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

Yıl 2024, Cilt: 11 Sayı: 3, 597 - 618, 30.09.2024
https://doi.org/10.31682/ayna.1388410

Öz

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.

Kaynakça

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

Yıl 2024, Cilt: 11 Sayı: 3, 597 - 618, 30.09.2024
https://doi.org/10.31682/ayna.1388410

Öz

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.

Kaynakça

  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
Toplam 84 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Psikoloji
Bölüm Araştırma Makalesi
Yazarlar

Burcu Yıldırım Altınok 0000-0002-7452-1488

İhsan Dağ 0000-0003-4334-9512

Yayımlanma Tarihi 30 Eylül 2024
Gönderilme Tarihi 13 Kasım 2023
Kabul Tarihi 22 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 11 Sayı: 3

Kaynak Göster

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