Belief In Chance Research Articles

Health locus of control, perceived health competence, and satisfaction of patients with rheumatological conditions versus periodic health examination patients

ABSTRACT Important health management goals include building patient loyalty, predicting patient behavior and adherence, and understanding treatment outcomes. This study focused on health locus of control (HLC), perceived health competence, and satisfaction with care in an outpatient sample by comparing chronic care patients and periodic health examination (PHE) patients in the same clinic. The study sample consisted of 146 adult patients from a rheumatology outpatient clinic. Participants responded to validated measures of psychosocial variables and answered a sociodemographic and health status information form. The findings showed that while both patient groups were similarly satisfied with care, chronic care patients perceived lower levels of health competence and internal HLC and higher levels of chance HLC than PHE patients. Satisfaction with care was negatively associated with chance HLC in the chronic care group, while health competence was negatively associated with chance HLC in the PHE group. The findings of the current study suggest that although chronic care patients were satisfied with care, they had stronger chance beliefs and weaker beliefs about internal factors. Hence, for better management of rheumatological conditions, it is important to focus on improving patients’ coping skills through effective health education strategies.

A Model for Predicting Fear of Terrorism through Fear of Crime, Gender, Locus of Control and Coping Strategies.

This study examines the assumption that aspects of fear of crime (fear of rape and sense of insecurity) predict fear of terrorism. The online survey included 754 Israeli respondents, who answered questions about their demographic characteristics, fear of terrorism, fear of crime indicators (fear of rape and sense of insecurity), locus of control (LOC; internal and external), and coping strategies. The findings indicate that for women, higher belief in chance and fate, and powerful others (external LOC), higher sense of insecurity, and higher fear of rape were related to a higher fear of terrorism. For men, higher belief in chance and fate (external LOC), higher sense of insecurity, and higher fear of rape were related to a higher fear of terrorism. Furthermore, the effect of fear of rape on fear of terrorism was mediated by sense of insecurity. Our findings support the assumption that fear of crime shadows and affects fear of terrorism for men as well as women. Therefore, fear of rape should be addressed as a significant issue for both genders.

Problematic Facebook use behavior and locus of control in physiotherapy students

BackgroundProblematic Facebook use is a broader umbrella for term addictive-like symptoms, and scarce self-regulation related to Facebook use reflecting social and personal problems, and many studies have suggested that it is associated with many psychosocial problems. Locus of control (LOC) is described as a personality trait developed through social learning theory. Recently, LOC has got attention from both the patient’s and clinician’s perspectives. In addition, higher external LOC is associated with problematic Internet use. The aim was to investigate whether problematic Facebook use is associated with LOC. Four hundred twenty-one university students were enrolled in this cross-sectional study. Problematic Facebook use was determined by the Bergen Facebook Addiction Scale, and the participants were divided into two groups as neutral users and problematic users. Locus of control was assessed using the Locus of Control Scale, including subscales of personal control, belief in chance, the meaninglessness of the effortfulness, belief in fate, and belief in an unjust world.ResultsIn total, 333 students were eligible for the study. There were 66 students with neutral Facebook use (19.8%), and the remaining (n=267) had problematic Facebook use (80.2%). No significant difference was observed in the demographic characteristic of neutral and problematic Facebook users (p>0.05). Problematic Facebook users had significantly higher scores on the meaninglessness of the effortfulness (p<0.001), belief in fate (p=0.019), and belief in an unjust world (p=0.004) compared to the neutral Facebook users.ConclusionsThe results showed that the physiotherapy students having a problematic Facebook had significantly higher scores on the meaninglessness of the effortfulness, belief in fate, and belief in an unjust world compared to neutral Facebook users. All these negative thoughts might be a problem both for students themselves and their future patients.

