Skip to main content
Log in

Perceived control and health

  • Articles
  • Theoretical Review
  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

Perceived control (PC) is defined as thebelief that one can determine one’s own internal states and behavior, influence one’s environment, and/or bring about desired outcomes. Two important dimensions of PC are delineated: (1) whether the object of control is located in the past or the future and (2) whether the object of control is over outcome, behavior, or process. A variety of constructs and measures of PC (e.g., efficacy, attribution, and locus of control) are discussed in relation to these dimensions and selected studies are reviewed. The issues, controversies, and limits of the research on perceived control and health are addressed in terms of the antecedents and consequences of perceived control. Investigations should clearly conceptualize the object of perceived control, use measures that match the conceptualization, and when attempting to manipulate control, directly measure perceived control. The relation between PC and health outcomes is complex, and different aspects of PC may interact to affect health outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Averill, J.R. (1973). Personal control over aversive stimuli and its relationship to stress.Psychological Bulletin, 80, 286–303.

    Article  Google Scholar 

  • Bandura, A. (1977a).Social learning theory. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Bandura, A. (1977b). Self-efficacy: Toward a unifying theory of behavioral change.Psychological Review, 84, 191–215.

    Article  PubMed  Google Scholar 

  • Bandura, A. (1982). Self-efficacy mechanism in human agency.American Psychologist, 37, 122–147.

    Article  Google Scholar 

  • Blittner, M., Goldberg, J., & Merbaum, M. (1978). Cognitive self-control factors in the reduction of smoking behavior.Behavior Therapy, 9, 553–561.

    Article  Google Scholar 

  • Brickman, P., Rabinowitz, V.C., Karuza, J. Jr., Coates, D., Cohn, E., & Kidder, K. (1982). Models of helping and coping.American Psychologist, 37, 368–384.

    Article  Google Scholar 

  • Burbach, D.J., & Peterson, L. (1986). Children’s concepts of physical illness: A review and critique of the cognitive and developmental literature.Health Psychology, 5, 307–325.

    Article  PubMed  Google Scholar 

  • Chambliss, C.A., & Murray, E.J. (1979). Cognitive procedures for smoking reduction: Symptom attribution versus efficacy attribution.Cognitive Therapy Research, 3, 91–95.

    Article  Google Scholar 

  • Chein, I. (1972).Science of behavior and the image of man. New York: Basic Books.

    Google Scholar 

  • Cohen, S. (1980). After-effects of stress on human performance and social behavior: A review of research and theory.Psychological Bulletin, 88, 82–108.

    Article  PubMed  Google Scholar 

  • Collins, B.E. (1974). Four components of the Rotter internal-external scale: Beliefs in a difficult world, a just world, a predictable world, and a politically responsive world.Journal of Personality and Social Psychology, 29, 381–391.

    Article  PubMed  Google Scholar 

  • Croog, S.H., & Richards, N.P. (1977). Health beliefs and smoking patterns in heart patients and their wives: A longitudinal study.American Journal of Public Health, 67, 921–930.

    Article  PubMed  PubMed Central  Google Scholar 

  • DeVellis, R.F., DeVellis, B.M., Wallston, B.S., & Wallston, K.A. (1980). Epilepsy and learned helplessness.Basic and Applied Social Psychology, 1, 241–253.

    Article  Google Scholar 

  • Derogatis, L.R., Abeloff, M.D., & Melisaratos, N. (1979) Psychological coping mechanisms and survival time in metastatic breast cancer.Journal of the American Medical Association, 242, 1504–1508.

    Article  PubMed  Google Scholar 

  • DuCette, J., & Keane, A. (1984). “Why me?”: An attributional analysis of a major illness.Research in Nursing and Health, 7, 257–264.

    Article  PubMed  Google Scholar 

  • Dobbins, C.J. (1986). Attributions and chronic disease: A formulation of the issues. Unpublished major area paper, Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Dobbins, C.J., Brown, G.K., & Wallston, B.S. (1986). Stress process of work interference in rheumatoid arthritis: Effects on global health and depression. Unpublished manuscript, Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Dohrenwend, B.S., & Martin, J.L. (1979). Personal versus situational determination of anticipation and control of the occurence of stressful life events.American Journal of Community Psychology, 7, 453–468.

    Article  PubMed  Google Scholar 

  • Elder, R.G. (1973). Social class and lay explanations of the etiology of arthritis.Journal of Health and Social Behavior, 28–38.

  • Folkman, S. (1984). Personal control and stress and coping processes: A theoretical analysis.Journal of Personality and Social Psychology, 46, 839–852.

