• Title/Summary/Keyword: a health locus of control

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Depression, Self-esteem, Type A Behavior Pattern, and Locus of Control in Middle School Students (중학생의 우울과 자존감, A형 행동특성, 통제위의 관계)

  • Choi, Mi-Kyoung
    • Korean Journal of Health Education and Promotion
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    • v.28 no.4
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    • pp.51-61
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    • 2011
  • Objectives: The main purpose of this study was to examine factors associated with depression of middle school students in relation to self-esteem, type A behavior pattern, and locus of control. Methods: A survey was administered to a convenience sample of 309 middle school students. The data analysis procedure included frequency distribution, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression using depression as the dependent variable. Results: The prevalence of depression was 27.2%. Stepwise multiple regression revealed that the factors such as self-esteem(${\beta}$=0.422, p<0.001), type A behavior pattern(${\beta}$=0.166, p<0.001), and locus of control(${\beta}$=-0.165, p<0.001) turned out to be significant affecting factors. Forty nine percent of variance in depression was explained by these factors(40% of variance by self-esteem). Conclusions: The findings suggest that personal internalizing variables should be considered when developing mental health education program to prevent the occurrence of depression for middle school students.

A Study of the Factors Influencing Health Promoting Behavior and Satisfaction of Life in Female College Students (여대생의 건강증진행위와 삶의 만족에 영향을 미치는 요인에 관한 연구)

  • 백경신;최연희
    • Korean Journal of Health Education and Promotion
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    • v.20 no.2
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    • pp.127-147
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    • 2003
  • The purpose of this study was to investigate the factors influencing health promoting behavior and satisfaction of life in female undergraduate students, to provide the basic data for health promoting intervention in order to improve satisfaction of life. The subjects of this study were 345 female undergraduate students living in Jecheon city who were selected by convenience sampling. The data was collected through self-reported questionnaires from Oct. 2 to Dec. 20, 2001. Research instruments used in this study were the health promoting lifestyle profile developed by Walker et al(1987), satisfaction of life developed by Pavot and Diener(1993), perceived health status by Lawston et al(1982), self-esteem by Rosenberg(1965), self-efficacy by Becker et al(1993), health locus of control by Wallston et al(1978). The data was analyzed by using descriptive statistics, pearson correlation coefficient, stepwise multiple regression with SPSS/Win program. The results of this study were as follows; 1) The mean score of health promoting behavior was 2.31 point out of 4. Among the sub-levels of health promoting behavior, the order of importance was the following self-actualization(2.76), interpersonal support(2.75), stress management(2.31), nutrition(2.06), health responsibility(1.83), exercise(1.76). The mean score of satisfaction of life was 4.11 point out of 7. 2) The health promoting behavior showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, powerful others health locus of control. The satisfaction of life showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, health promoting behavior. 3) In the relationship between general characteristics and health promoting behavior, there was a significant difference in majors(F=8.50, p=.000). In the relationship between general characteristics and satisfaction of life were significant differences in a grades(F=2.67, p=.04) and economic status of parents(F=8.59, p=.000) 4) The most powerful predictor of health promoting behavior was self-efficacy. A combination of self-efficacy, self-esteem and powerful others health locus of control accounted for 34.7% of the variance in health promoting behavior. The most powerful predictor of satisfaction of life was self-esteem. A combination of self-esteem, health promoting behavior, perceived health status, economic status of parents and grade accounted for 34.0% of the variance in satisfaction of life. In conclusion, we need a health promotion program focusing on exercise, health responsibility and nursing strategies enhancing self-efficacy and self-esteem should be developed to promote a healthy lifestyle and satisfaction of life in female college students.

Attitude toward One's Own Aging among Korean Middle-aged Adults and the Elderly (중장년 성인과 노인의 노화에 대한 태도)

  • Jo, Ahra;Oh, Heeyoung
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.41-50
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    • 2017
  • Purpose: The purpose of this study was to identify and compare the factors influencing attitude toward one's own aging among Korean middle-aged adults and the elderly. Methods: A cross sectional study was performed with a total sample of 70 middle-aged adults and 64 elderly reside in two metropolitan areas. Data were collected from August 2015 to November 2015 using the Perceived Health Status Scale, the Health Locus of Control Scale and the Attitude Toward own Aging (ATOA) Scale. The statistics used include percentage, t-test, Pearson's correlation coefficient, and multiple regression. Results: Mean age for each age group were about 52 and 76 years old for middle-aged adults and the elderly respectively. A considerable proportion of all participants reported a negative attitude toward aging. Perceived health status was the common factor influencing attitude toward one's own aging in both age groups. Middle-aged adults identified presence of chronic illness and internal health locus of control as important factors. In contrast, the elderly reported that education and others-dependent health locus of control such as powerful others had a significant impact on ATOA. Each regression model explained 31% and 55% of the total variance of ATOA among middle-aged adults and among the elderly. Conclusion: Both middle-aged adults and the elderly with low perceived health status are at risk of negative ATOA's. The type health locus of control need to be identified and utilized based on individuals' tendency to improve positive ATOA. That is, middle-aged adults might need reinforcement of their self-will whereas the elderly might need enhancement of social support and network of family and healthcare providers.

