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Journal of Health Psychology, Vol. 10, No. 5, 677-686 (2005)
DOI: 10.1177/1359105305055320

Health Locus of Control and Depression in Chronic Kidney Disease: A Dynamic Perspective

Jamie A. Cvengros

University of Iowa, USA, jamie-cvengros{at}uiowa.edu

Alan J. Christensen

University of Iowa, USA

William J. Lawton

University of Iowa, USA

Participants in the present study were 207 patients with chronic kidney disease (CKD) who completed internal HLOC and depression measures at baseline and at an approximately 16-month follow-up period. Regression results indicated that after controlling for baseline level of depression, baseline internal HLOC was not a significant predictor of depression at follow-up. However, increases in internal HLOC over the 16-month follow-up were predictive of depression at follow-up. Furthermore, this relationship was qualified by an interaction between change in internal HLOC and disease progression. These results suggest that changes in internal HLOC over time may be a particularly important determinant of adjustment for individuals whose chronic illness progresses or becomes life threatening.

Key Words: depression • health locus of control • kidney disease • patient adaptation


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