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Some Determinants of Psychological Well-being: Health Anxiety, Difficulty in Emotion Regulation and Health Locus of Control

Year 2024, Volume: 11 Issue: 3, 597 - 618, 30.09.2024
https://doi.org/10.31682/ayna.1388410

Abstract

Psychological well-being is associated with a fulfilling life that many people strive to achieve, and the psychology literature continues to expand on the determinants of psychological well-being. This study aimed to examine the role of health anxiety, difficulty in emotion regulation, and health locus of control on psychological well-being. The study sample comprised 510 adults aged 18-53 (Mage = 32.48, SDage = 6.9). 475 participants (93.13%) were women, and 35 were men (6.87%). The participants were reached by social media channels on the Internet (Twitter, Instagram). Correlations between the subscales were examined separately for male and female participants. The results differed in terms of gender. Hierarchical regression analysis was conducted to determine some predictors of psychological well-being, and contrary to expectations, the results showed that health locus of control and gender did not make a significant contribution to the regression model. Health anxiety and difficulty in emotion regulation made significant contributions to the regression model, and the last model estimated 30.1% of psychological well-being. Results were discussed in the light of the related literature.

References

  • Abasi, I., Pourshahbaz, A., Mohammadkhani, P., ve Dolatshahi, B. (2017). Mediation role of emotion regulation strategies on the relationship between emotional intensity, safety and reward motivations with social anxiety symptoms, rumination and worry: A structural equation modeling. Iranian Journal of Psychiatry and Behavioral Sciences, 11(3), e9640. https://doi.org/10.5812/ijpbs.9640
  • Aldao, A., Nolen‐Hoeksema, S. ve Schweizer, S. (2010). Emotion‐regulation strategies across psychopathology: A meta‐analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004
  • Amerikan Psikiyatri Birliği (2013). Ruhsal bozuklukların tanısal ve sayımsal elkitabı (5.Basım). (E. Köroğlu, Çev.). Hekimler Yayın Birliği.
  • Asmundson, G., Abramowitz, J. S., Richter, A. ve Whedon, M. (2010). Health anxiety: Current perspectives and future directions. Curr Psychiatry Rep., 12(4), 306-312. https://doi.org/10.1007/s11920-010-0123-9
  • Aydemı̇r, Ö., Kırpınar, İ., Satı, T., Uykur, B. ve Cengı̇sı̇z, C. (2013). Sağlık Anksiyetesi Ölçeği’nin Türkçe için güvenilirlik ve geçerlilik çalışması. Nöropsikiyatri Arşivi, 50(4), 325-331. https://doi.org/10.4274/npa.y6383
  • Barsky, A. J. ve Ahern, D. K. (2004). Cognitive behavior therapy for hypochondriasis: a randomized controlled trial. JAMA, 291(12), 1464–1470. https://doi.org/10.1001/jama.291.12.1464
  • Barsky, A. J., Wyshak, G., Klerman, L. G. ve Latham, K. S. (1990). The prevalence of hypochondriasis in medical outpatients. Social Psychiatry and Psychiatric Epidemiology, 25(2)89–94. https://doi.org/10.1007/BF00794988
  • Bem, S. L. (1981). Gender schema theory: A cognitive account of sex typing. Psychological Review, 88(4), 354−364. http://dx.doi.org/10.1037/0033-295X.88.4.354
  • Birnie, K., Sherry, S., Doucette, S., Sherry, D., Hadjistavropoulos, H. ve Stewart, S. (2013). The interpersonal model of health anxiety: testing predicted paths and model specificity. Personality and Individual Differences, 54(7), 856–861. https://doi.org/10.1016/j.paid.2012.12.028
  • Bleichhardt, G. ve Hiller, W. (2007). Hypocondriasis and health anxiety in German population. British Journal of Health Psychology, 12(4), 511-523. https://doi.org/10.1348/135910706X146034
  • Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., Shea, M. T. ve Keller, M. B. (2005). Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: a 12-year prospective study. Am J Psychiatry, 162(6), 1179-1187. https://doi.org/10.1176/appi.ajp.162.6.117
  • Caprara, G.V., Alessandri, G., Eisenberg, N., Kupfer, A., Steca, P., Caprara, M.G., Yamaguchi, S., Fukuzawa, A. ve Abela, J. (2012). The Positivity Scale. Psychol. Assess., 24(3), 701–712. https://doi.org/10.1037/a0026681
  • Chorpita, B. F. ve Barlow, D. H. (1998). The development of anxiety: the role of control in the early environment. Psychol Bull., 124(1), 3-21. https://doi.org/10.1037/0033-2909.124.1.3
  • Cisler, J. M., Olatunji, B. O., Feldner, M. T. ve Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: An integrative review. J Psychopathol Behav Assess, 32(1), 68–82. https://doi.org/10.1007/s10862-009-9161-1
  • Costanza, R., Kubiszewski, I., Giovannini, E., Lovins, H., McGlade, J. ve Pickett, K. E. (2014). Time to leave GDP behind. Nature, 505(7483), 283–285. https://doi.org/10.1038/505283a
  • Crisson, J. E. ve Keefe, F. J. (1988). The relationship of locus of control to pain coping strategies and psychological distress in chronic pain patients. Pain, 35(2), 147–154. https://doi.org/10.1016/0304-3959(88)90222-9
