Sentimento de impotência é um conceito aceito como um foco clínico da prática de enfermagem. Os objetivos deste estudo foram: desenvolver e testar uma medida de sentimento de impotência para pacientes adultos; verificar se o sentimento de impotência é um construto distinto do de locus de controle e analisar a associação entre sentimento de impotência e locus de controle. Os itens foram desenvolvidos a partir das dimensões do modelo de impotência de White, Roberts (1993) e das características definidoras de impotência, segundo a North American Nursing Diagnosis Association. A validade de conteúdo foi afirmada para 23 itens pelo julgamento de seis juízes, segundo critérios estabelecidos por Pasquali (1998). Teste de inteligibilidade foi realizado com 25 pacientes e 21 itens foram retidos. O instrumento foi testado com 210 pacientes adultos de unidades médico-cirúrgicas para seleção de itens, confiabilidade e validade. Pela análise de itens, nove deles foram descartados. Os 12 itens remanescentes foram testados quanto à confiabilidade e à validade. Três subescalas geradas pela análise fatorial (Capacidade de Realizar Comportamentos, Capacidade de Tomar Decisões e Resposta Emocional ao Controle das Situações) não confirmaram o modelo de White, Roberts e demonstraram consistência interna entre 0,58 e 0,85. O alfa total foi 0,80. Estimativas iniciais de validade de critério e de construto foram obtidas com associações entre o instrumento desenvolvido e uma afirmação geral sobre a percepção de controle (p<0,000) e correlação daquele com escores de internalidade gerados a partir dos escores na Escala de Locus de Controle na Saúde (p=-0,33). Os itens da escala de Locus de Controle na Saúde foram bem discriminados dos itens de sentimento de impotência pela análise fatorial, sugerindo conceitos distintos. Com refinamento o instrumento de Medida do Sentimento de Impotência para pacientes adultos servirá de base para avaliar essa resposta psicossocial, definir e apreciar intervenções clínicas propostas para melhorar o conforto emocional de pacientes adultos. / Powerlessness is a concept accepted as clinical focus of nursing practice. The aims of this study were: to develop and test a measure of powerlessness in adult patients; to verify whether powerlessness is a construct distinct from locus of control and to analyse the association between powerlessness and locus of control. Items were developed from the powerless dimensions of the White, Roberts (1993) model and from the defining characteristics of powerlessness according to the North American Nursing Diagnosis Association (2002, 2003). Content validity was supported for 23 itens through the rating of six experts following criteria established by Pasquali (1998). Intelligibility test was performed in 25 patients and 21 items were retained. The instrument was tested with 210 adult patients of medical-surgical wards for item selection, reliability and validity. Through item analysis nine items were discarded. The remaining 12 items were tested for reliability and validity. Three subscales generated by factor analysis (Ability to Perform Behaviors, Ability to Make Decisions and Emotional Responses to Personal Control) did not confirm the White, Roberts model, and demonstrated internal consistency ranging from .58 to .85. Total scale alpha was .80. Initial estimates of criterion-related and construct validity were documented with associations between the developed measure and a general statement on personal control perception (p<.000), and correlation with internality scores generated from scores on Health Locus of Control Scale (p=-.33).Items of Health Locus of Control were well discriminated from the powerlessness items through factor analysis, suggesting they are distinct concepts. With refinement the Measure of Powerlessness for Adult Patients will provide a basis for assessing this psychosocial response, definition and evaluating clinical interventions designed to enhance the emotional comfort of adult patients.

