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Illness Behavior: Prediction by Symptoms, the Grossarth-Maticek and Eysenck Personality Types, Neuroticism, Life Events, Coping, Health Locus of Control, Social Support, and Attribution Style

Published online by Cambridge University Press:  10 April 2014

Santos Orejudo Hernández*
Affiliation:
Universidad de Zaragoza
María Xesús Froján Parga
Affiliation:
Universidad Autónoma de Madrid
Carmen Malo Aznar
Affiliation:
Servicio de Salud Pública. Gobierno de Aragón
*
Correspondence concerning this article should be addressed to Santos Orejudo Hernández, Pedro Cerbuna 12, 50009 Zaragoza (Spain). E-mail: sorejudo@unizar.es

Abstract

A study was carried out with 501 persons to analyze the predictive capacity of various psychosocial variables—symptom perception, neuroticism, Personality Types 2 and 4 of Grossarth-Maticek and Eysenck, beliefs about health, social support, or certain coping styles—on two health-related behaviors: the frequency of visits to the doctor and self-medication. The results were analyzed by two structural equation models that revealed that some of the variables have direct effects on the behaviors, whereas other variables, such as attribution style, coping styles, or the impact of the stressors, have indirect effects via the reported symptoms or neuroticism. In addition, self-medication and the frequency of health service visits are independent of each other, which shows that their determinants are different. It is concluded that to address these factors in the two health indicators, it is also necessary to take in account the psychosocial variables considered herein.

Se ha llevado a cabo un estudio con 501 personas en el que se intenta analizar la capacidad predictiva de algunas variables psicosociales—la percepción de síntomas, el neuroticismo, los tipos de personalidad 2 y 4 de Grossarth-Maticek y Eysenck, las creencias sobre la salud, el apoyo social y algunos estilos de afrontamiento - sobre dos conductas relacionadas con la salud, la frecuencia de visitas al médico y la automedicación. Los resultados han sido analizados a través de dos modelos de ecuaciones estructurales que ponen de manifiesto que algunas de las variables predictoras tienen efectos directos sobre las conductas consideradas, mientras que otras lo hacen de manera indirecta a través de los síntomas informados o del neuroticismo. Además, la automedicación y la frecuencia de asistencia a los servicios de salud son independientes entre sí, lo que vendría a poner de manifiesto que los determinantes de ambas son distintas, como se comprueba en este trabajo. Se concluye que al abordar los factores implicados en estos dos indicadores de salud, es preciso también tener en cuenta las variables psicosociales aquí consideradas.