  • Diener, E., Oishi, S. ve Tay, L. (2018). Advances in subjective well-being research. Nature Human Behaviour, 2(4), 253-260. https://doi.org/10.1038/s41562-018-0307-6
  • Diener, E., Wirtz, D., Biswas-Diener, R., Tov, W., Kim-Prieto, C., Choi, D. ve Oishi, S. (2009). New measures of wellbeing. E. Diener (Ed.) Social indicators research series, 39 (ss. 247-266). Berlin: Springer Science and Business Media B.V. https://doi.org/10.1007/978-90-481-2354-4_12
  • Ellard, K. K., Fairholme, C. P., Boisseau, C. L., Farchione, T. J. ve Barlow, D. H. (2010). Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice, 17(1), 88–101. https://doi.org/10.1016/j.cbpra.2009.06.002
  • Faravelli, C., Salvatori, S., Galassi, F., Aiazzi, L., Drei, C. ve Cabras, P. (1997). Epidemiology of somatoform disorders: a community survey in Florence. Soc Psychiatry Psychiatr Epidemiol 32(1), 24-29. https://doi.org/10.1007/BF00800664
  • Feeney, J. A. (1995). Adult attachment, coping style and health locus of control as predictors of health behaviour. Australian Journal of Psychology, 47(3), 171–177. https://doi.org/10.1080/00049539508257520
  • Fergus, T. A. ve Valentiner, D. P. (2010). Disease phobia and disease conviction are separate dimensions underlying hypochondriasis. J Behav Ther Exp Psychiatry, 41(4), 438–444. https://doi.org/10.1016/j.jbtep.2010.05.002
  • Foa, E. B. ve Kozak, M. J. (1986). Emotional processing of fear: exposure to corrective information. Psychological Bulletin, 99(1), 20-35. https://doi.org/10.1037/0033-2909.99.1.20
  • Frazier, L. D. ve Waid, L. D. (1999). Influences on anxiety in later life: the role of health status, health perceptions, and health locus of control. Aging Ment Health., 3(3), 213-220. https://doi.org/10.1080/13607869956163
  • Gautreau, C. M., Sherry, S. B., Sherry, D. L., Birnie, K. A., Mackinnon, S. P. ve Stewart, S. H. (2014). Does Catastrophizing of Bodily Sensations Maintain Health-Related Anxiety? A 14-Day Daily Diary Study with Longitudinal Follow-Up. Behavioural and Cognitive Psychotherapy, 43(4), 502–512. https://doi.org/10.1017/S1352465814000150
  • Ginsberg, D. (2004). Women and anxiety disorders. CNS Spectrums, 9(9), 1–16. https://doi.org/10.1017/S1092852900001978.
  • Görgen, S. M., Hiller, W. ve Witthöft, M. (2014). Health anxiety, cognitive coping, and emotion regulation: A latent variable approach. International Journal of Behavioral Medicine, 21(2), 364–374. https://doi.org/10.1007/s12529-013-9297-y
  • Gratz, K. L. ve Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gross, J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281– 291. https://doi.org/10.1017/S0048577201393198
  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271
  • Gross, J. J. ve John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348
  • Güzel, A., Turan, S. ve Üner, S. (2019). Turkish validity and reliability of Multidimensional Health Locus of Control Scale Form A. Int J Nurs Pract., 26(5), e12813. https://doi.org/10.1111/ijn.12813
  • Haenen, M. A., de Jong, P. J., Schmidt, A. J. M., Steven, S. ve Visser, L. (2000). Hypochondriacs’ estimation of negative outcomes: Domain-specificity and responsiveness to reassuring and alarming information. Behaviour Research and Therapy, 38(8), 819–833. https://doi.org/10.1016/S0005-7967(99)00128-X
  • Haga, S. M., Kraft, P. ve Corby, E. K. (2009). Emotion regulation: Antecedents and well-being outcomes of cognitive reappraisal and expressive suppression in cross-cultural samples. J Happiness Stud, 10(3), 271–291. https://doi.org/10.1007/s10902-007-9080-3
  • Haw, C. (2014). Psychological perspectives on womens vulnerability to mental illness. D. Kohen (Ed.), Women and Mental Health (ss. 65-105). Routledge.
  • Hoehn-Saric, R. ve McLeod, D. R. (1985). Locus of control in chronic anxiety disorders. Acta Psychiatrica Scandinavica, 72(6), 529–535. https://doi.org/10.1111/j.1600-0447.1985.tb02650.x
  • Kandrack, M., Grant, K. R. ve Segall, A. (1991). Gender differences in health related behaviour: some unanswered questions. Soc Sci Med, 32(5), 579–590. https://doi.org/10.1016/0277-9536(91)90293-L
  • Karademas, E. C. (2009). Effects of exposure to the suffering of unknown persons on health-related cognitions, and the role of mood. Health., 13(5), 491-504. https://doi.org/10.1177/1363459308336793
  • Karstoft, K. I., Armour, C., Elklit, A. ve Solomon, Z. (2015). The role of locus of control and coping style in predicting longitudinal PTSD-trajectories after combat exposure. Journal of Anxiety Disorders, 32, 89-94. https://doi.org/10.1016/j.janxdis.2015.03.007
  • Kolk, A. M., Hanewald, G.J.F.P., Schagen, S. ve Gijsbers van Wijk, C. M. (2003). A symptom perception approach to common physical symptoms. Social Science & Medicine, 57(12), 2343–2354. https://doi.org/10.1016/S0277-9536(02)00451-3