A adolescência é um período de vulnerabilidade para comportamentos de risco. Devido às mudanças físicas e psicológicas da puberdade, a necessidade de experimentar o novo e início do comportamento sexual, o adolescente está mais vulnerável a aquisição de comportamentos como fumar, beber e ter comportamento sexual desprotegido. Para promover a saúde e aumentar a competência psicossocial dos adolescentes, a Organização Mundial de Saúde preconiza o Ensino de Habilidades de Vida. Este programa consiste no ensino de dez habilidades (emocionais, cognitivas e sociais) que aumentam a capacidade dos jovens adotarem comportamentos positivos e adaptativos no cotidiano. São elas: autoconhecimento, lidar com emoções e estresse, comunicação eficaz, relacionamento interpessoal, empatia, pensamento crítico, pensamento criativo, tomada de decisão e resolução de problemas. A literatura aponta que o conjunto dessas habilidades promove a saúde dos adolescentes e previne comportamentos de risco. Este estudo tem o objetivo é avaliar os efeitos do programa Ensino de Habilidades de Vida entre adolescentes vinculados a instituições profissionalizantes, sobre os comportamentos de risco e o locus de controle. Participaram 45 adolescentes de duas instituições no município de Ribeirão Preto, com 24 e 21 participantes em cada uma delas. A faixa etária situava-se entre 14 e 17 anos e 11 meses, a população era predominantemente do sexo masculino e a maioria estudante. Formaram-se oito grupos, quatro por instituição, durante os anos de 2003 e 2004, com média de seis participantes cada. Foram realizados 16 encontros, com freqüência semanal e duração de uma hora e meia em uma, e uma hora na outra instituição. Para avaliar a intervenção, no 4º e 15º encontros foram aplicados dois questionários, um sobre comportamentos de risco para a saúde e a escala de Locus de Controle de Levenson. No 16º encontro, foi realizada uma entrevista em grupo. Do 5º ao 14º encontros foram desenvolvidas as habilidades de vida, uma por encontro. A metodologia utilizada foi interativa e participativa, através de jogos, dramatizações e discussões. As variáveis dependentes eram: comportamentos de risco para o tabaco, álcool, drogas ilícitas, sexo desprotegido, locus de controle e o relato dos participantes sobre os efeitos do programa no cotidiano. Os resultados quantitativos, em ambas as instituições, não demonstraram diferenças estatisticamente significativas entre pré e pós intervenção nos dois instrumentos. A prevalência de uso na vida para o beber e fumar apresentaram-se acima da média nacional. Diminuíram os episódios de beber excessivo e aumentaram as respostas sobre o beber moderado, de 1 a 2 doses por ocasião. Os resultados qualitativos demonstraram que as habilidades de vida relacionadas ao autocontrole ajudam diante de situações de estresse na família, com amigos, na escola e com parceiros. Com relação aos comportamentos de risco, as habilidades mais frequentemente associadas foram tomada de decisão e pensamento crítico. Conclui-se que a aprendizagem cognitiva sobre como utilizar as habilidades de vida pode facilitar respostas mais ajustadas em situações futuras. Nos relatos observa-se mudanças de comportamento como pausar antes de agir, refletir antes de decidir, ouvir com atenção e adotar comportamentos saudáveis para lidar com o estresse. / Adolescence is a period of vulnerabilities for risk behaviors. Because of the physical and psychological changes in puberty, the need to seek novelties and the beginning of sexual behavior, the adolescent is left more vulnerable to begin behaviors like smoking, drinking and having unprotected sex. To promote health and increase the adolescent psychosocial competence, the World Health Organization recommends a program of Life Skills Training. This program consists of ten skills (emotional, cognitive and social) that increase the ability of the youth to adopt positive and adaptive behaviors when confronted with quotidian situations. They are: self-knowledge, dealing with emotions and with stress, effective communication, interpersonal relationships, empathy, critical thought, creative thought, taking decisions and problem resolutions. The literature shows that this group of skills promotes health among adolescents and prevents risk behaviors. The aim of this study is to evaluate the effects of a program of Life Skills Training on risk behavior and Locus of Control among adolescents who attend a professionalizing institution. Forty five adolescents from two institutions in the city of Ribeirão Preto participated in this study, the institutions having 24 and 21 participants respectively. Their ages were between 14 and 17 and 11 months, the population was mostly masculine and the majority was students. They were divided into 8 groups, 4 from each institution, during the years 2003 and 2004, with the mean of 6 participants per group. Sixteen meetings were held, one per week, with durations of one and half hours at one institution and one hour at the other. To evaluate the intervention, at the 4th and 15th meeting two questionnaires were used, one about risk behavior for health and the other a scale of Locus of Control from Levenson. At the 16th meeting a group interview was conducted. Between the 5th and the 14th meeting the Life Skills were developed at the rate of one per meeting. The methodology used was interactive and participative, using games, role-plays and discussions. The dependent variables were: risk behavior for tobacco use, alcohol use, illicit drugs, unprotected sex, Locus of Control and the report of the participants about the effects of the program in their quotidian. The quantitative outcomes, in both institutions, didnt show statistical significant difference between pre and post intervention for any of the instruments. The prevalence of life use for drinking and smoking were above the national mean. Episodes of excessive drinking decreased while responses to moderate drinking increased, about 1 to 2 per occasion. The qualitative results showed that the Life Skills related to self control helped when confronted with stress situations within the family, between friends, in the school and between partners. With relation to risk behaviors, the skills more associated were decision making and critical thought. It was concluded that cognitive learning about how to use the life skills can facilitate responses more adjusted in future situations. In the reports it is possible to observe changes in behaviors such as pausing before acting, reflecting before deciding, an increase in attention span and the adopting of healthy behavior in dealing with stress.

