Articles

The Role of Health Locus of Control in Predicting Depression ‎Symptoms in a Sample of ‎Iranian Older Adults with Chronic ‎Diseases

Abstract

Objective: The purpose of this study was to examine the prediction of depression on a group of ‎Iranian older adults based on components of health locus of control.‎
Method: Sixty-six men and 42 women over the age of 55 were recruited from the retirement ‎clubs in Shiraz, using convenience sampling. The participants completed the research ‎questionnaires including the Geriatric Depression Scale (GDS) and the ‎Multidimensional Health Locus of Control Scale (MHLC).‎
Results: The findings on health locus of control revealed that the highest score was on internal ‎locus of control followed by God, powerful others and chance. The mean score on ‎depression was on a normal range. Multiple regression analysis showed that two ‎independent variables including internal control (ß = -.32, p < 0.01) and God control ‎‎(ß = -.20, = p < 0.03) significantly predicted depression. The other components of ‎health locus of control such as chance and powerful others as well as age did not ‎predict depression. Findings also revealed that the independents variables explained ‎‎26% of the total variance of depression (R2 = .26, p <0.001).‎
Conclusion: This study provides more support for the application of theory of health locus of ‎control on depression.‎‎

‎1.‎ United Nation [homepage on the Internet]. ‎World Population Ageing: 1950-2050, ‎Countries of area: Iran. [updated 2015 Jun 12; ‎cited 2015 Nov 18]. Available from: ‎http://www.un.org/esa/population/publications/‎worldageing19502050/pdf/113iran.‎

‎2.‎ Koenig HG, George LK, Titus P. Religion, ‎spirituality, and health in medically ill ‎hospitalized older patients. Journal of ‎American Geriatric Society 2004; 52: 554-‎‎562.‎

‎3.‎ Evans M, Mottram P. Diagnosis of Depression ‎in elderly patients, Advance in Psychiatric ‎Treatment 2000; 6: 49-56‎

‎4.‎ Kaplan HI, Sadock BJ. Synopsis of Psychiatry. ‎Philadelphia: Lippincott, Williams, Wilkens; ‎‎1998.‎

‎5.‎ Beck A. The development of depression: a ‎cognitive model, in R. J. Friedman and M. M. ‎Katz (eds) The Psychology of depression: ‎contemporary theory and research. ‎Washington DC: Winston; 1974. ‎

‎6.‎ Singh A, Misra N. Loneliness, depression and ‎sociability in old age. Ind Psychiatry J 2009; ‎‎18: 51-55.‎

‎7.‎ Rotter JB. The development and applications ‎of social learning theory: Selected papers. ‎City: Praeger Publishers; 1982.‎

‎8.‎ Walker J. Control and the psychology of ‎health. City: Open University Press ‎Buckingham; 2001.‎

‎9.‎ Wallston KA, Wallston BS, DeVellis R. ‎Development of the Multidimensional Health ‎Locus of Control (MHLC) Scales. Health Educ ‎Monogr 1978; 6: 160-170.‎

‎10.‎ Bennett P. Introduction to clinical health ‎Psychology. Philadelphia: Open University ‎Press; 2003.‎

‎11.‎ O'Hea EL, Moon S, Grothe KB, Boudreaux E, ‎Bodenlos JS, Wallston K, et al. The interaction ‎of locus of control, self-efficacy, and outcome ‎expectancy in relation to HbA1c in medically ‎underserved individuals with type 2 diabetes. ‎J Behav Med 2009; 32: 106-117.‎

‎12.‎ Bonetti D, Johnston M, Rodriguez-Marin J, ‎Pastor M, Martin-Aragon M, Doherty E, ‎Sheehan K. Dimensions of perceived control: ‎A factor analysis ofthree measures and an ‎examination of their relation to activity level ‎and mood in astudent and cross-cultural ‎patient sample. Psychol Health 2001; 16: ‎‎655-674.‎

‎13.‎ Pargament KI. APA handbook of psychology, ‎religion and spirituality, Washington DC: ‎American Psychological Association; 2013.‎

‎14.‎ Aflakseir A, Coleman PG. The influence of ‎religious coping on the mental health of ‎disabled Iranian war veterans. Mental Health, ‎Religion & Culture 2009; 12: 175-190. ‎

