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What Do Psychiatric Patients Believe Regarding Where Control Over Their Illness Lies?: Validation of the Multidimensional Health Locus of Control Scale in Psychiatric Outpatient Care

De las Cuevas, Carlos MD, PhD*; Peñate, Wenceslao PhD; Betancort, Moisés PhD; Cabrera, Casimiro MRCPsych§

Journal of Nervous & Mental Disease: February 2015 - Volume 203 - Issue 2 - p 81–86
doi: 10.1097/NMD.0000000000000244
Original Articles

Abstract: Patients’ perceived control constructs are important factors moderating health-related behaviors. We established the psychometric properties of the Spanish version of the Form C Multidimensional Health Locus of Control Scale (C-MHLC) and assessed the usefulness of these measures in the clinical setting. A cross-sectional survey querying about patients’ health locus of control (HLOC) beliefs was offered to 607 psychiatric outpatients, of whom 507 accepted. The C-MHLC scale and the General Perceived Self-Efficacy Scale were completed. The psychiatric patients believe that their psychiatrist plays a crucial role in improving their state of health. The men scored higher than the women in internal dimension; the women scored higher in other people external dimension. Age, treatment time, and number of psychoactive drugs used showed significant differences in HLOC dimensions. Self-efficacy correlated positively with internal dimension and negatively with external dimensions. The results showed the validity of the four-factor structure of the Spanish version of the C-MHLC.

*Department of Internal Medicine, Dermatology and Psychiatry, School of Medicine, †Department of Personality, Assessment and Psychological Treatments, and ‡Department of Clinical Psychology, Psychobiology, and Methodology, University of La Laguna, San Cristóbal de La Laguna, Canary Islands, Spain; and §Department of Psychiatry, Queen’s University, Kingston, Ontario, Canada.

Send reprint requests to Carlos De las Cuevas, MD, PhD, Department of Internal Medicine, Dermatology and Psychiatry, School of Medicine, Campus de Ofra s/n, 38071 San Cristóbal de La Laguna, Canary Islands, Spain. E-mail: cdelascuevas@gmail.com.

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