    Article  PubMed  Google Scholar 

  • Fox, B.H. (1983). Current theory of psychogenic effects on cancer incidence and prognosis.Journal of Psychosocial Oncology, 1, 17–31.

    Article  Google Scholar 

  • Garber, J. & Hollon, S.D. (1980). Universal vs. personal helplessness in depression: Belief in uncontrollability or incompetence?Journal of Abnormal Psychology, 89, 56–66.

    Article  PubMed  Google Scholar 

  • Glass, D.C., Reim, B., & Singer, J.E. (1971). Behavioral consequences of adaptation to controllable and uncontrollable noise.Journal of Experimental Social Psychology, 7, 244–257.

    Article  Google Scholar 

  • Hansen, R.E., & O’Leary, V.E. (1985). Sex-determined attributions. In V.E. O’Leary, R.K. Unger, & B.S. Wallston (Eds.)Women, gender and social psychology. Hillsdale, N.J.: Erlbaum.

    Google Scholar 

  • Harris, B., & Harvey, J.H. (1975). Self-attributed choice as a function of the consequences of a decision.Journal of Personality and Social Psychology, 31, 1013–1019.

    Article  Google Scholar 

  • Harvey, J.H., & Harris, B. (1975). Determinants of perceived choice and the relationship between perceived choice and expectancy about feelings of internal control.Journal of Personality and Social Psychology, 31, 101–106.

    Article  Google Scholar 

  • Harvey, J.H., & Weary, G. (1984). Current issues in attribution theory and research.Annual Review of Psychology, 35, 427–459.

    Article  PubMed  Google Scholar 

  • Jamison, R.N., Burish, T.G., & Wallston, K.S. (1986). Psychogenic factors in predicting survival of breast cancer patients. Unpublished manuscript. Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Jenkins, H.M., & Ward, W.C. (1965). Judgment of contingency between responses and outcomes.Psychological Monographs, 79, (1, Whole No. 594).

  • Johnson, J.E. (1975). Stress reduction through sensation information. In I. Sarason & C. Spielberger (Eds.),Stress and anxiety, Volume 2. New York: Wiley.

    Google Scholar 

  • Jones, E.E., & Nisbett, R.E. (1972). The actor and the observer: Divergent perceptions of the causes of behavior. In E.E. Jones et al. (Eds.),Attribution: Perceiving the causes of behavior. Morristown, N.J.: General Learning Press.

    Google Scholar 

  • Kanfer, F.H. (1970). Self-regulation: Research, issues, and speculations. In C. Neuringer & J.L. Michaels (Eds.),Behavior Modifications in Clinical Psychology New York: Appleton-Century-Crofts.

    Google Scholar 

  • Kaplan, R.M., Atkins, C.J., & Reinsch, S. (1984). Specific efficacy expectations mediate exercise compliance in patients with COPD.Health Psychology, 3, 223–242.

    Article  PubMed  Google Scholar 

  • Kelley, H.H., & Michela, J.L. (1980). Attribution theory and research.Annual Review of Psychology, 31, 457–501.

    Article  PubMed  Google Scholar 

  • Kelly, G. (1955).Psychology of personal constructs. New York: Norton.

    Google Scholar 

  • King, J.B. (1984). Illness attributions and the health belief model.Health Education Quarterly, 10, 287–312.

    Article  Google Scholar 

  • Kobasa, S.C. (1979). Stressful life events, personality, and health: An inquiry into hardiness.Journal of Personality and Social Psychology, 37, 1–11.

    Article  PubMed  Google Scholar 

  • Kobasa, S.C. (1982). The hardy personality: Toward a social psychology of stress and health. In G.S. Sanders & J. Suls (Eds.),Social psychology of health and illness. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Kristiansen, C.M. (1984). Preventive health behavior: A social-psychological analysis. Unpub. Ph.D. diss. University of Exeter, England.

    Google Scholar 

  • Kruglanski, A.W., & Cohen, M. (1974). Attributing freedom in the decision context. Effects of the choice alternatives, degree of commitment, and predecision uncertainty.Journal of Personality and Social Psychology, 30, 178–187.

    Article  Google Scholar 

  • Langer, E.J. (1983).Psychology of control. Beverly Hills, CA: Sage.

    Google Scholar 

  • Langer, E., & Rodin, J. (1976). Effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting.Journal of Personality and Social Psychology, 34, 191–198.

    Article  PubMed  Google Scholar 

  • Lau, R.R. (1984). Dynamics of the attribution process.Journal of Personality and Social Psychology, 46, 1017–1928.

    Article  Google Scholar 

  • Lau, R.R. (in press). Beliefs about control and health behavior. In D. Gochman (Ed.)Health behavior: Emerging research perspectives. New York: Plenum.

