In this study I explored whether the way adults think about their early childhood is related to their perception of control, coping strategies, and health outcomes. The participants (N=78) in this study were administered the Adult Attachment Interview (AAI) between 1 and 18 years ago, when they were new parents. The current online survey assessed perceived control (a composite of the Perceived Health Competency Scale and a general life control item), coping strategies (generated from a factor analysis of the Brief C.O.P.E. measure), anxiety (GAD-7), overweight (a composite of waist-to-hip ratio by body mass index), lifetime number of mental health diagnoses, and lifetime number of physical health diagnoses. As expected, non-problem-focused coping strategies and low perceived control were significantly associated with overweight and poor mental and physical health outcomes. This study added a developmental component to explain the roots of these maladaptive strategies: Dismissing speech on the AAI, characterized by idealizing childhood, minimizing childhood needs and/or distress, and emphasizing the normalcy and independence of one's upbringing strongly negatively predicted current perceived control and approach coping, relative to Secure speech. In fact, Dismissing speakers endorsed using fewer coping strategies over all. Given the pervasive influence of perceived control and active coping on myriad aging and health outcomes, the origins of these strengths is of particular interest. Dismissing speakers, although they endorse experiencing less anxiety, are clearly faring the worst. Attachment theory as a framework for explaining lifespan agency, anxiety, health behaviors, and outcomes is discussed. / text

Although some individuals excel during the transition from high school to university, many struggle to adjust and experience repeated failures. To facilitate academic adjustment in those most at-risk of failure, vulnerable students were identified based on their pre-existing levels of preoccupation with failure (PWF; low, high) and primary control (PC; low, high). These factors were combined to create four distinct psychosocial typologies (e.g., low PWF, low PC). Students were subsequently presented with Attributional Retraining (AR), a control-enhancing treatment intervention. An AR (no- AR, AR) by group (failure-acceptors, failure-ruminators, achievement-oriented, over- strivers) 2 x 4 pre-post, quasi-experimental treatment design examined longitudinal differences in causal attributions, achievement emotions, PC, and achievement outcomes. AR encouraged all students to de-emphasize two uncontrollable attributions for failure and emphasize a controllable attribution. Most interestingly, AR was particularly beneficial for at-risk students. Notably, only failure-acceptors (low PWF, low PC) and failure-ruminators (high PWF, low PC) receiving AR reported more adaptive activity emotions and higher PC than their no-AR peers. For only failure-ruminators, those in the AR condition exhibited more adaptive attribution-related emotions than their no-AR peers. Conversely, only failure-acceptors receiving AR had higher grade point averages and fewer voluntary withdrawals than their no-AR counterparts. Results suggest the efficacy of AR in facilitating functional causal thinking for all students, whereas they also underscore  AR’s  value in promoting adaptive emotions, PC, and academic achievement for failure-prone students.

Although some individuals excel during the transition from high school to university, many struggle to adjust and experience repeated failures. To facilitate academic adjustment in those most at-risk of failure, vulnerable students were identified based on their pre-existing levels of preoccupation with failure (PWF; low, high) and primary control (PC; low, high). These factors were combined to create four distinct psychosocial typologies (e.g., low PWF, low PC). Students were subsequently presented with Attributional Retraining (AR), a control-enhancing treatment intervention. An AR (no- AR, AR) by group (failure-acceptors, failure-ruminators, achievement-oriented, over- strivers) 2 x 4 pre-post, quasi-experimental treatment design examined longitudinal differences in causal attributions, achievement emotions, PC, and achievement outcomes. AR encouraged all students to de-emphasize two uncontrollable attributions for failure and emphasize a controllable attribution. Most interestingly, AR was particularly beneficial for at-risk students. Notably, only failure-acceptors (low PWF, low PC) and failure-ruminators (high PWF, low PC) receiving AR reported more adaptive activity emotions and higher PC than their no-AR peers. For only failure-ruminators, those in the AR condition exhibited more adaptive attribution-related emotions than their no-AR peers. Conversely, only failure-acceptors receiving AR had higher grade point averages and fewer voluntary withdrawals than their no-AR counterparts. Results suggest the efficacy of AR in facilitating functional causal thinking for all students, whereas they also underscore  AR’s  value in promoting adaptive emotions, PC, and academic achievement for failure-prone students.