Psychosocial Factors and Its Related Factors Among the Elderly People in a City (도시지역 노인들의 사회심리적 요인과 그의 관련요인)

  • Song, Young-Soo;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3521-3531
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    • 2012
  • This study was performed to determine the relationships among self-esteem, state anxiety, interpersonal behavior trait and locus of control, and to reveal its related factors. The interviews were performed, during the period from April 1st, to June 30th, 2011, to 396 elderlies in Daejeon city. As a results, the self-esteem was negatively correlated with state anxiety and interpersonal behavior trait, while it was positively correlated with locus of control. While state anxiety was positively correlated with interpersonal behavior trait, it was negatively correlated with locus of control, and interpersonal behavior trait was positively correlated with locus of control. Multiple stepwise analysis revealed that the factors of influence on self-esteem included IADL, spouse, mastication of food and amnesia. The factors of influence on State anxiety included mastication of food, IADL, spouse, subjective health status, disability of body, subjective sleep evaluation and educational level. The factors of influence on Interpersonal dependent behavior trait included spouse, IADL, monthly income and subjective health status. The factors of influence on locus of control included spouse and visual acuity. Above results suggested that the self-esteem, state anxiety, interpersonal behavior trait and locus of control of subjects were significantly related with the sociodemographic characteristics, health related factors and health status.

A Comparative Study on the Relationships of Depression, Fatigue, BMI, and Health Locus of Control between Urban and Rural Female Middle School Students (도시 농촌 간 여중생의 우울, 피로, 체질량지수, 건강통제위 비교)

  • Choi, Hye-Jung
    • Journal of Korean Public Health Nursing
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    • v.22 no.2
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    • pp.224-236
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    • 2008
  • Purpose: The principal objective of this study was to assess the relationships of depression, fatigue, BMI, and health locus of control between urban and rural female middle school students. Methods: The study subjects included 377 girls in randomly-sampled middle schools in urban and rural provinces. The data were collected via self-recorded questionnaires from April 21.- to May 2. 2008, and analyzed using the SPSS Win 12.0 program. Results; 1) The mean score of depression was $10.22{\pm}5.72$ (urban), $10.81{\pm}4.92$ (rural). 2) The mean fatigue score was $50.43{\pm}1.57$ (urban), $51.90{\pm}9.70$ (rural). 3) BMI was classified into 3 groups: leptosomic, normal weight, and obesity groups. The mean BMI score was $18.73{\pm}2.05$ (Seoul), and $20.31{\pm}3.26$ (provincial). 4) The internal locus of control was higher than the external locus of control (urban). 5) Fatigue was correlated with depression (r=.512, p=.000) in both areas. The health locus of control was correlated with Fatigue (r=.153, p=.042) in province. Conclusion: An effective program to reduce the levels of fatigue and depression for middle school girls and to maintain normal weight is required. In particular, the high-risk depression group can be managed through community mental health care center deep interviews, and close observation.

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Relationship between Eating Disorders, Physical Symptoms, Depression and Health Locus of Control among Elementary School Girls in South Korea (초등학교 여학생의 섭식장애, 신체증상, 우울 및 건강통제위에 관한 연구)

  • 성미혜
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.576-585
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    • 2004
  • Purpose: The purpose of this study was to identify the relationship between eating disorders, physical symptoms, depression and health locus of control. Method: The research design was a descriptive study done by using a constructive self-report questionnaire. A total of 464 elementary school girls were measured. The instrument was a constructive questionnaire that consisted 136 items. The subjects were divided into 4 groups according to the Body Mass Index (BMI). Data analysis was done by SPSS/WIN Programs using frequency, percentage, mean, SD, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Result: The score of eating disorders differed significantly by BMI : the score was highest in the group of obese students(F=4.208, P=.015). Stepwise multiple regression analysis revealed that the most powerful predictor of eating disorders was BMI. Conclusion: These results indicate that Korean elementary school girls need more education and counseling on diet. Also, we should take systematic efforts to reestablish the social standard of beauty to promote normal growth development.