  • Kulpa, M., Kosowicz, M., Stypula-Ciuba, B. J. ve Kazalska, D. (2014). Anxiety and depression, cognitive coping strategies, and health locus of control in patients with digestive system cancer. Prz Gastroenterol, 9(6), 329–335. https://doi.org/10.5114/pg.2014.47895
  • Kulpa, M., Ziętalewicz, U., Kosowicz, M., Stypuła-Ciuba, B. ve Ziółkowska, P. (2016). Anxiety and depression and cognitive coping strategies and health locus of control in patients with ovary and uterus cancer during anticancer therapy. Contemp Oncol (Pozn), 20(2), 171-175. https://doi.org/10.5114/wo.2016.60074
  • Lebel, S., Mutsaers, B., Tomei, C., Leclair, C. S., Jones, G., Petricone-Westwood, D., Rutrowski, N., Ta, V., Trudel, G., Laflamme, S. Z., Lavigne, A. A. ve Dinkel, A. (2020). Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates. PLoS ONE, 15(7), e0234124. https://doi.org/10.1371/journal.pone.0234124
  • Levenson, H. (1973). Reliability and validity of the I, P, and C scales - a multidimensional view of locus of control. American Psychological Association Convention, 9, 1-8. https://files.eric.ed.gov/fulltext/ED087791.pdf
  • MacSwain, K., Sherry, S., Stewart, S., Watt, M., Hadjistavropoulos, H. ve Graham, A. (2009). Gender differences in health anxiety. Personality and Individual Differences, 47(8), 938–943. https://doi.org/10.1016/j.paid.2009.07.020
  • Marcus, D. K., Hughes, K. T. ve Arnau, R. C. (2008). Health anxiety, rumination, and negative affect: a mediational analysis. J Psychosom Res., 64(5), 495–501. https://doi.org/10.1016/j.jpsychores.2008.02.004
  • Mauss, I. B., Cook, C. L., Cheng, J. Y. ve Gross, J. J. (2007). Individual differences in cognitive reappraisal: Experiential and physiological responses to an anger provocation. International Journal of Psychophysiology, 66(2), 116–124. https://doi.org/10.1016/j.ijpsycho.2007.03.017
  • McLean, C. P. ve Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clin Psychol Rev., 29(6), 496-505. https://doi.org/10.1016/j.cpr.2009.05.003
  • Murphy, K. M., McGuire, A. P., Ericson, T. M. ve Mezulis, A. H. (2016). Somatic symptoms mediate the relationship between health anxiety and health-related quality of life over eight weeks. Stress and Health, 33(3), 244-252. https://doi.org/10.1002/smi.2694
  • Murray, I. ve Corny, R. (1989). Locus of control in health: The effects of psychological well-being and contact with the doctor. The International Journal of Social Psychiatry, 35(4), 361-369. https://doi.org/10.1177/002076408903500409
  • Nafradi, L., Nakamoto, K. ve Schulz, P. J. (2017). Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of dev n and medication adherence. PloS one, 12(10), e0186458. https://doi.org/10.1371/journal.pone.0186458
  • Noyes, R., Kathol, R. G., Fisher, M. M., Phillips, B. M., Suelzer, M. T. Ve Holt, C. S. (1993). The validity of DSM-III-R hypochondriasis. Arch Gen Psychiatry, 50(12), 961-970. https://doi.org/10.1001/archpsyc.1993.01820240045006
  • Olatunji, B. O., Etzel, E. N., Tomarken, A. J., Ciesielski, B. G. ve Deacon, B. (2011). The effects of safety behaviors on health anxiety: an experimental investigation. Behav Res Ther, 49(11), 719–728. https://doi.org/10.1016/j.brat.2011.07.008
  • Owens, K. M. B., Asmundson, G. J. G., Hadjistavropoulos, T. ve Owens, T. J. (2004). Attentional bias toward illness threat in individuals with elevated health anxiety. Cognitive Therapy and Research, 28(1), 57–66. https://doi.org/10.1023/B:COTR.0000016930.85884.29
  • Paschali, A. A., Mitsopoulou, E., Tsaggarakis, V. ve Karademas, E. C. (2012). Changes in health perceptions after exposure to human suffering: using discrete emotions to understand underlying processes. Plos ONE, 7(4),1-8. https://doi.org/10.1371/journal.pone.0035854
  • Quinn, D. ve Norris, H. (1986). Multidimensional health locus of control: a new perspective on the psychopathology of anxiety and depression. Psychol Rep., 58(3), 903-914. https://doi.org/10.2466/pr0.1986.58.3.903
  • Rachman, S. (2012). Health anxiety disorders: A cognitive construal. Behav Res Ther, 50(7-8), 502-512. https://doi.org/10.1016/j.brat.2012.05.001
  • Rapee, R. M., Craske, M. G., Brown, R. A. ve Barlow, D. H. (1996). Measurement of perceived control over anxiety-related events. Behavior Therapy, 27(2), 279-293. https://doi.org/10.1016/S0005-7894(96)80018-9
  • Rassin, E., Muris, P., Franken, I. ve van Straten, M. (2008). The feature-positive effect and hypochondriacal concerns. Behaviour Research and Therapy, 46(2), 263–269. https://doi.org/10.1016/j.brat.2007.11.003
  • Richardson, A., Field, T., Newton, R. ve Bendell, D. (2012). Locus of control and prenatal depression. Infant Behav Dev., 35(4), 662-668. https://doi.org/10.1016/j.infbeh.2012.07.006
  • Rideout, A., Tolmie, E. ve Lindsay, G. (2017). Health locus of control in patients undergoing coronary artery surgery–changes and associated outcomes: a seven-year cohort study. European JCN., 16(1), 46-56. https://doi.org/10.1177/1474515116636501
  • Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied, 80(1), 1–28. https://doi.org/10.1037/h0092976