Perceived control is associated with health throughout adulthood, yet has also been found to decline with age possibly due to age-related experiences of increasing losses and limitations in life circumstances. Perceived control may also be affected by individual personality characteristics, which also predict health through late adulthood. Although previous studies have addressed these associations, research is lacking in examining nuanced associations among personality, perceived control, and health all together as well as age and gender differences in these associations. Moreover, perceived control may be related to individualistic values (e.g., autonomy, agency) that vary cross-culturally and the implications of perceived control as well as personality for health may differ in distinct cultures. However, cross-cultural research on longitudinal associations of personality, perceived control, and health is further limited. In order to address the gap in the literature, the present dissertation, consisting of three studies, focuses on investigating longitudinal associations among personality, perceived control, and health for American and Japanese middle-aged and older adults. The first two studies address longitudinal associations between personality and perceived control (Study 1) and the potential mediation of perceived control for longitudinal associations between personality and health (Study 2) for 4,611 American adults (aged 40 to 75 at baseline). Study 3 examines associations among personality, perceived control, and health for 827 Japanese adults (aged 40 to 79 at baseline) in contrast to Americans. The findings suggest that neuroticism and conscientiousness are consistent predictors for perceived control over time and that perceived control mediates longitudinal associations of neuroticism and conscientiousness with functional health for American adults. Such mediation was not found for Japanese adults despite overall similar tendencies except for associations between personality and perceived control. No age differences in associations among personality, perceived control, and health were found for both nationalities (who were in their 40s to 70s at baseline) while there were some gender differences in a limited few associations for Americans. The dissertation contributes to the literature by furthering the understanding of longitudinal associations of personality, perceived control, and health and indicating future directions for research including exploring potential avenues to promoting health through perceived control.

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Aim: To test the interactive effects of the constructs of Modified Social Learning Theory (MSLT) in relation to predicting health behaviour in Type 2 Diabetes. Methods: The study is mixed methods and employs an exploratory sequential design. Qualitative Phase: (N=12) Semi-structured interviews with adults with insulin-treated type 2 diabetes, explored how beliefs and values influence self-management behaviour. Interim Phase: Thematic analysis allowed development of an adapted Health Value Measure. Quantitative phase: (N=107) Valid questionnaires measured Health Value, Health Locus of Control (HLC) and Self-efficacy (SE). Health Value was measured pre and post diagnosis in order to compare any changes with time. Anxiety and depression was controlled for using the Hospital Anxiety and Depression(HAD) scale. Five subscales measured diabetes outcome behaviour: general diet, specific diet, exercise, blood sugar and foot care. Hierarchical Multiple Regression(HMR) analyses consisted of four blocks, including three two-way interaction terms and one three-way interaction term to test the interactive effects of the three-predictor variables on outcome behaviours. ANOVA’s were conducted in an effort to add support to HMR results. Results: The interviews suggest that people may hold terminal (beliefs about desired end states)/instrumental health values (beliefs about desired modes of action) pre-diagnosis but these are mainly instrumental post-diagnosis in order to meet their new needs and maintain quality of life. The qualitative data also drew attention to the way in which LOC and SE beliefs impact on behaviour. Additionally, differing dimensions of various emergent themes highlight the demands Type 2 diabetes places on a person and how this influences beliefs and values. Interim phase results resulted in the new items being removed from the adapted health value measure prior to the quantitative data analysis, as item 5 was deemed problematic. Sensitivity analysis was carried out to increase the robustness of the quantitative findings due to removing 29 cases with missing data from Dataset 1. Dataset 1 includes 78 complete cases and Dataset 2 contains 107 cases, 29 of which had missing values and were replaced using regression imputation. HMR analyses produced significant results that support MSLT when the three-way interaction variable was added to block 4. ANOVA results produced minimum support for MSLT. Conclusion: Support for MSLT has been found and can be used to inform interventions to change self-management behaviours of patients with poor diabetes control. Change in health value orientation post-diagnosis purports further investigation, as it is supported by qualitative results but not quantitative.

Negative cultural attitudes towards the menstrual cycle have psychological consequences for women. The menstrual cycle in our society is devalued in public discourse and public regard, in which it is viewed as an uncontrollable, painful, and mysterious curse upon womankind. Internalization of these messages may negatively impact women’s self-esteem because of menstruation’s quintessential association with womanhood. Women’s lack of accurate, practical knowledge about the menstrual cycle may be a large contributor to these negative attitudes. The purpose of this proposed research is to investigate whether performing fertility awareness, a daily practice of observing fertility signs to determine the phases in a woman’s menstrual cycle, can increase self-esteem in college-aged women. The study measures perceived control, self-efficacy, and self-esteem in women before and after learning and practicing fertility awareness, as well as comparing those scores to a control group. It is proposed that practicing fertility awareness increases women’s self-esteem and self-efficacy by providing them with perceived control over their reproductive health. Implications for educational imperatives and future research are discussed.