scholarly journals Can depression in psychogeriatric inpatients at one year follow-up be explained by locus of control and coping strategies?

2017 ◽  
Vol 22 (3) ◽  
pp. 379-388 ◽  
Author(s):  
Guro Hanevold Bjørkløf ◽  
Knut Engedal ◽  
Geir Selbæk ◽  
Deborah Bezerra Maia ◽  
Tom Borza ◽  
...  
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S162-S162
Author(s):  
Kyrsten Costlow ◽  
Patricia A Parmelee ◽  
Tina Harralson

Abstract The literature on health locus of control (HLC) suggests that individuals who believe that their health is internally determined are more likely to use active coping strategies than those who believe their health is determined by chance or powerful others (Brosschot, Gebhardt, & Godaert, 1994; Gibson & Helme, 2000). Coping strategies (Klapow et al., 1995) and HLC (Campbell, Hope, & Dunn, 2017) have been found to influence the relation between chronic pain and depression. We hypothesized that the relation between osteoarthritis pain and depression would be serially mediated by HLC and coping. Self-report measures of osteoarthritis pain (Meenan, Mason, Anderson, Guccione, & Kazis, 1992; Parmelee, Katz, & Lawton), HLC (Wallston, Wallston, & DeVellis, 1978), coping strategies (Felton & Revenson, 1984; Rosenstiel & Keefe, 1983), and depression (Radloff, 1977) were examined in 367 older adults with osteoarthritis of the knee. Hayes’ (2013) PROCESS macro was used to test the hypothesized serial multiple mediation for three subscales of HLC: internality (IHLC), chance (CHLC), and powerful others (PHLC). After controlling for age, the hypothesized serial mediation was statistically significant for IHLC and CHLC but not PHLC. More specifically, osteoarthritis pain significantly increased CHLC, which increased negative coping and depression in turn. Osteoarthritis pain significantly decreased IHLC, which was associated with both positive and negative coping strategies in a complex serial mediation. These findings suggest that interventions targeting HLC and/or coping strategies may be able to alter the pain-depression pathway for older adults with chronic osteoarthritis pain. (Supported by R01-MH51800, P. Parmelee, PI).


2000 ◽  
Vol 35 (3) ◽  
pp. 109-115 ◽  
Author(s):  
G. Fadden ◽  
M. Economou ◽  
T. Held ◽  
M. Xavier ◽  
M. Guarneri ◽  
...  

Author(s):  
Ingeborg Halse ◽  
Guro Hanevold Bjørkløf ◽  
Knut Engedal ◽  
Geir Selbæk ◽  
Maria Lage Barca

<b><i>Introduction:</i></b> Knowledge of how perceptions of personal control change over time may provide valuable insights into how people cope with having dementia. The present study aimed to examine change in locus of control over a 12-month period in persons with dementia. <b><i>Method:</i></b> The study included 52 participants with dementia. Locus of control was measured with the Locus of Control of Behavior Scale (LoCB), with higher scores indicating a more external locus of control, interpreted as perceiving less personal control. A ≥5% change on the LoCB was considered clinically meaningful. We recorded sociodemographic characteristics and assessed dementia severity, cognition, ability to function independently in daily activities and physical self-maintenance, depressive symptomatology, and number of prescribed medications. Analyses were performed to examine differences between those with increases (more external) or decreases (less external) in the LoCB score after 12 months and to examine associations between baseline variables and change in the LoCB score. <b><i>Results:</i></b> The mean LoCB score for the total sample did not change after 12 months (baseline mean 29.33 vs. follow-up mean 30.33, <i>p</i> = 0.553); however, 2 subgroups emerged. Using the ≥5% cutoff revealed that the LoCB score changed for 92.3% of the sample, becoming less external (lower LoCB) for 21 participants and more external (higher LoCB) for 27 participants. At baseline, the mean LoBC score was higher in the group that became less external (33.81 vs. 24.56), <i>p</i> = 0.006, while this was reverse at follow-up (23.57 vs. 34.41), <i>p</i> = 0.001. Dementia severity and dependence in physical self-maintenance increased during the 12 months in both groups. Among those becoming more external, we also found a decline in cognition (<i>p</i> = 0.002), an increase in dependence in daily activities (<i>p</i> = 0.003), an increase in the use of prescribed medication, and a decrease in depressive symptomatology (<i>p</i> = 0.003). The baseline LoCB score was the only variable associated with 12-month change in LoCB scores (<i>p</i> = 0.001). <b><i>Conclusion:</i></b> Most participants showed a clinically meaningful change in locus of control after 12 months. Those with more signs of dementia progression reported a decrease in personal control but also a decrease in depressive symptoms. These findings are interesting for our understanding of coping but must be replicated with a larger sample.