  • Rotter, J. B. (1990). Internal versus external control of reinforcement. A case history of a variable. The American Psychologist, 45(4), 489–493. https://doi.org/10.1037/0003-066X.45.4.489
  • Rugancı, R. N. (2008). The relationship among attachment style, affect regulation, psychological distress and mental construction of the relational world [Yayımlanmamış doktora tezi]. Orta Doğu Teknik Üniversitesi.
  • Rugancı, R. N. ve Gençöz, T. (2010). Psychometric properties of a turkish version of the difficulties in emotion regulation scale. Journal of Clinical Psychology, 66(4), 1-14. https://doi.org/10.1002/jclp.20665
  • Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well- being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  • Salkovskis, P. M., Rimes, K. A., Warwick, H. M. ve Clark, D. M. (2002). The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med, 32(5), 843-853. https://doi.org/10.1017/s0033291702005822
  • Salkovskis, P. M., Warwick, M. C. ve Deale, A. C. (2003). Cognitive-behavioral treatment for severe and persistent health anxiety (Hypochondriasis). Brief Treatment and Crisis Intervention, 3(3), 353-367. https://doi.org/10.1093/brief-treatment/mhg026
  • Shelley, M. ve Pakenham, K. I. (2004). External health locus of control and general self-efficacy: moderators of emotional distress among university students. Aust J Psychol, 56(3), 191–199. https://doi.org/10.1080/00049530412331283336
  • Skidmore, J. R., Dyson, S. J., Kupper, A. E. ve Calabrese, D. (2014). Predicting illness behavior: Health anxiety mediated by locus of control. Am J Health Behav., 38(5), 699-707. https://doi.org/10.5993/AJHB.38.5.7
  • Tabachnick, B. ve Fidell, L. (2007). Using multivariate statistics (5. Basım). Allyn & Bacon/Pearson Education.
  • Tamres, L., Janicki, D. ve Helgeson, V. (2002). Sex differences in coping behavior. Personality and Social Psychology Review, 6(1), 2–30. https://doi.org/10.1207/S15327957PSPR0601_1
  • Telef, B. B. (2013). Psikolojik iyi oluş ölçeği: Türkçeye uyarlama, geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi, 28(28-3), 374-384. https://doi.org/10.13140/RG.2.1.2414.4480
  • Thakral, S., Bhatia, T., Gettig, E. A., Nimgaonkar, V. ve Deshpande, S. N. (2014). A comparative study of health locus of control in patients with schizophrenia and their first degree relatives. Asian Journal of Psychiatry, 7(1), 34-37. https://doi.org/10.1016/j.ajp.2013.10.004
  • Troy, A. S., Shallcross, A. J. ve Mauss, I. B. (2013). A person-by-situation approach to emotion regulation: cognitive reappraisal can either help or hurt, depending on the context. Psychol Sci., 24(12), 2505-2514. https://doi.org/10.1177/0956797613496434
  • Tull, M. T., Rodman, S. A. ve Roemer, L. (2008). An examination of fear of bodily sensations and bodily hypervigilence as predictors of emotion regulation difficulties among individuals with a recent history of uncued panic attacks. Journal of Anxiety Disorders, 22(4), 750–760. https://doi.org/10.1016/j.janxdis.2007.08.001
  • Tull, M. T., ve Roemer, L. (2007). Emotion regulation difficulties associated with the experience of uncued panic attacks: Evidence of experiential avoidance, emotional nonacceptance, and decreased emotional clarity. Behavior Therapy, 38(4), 378–391. https://doi.org/10.1016/j.beth.2006.10.006
  • Twenge, J. M., Zhang, L. ve Im, C. (2004). It’s beyond my control: A cross-temporal meta-analysis of increasing externality in locus of control, 1960-2002. Pers Soc Psychol Rev., 8(3), 308–319. https://doi.org/10.1207/s15327957pspr0803_5
  • Tyrer, P., Cooper, S., Crawford, M., Dupont, S., Green, J., Murphy, D., Salkovskis, P., Smith, G., Wang, D., Bhogal, S., Keeling, M., Loebenberg, G., Seivewright, R., Walker, G., Cooper, F., Evered, R., Kings, S., Kramo K., McNulty, A., … ve Tyrer, H. (2011). Prevalence of health anxiety problems in medical clinics. Journal of Psychosomatic Research, 71(6), 392-394. https://doi.org/10.1016/j.jpsychores.2011.07.004
  • Wallston, K. A. (1992). Hocus-pocus, the focus isn’t strictly on locus: Rotter’s social learning theory modified for health. Cognitive Therapy and Research, 16(2), 183-199. https://doi.org/10.1007/BF01173488
  • Wallston, K. A., Wallston, B. S. ve DeVellis, R. (1978). Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Education Monographs, 6(1), 160-170. https://doi.org/10.1177/109019817800600107
  • Warwick, H. M. ve Salkovskis, P. M. (1990). Hypochondriasis. Behaviour Research and Therapy, 28(2), 105–117. https://doi.org/10.1016/0005-7967(90)90023-C
  • Williams, P. G. ve Wiebe, D. J. (2000) Individual differences in self-assessed health: Gender, neuroticism and physical symptom reports. Personality and Individual Differences, 28(5), 823–835. https://doi.org/10.1016/S0191-8869(99)00140-3
  • Yılmaz, Ö. ve Dirik, G. (2020). Yetişkinlerde sağlık kaygısı ve ilişkili değişkenlerin Bilişsel-Davranışçı model kapsamında incelenmesi. Türk Psikoloji Dergisi, 35(85), 21-36. https://doi.org/10.31828/tpd1300443320181011m000014

