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Original Articles

Structure and Correlates of Diabetes-Specific Locus of Control

  1. Mark Peyrot, PHD and
  2. Richard R Rubin, PHD
  1. Department of Medicine, The Johns Hopkins University School of Medicine Baltimore, Maryland
  2. Department of Pediatrics, The Johns Hopkins University School of Medicine Baltimore, Maryland
  3. Loyola College Center for Social and Community Research Baltimore, Maryland
  1. Address correspondence and reprint requests to Mark Peyrot, PhD, Loyola College, 4501 North Charles Street, Baltimore, MD 21210-2699.
Diabetes Care 1994 Sep; 17(9): 994-1001. https://doi.org/10.2337/diacare.17.9.994
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Abstract

OBJECTIVE To examine the structure and correlates of diabetes-specific locus of control.

RESEARCH DESIGN AND METHODS Study participants were 165 adult patients from a comprehensive outpatient diabetes education program who completed a research protocol at the outset of the program. The protocol included measures of diabetes locus of control (DLC), glycemie control, self-care behavior, and emotional well-being.

RESULTS Scales measuring internal and powerful other DLC each had two components. One component of internal DLC, autonomy, was significantly associated with positive outcomes, and the other component, self-blame, was related to negative outcomes. The two components of powerful other DLC were differently correlated with various aspects of strict regimen adherence, and chance DLC was associated with a variety of measures reflecting a pattern of dysfunction.

CONCLUSIONS The concept of DLC appears to have explanatory power in accounting for health outcomes, especially when internal DLC measures of autonomy and self-blame are differentiated. It is important to find educational interventions that work effectively with patients who believe that health outcomes are controlled by chance, because they seem to be at special risk for health-related problems.

  • Received April 7, 1993.
  • Revision received April 28, 1994.
  • Accepted April 28, 1994.
  • Copyright © 1994 by the American Diabetes Association

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September 1994, 17(9)
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Structure and Correlates of Diabetes-Specific Locus of Control
Mark Peyrot, Richard R Rubin
Diabetes Care Sep 1994, 17 (9) 994-1001; DOI: 10.2337/diacare.17.9.994

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Structure and Correlates of Diabetes-Specific Locus of Control
Mark Peyrot, Richard R Rubin
Diabetes Care Sep 1994, 17 (9) 994-1001; DOI: 10.2337/diacare.17.9.994
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