O objetivo geral desta tese foi investigar as associações entre as variáveis autoeficácia, locus de controle, distorções cognitivas, catastrofização da dor, depressão, ansiedade, nível de incapacidade gerado pela cefaleia e qualidade de vida em pacientes com migrânea. Para isso, 147 indivíduos foram selecionados dentre os pacientes cadastrados nos ambulatórios de cefaleia de três hospitais de referência da região Sul do Brasil. A tese foi composta por quatro estudos. Os dois primeiros tiveram por objetivo adaptar e validar para o contexto brasileiro a Headache Management Self-Efficacy Scale e a Headache-Specific Locus of Control Scale, respectivamente. O terceiro estudo teve por objetivo construir e validar um instrumento de avaliação de distorções cognitivas, aplicado ao contexto do tratamento da migrânea. Por fim, o quarto estudo buscou investigar as associações entre a frequência e a severidade da cefaleia, as principais comorbidades psiquiátricas e as medidas validadas nos três estudos anteriores. Os resultados indicaram que a versão brasileira reduzida da Headache Management Self-Efficacy Scale (HMSE-10), a versão brasileira da Headache-Specific Locus of Control Scale e o Inventário de Distorções Cognitivas relacionadas à Cefaleia (INDICCE) representam medidas válidas e confiáveis de crenças de autoeficácia, locus de controle e distorções cognitivas na migrânea, respectivamente. Ademais, as respostas cognitivas e emocionais dos pacientes estiveram associadas aos níveis de incapacidade e cronicidade da cefaleia. Espera-se que os resultados obtidos nos quatro estudos da tese contribuam para o desenvolvimento de futuros protocolos de intervenções psicológicas para a migrânea. / The aim of this thesis was to investigate the relationships between self-efficacy, locus of control, cognitive distortions, pain catastrophizing, depression, anxiety, headache-related disability and quality of life in patients with migraine. 147 individuals were selected among patients enrolled in the headache outpatient clinics of three reference hospitals in the southern region of Brazil. The thesis is composed of four studies. The first two studies had the objective of adapting and validating the Headache Management Self-Efficacy Scale and the Headache-Specific Locus of Control Scale, respectively. The third study aimed to construct and validate an instrument to evaluate cognitive distortions applied to the context of migraine treatment. Finally, the fourth study sought to investigate the associations between frequency and severity of headache, main psychiatric comorbidities and the measures validated in the three previous studies. The results indicate that the Brazilian short version of the Headache Management Self-Efficacy Scale (HMSE-10), the Brazilian version of the Headache-Specific Locus of Control Scale and the Inventory of Cognitive Distortions related to Headache (INDICCE) are valid and reliable measures of self-efficacy beliefs, locus of control and cognitive distortions in migraine, respectively. In addition, cognitive and emotional responses of patients were associated with headache-related disability and chronicity. We hope that the results obtained in the four studies in this thesis will contribute to the development of future protocols for psychological interventions for migraine.

