Perceived Control and Psychological Adjustment in Gay Men With AIDS1

The relationship of control beliefs to psychological adjustment was investigated in a sample of 24 gay men diagnosed with AIDS, participants in the University of California, Los Angeles site of the Multicenter AIDS Cohort Study (MACS). Distinctions between generalized contingency beliefs and specific competence beliefs and between personal and vicarious control beliefs were included in the questionnaire and interview measures administered. The results support these distinctions and indicate that beliefs in personal control over day-to-day symptoms and over course of illness were positively related to adjustment, whereas beliefs in control by others over course of illness and over medical care and treatment were negatively related to adjustment. These relationships appeared to be strongest for men who reported poorer health. These associations were not accounted for by locus of control beliefs, negative affectivity, or time since diagnosis with AIDS.

[1]  J Fifield,et al.  Appraisals of control and predictability in adapting to a chronic disease. , 1987, Journal of personality and social psychology.

[2]  K. Jamison,et al.  Psychosocial aspects of mastectomy: II. the man's perspective. , 1978, The American journal of psychiatry.

[3]  S. E. Taylor,et al.  Cardiopulmonary Resuscitation (CPR) Training: Consequences for Family Members of High-Risk Cardiac Patients , 1986 .

[4]  J. Weisz,et al.  Competence, contingency, and the development of perceived control. , 1982, Human development.

[5]  S. Thompson.  Will it hurt less if i can control it? A complex answer to a simple question. , 1981 .

[6]  S. Kobasa,et al.  Stressful life events, personality, and health: an inquiry into hardiness. , 1979, Journal of personality and social psychology.

[7]  B. Weiner.  An attributional theory of motivation and emotion , 1986 .

[8]  R. Janoff-Bulman.  Assumptive Worlds and the Stress of Traumatic Events: Applications of the Schema Construct , 1989 .

[9]  R. Schulz,et al.  Adult Development, Control, and Adaptive Functioning , 1991 .

[10]  J. Taylor,et al.  A personality scale of manifest anxiety. , 1953, Journal of abnormal psychology.

[11]  J. V. Wood,et al.  Attributions, beliefs about control, and adjustment to breast cancer. , 1984, Journal of personality and social psychology.

[12]  M. Rosenberg.  Society and the adolescent self-image , 1966 .

[13]  Robert M Kaplan,et al.  Health-related quality of life in patient decision making. , 1991, The Journal of social issues.

[14]  R. Hansson,et al.  Job-Related Threats to Control Among Older Employees , 1991 .

[15]  B. Weiner.  An attributional theory of achievement motivation and emotion. , 1985, Psychological review.

[16]  K. Wallston,et al.  Perceived control and health , 1987 .

[17]  C. Wortman,et al.  Some determinants of perceived control. , 1975 .

[18]  G. Marín,et al.  Issues in the prevention of AIDS among black and Hispanic men. , 1988, The American psychologist.

[19]  E. Langer.  The illusion of control. , 1975 .

[20]  Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome. Council of State and Territorial Epidemiologists; AIDS Program, Center for Infectious Diseases. , 1987, MMWR supplements.

[21]  Shelley E. Taylor,et al.  Illusion and well-being: a social psychological perspective on mental health. , 1988, Psychological bulletin.

[22]  Shelley E. Taylor.  Adjustment to threatening events: A theory of cognitive adaptation. , 1983 .

[23]  D. Watson,et al.  Health complaints, stress, and distress: exploring the central role of negative affectivity. , 1989, Psychological review.

[24]  C. Buddeberg.  [Psychosocial aspects of mastectomy]. , 1981, Gynakologische Rundschau.

[25]  T. W. Smith,et al.  The hardy personality: cognitive and physiological responses to evaluative threat. , 1989, Journal of personality and social psychology.

[26]  G. Gurin,et al.  Personal and Ideological Aspects of Internal and External Control. , 1978 .

[27]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

[28]  S. Kobasa,et al.  Personality and social resources in stress resistance. , 1983, Journal of Personality and Social Psychology.

[29]  B. Lo,et al.  Do patients want to participate in medical decision making? , 1984, JAMA.

[30]  P. Costa,et al.  Hypochondriasis, neuroticism, and aging. When are somatic complaints unfounded? , 1985, The American psychologist.

[31]  D. J. Lee.  Society and the Adolescent Self-Image , 1969 .

[32]  P. Costa,et al.  Neuroticism, somatic complaints, and disease: is the bark worse than the bite? , 1987, Journal of personality.

[33]  R. Webb,et al.  D-600 and the membrane stabilizing effect of calcium in vascular smooth muscle. , 1982, Pharmacology.

[34]  S. Folkman.  [Personal control and stress and coping processes: a theoretical analysis]. , 1988, Kango kenkyu. The Japanese journal of nursing research.

[35]  Barbara Strudler Wallston,et al.  6 – HEALTH LOCUS OF CONTROL SCALES1 , 1981 .

[36]  J. Reich,et al.  Experimental and Measurement Approaches to Internal Control in At‐Risk Older Adults , 1991 .

[37]  J. Weisz,et al.  Changing the world and changing the self: A two-process model of perceived control. , 1982 .

[38]  D. Watson,et al.  Toward a consensual structure of mood. , 1985, Psychological bulletin.

[39]  B. Collins,et al.  Four components of the Rotter Internal-External scale: belief in a difficult world, a just world, a pedictable world, and a politically responsive world. , 1974, Journal of personality and social psychology.

[40]  J. Amirkhan.  Applying attribution theory to the study of stress and coping. , 1990 .