Type
Articles
Copyright
Copyright © Cambridge University Press 2007

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References

Al-Windi, A. (2004). Determinants of complaint symptoms in a Swedish health care practice. Results of a questionnaire survey. Journal of Psychosomatic Research, 56, 19.Google Scholar
Al-Windi, A., Dag, E., & Kurt, S. (2002). The influence of perceived well-being and reported symptoms on health care utilization: A population-based study. Journal of Clinical Epiedemiology, 55, 6066.CrossRefGoogle ScholarPubMed
Amelang, M. (1997). Using personality variables to predict cancer and heart disease. European Journal of Personality, 11, 319342.3.0.CO;2-D>CrossRefGoogle Scholar
Amelang, M., & Schmitdt-Rathjens, C. (1996). Personality, cancer and coronary heart disease: Further evidence on a controversial issue. British Journal of Health Psychology, 1, 191205.CrossRefGoogle Scholar
Andrykowski, M., & Brady, M.J. (1994). Health locus of control and psychological distress in cancer patients: Interactive effects of context. Journal of Behavioral Medicine, 17, 5, 439458.CrossRefGoogle ScholarPubMed
Artístico, D., Baldassarri, F., Lauriola, M., & Laicardi, C. (2000). Dimensions of health-related dispositions in elderly people: Relationship with health behaviour and personality traits. European Journal of Personality, 14, 533552.3.0.CO;2-M>CrossRefGoogle Scholar
Barrón, A., & Chacón, F. (1990). Lugar de control para la salud: su efecto protector frente a los acontecimientos vitales estresantes. Investigaciones Psicológicas, 8, 231237.Google Scholar
Batista, J.M., & Coenders, G. (2000). Modelos de ecuaciones estructurales. Madrid: Editorial La Muralla.Google Scholar
Bermúdez, J. (1999). Personality and health-protective behaviour. European Journal of Personality, 13, 83103.3.0.CO;2-M>CrossRefGoogle Scholar
Caamaño, F., Figueiras, A., Lado, E., & Gestal-Otero, J.J. (2000). La automedicación: concepto y perfil de sus “usuarios”. Gaceta Sanitaria, 14, 294299.CrossRefGoogle Scholar
Cohen, S., & Williamson, G.M. (1991). Stress and infectious disease in humans. Psychological Bulletin, 109, 524.CrossRefGoogle ScholarPubMed
Dua, J. (1994). Comparative predictive value of attribution style, negative affect and positive affect in predicting self-reported physical health and psychological health. Journal of Psychosomatic Research, 38, 7, 669680.CrossRefGoogle ScholarPubMed
Eysenck, H.J. (1985). Personality, cancer and cardiovascular disease: A causal analysis. Journal of Psychosomatic Research, 5, 535557.Google Scholar
Eysenck, H.J. (1991). Smoking, personality and stress. New York: Springer-Verlag.CrossRefGoogle Scholar
Eysenck, H.J., & Eysenck, S.B.G. (1975). Manual of the Eysenck Personality Questionnaire. London: Hodder & Stoughton [Spanish translation: EPQ. Cuestionario de Personalidad para niños (EPQ-J) y adultos (EPQ-A). Madrid: TEA, 1992].Google Scholar
Eysenck, H.J., Grossarth-Maticek, R., & Everitt, B. (1991). Personality, stress, smoking, and genetic predisposition as synergistic risk factors for cancer and coronary heart disease. Integrative Physiological and Behavioral Science, 26, 309322.CrossRefGoogle ScholarPubMed
Friedman, H.S. (1990). Personality and disease: Overview, review and preview. In Friedman, H.S. (Ed.), Personality and disease (pp. 313). New York: Wiley & Sons.Google Scholar
Friedman, M., & Roseman, R.H. (1959). Association of specific overt behavior pattern with blood and cardiovascular findings. Journal of the American Medical Association, 169, 12861296.CrossRefGoogle ScholarPubMed
Galán, A., Blanco, A., & Pérez, M.A. (2000). Análisis del concepto de conducta de enfermedad: un acercamiento a los aspectos psicosociales del enfermar. Anales de Psicología, 16, 157166.Google Scholar
Gijsbers van Wijk, C.M.T., & Kolk, A.M. (1997). Sex differences in physical symptoms: The contribution of symptom perception theory. Social Science and Medicine, 45, 231246.CrossRefGoogle Scholar
Grossarth-Maticek, R., & Eysenck, H.J. (1990): Personality, stress and disease: Description and validation of a new inventory. Psychological Reports, 66, 355373.CrossRefGoogle ScholarPubMed