Made available in DSpace on 2016-07-27T14:21:51Z (GMT). No. of bitstreams: 1 Juliana Xavier Santos.pdf: 287361 bytes, checksum: f7e6c3769b94862500ac538d2ef1b67f (MD5) Previous issue date: 2009-11-05 / The aim of this study was to assess the well-being of health workers linked to the Centro de Reabilitação e Readaptação Dr. Henrique Santillo (Crer), relating it with the accession to a belief in a just world and the locus of control. Belief in a just world is related to the fact that people believe that what is received is by merit, and when they are punished, it is also by merit. Locus of control is the way the individual perceives the relationship between their efforts and the outcome of these efforts, and who has this notion of relationship is internally oriented, and those who do not, is externally oriented. From the studies reviewed, it is assumed that participants who show high belief in a just world would, therefore, have high levels of well-being and the inverse also happens, low belief in a just world, low level of well-being. As to the relationship between locus of control and well-being, participants with internal locus of control would present high level of well-being and those with external locus of control would have low level of well-being. Took part in the study 146 professionals, ranging from high school to university level. The questionnaire consisted of socio-demographic data, scales of physical well-being and psychological locus of control and belief in a just world. The results showed that participants have a high level of well-being, high belief in a just world, high external locus of control, low belief in a just world and low internal locus of control. The results of multiple regressions showed a positive relationship between external locus of control and well-being, and a negative relationship between internal locus of control and well-being. There were no significant results in the relationship between belief in a just world and well-being. These results are discussed emphasizing the differences within the literatures about it are due, more to, how the instruments were built than the theoretical inconsistency. / O objetivo principal deste estudo foi analisar o bem-estar dos trabalhadores da saúde vinculados ao Centro de Reabilitação e Readaptação Dr. Henrique Santillo (Crer), relacionando-o com a adesão à crença no mundo justo e com o lócus de controle. Crença no mundo justo refere-se ao fato das pessoas acreditarem que o que se recebe ocorre por mérito, assim como, quando são castigadas, também o são por merecimento. Já lócus de controle é a maneira pela qual o indivíduo percebe a relação entre seus esforços e o resultado desses esforços, sendo que aquele que tem a clareza dessa relação é internamente orientado, e aquele que não a tem, é externamente orientado. A partir dos estudos revisados, pressupôs-se que os participantes que apresentassem alta crença no mundo justo teriam, consequentemente, alto nível de bem-estar e o inverso também aconteceria, baixa crença no mundo justo, baixo nível de bem-estar. Quanto a relação entre lócus de controle e bem-estar, os participantes com lócus de controle interno apresentariam alto nível de bem-estar e aqueles com lócus de controle externo, baixo nível de bem-estar. Participaram do estudo 146 profissionais, com formação variando entre nível médio e superior. O questionário era composto de dados sócio-demográficos, escalas de bem-estar físico e psicológico, lócus de controle e crença no mundo justo. Os resultados mostram que os participantes apresentam alto nível de bem-estar, alta crença no mundo justo, alto lócus de controle externo, baixa crença no mundo justo e baixo lócus de controle interno. Os resultados da regressão múltipla mostram uma relação positiva entre lócus de controle externo e bem-estar, e uma relação negativa entre lócus de controle interno e bem-estar. Não houve resultados significativos na relação entre crença no mundo justo e bem-estar. Estes resultados são discutidos ressaltando que as diferenças com a literatura devem-se muito mais à maneira como os instrumentos foram construídos do que a inconsistências teóricas.

SummaryThis study intends to give the reader explanations of attitudes regarding the importance of global warming issues and modification of behaviors in order to mitigate problems. Measurements of optimism, locus of control and self-esteem have been used as mediat-ing factors. Data is collected from Indonesia and Sweden through questionnaires.BackgroundGlobal warming problems are today one of the most important missions politicians together with scientists have to resolve, and this includes an economic division of re-sponsibility worldwide. Psychology has a huge role in order to understand and change individuals&apos; attitudes toward global warming issues.ObjectiveOur purpose with the study is to explore cultural differences in attitudes regarding global warming, specifically regarding the importance of global warming issues and regarding modification of behaviors in order to mitigate problems.MethodWith the use of questionnaires a quantitative study was conducted in the two cultures Indonesia and Sweden. Measurements of individualism/collectivism, Locus of control, Optimism and Self-esteem were used as mediating variables between culture and attitudes regarding global warming.ResultIndonesian respondents found global warming issues to be more important, than Swedish respondents. Swedish respondents were more willing to modify their behavior in order to mitigate global warming problems, than Indonesian respondents.