Location, Location, Location: The Role of Objective Neighborhood Characteristics for Perceptions of Control

Introduction: Control beliefs can protect against age-related declines in functioning. It is unclear whether neighborhood characteristics shape how much control people perceive over their life. This article studies associations of neighborhood characteristics with control beliefs of residents of a diverse metropolitan area (Berlin, Germany). Methods: We combine self-report data about perceptions of control obtained from participants in the Berlin Aging Study II (N = 507, 60–87 years, 51% women) with multisource geo-referenced indicators of neighborhood characteristics using linear regression models. Results: Findings indicate that objective neighborhood characteristics (i.e., unemployment rate) are indeed tied to perceptions of control, in particular, how much control participants feel others have over their lives. Including neighborhood characteristics in part doubled the amount of explained variance compared with a reference model covarying for demographic characteristics only (from R2 = 0.017 to R2 = 0.030 for internal control beliefs; R2 = 0.056 to R2 = 0.102 for external control beliefs in chance; R2 = 0.006 to R2 = 0.030 for external control beliefs in powerful others). Discussion/Conclusion: Findings highlight the importance of access to neighborhood resources for control beliefs across old age and can inform interventions to build up neighborhood characteristics which might be especially helpful in residential areas with high unemployment.

Development and validation of the Fatalistic Causal Attributions of Cancer Questionnaire: A three-phase study.

Tools have been developed to assess the existence and intensity of fatalistic beliefs. Causal attributions of cancer, referring to the foundation for fatalistic views of cancer as being predetermined or reflecting an unavoidable death, are lacking. The aim was to develop and validate the Fatalistic Causal Attributions of Cancer Questionnaire, a measurement tool for studying the causal attributions of cancer. Three-phase study. Phase I: Item extraction and development based on focus groups (N = 30) and assessment of content validity. Phase II: Assessment of quality of items and construct validity (exploratory factor analysis, confirmatory factor analysis, and convergent validity) of data from 252 participants (aged 50-75). Phase III: Confirmatory factor analysis and assessment of the discriminant validity and reliability of the questionnaire with 127 online respondents (aged 20-70). In Phase I, an initial questionnaire was constructed. In Phase II, four factors were identified: Belief in divine providence, belief in personal resilience as a protective factor, belief in chance or luck, and belief in inevitable environmental or genetic factors. The factorial structure of an 18-item version that emerged in the confirmatory factor analysis had good fit indexes and reliability measures. In Phase III, the 18-item questionnaire and its factorial structure and reliability were confirmed. The findings show acceptable psychometric properties for the questionnaire. We suggest that this questionnaire should be used with an existing questionnaire that assesses the intensity of fatalistic perceptions for a more comprehensive assessment of fatalism in research and in promoting adherence to screening.

Religiosity and Chance Beliefs in Persons with DSM-IV Pathological Gambling Enrolled in a Longitudinal Follow-Up Study.

This study investigates the association of public, private and intrinsic religiosity and chance beliefs (superstition, illusion of control) with gambling behavior in a longitudinal follow-up study of younger and older adult subjects with DSM-IV pathological gambling (PG) and an older adult comparison group without PG. One-hundred sixty-three subjects were enrolled including 60 younger adults with PG (≥ 18/< 40years), 53 older adults with PG (≥ 60years), and 50 older adults without PG (≥ 60). Subjects were assessed at baseline and every 6months thereafter. The Duke University Religion Index for Religious Assessment and the Drake Beliefs About Chance scales were administered at baseline. Follow-up was a mean (SD) of 2.6 (1.4) years. Older adults with PG scored lower on measures of public and intrinsic aspects of religiosity than older adults without PG, and scored higher on superstition and illusion of control. Older adults with PG also scored higher than younger adults with PG on private and intrinsic religiosity, but not public religiosity. Superstition predicted intrinsic, but not other aspects of religiosity. Importantly, during follow-up, higher levels of public and intrinsic religiosity were protective against problematic (levels 2, 3) gambling; were protective against chronic PG; and were predictive of PG remission status. Lower illusion of control ratings were protective against problematic gambling and chronic PG; lower superstition ratings were predictive of remission. We conclude that higher levels of public and intrinsic religiosity and lower levels of chance beliefs are associated with a more benign PG course.