Grossarth-Maticek, R., Eysenck, H.J., & Vetter, H. (1988). Personality type, smoking habit and their interaction as predictors of cancer and coronary heart disease. Personality and Individual Differences, 9, 479495.CrossRefGoogle Scholar
Kiecolt-Glaser, J.K. & Chee, M.A. (1991). Personality, Stress and Cancer: A Re-examination. Psycohological Inquiry, 2, 249251.CrossRefGoogle Scholar
Kolk, A.M.M., Hanewald, G.J.F.P., Schagen, S., & Gijsbers van Wijk, C.M.T. (2002). Predicting medically unexplained physical symptoms and health care utilization. A symptom-perception approach. Journal of Psychosomatic Research, 52, 3544.CrossRefGoogle ScholarPubMed
Kubzansky, L.D., & Kawachi, I. (2000). Going to the heart of matter: Do negative emotions cause coronary heart disease? Journal of Psychosomatic Research, 48, 323337.CrossRefGoogle Scholar
Larsson, G., Nordström, L., Ljunggren, G., & Nyberg, A.B. (1995). The Grossarth-Maticek and Eysenck personality types, health-related behaviour, and indicators of transitory ill-health. European Journal of Personality, 9, 7587.CrossRefGoogle Scholar
Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal and coping, New York: Springer.Google Scholar
Matthews, G., Yousfi, S., Schmidt-Rathjens, C., & Amelang, M. (2003). Personality variable differences between disease clusters. European Journal of Personality, 17, 157177.CrossRefGoogle Scholar
McCullough, M.E., Hoyt, W.T, Larson, D.B., Koenig, H.G., & Thoresen, C. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 19, 211222.CrossRefGoogle ScholarPubMed
O'Carrol, R.E., Smith, K.B., Grubb, N.R., Fox, K.A.A., & Masterton, G. (2001). Psychological factors associated with delay in attending hospital following a myocardial infarction. Journal of Psychosomatic Research, 51, 611614.CrossRefGoogle Scholar
Orejudo, S., Froján, M.X., & Malo, C. (2004). La tipología de personalidad de Grossarth-Maticek y Eysenck. Relación con otros constructos psicológicos. Psiquis, 25, 152166.Google Scholar
Pelechano, V. (2006, September). Un modelo multinivel de personalidad en la enfermedad crónica: sugerencias y resultados. VIII Congreso Internacional sobre Estudio de la Conducta. Santiago de Compostela, Spain.Google Scholar
Peñacoba, C. (1996). Estrés, salud y calidad de vida: Influencia de la dimensión cognitivo-emocional. Unpublished doctoral dissertation. Universidad Autónoma de Madrid.Google Scholar
Peterson, C., & Seligman, M.E. (1987). Explanatory style and illness. Journal of Personality, 55, 237265.CrossRefGoogle ScholarPubMed
Peterson, C., Semmel, A., Von Baeyer, C., Abramson, L.Y., Metalsky, G.I., & Seligman, M.E. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6, 287299.CrossRefGoogle Scholar
Petrie, J., Sivertsen, B., Hysing, M., Broadbent, E., Moss-Morris, R., Eriksen, H.R., & Ursin, H. (2001). Thoroughly modern worries. The relationship of worries about modernity to reported symptoms, health and medical care utilization, Journal of Psychosomatic Research, 51, 395401.CrossRefGoogle ScholarPubMed
Petticrew, M., Fraser, J.M., & Regan, M.F. (1999). Adverse life-events and risk of breast cancer: A meta-analysis. British Journal of Health Psychology, 4, 117.CrossRefGoogle Scholar
Price, M.A., Tennant, C.C., Butow, P.N., Smith, R.C., Kennedy, S.J., Kossoff, M.B., & Dunn, S.M. (2001). The role of psychosocial factors in the development of breast carcinoma: Part II. Life events stressors, social support, defense style, and emotional control. Cancer, 91, 686697.3.0.CO;2-0>CrossRefGoogle ScholarPubMed
Quander-Blaznik, J. (1991). Personality as predictor of lung cancer: A replication. Personality and Individual Differences, 12, 125130.CrossRefGoogle Scholar
Rodríguez-Marín, J. (1995). Psicología social de la salud. Madrid: Síntesis Psicología.Google Scholar
Rodríguez, A.M., Lemos, S., Canga, A. (2002). Variables biológicas, conductuales y de personalidad como predictores de salud: un estudio longitudinal. Psicología Conductual, 10, 729.Google Scholar