Pautada no modelo médico, a Psicologia tem direcionado seus esforços científicos muito mais para o estudo dos aspectos disfuncionais do indivíduo do que para suas potencialidades. Isso gerou um desequilíbrio no campo de estudos dessa ciência que, ao focalizar sua atenção quase que exclusivamente nos problemas humanos, acabou por deixar que temas, como a Felicidade, fossem apropriados pela chamada literatura de auto-ajuda. A partir do referencial teórico da Psicologia Positiva, este estudo busca compreender a felicidade humana a partir de uma abordagem científica, o que julgamos fundamental para a construção de um corpo teórico consistente sobre o tema e capaz de auxiliar no desenvolvimento de programas de saúde mental de caráter preventivo. Sendo assim, investigamos a relação entre felicidade e lócus de controle numa amostra de 106 sujeitos universitários utilizando-nos, para tanto da Correlação de Spearman e do Teste de Kruskal-Wallis. Os resultados indicaram que quanto maior o lócus de controle interno dos sujeitos pesquisados, maior também seus níveis de felicidade. / Developed around the medical model, Psychology has directed its scientific efforts principally toward the study of the dysfunctional aspects of human behavior rather than toward the potential of the individual. This has created a disequilibrium in the field of study of this science which by focusing its attention almost exclusively on human problems has relegated themes such as Happiness to the so-called self-help literature. Based on the theoretical reference of Positive Psychology, this study seeks to understand Human Happiness from a scientific point of view. We judge this approach fundamental to the construction of a body of theory consistent with the theme and capable of helping in the development of preventive mental health programs. Therefore, we research the relationship between happiness and control "locus" in a sample of 106 university students, using the Spearman Correlation and the Kruskal-Wallis test. The results indicate that the greater the internal control locus of the individuals studied, the greater their level of personal happiness.

The construct internal-external locus of control was utilized to examine the Soviet Pentecostal refugees' perception of life experiences in the United States as defined by three dimensions: social, economical, and political. Unlike the majority of immigration research, which focuses on structural variables, this research further addressed the concept of acculturation as a long term process of resettlement. Subjects completed an anonymous forced choice questionnaire consisting of the Rotter (1966) locus of control instrument scale. Pearson Product moment correlation coefficients were calculated to examine the strength of the relationships between the internal-external locus of control scores and five factor analyzed life experience categories. Positive and sometimes strong correlations could be found between the internal-external locus of control scores and the five life experience factors. All five hypotheses were confirmed by the results.

Perceived self-efficacy has been shown to be an accurate predictor of one's performance capabilities (Zimmerman, 2000). Low levels of perceived self-efficacy have been found to correlate with negative performance outcomes; while high levels of perceived self-efficacy correlate with positive performance outcomes. This construct has also been found to influence an individual's motivation level, goal setting ability, and risk for depression (Resnick, 2002; Phillips & Gully, 1997; Blazer, 2002). Therefore, perceived levels of self-efficacy may predict and influence performance of individuals with aphasia during a treatment program. However, the influence of self-efficacy on treatment for aphasia has not been sufficiently studied. The present study examined the differences between Response Elaboration Training (Kearns, 1985) and a modified version of Response Elaboration Training, incorporating the four sources of self-efficacy. First, it was hypothesized that the individual's level of perceived self-efficacy would predict performance during treatment. Also, it was hypothesized that a treatment incorporating self-efficacy would result in increased levels of self-efficacy, thereby promoting more positive therapeutic outcomes. A single-subject, cross-over design was employed; two individuals with Broca type aphasia received both types of treatment at alternating intervals. A relationship between perceived self-efficacy levels and performance outcomes was suggested. Participant one, with a high level of perceived self-efficacy for communicative tasks, experienced a general trend of improvement for effective communication. Participant two's use of effective communication revealed minimal change throughout the study; he also reported low to moderate levels of perceived self-efficacy in all modalities of communication throughout the study. Participant two's performance revealed slight improvements in self-efficacy, however, as well as improvements on a standardized aphasia assessment; this finding may suggest a relationship between increased self-efficacy and increased performance on the assessment. Results suggest that a treatment incorporating the four sources of self-efficacy may promote more positive treatment outcomes for individuals with aphasia.

