Locus of Control and Self-Efficacy: Potential Mediators of Stress, Illness, and Utilization of Health Services in College Students Original Article
First Online: 05 March 2010 DOI :
10.1007/s10578-010-0173-6
Cite this article as: Roddenberry, A. & Renk, K. Child Psychiatry Hum Dev (2010) 41: 353. doi:10.1007/s10578-010-0173-6
Abstract Although many studies examine the biological phenomena that mediate the relationship between stress and illness, more research is needed regarding psychological variables that may mediate this relationship. Thus, the current study investigates the mediating effects of locus of control and self-efficacy in the relationships among stress, illness, and the utilization of health services in a sample of 159 college students. Results suggest that participants who endorse higher levels of stress also endorse higher levels of illness, higher levels of external locus of control, and lower levels of self-efficacy. In addition, structural equation modeling suggests that there are direct relationships between stress and illness and between illness and the utilization of health services. Further, locus of control appears to be a partial mediator in the relationship between stress and illness. Given the link established between stress and illness and the individual differences associated with reactions to stressful situations, it is important for future examinations to continue to identify potential mediators of the stress-illness link.
Keywords Locus of control Self-efficacy Stress Illness
References 1.
Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York
Google Scholar 2.
Horner K (1996) Locus of control, neuroticism, and stressors: combined influences on reported physical illness. Pers Individ Dif 21:195–204
CrossRef Google Scholar 3.
Lazarus RS (1966) Psychological stress and the coping process. McGraw-Hill, New York
Google Scholar 4.
Shapiro DH, Schwartz CE, Astin JA (1996) Controlling ourselves, controlling our world. Am Psychol 51:1213–1230
CrossRef PubMed Google Scholar 5.
Seligman MEP (1991) Learned optimism. Knopf, New York
Google Scholar 6.
Cunningham AJ, Lockwood GA, Cunningham JA (1990) A relationship between perceived self-efficacy and quality of life in cancer patients. Patient Educ Couns 17:71–88
CrossRef Google Scholar 7.
Thompson S (1981) Will it hurt less if I can control it? A complex answer to a simple question. Psychol Bull 90:89–101
CrossRef PubMed Google Scholar 8.
Rotter JB (1966) Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr 80:1–28
PubMed Google Scholar 9.
Levenson H (1974) Activism and powerful other: distinctions within the concept of internal-external control. J Pers Assess 38:377–383
Google Scholar 10.
Levenson H (1981) Differentiating among internality, powerful others, and chance. In: Lefcourt HM (ed) Research with the locus of control construct: assessment methods. Academic Press, New York, pp 15–63
Google Scholar 11.
Wallston KA, Wallston BS, DeVellis R (1978) Development of the multidimensional health locus of control scale. Health Educ Monogr 6:160–170
PubMed Google Scholar 12.
Murphy LMB, Thompson JR, Morris MA (1997) Adherence behavior among adolescents with type I insulin-dependent diabetes mellitus: the role of cognitive appraisal processes. J Pediatr Psychol 22:811–925
CrossRef PubMed Google Scholar 13.
Smith CA, Dobbins CJ, Wallston KA (1998) The mediational role of perceived competence in psychological adjustment to rheumatoid arthritis. J Appl Soc Psychol 21:1218–1247
CrossRef Google Scholar 14.
Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84:191–215
CrossRef PubMed Google Scholar 15.
Wiedenfeld SA, Bandura A, Levine S, O’Leary A, Brown S, Raska K (1990) Impact of perceived self-efficacy in coping with stressors on components of the immune system. J Pers Soc Psychol 59:1082–1094
CrossRef PubMed Google Scholar 16.
Shelley M, Pakenham KI (2004) External health locus of control and general self-efficacy: moderators of emotional distress among university students. Aust J Psychol 56:191–199
CrossRef Google Scholar 17.
Bollini AM, Walker EF, Hamann S, Kestler L (2004) The influence of perceived control and locus of control on the cortisol and subjective responses to stress. Biol Psychol 67:245–260
CrossRef PubMed Google Scholar 18.
Abouserie R (1994) Sources and levels of stress in relation to locus of control and self-esteem in university students. Educ Psychol 14:323–331
CrossRef Google Scholar 19.
Gadzella B (1994) Locus of control differences among stress groups. Percept Mot Skills 79:1619–1624
PubMed Google Scholar 20.