2021 ◽  
Vol 10 (17) ◽  
pp. 3916
Author(s):  
Roman Kotas ◽  
Marta Nowakowska-Kotas ◽  
Sławomir Budrewicz ◽  
Anna Pokryszko-Dragan

Objectives: Stress is supposed to be linked with a background of multiple sclerosis (MS) and the disease course. Design: The study aimed to assess the level of stress and coping strategies in MS patients within a year of follow-up and to investigate the relationships between these aspects and factors related—or not—to MS. Methods: In 65 patients with MS, the Perceived Stress Scale (PSS-10), Type D Scale (DS14) and Coping Orientations to Problems Experienced (COPE) were performed at baseline and after a year. Baseline PSS-10, DS-14 and COPE scores were analyzed with regard to demographics, MS duration, treatment, indices of disability and self-reported stressful events (SEs). Final PSS-10 and COPE results were analyzed with reference to MS activity and SE within a year of follow-up. Results: Initially, 67% of patients reported a moderate or high level of stress and 31% met Type-D personality criteria. Diverse coping strategies were preferred, most of which were problem-focused. The negative affectivity DS-14 subscore (NEG) was correlated with disability level. Non-health-related SEs were associated with higher PSS-10 and NEG scores. After a year, the mean PSS-10 score decreased, while COPE results did not change significantly. Non-health-related SEs were associated with a higher PSS-10 score and less frequent use of acceptance and humor strategies. Those with an active vs. stable MS course during the follow-up did not differ in terms of PSS-10 and COPE results. Conclusions: MS patients experienced an increased level of stress. No significant relationships were found between stress or coping and MS course within a year. Non-health-related factors affected measures of stress more than MS-related factors.


1988 ◽  
Vol 67 (1) ◽  
pp. 95-100 ◽  
Author(s):  
Colleen Keller

26 women and 17 men between the ages of 26 and 62 yr. of age and diagnosed as having chronic illnesses were administered four questionnaires to assess physical and psychological variables and coping strategies: the Sickness Impact Profile, the Time Reference Inventory, and the Multidimensional Health Locus of Control. The Jaloweic Coping Scale assessed coping strategies. Canonical correlation indicated a single-factor link (Wilks' Λ) between scores on the first 3 tests, and the subscales of the coping scale. A significant but small correlation of .31 between the Multidimensional Health Locus of Control subscale, Powerful Others, and the coping subscale of Emotion-focused strategies was observed, that with the subscale Chance and the coping subscale confrontive strategies was negative. A second canonical correlation deleting the Time Reference Inventory score of age extension and including the three Sickness Impact Profile subscales was significant and positive for the Composite score and the subscale Palliative of the Jaloweic Coping Scale. Such data suggest that individuals who have a locus of control orientation of Powerful Others respond to chronic illness with emotionally based behaviors. In addition, chronically ill individuals who are physically dysfunctional tend to respond with palliative coping strategies.


Author(s):  
Oleg V. Kropovnitsky ◽  
◽  

The article focuses on the theoretical and empirical analysis of the concepts of coping strategy, locus of control (internality-externality), and achievement motivation. Different points of view on coping strategies are considered, as well as achievement motivation and internality as professionally important characteristics of managers of the real sector of the economy. The structure of the interrelation between socio-psychological characteristics and coping strategies of managers is revealed. The correlations between coping strategies, locus of control, and achievement motivation have been studied. The results of the study of the relationship between coping strategies, locus of control and achievement motivation among managers made it possible to draw the following conclusions. Firstly, the higher the level of motivation for success, the greater the likelihood is that a person will use such coping strategies as planning of a solution to the problem, positive reassessment and problem-oriented coping. Secondly, the higher the level of motivation for avoiding failures, the more likely it is that a person, in the process of coping, will resort to such strategies as distancing, escape-avoidance, emotionally-oriented coping. Thirdly, the higher the level of the internal locus of control, the greater the probability of using such coping strategies as problem-solving planning, positive reassessment, and problem-oriented coping. Finally, the higher the level of the external locus of control, the greater the likelihood is of using such coping strategies as distancing, flight-avoidance, emotionally-oriented coping.


2001 ◽  
Vol 60 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Guy Bodenmann ◽  
Linda Charvoz ◽  
Annette Cina ◽  
Kathrin Widmer

This article presents a new preventive approach (Couples Coping Enhancement Training: CCET) aimed at expanding upon the scope of current prevention programs by focussing on stress issues and individual and dyadic coping skills. The cognitive behavioral prevention program is based on stress and coping research in couples and seeks to improve important skills with an 18-hour course. The effectiveness of the approach is examined with respect to 143 couples over a period of one year. The results show that couples participating in the program benefit in terms of a significant increase in marital quality and that intervention couples appraise their relationship even after one year as substantially improved in a number of domains (quality of marital communication, intimacy etc.). Our results support the importance of prevention for couples with low marital satisfaction even if they have been living together for many years.


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