  • Lau, R.R., & Ware, J.E., Jr. (1979). Refinements in the measurement of health-specific locus-of-control beliefs.Medical Care, 19, 1147–1158.

    Article  Google Scholar 

  • Lefcourt, H.M. (1982).Locus of control: Current trends in theory and research, second edition. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Levenson, H. (1974). Activism and powerful others: Distinctions within the concept of internal-external control.Journal of Personality Assessment, 38, 377–383.

    Article  Google Scholar 

  • Leventhal, H. (1970). Findings and theory in the study of fear communications. In L. Berkowitz (Ed.),Advances in Experimental Social Psychology (vol. 5). New York: Academic Press.

    Google Scholar 

  • Miller, D.T., & Ross, M. (1975). Self-serving biases in the attribution of causality: Fact or fiction?Psychological Bulletin, 82, 213–225.

    Article  Google Scholar 

  • Miller, S.M. (1979). Controllability and human stress: Method, evidence, and theory.Behavior Research and Therapy, 17, 287–304.

    Article  Google Scholar 

  • Mills, T., & Krantz, D.S. (1979). Information, choice, and reactions to stress: A field experiment in a blood bank with laboratory analogue.Journal of Personality and Social Psychology, 37, 608–620.

    Article  PubMed  Google Scholar 

  • Mirels, H.L. (1970). Dimensions of internal vs. external control.Journal of Consulting and Clinical Psychology, 34, 226–228.

    Article  PubMed  Google Scholar 

  • Mumma, C., & McCorkle, R. (1982–83). Causal attribution and life-threatening disease.International Journal of Psychiatry in Medicine, 12, 311–319.

    Article  Google Scholar 

  • Nagy, V.T., & Wolfe, G.R. (1983). Chronic illness and health locus of control beliefs.Journal of Social and Clinical Psychology, 1, 58–65.

    Article  Google Scholar 

  • Nelson, D.W., & Cohen, L.H. (1983). Locus of control and control perceptions and the relationship between life stress and psychological disorder.American Journal of Community Psychology, 11, 705–722.

    Article  PubMed  Google Scholar 

  • Nicki, R.M., Remington, R.E., & MacDonald, G.A. (1985). Self-efficacy, nicotine-fading/self-efficacy monitoring and cigarette smoking behavior.Behavior Research and Therapy, 22, 477–485.

    Article  Google Scholar 

  • Padilla, G.V., Grant, M.M., Rains, B.L., Hansen, B.C., Bergstrom, N., Wong, H.L., Hanson, R., & Kubo, W. (1981). Distress reduction and the effects of preparatory teaching films and patient control.Research in Nursing and Health, 4, 375–387.

    Article  PubMed  Google Scholar 

  • Peters, B. (1978). School-aged children’s beliefs about causality of illness: A review of the literature.Maternal Child-Nursing Journal, 7, 143–154.

    PubMed  Google Scholar 

  • Peterson, C. (1980). A sense of control over one’s life: A review of recent literature. Paper presented at the Social Science Research Council’s Meeting on “The Self and Personal Control over the Life Span,” October 3–6, 1980, New York City.

  • Peterson, C., & Seligman, M.E.P. (1984). Causal explanations as a risk factor for depression: Theory and evidence.Psychological Review, 91, 347–374.

    Article  PubMed  Google Scholar 

  • Peterson, C., Semmel, A., von Baeyer, C., Abramson, L.Y., Metalsky, G.I., & Seligman, M.E.P. (1982). The attributional style questionnaire.Cognitive Therapy and Research, 6, 287–300.

    Article  Google Scholar 

  • Pill, R., & Stott, N.C. (1982). Concepts of illness causation and responsibility: Some preliminary data from a sample of working class mothers.Social Science and Medicine, 16, 43–52.

    Article  PubMed  Google Scholar 

  • Pill, R., & Stott, N.C.H. (1985). Choice or chance: Further evidence on ideas of illness and responsibility for health.Social Science and Medicine, 20, 981–991.

    Article  PubMed  Google Scholar 

  • Pollock, S.E. (1986). Human responses to chronic illness: Physiologic and psychosocial adaptation.Nursing Research, 35, 90–95.

    PubMed  Google Scholar 

  • Rehm, L.P. (1977). A self-control model of depression.Behavior Therapy, 8, 787–804.

    Article  Google Scholar 

  • Rhodewalt, F. (1984). Self-involvement, self-attribution, and the type A coronary-prone behavior pattern.Journal of Personality and Social Psychology, 47, 662–670.