[41]  Jeffrey R. Edwards,et al.  Personality characteristics as moderators of the relationship between stress and disorder. , 1989 .

[42]  D Lester,et al.  The measurement of pessimism: the hopelessness scale. , 1974, Journal of consulting and clinical psychology.

[43]  K. Jamison,et al.  Psychosocial aspects of mastectomy: I. the women's perspective. , 1978, The American journal of psychiatry.

[44]  K. Wallston,et al.  HEALTH LOCUS OF CONTROL AND CHRONIC DISEASE: AN EXTERNAL ORIENTATION MAY BE ADVANTAGEOUS , 1984 .

[45]  F. Rhodewalt,et al.  Appraisal of life change, depression, and illness in hardy and nonhardy women. , 1989, Journal of personality and social psychology.

[46]  A. Bandura.  Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[47]  Shirlynn Spacapan,et al.  Perceptions of Control in Vulnerable Populations , 1991 .

[48]  Shelley E. Taylor,et al.  A Better World or a Shattered Vision? Changes in Life Perspectives Following Victimization , 1990 .

[49]  L. Pearlin,et al.  The structure of coping. , 1978, Journal of health and social behavior.

[50]  F. Rhodewalt,et al.  Optimism, neuroticism, coping, and symptom reports: an alternative interpretation of the Life Orientation Test. , 1989, Journal of personality and social psychology.

[51]  B. Wheaton.  A comparison of the moderating effects of personal coping resources on the impact of exposure to stress in two groups , 1982 .

[52]  J. Averill.  Personal control over aversive stimuli and its relationship to stress. , 1973 .

[53]  S. Folkman,et al.  Appraisal, coping, health status, and psychological symptoms. , 1986, Journal of personality and social psychology.

[54]  M. Lieberman,et al.  The stress process. , 1981, Journal of health and social behavior.

[55]  J. Neter,et al.  Applied linear statistical models : regression, analysis of variance, and experimental designs , 1974 .

[56]  V. Folkes,et al.  Attribution theory: Applications to achievement, mental health, and interpersonal conflict. , 1991 .

[57]  William L. O'Neill,et al.  A Better World , 2020 .

[58]  S. Thompson,et al.  The Caregivers of Stroke Patients: An Investigation of Factors Associated with Depression , 1990 .

[59]  S. Cochran,et al.  Acquired immunodeficiency syndrome and black Americans: special psychosocial issues. , 1987, Public health reports.

[60]  J. Weisz.  Contingency and control beliefs as predictors of psychotherapy outcomes among children and adolescents. , 1986, Journal of consulting and clinical psychology.

[61]  Shelley E. Taylor,et al.  Self-generated feelings of control and adjustment to physical illness. , 1991 .

[62]  J. Phair,et al.  The Multicenter AIDS Cohort Study: rationale, organization, and selected characteristics of the participants. , 1987, American journal of epidemiology.

[63]  Irene Hanson Frieze,et al.  A Theoretical Perspective for Understanding Reactions to Victimization , 1983 .

[64]  K. Wallston,et al.  The measurement of helplessness in rheumatoid arthritis. The development of the arthritis helplessness index. , 1985, The Journal of rheumatology.

[65]  P. Converse,et al.  The Quality of American Life: Perceptions, Evaluations, and Satisfactions , 1976 .

[66]  D. Copeland,et al.  Control-related coping strategies in pediatric oncology patients. , 1987, Journal of pediatric psychology.

[67]  A. Ash,et al.  Measuring patients' desire for autonomy: decision making and information-seeking preferences among medical patients. , 1989, Journal of general internal medicine.

[68]  N. Shainess,et al.  Positive Illusions: Creative Self-Deception and the Healthy Mind , 1990 .

[69]  K. Motamedi.  The quality of American life , 1976 .

[70]  H. Lefcourt.  Intimacy, Social Support, and Locus of Control as Moderators of Stress , 1985 .

[71]  M. Seligman,et al.  Learned helplessness in humans: critique and reformulation. , 1978, Journal of abnormal psychology.

[72]  J. Rotter.  Generalized expectancies for internal versus external control of reinforcement. , 1966, Psychological monographs.

[73]  P. Baltes,et al.  Interpreting correlations between children's perceived control and cognitive performance: Control, agency, or means€nds beliefs? , 1990 .

[74]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[75]  S. Miles,et al.  And the Band Played On: Politics, People, and the AIDS Epidemic , 1988 .

[76]  J. Phair,et al.  Patterns of CD4+ cell changes after HIV-1 infection indicate the existence of a codeterminant of AIDS. , 1988, Journal of acquired immune deficiency syndromes.

[77]  D. Watson,et al.  Negative affectivity: the disposition to experience aversive emotional states. , 1984, Psychological bulletin.

[78]  I. Rosenstock,et al.  The Role of Self-Efficacy in Achieving Health Behavior Change , 1986, Health education quarterly.

[79]  D. Reid.  6 – PARTICIPATORY CONTROL AND THE CHRONIC-ILLNESS ADJUSTMENT PROCESS* , 1984 .

[80]  Margie E. Lachman,et al.  Perceived Control over Memory Aging: Developmental and Intervention Perspectives. , 1991 .

[81]  H. Lefcourt,et al.  Research With the Locus of Control Construct , 1981 .

[82]  A. W. Bendig,et al.  The development of a short form of the manifest anxiety scale. , 1956, Journal of consulting psychology.

[83]  Chris Park,et al.  Environment and health: A.J. Rowland and P. Cooper, 205 pp., 1983, Edward Arnold, London, £8.75 , 1985 .

[84]  J. Kelly,et al.  Aids prevention and treatment: Psychology's role in the health crisis , 1988 .