Psikolojik İyi Oluşu Belirleyen Bazı Faktörler: Sağlık Kaygısı, Duygu Düzenleme Güçlüğü ve Sağlık Kontrol Odağı

Year 2024, Volume: 11 Issue: 3, 597 - 618, 30.09.2024
https://doi.org/10.31682/ayna.1388410

Abstract

Psikolojik iyi oluş, pek çok insanın erişmeye çalıştığı doyumlu bir yaşamla ilişkilendirilmekte ve psikoloji alanyazını da iyi oluşun belirleyicileri üzerinde genişlemeye devam etmektedir. Bu çalışmanın amacı, psikolojik iyi oluş üzerinde sağlık kaygısı, duygu düzenleme güçlüğü ve sağlık kontrol odağının rolünün incelenmesidir. Çalışmanın örneklemini 18-53 yaş aralığındaki (Ortyaş = 32.48, SSyaş = 6.9) 490 yetişkin oluşturmuştur. Katılımcılara çevrimiçi olarak sosyal medya platformları (Twitter, Instagram vb.) aracılığı ile ulaşılmıştır. Katılımcıların 475’i (%93.13) kadın, 35’i erkek (%6.87)’tir. Ölçeklerin alt boyutları arasındaki korelasyonlar kadın ve erkek katılımcılar için ayrı ayrı incelenmiştir. Kadın ve erkek katılımcılar için sonuçların farklılaştığı görülmüştür. Psikolojik iyi oluşun bazı yordayıcılarını belirlemek üzere hiyerarşik regresyon analizi yürütülmüş ve sonuçlar sağlık kontrol odağının ve cinsiyetin beklenenin aksine regresyon modeline anlamlı bir katkı yapmadığına işaret etmiştir. Sağlık kaygısı ve duygu düzenleme güçlüğü ise regresyon modeline anlamlı katkılar sunmuş ve son adımda oluşturulan model psikolojik iyi oluşun %30.1’ini yordamıştır. Elde edilen bulgular ilgili alanyazın çerçevesinde tartışılmıştır.