A Study on the Performance of Health Promoting Behavior in College Students (대학생의 건강증진 행위에 관한 연구)

  • Jun Jum-Yi
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.26-38
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    • 1997
  • This study has been done for the purpose of identifying performance of health promoting behavior and the variables affecting health promoting behavior in college students. 350 college students at D university in P city were chosen by cluster sampling. The data were collected by questionnaire from December 4 to December 20, 1996. The instruments used for this study included health promoting lifestyle, self-esteem, health locus of control and perceived health status. The data were analyzed by use of mean, ANOVA, Pearson correlation coefficient and stepwise multiple regression. The results are summarized as follows; 1. The average item score for the health promoting behavior was low at 2.49. In the sub-categories, the highest degree of performance was , 2.99, and the lowest degree was , 1.43. 2. There was no statistically significant difference between the mean for health promoting behavior of the female, 2.49 and that of the male, 2.48(t=-0.3664, p=.7143). But there was statistically significant difference among the mean for health promoting behavior classified by grade(F=3.67, p=.0126). 3. Performance of health promoting behavior was positively correlated with and , and negatively correlated with and . 4. The most important factor affecting performance of health promoting behavior was .

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Factors influencing health behavior of residents in Lao People's Democratic Republic: Focusing on mediating effect of health locus of control (라오스 주민의 건강행위에 영향을 미치는 요인: 건강통제위 매개효과를 중심으로)

  • Lee, Mee Sun;Lee, Gun Jeong
    • Journal of Korean Public Health Nursing
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    • v.35 no.2
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    • pp.268-282
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    • 2021
  • Purpose: This study sought to investigate health behavior (HB) and its affecting factors based on Anderson's behavioral model in Lao People's Democratic Republic (PDR). Also, it attempted to identify the mediation of the health locus of control (HLC) between HB and the affecting factors. Methods: Secondary data from 694 people without noncommunicable diseases (NCDs) from a survey conducted by the Ewha Womans and the Laos University were used. The measurements included predisposing, enabling, and needs factors, HLC, HB (current non-smoking, low-risk drinking, physical activity, fruit and vegetable consumption, medical checkup). The mediating effect was analyzed using Baron and Kenny's method and the Sobel test. Results: Predisposing (gender, educational level, ethnic), enabling (social support, item ownership in household) and the needs factors (body mass index) were affecting HB. Internal HLC had a positive influence on HB. The stronger the others and chance HLC, the lower the HB. Chance HLC mediated the relationship between the educational level and HB. Conclusion: There is a need to recognize the importance of chance HLC as a mediator between the educational level and HB. Through this result, high-quality nursing education for the prevention of NCDs should be developed considering the impact of chance HLC.

Factors Influencing Family Quality of Life among Mothers of Children with ADHD (주의력결핍/과잉행동장애 아동 가족의 삶의 질 영향 요인)

  • Oh, Won-Oak
    • Child Health Nursing Research
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    • v.14 no.4
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    • pp.396-404
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    • 2008
  • Purpose: This study was conducted to identify the level of quality of family life, parental locus of control, and parental sense of competence, and to elucidate factors that influence family quality of life in the mothers of children with Attention Deficit/Hyperactive Disorder (ADHD). Method: A convenient sample of mothers from 6 child psychiatric clinics was used in this cross-sectional survey design. Questionnaires used for data collection included the following scales: Family Quality of Life, Parental Locus of Control-Short Form Revised, Parental Sense of Competence. Results: The level of family quality of life was mid-range. A positive relationship was found between Family Quality of Life and the research variables. The significant predictors of family quality of life were parental locus of control, parental sense of competence, and duration of medication and these variables accounted for 21.8% of the variance in family quality of life. Conclusions: These results indicate that family quality of life is an important factor which health care provider should assess and evaluate for children with ADHD and their families. The results of this study suggest that family quality of life is an important link with parental sense of competence and parental locus of control.