Bergson and the Morality of Uncertainty

Moral and political theories, insofar as they are based on the fragile life of human beings, usually incorporate a reflection on the role of uncertainty or contingency. The question remains however, how exactly do we experience ‘uncertainty’? Can it show us different faces, to which we then react in different ways? If so, what is the meaning of such multiplicity for the exercise of agency? Comparing Bergson’s inquiry into the modern belief in chance with Jean-Marie Guyau’s reflections on the love of risk, I examine the moral significance of different ways of relating to uncertainty, and analyze their respective pedagogical purchase regarding the constitution of human freedom. When confronted with the unknown future, human agency gets easily trapped in the vicious and vertiginous circle of impotence and omnipotence. The contrast between Bergson and Guyau illuminates this problem, showing how our relation to uncertainty informs our identity, our capacity for action, and our sense of obligation

Relationships among depression during pregnancy, social support and health locus of control among Iranian pregnant women.

Prenatal depression is a significant predictor of postpartum depression and is detrimental to fetal development. To examine whether depression during pregnancy is associated with social support and health locus of control (HLC). Data were collected from a sample of 208 Iranian pregnant women using a demographic questionnaire, the Edinburgh Postnatal Depression Scale, the multidimensional HLC Scale and the social support appraisals. Depression was experienced by 37% of participants. Overall, women reported higher level of family support (6.88 ± 1.15) than other supports (6.87 ± 1.29). Protective supports from other resources (6.87 ± 1.29) were higher than those from friends (5.94 ± 1.5). Internal, powerful others and chance beliefs had the highest mean scores. Social support and chance HLC significantly influenced the proposed mediator (depressive mood) in the linear regression model. Bivariate analysis showed significant associations between social support (friend, family and others) and depressive mood. Internal HLC had a significant association with social support and powerful others HLC. However, Pearson correlation coefficient was not significant between depressive mood and all dimensions of HLC. Clinicians could assess social support and chance HLC to identify and treat women at risk of prenatal depression. By providing support during pregnancy, depression levels in women and its effects on the fetus may be decreased, which could prevent postpartum depression.

Examining the relationship between individual perceptions of control and contemporary career orientations

Purpose – Contemporary careers research suggests that individuals are more likely to be proactive about their careers when they possess an internal, rather than an external locus of control (LOC). The purpose of this paper is to adopt the view that individuals can be both external and proactive depending on whether or not they possess an incremental implicit theory. Design/methodology/approach – Self-administered surveys were completed by 127 employed individuals in Nigeria. These surveys were used to gather information on individuals’ external LOC, protean and boundaryless career orientations and implicit theory beliefs. Findings – Results indicated partial support for positive relationships between external LOC and contemporary career orientations and that an incremental implicit theory can have a positive moderating effect on the relationship between an external LOC belief in chance and the values-driven protean career orientation. Research limitations/implications – The study was based on a cross-sect...

John D. Lyons The Phantom of Chance: From Fortune to Randomness in Seventeenth-Century French LiteratureThe Phantom of Chance: From Fortune to Randomness in Seventeenth-Century French Literature. John D. Lyons. Edinburgh: Edinburgh University Press, 2012. Pp. vi+211.

<i>John D. Lyons</i> The Phantom of Chance: From Fortune to Randomness in Seventeenth-Century French Literature<i>The Phantom of Chance: From Fortune to Randomness in Seventeenth-Century French Literature</i>. John D. Lyons. Edinburgh: Edinburgh University Press, 2012. Pp. vi+211.

Genealogical Explanations of Chance and Morals

Objective chance and morality are rarely discussed together. In this paper, I argue that there is a surprising similarity in the epistemic standing of our beliefs about both objective chance and objective morality. The key similarity is that both of these sorts of belief are undermined -- in a limited, but important way -- by plausible genealogical accounts of the concepts that feature in these beliefs. The paper presents a brief account of Richard Joyce's evolutionary hypothesis of the genealogy of morality, and refines the debunking argument which he consequently mounts against moral beliefs. The evolutionary hypothesis in question suggests that we could easily have failed to believe that moral judgments have a peculiarly categorical force. This aspect of our moral belief, then, is unreliable. The paper then turns to chance, and presents a more speculative hypothesis about the cultural evolution of ideas about chance, as a peculiarly physical and objective form of probability. It is argued that, in the same way that our beliefs about morality could easily have lacked the commitment to inescapable force, our beliefs about chance could easily have lacked various idiosyncratic commitments. By a similar argument then, these aspects of our chance beliefs are unreliable. In the final section of the paper, I review some recent objections to genealogical debunking arguments, due to Roger White and Guy Kahane, showing how the form of argument developed in this paper is immune to these criticisms.