This study investigates whether the social facilitation effect takes place when a person performs a computerized task that includes an animated intelligent agent (IA). The moderating effects of two individual differences, locus of control (LOC) and microcomputer playfulness (MCP), are tested for. It was proposed that an IA's presence would cause participants to exhibit this effect and that LOC and MCP would moderate a participant's arousal, measured as state anxiety, such that those possessing an internal LOC and those exhibiting high MCP would experience less arousal when performing computerized tasks with an IA present. Data was analyzed using a 2 (task difficulty) x 4 (intelligent agent) repeated measures MANCOVA. Most hypotheses are not supported, however MCP does appear to moderate arousal depending on the behavior of the IA.

一、研究目的本研究旨在探討場地獨立性、內外控信念與生活適應之關係 ，並比較性別 ( 男、女 ) ，地區 ( 山地、平地 ) 國中學生的差異情形 ，歸納本研究的結果，做成結論，並提出建議，作為實施生活教育之參考 。二、研究方法本研究主要採調查研究法，透過文獻探討、問卷調查與統 計分析等步驟歸納結論， 所使用的統計方法包含， 多變項變異數分析、 變異數分析、ｔ考驗與 Scheffe' 法事後比較。三、研究工具「藏圖測驗 」、「兒童內外控傾向量表」及「少年人格測驗」作為測量工具。四、研 究結果 (一)場地獨立性方面 1.男、女國中生在場地獨立性上無顯著差異 。 2.山地、平地國中生在場地獨立性上有顯著差異；且平地國中生比山 地國中生更傾向場地獨立。 (二)內外控信念方面 1.男、女國中生在內外 控信念上有顯著差異；且女國中生比男國中生更傾向內控。 2.山地、平 地國中生在內外控信念上有顯著差異；且平地國中生比山地國中生更傾向 內控。 (三)生活適應方面 1.男、女國中生在生活適應(個人適應、社會 適應)有顯著差異；且女國中生在生活適應( 個人適應、社會適應)比男國 中生適應較佳。 2.山地、平地國中生在生活適應(個人適應、社會適應) 有顯著差異；且平地國中生在生活適應( 個人適應、社會適應)比山地國 中生適應較佳。 (四)場地獨立性、內外控信念及生活適應的關係 1.國中 生的場地獨立性與內外控信念，在生活適應( 個人適應、社會適應 )無交 互作用。 2.場地獨立性與內外控信念無顯著相關。 3.場地獨立性與生活 適應(個人適應、社會適應)無顯著相關。 4.內外控信念與生活適應(個人 適應、社會適應)有顯著的正相關；即愈內控的人在生活適應( 個人適應 、社會適應)愈佳。 (五)「知覺--期待型式」與生活適應的關係不同「知 覺 -- 期待型式」國中生在生活適應 ( 個人適應、 社會適應) 顯著差異 ；其中以「場地獨立 -- 內控」適應最為佳，其次為「場地依賴-- 內控 」， 再次為「場地依賴 -- 外控」，最後為「場地獨立 -- 外控」。和 諧組與不和諧組在生活適應 ( 個人適應、社會適應 ) 無顯著差異。五、 建議 (一)山地方面--提供優秀人才及適當的教育資源 (二)內外控信念與 場地獨立方面--採適性輔導 (三)教育方式--多鼓勵、多關懷、提供適當 自主 (四)本研究的限制及對未來的建議 1.就樣本而言--擴大取樣範圍 2.就研究變項而言--可再加入其他自變項 3.就研究工具而言--編擬適當 工具