‎15.‎ Wallston KA, Malcarne VL, Flores L, ‎Hansdottir I, Smith CA, Stein MJ, Weisman ‎MH, Clemens PJ. Does God determine your ‎health? The God Locus of Health Control ‎Scale. Cognitive Ther Res 1999; 23: 131-142.‎

‎16.‎ Zahednejad H, Poursharifi H, Babapour J. ‎Relationship between health locus of control, ‎slip memory, physician-patient relationship ‎with adherence in type II diabetic patients. J ‎Shahid Sadoughi Univ Med Sci 2012; 20: ‎‎249-258.‎

‎17.‎ Yesavage JA, Sheikh JI. 9/Geriatric ‎Depression Scale (GDS) recent evidence and ‎development of a shorter violence. Clinical ‎gerontologist 1986; 5: 165-173.‎

‎18.‎ Marc LG, Raue PJ, Bruce ML. Screening ‎performance of the 15-item geriatric ‎depression scale in a diverse elderly home ‎care population. Am J Geriatr Psychiatry ‎‎2008; 16: 914-921.‎

‎19.‎ Malakouti SK, Fatollahi P, Mirabzadeh A, ‎Salavati M, Zandi T. Reliability, validity and ‎factor structure of the GDS-15 in Iranian ‎elderly. Int J Geriatr Psychiatry 2006; 21: 588-‎‎593.‎

‎20.‎ Niti M, Ng TP, Kua EH, Ho RCM, Tan CH. ‎Depression and chronic medical illnesses in ‎Asian older adults: the role of subjective ‎health and functional status. International ‎journal of geriatric psychiatry 2007; 22: 1087-‎‎1094.‎

‎21.‎ Alvarenga MRM, Oliveira MAdC , Faccenda O. ‎Depressive symptoms in the elderly: analysis ‎of the items of the Geriatric Depression Scale. ‎Acta Paulista de Enfermagem 2012; 25: 497-‎‎503.‎

‎22.‎ Fiske A, Wetherell JL, Gatz M. Depression in ‎older adults. Annu Rev Clin Psychol 2009; 5: ‎‎363-389.‎

‎23.‎ Sturmer T, Hasselbach P, Amelang M. ‎Personality, lifestyle, and risk of ‎cardiovascular disease and cancer: follow-up ‎of population based cohort. Bmj 2006; 332: ‎‎1359-1366.‎

‎24.‎ Park CL, Gaffey AE. Relationships between ‎psychosocial factors and health behavior ‎change in cancer survivors: an integrative ‎review. Ann Behav Med 2007; 34: 115-134.‎

‎25.‎ Wallhagen MI, Strawbridge WJ, Kaplan GA , ‎Cohen RD. Impact of internal health locus of ‎control on health outcomes for older men and ‎women: a longitudinal perspective. ‎Gerontologist 1994; 34: 299-306.‎

‎26.‎ Twenge JM, Zhang L, Im C. It's beyond my ‎control: a cross-temporal meta-analysis of ‎increasing externality in locus of control, ‎‎1960-2002. Pers Soc Psychol Rev, Inc 2004; ‎‎8: 308-319.‎

‎27.‎ Wallston KA, Wallston BS. Who is responsible ‎for your health. In: eds. The construct of ‎health locus of control in social psychology of ‎health and illness. City: Lawrence Erlbaum ‎Hillsdale, NJ; 1982. 65-95.‎

‎28.‎ Beck A. Depression. Clinical, Experimental ‎and Theoretical Aspects. New York (Hoeber) ‎‎1967. 1967.‎

‎29.‎ Bishop AJ. Stress and depression among ‎older residents in religious monasteries: do ‎friends and God matter? Int J Aging Hum Dev ‎‎2008; 67: 1-23.‎

‎30.‎ Koenig HG, King D, Carson VB. Handbook of ‎religion and health. New York (2nd eds.): ‎Oxford: Oxford University Press; 2012‎

‎31.‎ Mehta KK. The impact of religious beliefs and ‎practices on aging: A cross-cultural ‎comparison. Journal of Aging Studies 1997; ‎‎11: 101-114.‎

Files
IssueVol 11 No 2 (2016) QRcode
SectionArticles
Keywords
Depression Elderly Health Locus of ‎Control

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Aflakseir A-A, Mohammad-‎AbadiM-S. The Role of Health Locus of Control in Predicting Depression ‎Symptoms in a Sample of ‎Iranian Older Adults with Chronic ‎Diseases. Iran J Psychiatry. 2016;11(2):82-86.