References

  • Abasi, I., Pourshahbaz, A., Mohammadkhani, P., ve Dolatshahi, B. (2017). Mediation role of emotion regulation strategies on the relationship between emotional intensity, safety and reward motivations with social anxiety symptoms, rumination and worry: A structural equation modeling. Iranian Journal of Psychiatry and Behavioral Sciences, 11(3), e9640. https://doi.org/10.5812/ijpbs.9640
  • Aldao, A., Nolen‐Hoeksema, S. ve Schweizer, S. (2010). Emotion‐regulation strategies across psychopathology: A meta‐analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004
  • Amerikan Psikiyatri Birliği (2013). Ruhsal bozuklukların tanısal ve sayımsal elkitabı (5.Basım). (E. Köroğlu, Çev.). Hekimler Yayın Birliği.
  • Asmundson, G., Abramowitz, J. S., Richter, A. ve Whedon, M. (2010). Health anxiety: Current perspectives and future directions. Curr Psychiatry Rep., 12(4), 306-312. https://doi.org/10.1007/s11920-010-0123-9
  • Aydemı̇r, Ö., Kırpınar, İ., Satı, T., Uykur, B. ve Cengı̇sı̇z, C. (2013). Sağlık Anksiyetesi Ölçeği’nin Türkçe için güvenilirlik ve geçerlilik çalışması. Nöropsikiyatri Arşivi, 50(4), 325-331. https://doi.org/10.4274/npa.y6383
  • Barsky, A. J. ve Ahern, D. K. (2004). Cognitive behavior therapy for hypochondriasis: a randomized controlled trial. JAMA, 291(12), 1464–1470. https://doi.org/10.1001/jama.291.12.1464
  • Barsky, A. J., Wyshak, G., Klerman, L. G. ve Latham, K. S. (1990). The prevalence of hypochondriasis in medical outpatients. Social Psychiatry and Psychiatric Epidemiology, 25(2)89–94. https://doi.org/10.1007/BF00794988
  • Bem, S. L. (1981). Gender schema theory: A cognitive account of sex typing. Psychological Review, 88(4), 354−364. http://dx.doi.org/10.1037/0033-295X.88.4.354
  • Birnie, K., Sherry, S., Doucette, S., Sherry, D., Hadjistavropoulos, H. ve Stewart, S. (2013). The interpersonal model of health anxiety: testing predicted paths and model specificity. Personality and Individual Differences, 54(7), 856–861. https://doi.org/10.1016/j.paid.2012.12.028
  • Bleichhardt, G. ve Hiller, W. (2007). Hypocondriasis and health anxiety in German population. British Journal of Health Psychology, 12(4), 511-523. https://doi.org/10.1348/135910706X146034
  • Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., Shea, M. T. ve Keller, M. B. (2005). Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: a 12-year prospective study. Am J Psychiatry, 162(6), 1179-1187. https://doi.org/10.1176/appi.ajp.162.6.117
  • Caprara, G.V., Alessandri, G., Eisenberg, N., Kupfer, A., Steca, P., Caprara, M.G., Yamaguchi, S., Fukuzawa, A. ve Abela, J. (2012). The Positivity Scale. Psychol. Assess., 24(3), 701–712. https://doi.org/10.1037/a0026681
  • Chorpita, B. F. ve Barlow, D. H. (1998). The development of anxiety: the role of control in the early environment. Psychol Bull., 124(1), 3-21. https://doi.org/10.1037/0033-2909.124.1.3
  • Cisler, J. M., Olatunji, B. O., Feldner, M. T. ve Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: An integrative review. J Psychopathol Behav Assess, 32(1), 68–82. https://doi.org/10.1007/s10862-009-9161-1
  • Costanza, R., Kubiszewski, I., Giovannini, E., Lovins, H., McGlade, J. ve Pickett, K. E. (2014). Time to leave GDP behind. Nature, 505(7483), 283–285. https://doi.org/10.1038/505283a
  • Crisson, J. E. ve Keefe, F. J. (1988). The relationship of locus of control to pain coping strategies and psychological distress in chronic pain patients. Pain, 35(2), 147–154. https://doi.org/10.1016/0304-3959(88)90222-9
  • Diener, E., Oishi, S. ve Tay, L. (2018). Advances in subjective well-being research. Nature Human Behaviour, 2(4), 253-260. https://doi.org/10.1038/s41562-018-0307-6
  • Diener, E., Wirtz, D., Biswas-Diener, R., Tov, W., Kim-Prieto, C., Choi, D. ve Oishi, S. (2009). New measures of wellbeing. E. Diener (Ed.) Social indicators research series, 39 (ss. 247-266). Berlin: Springer Science and Business Media B.V. https://doi.org/10.1007/978-90-481-2354-4_12
  • Ellard, K. K., Fairholme, C. P., Boisseau, C. L., Farchione, T. J. ve Barlow, D. H. (2010). Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice, 17(1), 88–101. https://doi.org/10.1016/j.cbpra.2009.06.002
  • Faravelli, C., Salvatori, S., Galassi, F., Aiazzi, L., Drei, C. ve Cabras, P. (1997). Epidemiology of somatoform disorders: a community survey in Florence. Soc Psychiatry Psychiatr Epidemiol 32(1), 24-29. https://doi.org/10.1007/BF00800664
  • Feeney, J. A. (1995). Adult attachment, coping style and health locus of control as predictors of health behaviour. Australian Journal of Psychology, 47(3), 171–177. https://doi.org/10.1080/00049539508257520
  • Fergus, T. A. ve Valentiner, D. P. (2010). Disease phobia and disease conviction are separate dimensions underlying hypochondriasis. J Behav Ther Exp Psychiatry, 41(4), 438–444. https://doi.org/10.1016/j.jbtep.2010.05.002
  • Foa, E. B. ve Kozak, M. J. (1986). Emotional processing of fear: exposure to corrective information. Psychological Bulletin, 99(1), 20-35. https://doi.org/10.1037/0033-2909.99.1.20
  • Frazier, L. D. ve Waid, L. D. (1999). Influences on anxiety in later life: the role of health status, health perceptions, and health locus of control. Aging Ment Health., 3(3), 213-220. https://doi.org/10.1080/13607869956163
  • Gautreau, C. M., Sherry, S. B., Sherry, D. L., Birnie, K. A., Mackinnon, S. P. ve Stewart, S. H. (2014). Does Catastrophizing of Bodily Sensations Maintain Health-Related Anxiety? A 14-Day Daily Diary Study with Longitudinal Follow-Up. Behavioural and Cognitive Psychotherapy, 43(4), 502–512. https://doi.org/10.1017/S1352465814000150
  • Ginsberg, D. (2004). Women and anxiety disorders. CNS Spectrums, 9(9), 1–16. https://doi.org/10.1017/S1092852900001978.
  • Görgen, S. M., Hiller, W. ve Witthöft, M. (2014). Health anxiety, cognitive coping, and emotion regulation: A latent variable approach. International Journal of Behavioral Medicine, 21(2), 364–374. https://doi.org/10.1007/s12529-013-9297-y
  • Gratz, K. L. ve Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gross, J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281– 291. https://doi.org/10.1017/S0048577201393198
  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271
  • Gross, J. J. ve John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348
