006) and Multidimensional Health Locus of Control Scale (MHLC; Wallston et al., 1978).Results of the study: Illness perception and health locus of control was not related to age, sex and education. The research showed that the participants who had a spouse had a more powerful others’ health control orientation than those who hadn’t (U = 419.5; p < 0.05). The research showed a statistically significant correlation between powerful others’ health control orientation and a shorter addiction duration (r = –0.249; p < 0.05). The longer addiction duration was positively related to the illness recognition (r = 0.481; p < 0.001) and the perception of a longer illness duration (r = 0.353; p < 0.05). The longest abstinence period was positively related to a better illness recognition (r = 0.270; p < 0.05) and the perception of a longer illness duration (r = 0.457; p < 0.05) and more severe illness consequences (r = 0.323; p < 0.05).Statistical analysis showed a lot of statistically significant correlations betveen illness perception dimensions: more negative consequences and a stronger illness identity were related to more concern about the illness and more negative emotions. The perception of illness coherence and a shorter duration of the illness was related to a better perceived personal control over the illnesss. The stronger concern about the illness was related to a better treatment control perception. The better illness recognition was related to the perception of longer illness duration, less personal control over the illness and more concern about the illness. The strength of the symptoms was positively related to a better illness coherence perception.The research showed a significant correlation between illness perception and health locus of control only for men: the internal health locus of control was related to the perception of a shorter illness duration (r = –0.402; p < 0.01) and less concern about the illness (r = –0.285; p < 0.05). The powerful others’ health control orientation was related to the perception of better treatment (r = 0.341; p < = 0,05) and personal control (r = 0.332; p < 0.05), more severe symptoms of illness (r = 0.032; p < 0.05), more concern (r = 0.404; p < 0.01) and negative emotions (r = 0.310; p < 0.05). Statistical analysis showed that alcoholics had an internal health control orientation. Illness recognition was associated with negative alcohol-related consequences, but not with the strength of symptoms. The implications and limitations of the findings, the implications for practice and research are discussed. Key words: alcohol-dependent individuals, illness perception, health locus of control.

Šiame straipsnyje analizuojami lėtinėmis ligomis sergančių suaugusiųjų sveikatos kontrolės lokuso rodikliai, vidinės darnos komponentai ir vidinės darnos lygis. Naudojant K. Wallston su bendraautoriais „Daugiamatę sveikatos kontrolės lokuso skalę“ (1978) ir A. Antonovsky „Gyvenimo orientacijos anketą“ (1987), buvo ištirti 378 suaugusieji (iš jų 174 sergantys ir 204, kuriems nėra diagnozuota lėtinė liga). Tyrimo rezultatai parodė, kad sveikų suaugusiųjų vidinės darnos lygis yra aukštesnis nei sergančiųjų, o sergantieji lėtinėmis ligomis atsakomybę už savo sveikatą labiau linkę priskirti išoriniams veiksniams. Taip pat nustatytas ryšys tarp suaugusiųjų sveikatos kontrolės lokuso rodiklių bei vidinės darnos komponentų ir vidinės darnos lygio. Pagrindiniai žodžiai: sveikatos kontrolės lokusas, vidinė darna, lėtinė liga.PECULIARITIES OF HEALTH CONTROL LOCUS AND SENSE OF COHERENCE AMONG ADULTS SUFFERING FROM CHRONIC DISEASESAla Petrulytė, Margarita Pileckaitė-Markovienė, Tomas Lazdauskas SummaryThe main purpose of this research was to analyse the peculiarities of Health Locus of Control and Sense of Coherence (SOC) among adults suffering from chronic diseases. The survey was held in 2004–05. Among 378 participantsaged 20–60 years, 174 had chronic diseases and 204 were healthy. Adults having chronic diseases were on hospital treatment in neurology, nephrology, cardiology and other departments. The survey was held with each participant individually.Methods:1. „Multidimensional Health Locus of Control Scale“ (MHLC), by K. Wallston (1978).2. „Orientation to Life Questionnaire“, by A. Antonovsky (1987).Hypotheses:1. Adults suffering from chronic diseases have a higher index of external Health Locus of Control and of lower Sense of Coherence than healthy ones.2. The Health Locus of Control is connected with the Sense of Coherence and its three dimensions.The results confirmed both hypotheses. They showed that adults suffering from chronic diseases have a lower Sense of Coherence (p < 0.01) and are inclined to put responsibility for their health on external factors such as Chance (p < 0.01) and Powerful Others (p < 0.01). There was a statistically significant correlation between the Health Locus of Control and Sense of Coherence dimensions and the general level (p < 0.05).The general level of Sense of Coherence is connected with Internality (one of the dimensions of Health Locus of Control) (p < 0.05), and has a negative relation to Chance (p < 0.01) and Powerful Other (p < 0.01).The investigation contributes, both theoretically and practically, to forming the internal Health Locus of Control for adults suffering from chronic diseases, enhancing the inner Sense of Coherence in order to improve health and activate the recovery process.It would be relevant to continue the investigation by analysing subscales of both Health Locus of Control and Sense of Coherence in the context of the disease process, differentiating participants by disease types.Key words: Health Locus of Control, Sense of Coherence, chronic disease.