Rodríguez-Marín, J., Pastor, M.A., & López-Reig, S. (1993). Afrontamiento, apoyo social, calidad de vida y enfermedad. Psicothema, 5(Suppl.), 349372.Google Scholar
Rodriguez-Marín, J., Terol, M.C., López-Reig, S., & Pastor, M.A. (1992). Evaluación del afrontamiento del estrés: propiedades psicométricas del cuestionario de formas de afrontamiento de acontecimientos estresantes. Revista de Psicología de la Salud, 4, 5984.Google Scholar
Saboonchi, F., & Lundh, L.G. (2003). Perfectionism, anger, somatic health, and positive affect. Personality and Individual Differences, 35, 15851599.CrossRefGoogle Scholar
Sandín, B., & Chorot, P. (1991, September). Escala de síntomas somáticos. III Congreso de Evaluación Psicológica. Barcelona.Google Scholar
Sandín, B., Chorot, P., Jiménez, M.P., & Santed, M.A. (1994). Stress behavior types, psychosomatic complaints and disease. Stress News, 5, 49.Google Scholar
Sandín, B., Chorot, P., Navas, M.J., & Santed, MA. (1992). Estrés y enfermedad: Inventario de Reacciones Interpersonales de Grossarth-Maticek y Eysenck. Revista de Psicología General y Aplicada, 45, 391396.Google Scholar
Saranson, I.G., Johnson, J.H., & Siegel, J.M. (1978). Assessing the impact of life changes: Development of the Life Experiences Survey. Journal of Consulting and Clinical Psychology, 46, 932946.CrossRefGoogle Scholar
Saranson, I.G., Levine, H.M., Basham, R.B., & Saranson, B. (1983). Assessing social support: The Social Support Questionnaire. Journal of Personality and Social Psychology, 44, 127139.CrossRefGoogle Scholar
Scheier, M.F., & Carver, C.S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 201228.CrossRefGoogle Scholar
Schmitz, P.G. (1992). Personality, stress-reactions and disease. Personality and Individual Differences, 13, 683–69.CrossRefGoogle Scholar
Sharpley, C.F., Dua, J.K., Reynolds, R., & Acosta, A. (1995). The direct and relative efficacy of cognitive hardiness, type A behaviour pattern, coping behaviour and social support as predictors of stress and ill-health. Scandinavian Journal of Behaviour Therapy, 24, 1529.CrossRefGoogle Scholar
Smedslund, G. (1995). Personality and vulnerability to cancer and heart disease: Relations to demographic and life-style variables. Personality and Individual Differences, 19, 691697.CrossRefGoogle Scholar
Smith, T.W., & Ruiz, J.M. (2002). Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice. Journal of Consulting and Clinical Psychology, 70, 548568.CrossRefGoogle ScholarPubMed
Stock, C., Kücük, N., Miseviciene, I, Habil, F, Guillén-Grima, F, Petkeviciene, J., Aguinaga-Ontoso, I., & Kramer, A. (2003). Differences in health complaints among university students from three European countries. Preventive Medicine, 37, 535543.CrossRefGoogle ScholarPubMed
Wallston, B.S., Wallston, K.A., Kaplan, G.D., & Maides, A. (1976). Development and validation of the Health Locus of Control (HLC) Scale. Journal of Consulting and Clinical Psychology, 44, 580585.CrossRefGoogle ScholarPubMed
Wallston, K.A., Wallston, B.S., & Devellis, R. (1978). Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Education Monographs, 6, 160170.CrossRefGoogle ScholarPubMed
Wallston, K.A., Stein, M.J., & Smith, C.A. (1994). Form C of the MHLC scales: A condition-specific measure of locus of control. Journal of Personality Assessment, 63, 534553.CrossRefGoogle Scholar
Watson, D., & Clark, L.A. (1984). Negative affectivity: The disposition to experience adverse emotional states. Psychological Bulletin, 96, 465490.CrossRefGoogle Scholar
Watson, D., & Pennebaker, J.W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity, Psychological Review, 96, 234254.CrossRefGoogle ScholarPubMed
Wilcox, S., Aragaki, A., Mouton, C.P., Evenson, K.R., Wassertheil-Smoller, S., & , L.B. (2003). The effects of widowhood on physical and mental health, health behaviors, and health outcomes: The women's health initiative, Health Psychology, 22, 513522.CrossRefGoogle ScholarPubMed
Wollrath, M., Knoch, D., & Cassano, L. (1999). Personality, risky health behavior, and perceived susceptibility to health risks. European Journal of Personality, 13, 3950.3.0.CO;2-J>CrossRefGoogle Scholar