  • Güzel, A., Turan, S. ve Üner, S. (2019). Turkish validity and reliability of Multidimensional Health Locus of Control Scale Form A. Int J Nurs Pract., 26(5), e12813. https://doi.org/10.1111/ijn.12813
  • Haenen, M. A., de Jong, P. J., Schmidt, A. J. M., Steven, S. ve Visser, L. (2000). Hypochondriacs’ estimation of negative outcomes: Domain-specificity and responsiveness to reassuring and alarming information. Behaviour Research and Therapy, 38(8), 819–833. https://doi.org/10.1016/S0005-7967(99)00128-X
  • Haga, S. M., Kraft, P. ve Corby, E. K. (2009). Emotion regulation: Antecedents and well-being outcomes of cognitive reappraisal and expressive suppression in cross-cultural samples. J Happiness Stud, 10(3), 271–291. https://doi.org/10.1007/s10902-007-9080-3
  • Haw, C. (2014). Psychological perspectives on womens vulnerability to mental illness. D. Kohen (Ed.), Women and Mental Health (ss. 65-105). Routledge.
  • Hoehn-Saric, R. ve McLeod, D. R. (1985). Locus of control in chronic anxiety disorders. Acta Psychiatrica Scandinavica, 72(6), 529–535. https://doi.org/10.1111/j.1600-0447.1985.tb02650.x
  • Kandrack, M., Grant, K. R. ve Segall, A. (1991). Gender differences in health related behaviour: some unanswered questions. Soc Sci Med, 32(5), 579–590. https://doi.org/10.1016/0277-9536(91)90293-L
  • Karademas, E. C. (2009). Effects of exposure to the suffering of unknown persons on health-related cognitions, and the role of mood. Health., 13(5), 491-504. https://doi.org/10.1177/1363459308336793
  • Karstoft, K. I., Armour, C., Elklit, A. ve Solomon, Z. (2015). The role of locus of control and coping style in predicting longitudinal PTSD-trajectories after combat exposure. Journal of Anxiety Disorders, 32, 89-94. https://doi.org/10.1016/j.janxdis.2015.03.007
  • Kolk, A. M., Hanewald, G.J.F.P., Schagen, S. ve Gijsbers van Wijk, C. M. (2003). A symptom perception approach to common physical symptoms. Social Science & Medicine, 57(12), 2343–2354. https://doi.org/10.1016/S0277-9536(02)00451-3
  • Kulpa, M., Kosowicz, M., Stypula-Ciuba, B. J. ve Kazalska, D. (2014). Anxiety and depression, cognitive coping strategies, and health locus of control in patients with digestive system cancer. Prz Gastroenterol, 9(6), 329–335. https://doi.org/10.5114/pg.2014.47895
  • Kulpa, M., Ziętalewicz, U., Kosowicz, M., Stypuła-Ciuba, B. ve Ziółkowska, P. (2016). Anxiety and depression and cognitive coping strategies and health locus of control in patients with ovary and uterus cancer during anticancer therapy. Contemp Oncol (Pozn), 20(2), 171-175. https://doi.org/10.5114/wo.2016.60074
  • Lebel, S., Mutsaers, B., Tomei, C., Leclair, C. S., Jones, G., Petricone-Westwood, D., Rutrowski, N., Ta, V., Trudel, G., Laflamme, S. Z., Lavigne, A. A. ve Dinkel, A. (2020). Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates. PLoS ONE, 15(7), e0234124. https://doi.org/10.1371/journal.pone.0234124
  • Levenson, H. (1973). Reliability and validity of the I, P, and C scales - a multidimensional view of locus of control. American Psychological Association Convention, 9, 1-8. https://files.eric.ed.gov/fulltext/ED087791.pdf
  • MacSwain, K., Sherry, S., Stewart, S., Watt, M., Hadjistavropoulos, H. ve Graham, A. (2009). Gender differences in health anxiety. Personality and Individual Differences, 47(8), 938–943. https://doi.org/10.1016/j.paid.2009.07.020
  • Marcus, D. K., Hughes, K. T. ve Arnau, R. C. (2008). Health anxiety, rumination, and negative affect: a mediational analysis. J Psychosom Res., 64(5), 495–501. https://doi.org/10.1016/j.jpsychores.2008.02.004
  • Mauss, I. B., Cook, C. L., Cheng, J. Y. ve Gross, J. J. (2007). Individual differences in cognitive reappraisal: Experiential and physiological responses to an anger provocation. International Journal of Psychophysiology, 66(2), 116–124. https://doi.org/10.1016/j.ijpsycho.2007.03.017
  • McLean, C. P. ve Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clin Psychol Rev., 29(6), 496-505. https://doi.org/10.1016/j.cpr.2009.05.003
  • Murphy, K. M., McGuire, A. P., Ericson, T. M. ve Mezulis, A. H. (2016). Somatic symptoms mediate the relationship between health anxiety and health-related quality of life over eight weeks. Stress and Health, 33(3), 244-252. https://doi.org/10.1002/smi.2694
  • Murray, I. ve Corny, R. (1989). Locus of control in health: The effects of psychological well-being and contact with the doctor. The International Journal of Social Psychiatry, 35(4), 361-369. https://doi.org/10.1177/002076408903500409
  • Nafradi, L., Nakamoto, K. ve Schulz, P. J. (2017). Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of dev n and medication adherence. PloS one, 12(10), e0186458. https://doi.org/10.1371/journal.pone.0186458
  • Noyes, R., Kathol, R. G., Fisher, M. M., Phillips, B. M., Suelzer, M. T. Ve Holt, C. S. (1993). The validity of DSM-III-R hypochondriasis. Arch Gen Psychiatry, 50(12), 961-970. https://doi.org/10.1001/archpsyc.1993.01820240045006
  • Olatunji, B. O., Etzel, E. N., Tomarken, A. J., Ciesielski, B. G. ve Deacon, B. (2011). The effects of safety behaviors on health anxiety: an experimental investigation. Behav Res Ther, 49(11), 719–728. https://doi.org/10.1016/j.brat.2011.07.008
  • Owens, K. M. B., Asmundson, G. J. G., Hadjistavropoulos, T. ve Owens, T. J. (2004). Attentional bias toward illness threat in individuals with elevated health anxiety. Cognitive Therapy and Research, 28(1), 57–66. https://doi.org/10.1023/B:COTR.0000016930.85884.29
  • Paschali, A. A., Mitsopoulou, E., Tsaggarakis, V. ve Karademas, E. C. (2012). Changes in health perceptions after exposure to human suffering: using discrete emotions to understand underlying processes. Plos ONE, 7(4),1-8. https://doi.org/10.1371/journal.pone.0035854
  • Quinn, D. ve Norris, H. (1986). Multidimensional health locus of control: a new perspective on the psychopathology of anxiety and depression. Psychol Rep., 58(3), 903-914. https://doi.org/10.2466/pr0.1986.58.3.903
  • Rachman, S. (2012). Health anxiety disorders: A cognitive construal. Behav Res Ther, 50(7-8), 502-512. https://doi.org/10.1016/j.brat.2012.05.001
  • Rapee, R. M., Craske, M. G., Brown, R. A. ve Barlow, D. H. (1996). Measurement of perceived control over anxiety-related events. Behavior Therapy, 27(2), 279-293. https://doi.org/10.1016/S0005-7894(96)80018-9
