Cognitive Therapy and Research

, Volume 12, Issue 2, pp 119–132 | Cite as

Explanatory style as a risk factor for illness

  • Christopher Peterson

Abstract

Some have speculated that explanatory style puts an individual at risk for illness. Study 1 supports this hypothesis by showing that college students who believe that stable + global factors caused bad events experienced more days of illness in the following month and visited physicians more frequently in the following year than students who explain bad events with unstable + specific causes. These findings held even when level of previous illness was controlled. Study 2 explores some of the possible links between explanatory style and poor health. College students who believe that stable + global factors caused bad events reported more unhealthy habits, lower efficacy to change these habits, and more stressful occurrences than students who explain bad events with unstable + specific causes.

Key words

explanatory style health illness 

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References

  1. Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. D. (1978). Learned helplessness in people: Critique and reformulation.Journal of Abnormal Psychology, 87 49–74.PubMedGoogle Scholar
  2. Anderson, C. A., Horowitz, L. M., & French, R. deS. (1983). Attributional style of lonely and depressed people.Journal of Personality and Social Psychology, 45 127–136.PubMedGoogle Scholar
  3. Angell, M. (1985). Disease as a reflection of the psyche.New England Journal of Medicine, 312 1570–1572.PubMedGoogle Scholar
  4. Antonovsky, A. (1984). The sense of coherence as a determinant of health. In J. D. Matarazzo, S. M. Weiss, J. A. Herd, and N. E. Miller (Eds.),Behavioral health: A handbook of health enhancement and disease prevention (pp. 114–129). New York: Wiley.Google Scholar
  5. Bandura, A. (1986).Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, New Jersey: Prentice-Hall.Google Scholar
  6. Barrera, M., Sandler, I. N., & Ramsey, T. B. (1981). Preliminary development of a scale of social support: Studies on college students.American Journal of Community Psychology, 9 435–447.Google Scholar
  7. Beck, A. T. (1967).Depression: Clinical, experimental, and theoretical aspects. New York: Hoeber.Google Scholar
  8. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford Press.Google Scholar
  9. Becker, M. H. (1974).The health belief model and personal health behavior. Thorofare, New Jersey: Slack.Google Scholar
  10. Cobb, S. (1976). Social support as a moderator of life stress.Psychosomatic Medicine, 38 300–314.PubMedGoogle Scholar
  11. Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests.Psychometrika, 16 297–334.Google Scholar
  12. Engel, G. L. (1971). Sudden and rapid death during psychological stress: Folklore or folkwisdom?Annals of Internal Medicine, 74 771–782.PubMedGoogle Scholar
  13. Jemmott, J. B., & Locke, S. E. (1984). Psychosocial factors, immunologic mediation, and human susceptibility to infectious disease: How much do we know?Psychological Bulletin, 95 78–108.PubMedGoogle Scholar
  14. Kamen, L. P., Seligman, M. E. P., & Rodin, J. (1986). Unpublished data, University of Pennsylvania.Google Scholar
  15. Kobasa, S. C. (1979). Stressful life events, personality, and health: An inquiry into hardiness.Journal of Personality and Social Psychology, 37 1–11.PubMedGoogle Scholar
  16. Laudenslager, M. L., Ryan, S. M., Drugan, R. C., Hyson, R. L., & Maier, S. F. (1983). Coping and immunosuppression: Inescapable but not escapable shock suppresses lymphocyte proliferation.Science, 221 568–570.PubMedGoogle Scholar
  17. Lazarus, R. S. (1979). Positive denial: The case of not facing reality.Psychology Today, 13 44–60.Google Scholar
  18. Lefcourt, H. M. (1973). The function of the illusions of control and freedom.American Psychologist, 28 417–425.PubMedGoogle Scholar
  19. Marx, M. B., Garrity, T. F., & Bowers, F. R. (1975). The influence of recent life experiences on the health of college freshmen.Journal of Psychosomatic Research, 19 87–98.PubMedGoogle Scholar
  20. O'Leary, A. (1985). Self-efficacy and health.Behaviour Research and Therapy, 23 437–451.PubMedGoogle Scholar
  21. Peterson, C., Bettes, B. A., & Seligman, M. E. P. (1985). Depressive symptoms and unprompted causal attributions: Content analysis.Behavioural Research and Therapy, 23 379–382.Google Scholar
  22. Peterson, C., Luborsky, L., & Seligman, M. E. P. (1983). Attributions and depressive mood shifts: A case study using the symptom-context method.Journal of Abnormal Psychology, 92 96–103.PubMedGoogle Scholar
  23. Peterson, C., Schwartz, S. M., & Seligman, M. E. P. (1981). Self-blame and depressive symptoms.Journal of Personality and Social Psychology, 41 253–259.PubMedGoogle Scholar
  24. Peterson, C., & Seligman, M. E. P. (1984). Causal explanations as a risk factor for depression: Theory and evidence.Psychological Review, 91 347–374.PubMedGoogle Scholar
  25. Peterson, C., & Seligman, M. E. P. (1987). Explanatory style and illness.Journal of Personality, 55 237–265.PubMedGoogle Scholar
  26. 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, 6 287–299.Google Scholar
  27. Peterson, C., & Villanova, P. (1986).Dimensions of explanatory style. Unpublished manuscript, University of Michigan.Google Scholar
  28. Peterson, C., Villanova, P., & Raps, C. S. (1985). Depression and attributions: Factors responsible for inconsistent results in the published literature.Journal of Abnormal Psychology, 94 165–168.PubMedGoogle Scholar
  29. Rabkin, J. G., & Struening, E. H. (1976). Life events, stress, and illness.Science, 194 1013–1020.PubMedGoogle Scholar
  30. Richter, C. P. (1957). On the phenomenon of sudden death in animals and man.Psychosomatic Medicine, 19 191–198.PubMedGoogle Scholar
  31. Rodin, J., Timko, C., & Anderson, S. (1985). The construct of control: Biological and psychosocial correlates. In P. Lawton & G. Maddox (Eds.),Annual review of gerontology and geriatrics (Vol. 5). New York: Springer.Google Scholar
  32. Schleifer, S. J., Keller, S. E., Siris, S. G., Davis, K. L., & Stein, M. (1985). Depression and immunity.Archives of General Psychiatry, 42 129–133.PubMedGoogle Scholar
  33. Seeman, M., & Seeman, T. E. (1983). Health behavior and personal autonomy: A longitudinal study of the sense of control in illness.Journal of Health and Social Behavior, 24 144–160.PubMedGoogle Scholar
  34. Seligman, M. E. P. (1975).Helplessness: On depression, development, and death. San Francisco: Freeman.Google Scholar
  35. Suls, J., & Mullen, B. (1981). Life events, perceived control, and illness: The role of uncertainty.Journal of Human Stress, 7 30–34.PubMedGoogle Scholar
  36. Taylor, R. B., Denham, J. R., & Ureda, J. W. (1982).Health promotion: Principles and clinical applications. Norwalk, Connecticut: Appleton-Century-Crofts.Google Scholar
  37. Wallston, K. A., & Wallston, B. S. (1982). Who is responsible for your health? The construct of health locus of control. In G. S. Sanders & J. Suls (Eds.),Social psychology of health and illness (pp. 65–95). Hillsdale, New Jersey: Erlbaum.Google Scholar

Copyright information

© Plenum Publishing Corporation 1988

Authors and Affiliations

  • Christopher Peterson
    • 1
  1. 1.Department of PsychologyUniversity of MichiganAnn ArborUSA

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