Ethnicity, Smoking Status, and Preterm Birth as Predictors of Maternal Locus of Control

A woman's psychological health can affect prenatal behaviors. The purpose of this study was to examine the relationship between maternal beliefs, prenatal behaviors, and preterm birth (PTB) in a multiethnic population. This was a planned secondary analysis of a cross-sectional trial of postpartum women with singleton gestation. In all, 210 participants were given the Fetal Health Locus of Control (FHLC) scale to measure three primary maternal beliefs that influenced their prenatal behaviors (Internal Control, Chance, Powerful Others). Women who experienced preterm delivery and those who smoked during pregnancy scored the Chance category significantly higher than those who delivered term infants (p = .05; p = .004, respectively). This suggests those who smoked during pregnancy had a greater degree of belief that Chance influenced their infant's health status. Cultural differences also emerged specific to the impact of health care providers on PTB; with Hispanic women scoring Powerful Others the highest among the groups (p = .02). Nurses can plan a critical role in identifying at-risk women (smoking, strong Chance beliefs) while providing a clear message that taking action and modifying high-risk behaviors can reduce risk for adverse pregnancy outcome.

Religious Orientation and Its Relation to Locus of Control and Depression

This study examines the relationships among intrinsic and extrinsic religious orientations, locus of control and depression levels of 430 Turkish Muslim university students. The results show that some locus of control dimensions are related to participants’ religious orientations, but depression has no significant impact on intrinsic or extrinsic religiousness. Hierarchical Regression Analyses were conducted for predicting the intrinsic and extrinsic religious orientations of different gender. Belief in chance (negatively) and belief in fate (positively) contribute to male and female participants’ intrinsic religious orientations. Meaninglessness of effortfulness was crucial only for women's intrinsic religiosity. Higher belief in meaninglessness of effortfulness was related to lower intrinsic religiosity scores for women. Among the locus of control variables, only belief in fate (positively) contributed to extrinsic religious orientations in both men and women. Belief in an unjust world positively contributed only to male extrinsic religious orientations. Women had higher intrinsic religiosity scores.

The Quality-of-Life Impact of Head and Neck Cancer: Preference Values from the Canadian General Public

ObjectivesTo elicit preferences for standardized head and neck cancer (HNC) health states describing the health-related quality of life (HRQoL) impact of cancer type or stage, progression, or treatment-related toxicities; and to measure the association between an individual’s locus of control (LOC) and mean preference values for HNC health states. Study DesignWe elicited preferences from a sample of 106 members of the Canadian general public, using the standard gamble method. Eight health states representing HNC characteristics, and 10 describing treatment-related toxicities, were developed based on literature review, data analysis, and clinician interview. All participants valuated these, anchored against full health and dead, and completed the Multidimensional Health LOC scale. A mixed-regression model was used to calculate adjusted preference decrements for all states compared with a reference state (locoregional preprogression nonlaryngeal HNC). ResultsMean participant age was 47 years, and 48% were male. All health states were associated with substantially decreased preferences compared with full health. Mean preferences ranged from 0.62 (locoregional laryngeal HNC) to 0.33 (hospitalization for severe toxicity). After adjusting for age and sex, mean preference decrements were: −0.28 (postprogression), −0.11 (metastases), and −0.05 (recurrent disease). There was suggestive evidence that LOC was associated with preferences overall (P=.079); those with stronger beliefs in Chance rated health states lower (P=.012). ConclusionsHealth state preferences elicited here demonstrate that members of the Canadian general public rate HNC to have a large negative impact on HRQoL. The greatest impact was for postprogression and metastatic health states. These values are useful for quantifying the devastating impact of HNC on HRQoL, and for economic modeling.