Master’s theses are carried out at Vilnius Pedagogical University, at the faculty of Pedagogy and Psychology department of Psychological didactics. The investigation is based on K. Wallston’s 1978 methodology of Multidimensional scale of Health locus control and on A. Petrulyte 1985 self evaluation scale. The main purpose of the work is to analysis specific features of health locus control and self - evaluation of soldiers of compulsory military service. In research involvement 239 soldiers of compulsory military service and 240 students of Klaipėda University. The investigation showed that the average of soldiers of compulsory military service and students health locus control index is different. The soldiers and students is rely on HLC ( = 24,80), but there is a tendency that the PHLC ( = 22,20) is higher than CHC ( =20,26). The analysis showed that solders and students CHC negatively and statistically correlates with cognitive self – evaluation (r = -0,119 p = 0,009). Students HLC positively and statistically correlates with emotional self – evaluation (r = 0,130 p = 0,045), students CHC negatively and statistically correlates with cognitive self – evaluation (r = -0,205 p = 0,001). Soldiers of compulsory military service HLC, CHC and PHLC health locus of control did not statistically correlates with cognitive and emotional self – evaluation.

People psychological health is undoubtedly the question of the day in nowadays society. Factors of ill adults’ psychical health, its relationships, and view to their health condition are analyzed in this work. 70 patients from Rokiškis psychiatry hospital, who have slight psychical disability, have attended in this research. 70 healthy adults, who haven’t treat their selves is same sort institutions, formed auditorial group. All the respondents are 20-55 years old. In our research we used the technique of K. Wallston (1978) – Multidimensional health locus methodology, which is intended to assess the different people views to important problems, which are associated with their health; the result of assigned project was expressed indicators: internality(HLC), chance (CHC), powerful others (PHLC). The health of respondents was evaluated by Ch. Spielberger scale (2000) of anxiety and worry (how they feel now and generally).

Jaunesniojo paauglio psichologinė savijauta - neabejotinai aktualus klausimas šiandieną ugdant sveiką visuomenę. Svarbiausias paauglio asmenybės ir psichologinės savijautos aspektas yra sveikatos kontrolės lokusas, kuris parodo, kaip žmogus suvokia savo sveikatą bei priežastis, nuo kurių priklauso jo sveikata, ir savęs vertinimas. Šio magistro darbo tikslas - ištirti 5-12 klasių mokinių savęs vertinimo ir sveikatos kontrolės lokuso ypatumus sąryšyje su sveikata ir mokymosi sėkme. Siekiama nustatyti 5-12 klasių mokinių sveikatos kontrolės lokuso ir savęs vertinimo skalių įverčių vidurkius pagal amžių (11-18m.) ir lytį, taip pat ištirti sveikatos kontrolės lokuso ir savęs vertinimo ryšį su praleistų pamokų skaičiumi dėl ligos bei su pažangumu. Tyrime dalyvavo 240 bendrojo lavinimo mokyklos mokinių (5-12 kl, 11-18 m.). Tyrimui atlikti buvo naudojama daugiadimensinė sveikatos kontrolės lokuso skalė/MHLC - A forma (Wallston K.,1978) ir M. Rosenberg savigarbos skalė (Rosenberg M., 1965). Užduočių rezultatai buvo išreikšti 4 rodikliais: vidinė kontrolė(HLC), atsitiktinumas(CHC), kitų įtaka(PHLC), savęs vertinimas(BRSV).
Nowadays the psychological being of pupils ‘is a very topical issue in trying to raise a healthy community. One of the main factors indicating the psychological health of the individual is the health control locus and self-esteem, showing how a person conceives his health and himself, his abilities, properties, and his status among other people. A teenager‘s psychical and physical health relies strongly on this, as well as learning advance and relationship to other people. The aim of the present work has been to analyze the 5 – 12 class children self-esteem and health control locus singularity in connection with learning advance. In the research, however, the aim has been to analyze 5 – 12 class children‘s indicators of health control locus and self-esteem according to the age (11-18 years old) and sex, quest 5 – 12 class children health control locus and self-esteem in connection with absences from school due to some illness and with learning advance. There were data collected from 240 schoolchildren 5 – 12 class (11-18 years old) in Lithuanian comprehensive schools. In the research there were used Multidimensional health locus of control scale (MHLC) (Wallston K., 1978) and Rosenberg’s self-esteem scale (RSV) (Rosenberg M., 1965). The result of work was expressed by the following four indicators: internality (HLC), chance (CHC), powerful others (PHLC) and self-esteem (BRSV). The results of the research revealed that the average locus in the pupil‘s health control scales... [to full text]