    Article  PubMed  Google Scholar 

  • Rhodewalt, F., & Davison, J. Jr. (1983). Reactance and the coronary-prone behavior pattern: The role of self-attribution in responses to reduced behavioral freedom.Journal of Personality and Psychology, 44, 220–228.

    Article  Google Scholar 

  • Rodin, J. (1986). Aging and health: Effects of the sense of control.Science, 233, 1271–1276.

    Article  PubMed  Google Scholar 

  • Rodin, J., & Langer, E. (1977). Long-term effects of a control-relevant intervention with the institutionalized aged.Journal of Personality and Social Psychology, 35, 897–902.

    Article  PubMed  Google Scholar 

  • Roskam, S. (1985). Health locus of control beliefs in chronic illness. Unpublished major area paper. Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Roskam, S. (1986). Application of a health locus of control typology approach towards predicting depression and medical adherence in rheumatoid arthritis. Unpub. Ph.D. diss. Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Rothbaum, F., Weisz, J.R., & Snyder, S.S. (1982). Changing the world and changing the self. A two-process model of perceived control.Journal of Personality and Social Psychology, 42, 5–37.

    Article  Google Scholar 

  • Rotter, J.B. (1954).Social learning and clinical psychology. Englewood Cliffs: NJ: Prentice Hall.

    Book  Google Scholar 

  • Rotter, J.B. (1966). Generalized expectancies for internal versus external control of reinforcement.Psychological Monographs, 80, (1 Whole No. 609).

  • Rotter, J.B. (1975). Some problems and misconceptions related to the construct of internal vs. external control of reinforcement.Journal of Consulting and Clinical Psychology, 43, 56–67.

    Article  Google Scholar 

  • Sandler, I.N., & Lakey, B. (1982). Locus of control as a stress moderator: The role of control perceptions and social support.American Journal of Community Psychology, 10, 65–80.

    Article  PubMed  Google Scholar 

  • Schoeneman, T.J., vanUchelen, C., Stonebrink, S., & Cheek, P.R. (1986). Expectancy, outcome, and event type: Effects of retrospective reports of attributional activity.Personality and Social Psychology Bulletin, 12, 353–362.

    Article  Google Scholar 

  • Schulman, B.A. (1979). Active patient orientation and outcomes in hypertensive treatment.Medical Care, 17, 267–280.

    Article  PubMed  Google Scholar 

  • Schulz, R. (1976). Effects of control and predictability on the physical and psychological well-being of the institutionalized aged.Journal of Personality and Social Psychology, 33, 563–573.

    Article  PubMed  Google Scholar 

  • Schulz, R., & Hanusa, B.H. (1978). Long-term effects of control and predictability-enhancing interventions: Findings and ethical issues.Journal of Personality and Social Psychology, 36, 1194–1201.

    Article  PubMed  Google Scholar 

  • Skowronski, J.J., & Carlston, D.E. (1982). Effects of previously experienced outcomes on the desire for choice.Journal of Personality and Social Psychology, 43, 689–701.

    Article  Google Scholar 

  • Smedslund, J. (1963). The concept of correlation in adults.Scandanavian Journal of Psychology, 4, 165–173.

    Article  Google Scholar 

  • Smith, M. (1984). Predicting cancer patient survival length. Unpub. masters thesis. Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Smith, R.A., Wallston, B.S., Wallston, K.A., Forsberg, P.R., & King, J.E. (1984). Measuring desire for control of health care processes.Journal of Personality and Social Psychology, 47, 415–426.

    Article  PubMed  Google Scholar 

  • Smith, R.A., Wallston, B.S., King, J.E., Wallston, K.A., & Zylstra, M. et al. (1986). Individual differences in control attitudes and responses to control over aspects of daily living by surgical patients. Unpub. manuscript. Vanderbilt University, Nashville, TN

    Google Scholar 

  • Steiner, I.D. (1979). Three kinds of reported choice. In L.C. Perlmuter & R.A. Monty (Eds.)Choice and perceived control. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Strecher, V.J., DeVellis, B.M., Becker, M.H., & Rosenstock, I.M. (1986). The role of self-efficacy in achieving health behavior change.Health Education Quarterly, 13, 73–91.

    Article  PubMed  Google Scholar 

  • Strickland, B.R. (1978). Internal-external expectancies and health-related behaviors.Journal of Consulting and Clinical Psychology, 46, 1192–1211.

    Article  PubMed  Google Scholar 

  • Strube, M.J. (1985). Attributional style and the type A coronary-prone behavior pattern.Journal of Personality and Social Psychology, 49, 500–509.