Oral health: locus of control, health behavior, self-rated oral health and socio-demographic factors in Istanbul adults

Objectives. To determine oral health control beliefs of Istanbul adults using the Multidimensional Oral Health Locus of Control Scale (MOHLCS) after confirming its factorial validity and to examine the relationships between these beliefs, self-rated oral health, oral health behaviors and socio-demographic factors. Material and methods. The MOHLCS was administered to a sample of 1200 subjects aged ≥18 years in Istanbul chosen using a quota-sampling method (response 88%). The relationship between the MOHLCS and oral health behaviors, self-rated oral health and socio-demographic factors was assessed after confirming the factorial validity of the MOHLCS. Results. The MOHLCS demonstrated satisfactory internal reliability. Factor analysis results showed a new four-factor solution, namely Internal, Dentist, Chance, and Socialization agents. Multivariate analysis showed that female gender, younger age, higher socioeconomic status, more frequent daily toothbrushing, and regular dental check-ups were associated with higher Internal beliefs, while older age, lower educational level, lower socioeconomic status, low toothbrushing frequency, and symptom-orientated dental attendance were associated with higher Chance beliefs. Being unmarried and low toothbrushing frequency were associated with lower Dentist beliefs. Males and older subjects had lower Socialization agents beliefs. Internal, Dentist and Chance beliefs were significantly associated with self-rated oral health. Conclusions. Compared with the original factor structure, the new factor structure had better goodness of fit for this sample. Self-rated oral health, socio-demographic factors, and oral health behaviors were significantly associated with oral health control beliefs. These beliefs may be useful for planning oral health promotion programs and for formulating advice given by oral health professionals about their patients' oral health behaviors.

The Relationship between Career-Related Knowledge, Self-Esteem, Locus of Control, Gender and Employment Outcomes among Individuals with Learning Disabilities

Data selected from the 1994-1999 Longitudinal Study of the Vocational Rehabilitation Services Program were used to examine the contribution of self-esteem, career-related knowledge, locus of control, and gender to the prediction of employment outcome experienced by individuals with learning disabilities (LD), as well as to hourly wages, weekly hours worked, and job satisfaction. Using logistic regression analyses, no independent variables studied were predictive of employment outcome for all participants (n = 240) or receiving workplace benefits for those who were employed (n = 63). Multiple regression analyses indicated that gender (p &lt; .01) and belief in chance (p &lt; .05) significantly predicted hourly wages for participants who were employed. Career-related knowledge was a significant (p &lt; .05) predictor of job satisfaction.

Psychosocial Determinants of Adequacy of Gestational Weight Gain

Pregnancy is a critical time window for evaluating weight gain on subsequent risk for obesity among women of childbearing age. The purpose of this investigation was to determine whether symptoms of depression, anxiety, stress, self-esteem, and fetal health locus of control (FHLC) beliefs were significant risk factors for adequacy of gestational weight gain (GWG) when maternal sociodemographic characteristics and health behaviors were considered. A total of 1,605 women were prospectively followed from < or =20 weeks' gestation through delivery. Participants completed standard self-report questionnaires. Adequacy of GWG was expressed as the ratio of observed/expected weight gain based on Institute of Medicine recommendations. Multivariate ANOVA models were conducted and generalized linear models were performed to calculate risk ratios. Higher depressive symptoms reported throughout pregnancy were significantly associated with higher adequacy ratios. Stronger beliefs in chance in determining fetal health predicted inadequate relative to adequate GWG and was positively associated with larger GWG ratios overall. Several relationships were attenuated when adjusted for covariates. The relationship between psychosocial status and adequacy of GWG is significantly impacted by maternal sociodemographic factors and health practices engaged in during pregnancy. Women who tend to believe that external factors primarily determine fetal health appear to be more vulnerable to nonadherence to clinical GWG guidelines. These results have important implications for targeting prevention and intervention efforts for improving maternal and fetal outcomes secondary to GWG patterns.

Parental Locus of Control: Associations to Adherence and Outcomes in the Treatment of Pediatric Overweight

This study examined the association of parents' locus of control (LOC) to child adherence and outcomes in a behaviorally based family treatment for pediatric overweight. A condition-specific multidimensional health LOC measure was administered to parents of 63 overweight children enrolled in a 10-week obesity treatment program. Hierarchical multiple regression analyses indicated that parents who reported a strong belief in the influence of powerful others had children who were more successful throughout treatment (p < .01). In contrast, those parents who reported that their child's outcome was due to chance had children with worse treatment outcomes (p < .05). Regarding adherence, parents with strong beliefs in chance and those who felt they were more responsible for the child's weight problem (i.e., higher parent-internal LOC) attended fewer sessions. The findings of this study lend preliminary support to the role of parental LOC in relation to the treatment of pediatric overweight. Research and clinical implications are discussed in light of the findings of this study.