Tyrimo tikslas – nustatyti ir palyginti sveikatos kontrolės lokuso, savo ligos suvokimo ir pykčio ryšius hemodialize gydomų ir hemodializei besirengiančiųjų pacientų grupėse. Tyrime dalyvavo 74 hemodialize gydomi ir 53 hemodializei besirengiantieji. Hemodialize gydomi pacientai sudarė 58,3%, o hemodializei besiruošiantieji pacientai 41,7% tiriamųjų. Pacientų amžius svyravo nuo 21 iki 86 metų, amžiaus vidurkis – 59,03.Tyrimas buvo atliekamas Lietuvos sveikatos mokslų universiteto klinikų nefrologijos skyriuje, Šiaulų dializės centre UAB B. Braun Avitum ir Šiaulių Respublikinės ligoninės nefrologijos skyriuje. Šiame tyrime buvo naudojamas kiekybinis tyrimas, kurio metu buvo pateikta anketa. Ją sudarė: sveikatos kontrolės lokuso klausimynas ( MHLC), ligos suvokimo klausimyno atnaujinta versija ( IPQ – R), klinikinio pykčio klausimynas ( CAS) ir pateikti 5 papildomi klausimai nesusiję su minėtais klausimynais. Tyrimo rezultatai parodė, kad sveikatos kontrolės lokusas, savo ligos suvokimas ir pyktis turi tarpusavio sąsajų. Hemodializei besirengiančių ir hemodialize gydomų pacientų kitų įtakos sveikatos kontrolės lokuso ryšiai su pykčiu ir savo ligos suvokimo dimensijomis priklauso nuo sociodemografinių charakteristikų: amžiaus, lyties, išsilavinimo ir šeiminės padėties. Pagrindinės išvados parodė, kad hemodializei besirengiančių kitų įtakos sveikatos kontrolės lokusas yra susijęs su labiau išreikštu pykčiu ir pozityvesniu... [toliau žr. visą tekstą]
The aim of the study was to find and compare the links between health locus of control, illness perception and anger in hemodialysis and pre – hemodialysis groups . The study included 74 hemodialysis patients and 53 pre – hemodialysis patients. There were 58,3,% of hemodialysis patients and 41,7% of pre – hemodialysis patients. Age of patients was between 21 and 86, average age - 57,03 years old.The study was carried out in Lithuanian University of Health Sciences nephrology clinic, Šiauliai hemodialysis center UAB “B. Braun Avitum” and Šiauliai hospital nephrology clinic. It was used a quantitative survey – a questionnaire. It consisted of: Multidimensional Health Locus of Control Scale ( MHLC), Illness Perception Questionnaire ( IPQ – R), Clinical Anger Scale ( CAS) and there have been given 5 additional questions unrelated to these questionnaires. The results of search showed links between health locus of control, illness perception and anger. Health locus of control links with illness perception and anger in hemodialysis and pre – hemodialysis groups depended on sex, age, education, family status. The main consclusion demonstraits, that other influence health locus of control have links with much anger and much positive perception of illness according to treatment control dimension, but much negative perception of illness according to personal control, illness coherence and emotional representations dimensions in pre... [to full text]