    Article  PubMed  Google Scholar 

  • Taylor, S.E., Lichtman, R.R., & Wood, J.V. (1984). Attributions, beliefs about control, and adjustment to breast cancer.Journal of Personality and Social Psychology, 46, 489–502.

    Article  PubMed  Google Scholar 

  • Tennen, H., & Sharp, J.P. (1983). Control orientation and the illusion of control.Journal of Personality Assessment, 47, 369–374.

    Article  PubMed  Google Scholar 

  • Thompson, S.C. (1981). Will it hurt less if I can control it? A complex answer to a simple question.Psychological Bulletin, 90, 89–101.

    Article  PubMed  Google Scholar 

  • Timko, C., & Janoff-Bulman, R. (1985). Attributions, vulnerability, and psychological adjustment: The case of breast cancer.Health Psychology, 4, 521–544.

    Article  PubMed  Google Scholar 

  • Wallston, B.S., Smith, R.A., Wallston, K.A., King, J.E., Rye, P.D., & Heim, C.R. (In press). Choice and predictability in the preparation for barium enemas: A person-by-situation approach.Research in Nursing and Health.

  • Wallston, B.S., & Wallston, K.A. (1978). Locus of control and health: A review of the literature.Health Education Monographs, 6, 107–117.

    Article  PubMed  Google Scholar 

  • Wallston, B.S., & Wallston, K.A. (1981). Health locus of control. In H. Lefcourt (Ed.),Research with the locus of control construct. (vol. 1) New York: Academic Press.

    Google Scholar 

  • Wallston, B.S., & Wallston, K.A. (1984). Social psychological models of health behavior: An examination and interaction. In A. Baum, S. Taylor, & J.E. Singer (Eds.),Handbook of Psychology and Health, Volume IV: Social Aspects of Health. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Wallston, B.S., Wallston, K.A., Kaplan, G.D., & Maides, S.A. (1976). Development and validation of the health locus of control (HLC) scales.Journal of Consulting and Clinical Psychology, 44, 580–585.

    Article  PubMed  Google Scholar 

  • Wallston, K.A., Maides, S., & Wallston, B.S. (1976). Health-related information-seeking as a function of health-related locus of control and health value.Journal of Research and Personality, 10, 215–222.

    Article  Google Scholar 

  • Wallston, K.A., & O’Connor, E. (1987). The initial development and validation of the Smoking Cessation Locus of Control scale. Unpub. manuscript. Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Wallston, K.A., Smith, R.A., King, J.E., Forsberg, P.R., Wallston, B.S., & Nagy, V.T. (1983). Expectancies about control over health: Relationship to desire for control of health care.Personality and Social Psychology Bulletin, 9, 377–385.

    Article  Google Scholar 

  • Wallston, K.A., & Wallston, B.S. (1982). Who is responsible for your health? The construct of health locus of control. In G. Sanders & J.M. Suls (Eds.),Social psychology of health and illness. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Wallston, K.A., Wallston, B.S., & DeVellis, R. (1978). Development of the multidimensional health locus of control (MHLC) scales.Health Education Monographs, 6, 160–170.

    Article  PubMed  Google Scholar 

  • Wallston, K.A., Smith, R.A., Burish, T.G., Wallston, B.S., Rye, P.D., King, J.E., Smith, S., & O’Connell, S. (1986). Interaction of desire for control and choice of antiemetic treatment for cancer chemotherapy. Unpub. manuscript. Vanderbilt University, Nashville, TN.

    Google Scholar 

  • Weidner, G. (1980). Self-handicapping following learned helplessness treatment and the type A coronary-prone behavior pattern.Journal of Psychosomatic Research, 24, 319–325.

    Article  PubMed  Google Scholar 

  • Weiner, B. (1974).Achievement motivation and attribution theory. Morristown, NJ: General Learning Press.

    Google Scholar 

  • Weisz, J.R., & Stipek, D.J. (1982). Competence, contingency, and the development of perceived control.Human Development, 25, 250–281.

    Article  PubMed  Google Scholar 

  • Wortman, C.B., & Dintzer, L. (1978). Is an attributional analysis of the learned helplessness phenomenon viable?: A critique of the Abramson-Seligman-Teasdale reformulation.Journal of Abnormal Psychology, 87, 75–80.

    Article  PubMed  Google Scholar 

  • Wortman, C., & Dunkel-Schetter, C. (1979). Interpersonal relationships and cancer: A theoretical analysis.Journal of Social Issues, 35, 120–155.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wallston, K.A., Wallston, B.S., Smith, S. et al. Perceived control and health. Current Psychology 6, 5–25 (1987). https://doi.org/10.1007/BF02686633

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02686633

Keywords

Navigation