  • Rassin, E., Muris, P., Franken, I. ve van Straten, M. (2008). The feature-positive effect and hypochondriacal concerns. Behaviour Research and Therapy, 46(2), 263–269. https://doi.org/10.1016/j.brat.2007.11.003
  • Richardson, A., Field, T., Newton, R. ve Bendell, D. (2012). Locus of control and prenatal depression. Infant Behav Dev., 35(4), 662-668. https://doi.org/10.1016/j.infbeh.2012.07.006
  • Rideout, A., Tolmie, E. ve Lindsay, G. (2017). Health locus of control in patients undergoing coronary artery surgery–changes and associated outcomes: a seven-year cohort study. European JCN., 16(1), 46-56. https://doi.org/10.1177/1474515116636501
  • Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied, 80(1), 1–28. https://doi.org/10.1037/h0092976
  • Rotter, J. B. (1990). Internal versus external control of reinforcement. A case history of a variable. The American Psychologist, 45(4), 489–493. https://doi.org/10.1037/0003-066X.45.4.489
  • Rugancı, R. N. (2008). The relationship among attachment style, affect regulation, psychological distress and mental construction of the relational world [Yayımlanmamış doktora tezi]. Orta Doğu Teknik Üniversitesi.
  • Rugancı, R. N. ve Gençöz, T. (2010). Psychometric properties of a turkish version of the difficulties in emotion regulation scale. Journal of Clinical Psychology, 66(4), 1-14. https://doi.org/10.1002/jclp.20665
  • Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well- being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  • Salkovskis, P. M., Rimes, K. A., Warwick, H. M. ve Clark, D. M. (2002). The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med, 32(5), 843-853. https://doi.org/10.1017/s0033291702005822
  • Salkovskis, P. M., Warwick, M. C. ve Deale, A. C. (2003). Cognitive-behavioral treatment for severe and persistent health anxiety (Hypochondriasis). Brief Treatment and Crisis Intervention, 3(3), 353-367. https://doi.org/10.1093/brief-treatment/mhg026
  • Shelley, M. ve Pakenham, K. I. (2004). External health locus of control and general self-efficacy: moderators of emotional distress among university students. Aust J Psychol, 56(3), 191–199. https://doi.org/10.1080/00049530412331283336
  • Skidmore, J. R., Dyson, S. J., Kupper, A. E. ve Calabrese, D. (2014). Predicting illness behavior: Health anxiety mediated by locus of control. Am J Health Behav., 38(5), 699-707. https://doi.org/10.5993/AJHB.38.5.7
  • Tabachnick, B. ve Fidell, L. (2007). Using multivariate statistics (5. Basım). Allyn & Bacon/Pearson Education.
  • Tamres, L., Janicki, D. ve Helgeson, V. (2002). Sex differences in coping behavior. Personality and Social Psychology Review, 6(1), 2–30. https://doi.org/10.1207/S15327957PSPR0601_1
  • Telef, B. B. (2013). Psikolojik iyi oluş ölçeği: Türkçeye uyarlama, geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi, 28(28-3), 374-384. https://doi.org/10.13140/RG.2.1.2414.4480
  • Thakral, S., Bhatia, T., Gettig, E. A., Nimgaonkar, V. ve Deshpande, S. N. (2014). A comparative study of health locus of control in patients with schizophrenia and their first degree relatives. Asian Journal of Psychiatry, 7(1), 34-37. https://doi.org/10.1016/j.ajp.2013.10.004
  • Troy, A. S., Shallcross, A. J. ve Mauss, I. B. (2013). A person-by-situation approach to emotion regulation: cognitive reappraisal can either help or hurt, depending on the context. Psychol Sci., 24(12), 2505-2514. https://doi.org/10.1177/0956797613496434
  • Tull, M. T., Rodman, S. A. ve Roemer, L. (2008). An examination of fear of bodily sensations and bodily hypervigilence as predictors of emotion regulation difficulties among individuals with a recent history of uncued panic attacks. Journal of Anxiety Disorders, 22(4), 750–760. https://doi.org/10.1016/j.janxdis.2007.08.001
  • Tull, M. T., ve Roemer, L. (2007). Emotion regulation difficulties associated with the experience of uncued panic attacks: Evidence of experiential avoidance, emotional nonacceptance, and decreased emotional clarity. Behavior Therapy, 38(4), 378–391. https://doi.org/10.1016/j.beth.2006.10.006
  • Twenge, J. M., Zhang, L. ve Im, C. (2004). It’s beyond my control: A cross-temporal meta-analysis of increasing externality in locus of control, 1960-2002. Pers Soc Psychol Rev., 8(3), 308–319. https://doi.org/10.1207/s15327957pspr0803_5
  • Tyrer, P., Cooper, S., Crawford, M., Dupont, S., Green, J., Murphy, D., Salkovskis, P., Smith, G., Wang, D., Bhogal, S., Keeling, M., Loebenberg, G., Seivewright, R., Walker, G., Cooper, F., Evered, R., Kings, S., Kramo K., McNulty, A., … ve Tyrer, H. (2011). Prevalence of health anxiety problems in medical clinics. Journal of Psychosomatic Research, 71(6), 392-394. https://doi.org/10.1016/j.jpsychores.2011.07.004
  • Wallston, K. A. (1992). Hocus-pocus, the focus isn’t strictly on locus: Rotter’s social learning theory modified for health. Cognitive Therapy and Research, 16(2), 183-199. https://doi.org/10.1007/BF01173488
  • Wallston, K. A., Wallston, B. S. ve DeVellis, R. (1978). Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Education Monographs, 6(1), 160-170. https://doi.org/10.1177/109019817800600107
  • Warwick, H. M. ve Salkovskis, P. M. (1990). Hypochondriasis. Behaviour Research and Therapy, 28(2), 105–117. https://doi.org/10.1016/0005-7967(90)90023-C
  • Williams, P. G. ve Wiebe, D. J. (2000) Individual differences in self-assessed health: Gender, neuroticism and physical symptom reports. Personality and Individual Differences, 28(5), 823–835. https://doi.org/10.1016/S0191-8869(99)00140-3
  • Yılmaz, Ö. ve Dirik, G. (2020). Yetişkinlerde sağlık kaygısı ve ilişkili değişkenlerin Bilişsel-Davranışçı model kapsamında incelenmesi. Türk Psikoloji Dergisi, 35(85), 21-36. https://doi.org/10.31828/tpd1300443320181011m000014
There are 84 citations in total.

Details

Primary Language Turkish
Subjects Clinical Psychology
Journal Section Research Article
Authors

Burcu Yıldırım Altınok 0000-0002-7452-1488

İhsan Dağ 0000-0003-4334-9512

Publication Date September 30, 2024
Submission Date November 13, 2023
Acceptance Date July 22, 2024
Published in Issue Year 2024 Volume: 11 Issue: 3

Cite

APA Yıldırım Altınok, B., & Dağ, İ. (2024). Psikolojik İyi Oluşu Belirleyen Bazı Faktörler: Sağlık Kaygısı, Duygu Düzenleme Güçlüğü ve Sağlık Kontrol Odağı. AYNA Klinik Psikoloji Dergisi, 11(3), 597-618. https://doi.org/10.31682/ayna.1388410