The main purpose of this research is to analyze the peculiarities of Health Control Locus and Sense of Coherence of adults that suffer from chronic diseases. The research is based on the analysis of scientific literature and theories, which summarize the main definitions of this research: the age of an adult, ailment and health control locus, Sense of Coherence. The results of experiments made with healthy adults and those who suffer from chronic diseases (N=378) are presented and analyzed in the second part of this research. Two methods where used: K.Wollston (1978) Multidimensional scale health locus of control (MHLC) and A.Antonovsky (1987) “Questionnaire of Life Orientation”, which is used in order to determine the Sense of Coherence. The results of research are: there are differences between adults that suffer from chronic diseases and healthy adults by the rate “chance” of the Health Locus of Control (t(376)=2.731, p=0.007) and by external rate of the Health Locus of Control (t(376)=11.375, p=0.0001). The obtained results allow making a conclusion that the firs hypotheses that adults that suffer from chronic diseases external rate is more expressed than healthy adults. Differences between adults that suffer from chronic diseases and healthy adults was found by the rates “manageability” (t(376)=-5.080, p=0.0001), “meaningfulness” (t(376)=-6.464, p=0.0001) of Sense of Coherence and by the general Scale of the Sense of Coherence (t(376)=-4.114, p=0.0001). The... [to full text]

Tyrimo tikslas: atskleisti vėžiu sergančių ir sveikų suaugusių žmonių nerimo, depresijos, sveikatos kontrolės lokuso ir gyvenimo prasmės ryšius. Tyrimo uždaviniai: palyginti vėžiu sergančių pacientų nerimo, depresijos, sveikatos kontrolės lokuso ir gyvenimo prasmės rodiklių įverčius pagal: 1) lytį, 2) amžių, 3) depresijos išreikštumą (8 balai HAD skalėje) ir 4) gydymo pobūdį. 5) Palyginti vėžiu sergančių ir sveikų (kontrolinės grupės) tiriamųjų nerimo, depresijos, sveikatos kontrolės lokuso ir gyvenimo prasmės rodiklius. 6) Nustatyti vėžiu sergančių tiriamųjų nerimo, depresijos, sveikatos kontrolės lokuso ir gyvenimo prasmės tarpusavio ryšį. Tyrimo metodai: Ligoninės nerimo ir depresijos skalė (Hospital Anxiety and Depression - HAD) (Zigmond, Snaith, 1983); Daugiadimensinė sveikatos kontrolės lokuso skalė (Multidimensional Health Locus of Control Scale – MHLOC) (Wallston et al., 1978); Gyvenimo prasmės skalė (Meaning in Life Scale - MiLS) (Jim et al., 2006). MHLC skalę sudaro trys subskalės: vidinė kontrolė, atsitiktinumas ir kitų poveikis. HAD skalę sudaro dvi subskalės: nerimas ir depresija. MiLS skalę sudaro keturios subskalės: harmonija, gyvenimo tikslai, dvasingumas ir sumažėjusi gyvenimo prasmė. Tiriamieji: n = 63 vėžiu sergtantys pacientai, kurių amžiaus vidurkis 64.87 (SD = 9.03) ir n = 63 kontrolinės grupės tiriamieji, kurių amžiaus vidurkis 63.73 (SD=9.321). Tyrimo rezultatai: moterys daugiau negu vyrai įžvelgia gyvenimo prasmės (t (61) = 1.992, p =0.052) ir... [toliau žr. visą tekstą]
Purpose: The purpose of the presented study was to examine links between anxiety, depression, health locus of control and meaning in life in cancer patients and healthy adults. Objectives: to compare the rates of cancer patients’ anxiety, depression, health locus of control and meaning in life according to: 1) gender; 2) age, 3) significance of depression (8 points in HAD scale) and 4) treatment methods. 5) to compare the rates of cancer and healthy controls anxiety, depression, health locus of control and meaning in life. 6) to find links between anxiety, depression, health locus of control and meaning in life in cancer patients’ population. Methods: Multidimensional Health Locus of Control (MHLC) scale (Wallston et al., 1978); Hospital Anxiety and Depression (HAD) scale (Zigmond, Snaith, 1983) and Meaning in Life (MiLS) scale (Jim et al., 2006). MHLC scale provides three-dimension measures of health locus of control: Internality; Chance; Powerful Others. HAD scale has two subscales: anxiety and depression. MiLS scale consists of 4 dimensions: Harmony; Life purposes; Spirituality and Lessened meaning. Participants: The sample consisted of n = 63 cancer patients mean age 64.87 (SD = 9.03) and healthy controls n = 63 mean age 63.73 (SD=9.321). The results of research are: Women more than men experience meaning in life (t (61) = 1.992, p =0.052) and spirituality (t (61) = 2.167, p =0.034). Cancer patients after operation believe in powerful others more than patients before... [to full text]