Oaten M, Cheng K (2005) Academic examination stress impairs self-control. J Soc Clin Psychol 24:254–279
CrossRef Google Scholar 21.
Roghmann KJ, Haggerty RJ (1973) The diary as a research instrument in the study of health and illness behavior. Med Care 10:143–163
CrossRef Google Scholar 22.
Tessler R, Mechanic D, Dimond M (1976) The effect of psychological distress on physician utilization: a prospective study. J Health Soc Behav 17:353–364
CrossRef PubMed Google Scholar 23.
Gortmaker SL, Eckenrode J, Gore S (1982) Stress and the utilization of health services: a time series and cross-sectional analysis. J Health Soc Behav 23:25–38
CrossRef PubMed Google Scholar 24.
Segerstrom SC, Miller GE (2004) Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull 130:601–630
CrossRef PubMed Google Scholar 25.
Digest of Education Statistics (2008) Retrieved December 27, 2009, from
http://nces.ed.gov/programs/digest/d08/tables/dt08_314.asp
26.
Ostertag PA, McNamara JR (1991) “Feminization” of psychology: the changing sex ratio and its implications for the profession. Psychol Women Q 15:349–369
CrossRef Google Scholar 27.
Olos L, Hoff E (2006) Gender ratios in European psychology. Eur Psychol 11:1–11
CrossRef Google Scholar 28.
Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385–396
CrossRef PubMed Google Scholar 29.
Kohn JP, Frazer GH (1986) An academic stress scale: identification and rated importance of academic stressors. Psychol Rep 59:415–426
Google Scholar 30.
Stanton WR, Raja S, Langley J (1995) Stability in the structure of health locus of control among adolescents. Br J Clin Psych 34:279–287
Google Scholar 31.
Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rojers RW (1982) The self-efficacy scale: construction and validation. Psychol Rep 51:663–671
Google Scholar 32.
Endler NS, Kocovski NL, Macrodimitris SD (2001) Coping, efficacy, and perceived control in acute vs chronic illnesses. Pers Individ Dif 30:617–625
CrossRef Google Scholar 33.
Owen SV, Froman RD (1988) Development of a college academic self-efficacy scale. Paper presented at the annual meeting of the national council on measurement in education, New Orleans LA
34.
Derogatis LR (1993) Brief symptom inventory: administration, scoring, and procedures manual. NCS Pearson, Minneapolis
Google Scholar 35.
Pennebaker JW (1982) The psychology of physical symptoms. Springer, New York
Google Scholar 36.
MacGeorge EL, Samter W, Feng B, Gillihan SJ, Graves AR (2004) Stress, social support, and health among college students after September 11, 2001. J Coll Stud Dev 45:655–670
CrossRef Google Scholar 37.
Kline RB (1998) Principles and practice of structural equation modeling. The Guilford Press, New York
Google Scholar 38.
Bentler PM (1992) On the fit of models to covariances and methodology to the Bulletin. Psychol Bull 112:400–404
CrossRef PubMed Google Scholar 39.
James LR, Mulaik SS, Brett JM (1982) Causal analysis: assumptions, models, and data. Sage Publications, Beverly Hills
Google Scholar 40.
Anderson JC, Gerbing DW (1988) Structural equations modeling in practice: a review and recommended two-step approach. Psychol Bull 103:411–423
CrossRef Google Scholar 41.
Arnett JJ (2000) Emerging adulthood: a theory of development from the late teens through the twenties. Am Psychol 55:469–480
CrossRef PubMed Google Scholar 42.
Kandrack M, Grant KR, Segall A (1991) Gender differences in health related behaviour: some unanswered questions. Soc Sci Med 32:579–590
CrossRef PubMed Google Scholar 43.
Liang W, Shediac-Rizkallah MC, Celentano DD, Rohde C (1999) A population-based study of age and gender differences in patterns of health-related behaviors. Am J Prev Med 17:8–17
CrossRef PubMed Google Scholar 44.
Shumaker SA, Hill DR (1991) Gender differences in social support and physical health. Health Psychol 10:102–111
CrossRef PubMed Google Scholar 45.
Bird CE, Rieker PP (1999) Gender matters: an integrated model for understanding men’s and women’s health. Soc Sci Med 48:745–755
CrossRef PubMed Google Scholar © Springer Science+Business Media, LLC 2010
Authors and Affiliations 1. Cincinnati Children’s Hospital Cincinnati USA 2. Department of Psychology University of Central Florida Orlando USA