Self concepts, health locus of control and cognitive functioning associated with health-promoting lifestyles in schizophrenia

Compr Psychiatry. 2016 Oct:70:82-9. doi: 10.1016/j.comppsych.2016.06.014. Epub 2016 Jun 30.

Abstract

Purpose: The study aimed to investigate the relationship among self concepts, health locus of control, cognitive functioning and health-promoting lifestyles in patients diagnosed with schizophrenia. We examined health-promoting lifestyles through self-efficacy, self-esteem, health locus of control and neurocognitive factors.

Method: Fifty-six people with schizophrenia were enrolled in the study group. All subjects participated in the self-esteem (Rosenberg Self-Esteem Scale), self-efficacy (General Self-Efficacy Scale), health locus of control (The Multidimensional Health Locus of Control Scales), health-promoting lifestyles (Health Promotion Life-style Profile-II) and a series of neurocognitive measures.

Findings: Stepwise regression analysis revealed that self-efficacy, internal health locus of control and attentional set-shifting accounted for 42% of the variance in total health-promoting lifestyles scores. Self-efficacy, self-esteem, internal and powerful others health locus of control and attentional set-shifting were significant predictors for domains of health-promoting lifestyles, respectively.

Conclusion: Study findings can help mental health professionals maintain and improve health-promoting behaviors through a better understanding of self-esteem, self-efficacy, health locus of control and neurocognitive functioning among people with schizophrenia.

MeSH terms

  • Adult
  • Cognition*
  • Female
  • Healthy Lifestyle*
  • Humans
  • Internal-External Control*
  • Male
  • Neuropsychological Tests
  • Schizophrenic Psychology*
  • Self Concept*
  • Self Efficacy