The purpose of this work was to study the peculiarities and interrelations of achievement motivation, locus of health control (multidimensional and visual analogue scales) and academic advancement of senior schoolchildren (years IX – XII). 228 senior schoolchildren participated in the study. The study involved two methodologies. The first one, meant for the research of learning motivation of schoolchildren, was used A. Mehrabian’s achievement motivation test-enquiry, modified by M. Sh. Magomed – Eminov. The second one – K. Wallston’s (1978) health locus of control (multidimensional and visual analogue scales). The research results data confirmed the hypothesis that achievement motivation of senior girls is different from that of senior boys. It was established that the ratios of motivation of boys were higher than those of girls of the same age. It is confirmed by the statistically relevant relation (t(226)=2,004, p = 0,04). The analysis of research data showed that: achievement motivation of senior schoolchildren decreases with the age; senior schoolchildren’s belief that condition of health depends on contingencies or external influences decreases with the age; senior boys evaluate their health better than girls of the same age; advancement of senior schoolchildren increases with the age. Second hypothesis of probability of relation among achievement motivation, health control ratios and academic advancement in senior grades was not confirmed.

Darbe yra analizuojama sveikatos kontrolės lokuso, depresiškumo, agresyvumo tarpusavio sasąjos bei skirtumai sergančiųjų širdies ir kraujagyslių ligomis bei sveikų suaugusiųjų grupėse. Tyrime dalyvavo 203 tiriamieji, t.y. 100 širdies ir kraujagyslių ligomis sergančių, stacionare besigydančių pacientų, ir 103 sveiki suaugę, kurie sudarė kontrolinę grupę. Apklausti 88 vyrai (43,3 proc.) ir 115 moterų (56,7 proc.) kurių amžiaus pasiskirstymas 35-89 metai, o vidurkis 62,21 metų (SD.=10,855). Sveikatos kontrolės lokusas nustatytas Daugiamate sveikatos kontrolės lokuso skale, A forma (MHLC-Multidimensional Health Locus of Control Scale; Wallston, Wallston, DeVellis, 1978), depresiškumas įvertintas Beko depresijos klausimynu (BDI-Beck Depression Inventory; Beck, Ward, Mendelson, Mock, Erbaugh, 1961), agresyvumas - Perkeltos agresijos klausimynu (DAQ- The Displaced Aggression Questionnaire; Denson, Pedersen, Miller, 2006). Sergantys širdies ir kraujagyslių ligomis labiau, nei sveiki pasižymi depresiškumu ir agresyvumu emociniame bei kognityviniame lygmenyse. Pacientams labiau būdingas išorinis kitų poveikio, o vyrams ir vidinis sveikatos kontrolės lokusas. Moterims būdingas stipriau išreikštas agresyvumas emociniame lygmenyje bei kitų poveikio sveikatos kontrolės lokusas lyginant su vyrais. Jaunesnis pacientų amžius susijęs su aukštesniu agresyvumo lygiu, tačiau vyresni vyrai, priešingai, stipriau išreiškia agresyvumą elgesiu, o moterys – depresiškumą. Priklausomai nuo šeimyninės... [toliau žr. visą tekstą]
The aim of this study is to analyse health locus of control, depressiveness and aggressivness interface and comparison between cardiovascular disease patients and healthy population. There were 203 participants in this study, 100 were in-patients with cardiovascular disease and 103 control group healthy adults. 88 of them were men (43,3 %) and 115 women (56,7 %) between 35 and 89 years of age, mean of age is 62,21 years (SD.=10,855). Health locus of control was assassed with Multidimesional Health Locus of Control Scale, A form (MHLC; Wallston, Wallston, DeVellis, 1978). Depessiveness was assessed with Beck Depression Inventory (BD; Beck, Ward, Mendelson, Mock, Erbaugh, 1961) and aggressiveness - with The Displaced Aggression Questionnaire (DAQ; Denson, Pedersen, Miller, 2006). Patients with cardiovascular disease are more depressive and express more aggressiveness in affective and cognitive dimensions comparing with healthy population. Patients are more prone to external powerful others health locus of control, also men – to inner health locus of control. Women express higher scores in affective dimension agressiveness and powerful others health locus of control in comparison to men. Lower age is related with higher expressed aggressiveness in patients group, but, conversely, older men express higher behavioral displaced aggression, and women – depressiveness. There were no significant differences according to family state, in contrast to healthy population, what shows that... [to full text]