Correlates of different forms of cyberloafing: The role of norms and external locus of control

Cyberloafing is the personal use of email and the Internet while at work. The purpose of this study is to identify the different forms of cyberloafing and their antecedents. We propose that cyberloafing has two primary forms: minor cyberloafing (e.g., sending and receiving personal email at work) and serious cyberloafing (e.g., online gambling, surfing adult oriented web sites). Additionally, we hypothesize that employees’ perceptions of coworker and supervisor norms supporting cyberloafing are related to minor cyberloafing but not serious cyberloafing. We also hypothesize that external locus of control (i.e., a belief that chance and powerful others determines one’s outcomes), as an antecedent of other counterproductive work behaviors, will be related to both minor and serious cyberloafing. Two hundred and twenty two employed graduate business students were surveyed. Two forms of cyberloafing were identified: one composed of minor cyberloafing behaviors and one composed of the more serious cyberloafing behaviors. As predicted, employees’ perceptions of their coworkers’ and supervisor’s norms were positively related to minor cyberloafing, but not related to serious cyberloafing. Also as predicted, belief in chance was positively related to both minor and serious cyberloafing. A belief in powerful others was not related to minor or serious cyberloafing. Implications for policy development to regulate cyberloafing in organizations are discussed.

A descriptive study comparing health attitudes of urban and rural oncology patients

Rural patients have poor outcomes in cancer management. Previous studies have shown different health beliefs and values in rural populations with high levels of stoicism and fatalism, leading to later presentation and diagnosis, with subsequent poorer prognosis and survival. This study explores the relationship between urban or rural background and health attitudes of newly diagnosed oncology patients, attending one oncology unit in north Queensland, during a 5 month period. This study is a forerunner to a planned larger project to explore the research question: do oncology patients from rural backgrounds differ in their health attitudes and hope levels compared with those from urban backgrounds? The aim of this study was to determine the utility of the selected validated instruments, newly diagnosed patients' willingness and ability to complete the composite survey instrument, and to identify likely issues for inclusion and/or greater focus in the larger project. As pilot studies are also used to develop or refine research questions and hypotheses, this article also considers some research questions for the planned large scale study. Self-administered questionnaire survey of 47 patients newly referred to the Medical Oncology Department in The Townsville Cancer Centre. Scales used were: the EORTC QLQ-C30 to assess symptom burden and quality of life; the Duke UNS Functional Social Support Questionnaire to assess social support; the Herth Hope Index to assess hope; and the Multi-Dimensional Health Locus of Control to assess health beliefs. Data were collated and transformed according to the various scales' scoring manuals. Rurality was ascertained using the RRMA classification and patient self-assessment. Uni-variate analyses were conducted as small numbers precluded multi-variate analysis. Non-parametric Mann-Whitney U and Kruskal-Wallis tests were used where data were skewed, or categorical. Monte-Carlo estimations of p-values were generated. In all, 28 of 47 patients classified as rural, 27 were suitable for curative treatment, and 31 were male. Median age was 56 years. Some respondents (17%) identified as 'rural', although they had an urban residence, and vice versa. Health attitude scores were not affected by global health scores or by intent of treatment (palliative/curative). Males scored significantly higher for belief in chance. Rural patients scored significantly higher for internal belief and belief in chance. No statistically significant differences were evident between rural/urban patients by gender, nor social support scores. Hope levels were generally high with no significant difference between urban and rural patients, regardless of treatment intent. The study does reveal differences in health attitudes between urban and rural populations; however, there are several confounding factors which may contribute to this, especially gender. In this study women were under-represented. People with fatalistic beliefs (high belief in chance) tend to have poor initiative in health matters which may cause delay in seeking treatment, or poor compliance with treatment. Analysis is limited by small numbers of patients. This study is a pilot to a larger project to investigate health attitudes and decisions by oncology patients in northern Queensland. The questionnaire was well received by patients, but the need for a dedicated recruitment person was evident. There is a need to determine how patients identify in terms of rurality over and above their actual place of residence.