Abstract
Study design:
The Symptom Checklist 90 Revised (SCL-90-R) was used to assign participants to either a good adjustment group or a poor adjustment group. Group differences were analyzed with χ2, t-tests and correlations on factors shown in previous research to be related to coping with spinal cord injury (SCI).
Objectives:
This study examines health locus of control (HLC) and attributions of cause and blame in relation to SCI. The replication of study findings in multiple settings is a cornerstone of the evidence base for developing interventions. Previous studies do not show a consensus on the role of attributions of cause and blame in persons with SCI. Similarly, their relationship to adjustment after SCI is unclear. Another attribution, HLC, is similarly analyzed in relation to adjustment.
Setting:
Republic of Ireland.
Methods:
Thirty people with SCI participated. They rated scales measuring psychological adjustment, locus of control (LOC) for health and attributions of cause and blame for the injury.
Results:
The well-adjusted group had a less external HLC. In addition, participants who were well adjusted endorsed the notion they could have avoided their accident significantly more than the poorly adjusted group. Similarly, they rated the belief that they could have caused the accident at a somewhat greater level. They did not, however, blame themselves any more or any less.
Conclusion:
Results are consistent with general LOC theory, and suggest an adaptive or protective internal LOC for accepting responsibility for the injury.
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References
Rotter JB . Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied 80 (1 Whole No 609) 1966.
Hancock K, Craig A, Tennant C, Chang E . The influence of spinal cord injury on coping styles and self-perceptions: A controlled study. Aust N Z J Psychiatry 1993; 27: 450–456.
Craig A, Franklin J, Andrews G . A scale to measure locus of control of behaviour. Br J Med Psychol 1984; 57: 173–180.
Craig AR, Hancock KM, Chang E . The influence of spinal cord injury on coping styles and self-perceptions two years after the injury. Aust N Z J Psychiatry 1994; 28: 307–312.
Craig AR, Hancock KM, Dickson HG . Spinal cord injury: a search for determinants of depression two years after the event. Br J Clin Psychol 1994; 33: 221–230.
Levenson HI . Activism and powerful others: distinctions within the concept of internal-external control. J Pers Assess 1974; 38: 377–385.
Chan RCK, Lee PWH, Lieh-Mak F . The pattern of coping in persons with spinal cord injuries. Disabil Rehabil 2000; 22: 501–507.
Folkman S, Lazarus RS . An analysis of coping in a middle aged community sample. J Health Soc Behav 1980; 21: 219–239.
Frank RG, Umlauf RL, Wonderlich SA, Askanazi GS, Buckelew SP, Elliott TR . Differences in coping styles among persons with spinal cord injury: a cluster-analytic approach. J Consult Clin Psychol 1987; 55: 727–731.
Wallston KA, Wallston BS, DeVellis R . Development of the multidimensional health locus of control (MHLC) scales. Health Educ Monogr 1978; 6: 160–170.
Krause JS, Stanwyck CA, Maides J . Locus of control and life adjustment: relationship among people with spinal cord injury. Rehabil Counsel Bull 1998; 41: 162–173.
Thompson NJ, Coker J, Krause JS, Henry E . Purpose in life as a mediator of adjustment after spinal cord injury. Rehabil Psychol 2003; 48: 100–108.
Bulman RJ, Wortman CB . Attributions of blame and coping in the ‘real world’: severe accident victims react to their lot. J Pers Soc Psychol 1977; 35: 351–363.
Nielson WR, MacDonald MR . Attributions of blame and coping following spinal cord injury: is self-blame adaptive? J Soc Clin Psychol 1988; 7: 163–175.
Van Den Bout J, Van Son-Schoones N, Schipper J, Groffen C . Attributional cognitions, coping behaviour, and self-esteem in inpatients with severe spinal cord injuries. J Clin Psychol 1988; 44: 17–22.
Davis CG, Lehman DR, Cohen-Silver R, Wortman CB, Ellard JH . Self blame following a traumatic event: the role of perceived avoidability. Pers Soc Psychol Bull 1996; 22: 557–567.
Derogatis LR . Symptom Checklist 90-R: Administration, Scoring and Procedures Manual, (3rd ed.) National Computer Systems, Inc.: Minneapolis, MN, 1994.
Wallston KA, Stein MJ, Smith CA . Form C of the MHLC scales: a condition-specific measure of locus of control. J Pers Assess 1994; 63: 534–553.
Acknowledgements
We thank Ms Joan Carthy and Mr Colm Hooly of Spinal Injuries Ireland and Ms Anne Winslow of the Irish Wheelchair Association.
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Waldron, B., Benson, C., O'Connell, A. et al. Health locus of control and attributions of cause and blame in adjustment to spinal cord injury. Spinal Cord 48, 598–602 (2010). https://doi.org/10.1038/sc.2009.182
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DOI: https://doi.org/10.1038/sc.2009.182
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