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A Model for Health Promoting Behaviors in Late-middle Aged Woman (중년후기 여성의 건강증진행위 모형구축)

  • Park, Chai-Soon
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.298-331
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    • 1996
  • Recent improvements in living standard and development in medical care led to an increased interest in life expectancy and personal health, and also led to a more demand for higher quality of life. Thus, the problem of women's health draw a fresh interest nowadays. Since late-middle aged women experience various physical and socio-psychological changes and tend to have chronic illnesses, these women have to take initiatives for their health control by realizing their own responsibility. The basic elements for a healthy life of these women are understanding of their physical and psychological changes and acceptance of these changes. Health promoting behaviors of an individual or a group are actions toward increasing the level of well-being and self-actualization, and are affected by various variables. In Pender's health promoting model, variables are categorized into cognitive factors(individual perceptions), modifying factors, and variables affecting the likelihood for actions, and the model assumes the health promoting behaviors are affected by cognitive factors which are again affected by demographic factors. Since Pender's model was proposed based on a tool broad conceptual frame, many studies done afterwards have included only a limited number of variables of Pender's model. Furthermore, Pender's model did not precisely explain the possibilities of direct and indirect paths effects. The objectives of this study are to evaluate Pender's model and thus propose a model that explains health promoting behaviors among late-middle aged women in order to facilitate nursing intervention for this group of population. The hypothetical model was developed based on the Pender's health promoting model and the findings from past studies on women's health. Data were collected by self-reported questionnaires from 417 women living in Seoul, between July and November 1994. Questionnaires were developed based on instruments of Walker and others' health promotion lifestyle profile, Wallston and others' multidimensional health locus of control, Maoz's menopausal symptom check list and Speake and others' health self-rating scale. IN addition, items measuring self-efficacy were made by the present author based on past studies. In a pretest, the questionnaire items were reliable with Cronbach's alpha ranging from .786 to .934. The models for health promoting behaviors were tested by using structural equation modelling technique with LISREL 7.20. The results were summarized as follows : 1. The overall fit of the hypothetical model to the data was good (chi-square=4.42, df=5, p=.490, GFI=.995, AGFI=.962, RMSR=.024). 2. Paths of the model were modified by considering both its theoretical implication and statistical significance of the parameter estimates. Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data (chi-square =4.55, df=6, p=.602, GFI=.995, AGFI=.967, RMSR=.024). 3. The results of statistical testing were as follows : 1) Family function internal health locus of control, self-efficacy, and education level exerted significant effects on health promoting behaviors(${\gamma}_{43}$=.272, T=3.714; ${\beta}_[41}$=.211, T=2.797; ${\beta}_{42}$=.199, T=2.717; ${\gamma}_{41}$=.136, T=1.986). The effect of economic status, physical menopausal symptoms, and perceived health status on health promoting behavior were insignificant(${\gamma}_{42}$=.095, T=1.456; ${\gamma}_{44}$=.101, T=1.143; ${\gamma}_{43}$=.082, T=.967). 2) Family function had a significance direct effect on internal health locus of control (${\gamma}_{13}$=.307, T=3.784). The direct effect of education level on internal health locus of control was insignificant(${\gamma}_{11}$=-.006, T=-.081). 3) The directs effects of family functions & internal health locus of control on self-efficacy were significant(${\gamma}_{23}$=.208, T=2.607; ${\beta}_{21}$=.191, T=2.2693). But education level and economic status did not exert a significant effect on self-efficacy(${\gamma}_{21}$=.137, T=1.814; ${\beta}_{22}$=.137, T=1.814; ${\gamma}_{22}$=.112, T=1.499). 4) Education level had a direct and positive effect on perceived health status, but physical menopausal symptoms had a negative effect on perceived health status and these effects were all significant(${\gamma}_{31}$=.171, T=2.496; ${\gamma}_{34}$=.524, T=-7.120). Internal health locus and self-efficacy had an insignificant direct effect on perceived health status(${\beta}_{31}$=.028, T=.363; ${\beta}_{32}$=.041, T=.557). 5) All predictive variables of health promoting behaviors explained 51.8% of the total variance in the model. The above findings show that health promoting behaviors are explained by personal, environmental and perceptual factors : family function, internal health locus of control, self-efficacy, and education level had stronger effects on health promoting behaviors than predictors in the model. A significant effect of family function on health promoting behaviors reflects an important role of the Korean late-middle aged women in family relationships. Therefore, health professionals first need to have a proper evaluation of family function in order to reflect the family function style into nursing interventions and development of strategies. These interventions and strategies will enhance internal health locus of control and self-efficacy for promoting health behaviors. Possible strategies include management of health promoting programs, use of a health information booklets, and individual health counseling, which will enhance internal health locus of control and self-efficacy of the late-middle aged women by making them aware of health responsibilities and value for oneself. In this study, an insignificant effect of physical menopausal symptoms and perceived health status on health promoting behaviors implies that they are not motive factors for health promoting behaviors. Further analytic researches are required to clarify the influence of physical menopausal symptoms and perceived health status on health promoting behaviors with-middle aged women.

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