Medico e Bambino
2012
Gennaio 2012
numero 1
RICERCA




Locus of Control: cosa deve sapere il pediatra

Anna Bellini1, Chiara Zanchi2
1Dottore di Ricerca in Medicina Materno-Infantile, Università di Trieste
2Clinica Pediatrica, IRCCS Pediatrico “Burlo Garofolo”, Università di Trieste

indirizzo per corrispondenza:bellinianna@gmail.com

Locus of control: what paediatricians need to know
Key words
Locus of Control, Coeliac disease, Epilepsy

Summary
Background - The psychological construct of Locus of Control (LoC) evaluates the degree to which an individual perceives events that happen to him as result of his own behaviour (internal LoC) or of luck, chance, powerful others (external LoC). In literature, chronic disease is associated to an external LoC, which leads to an unsatisfactory control of therapy.
Aims - To verify whether a group of coeliacs and a group of children with epilepsy show a more external LoC in comparison to healthy controls; to assess in the coeliac group whether an external LoC interferes with the compliance to gluten free diet (GFD) and quality of life (QL).
Methods - 101 coeliacs on GFD from at least 1 yr (age range 9-16 yrs), 20 children with idiopathic epilepsy in treatment (age range 9-16 yrs) and 316 healthy children (age range 9-16 yrs) were evaluated. All subjects were administrated tests on the Nowicki-Strickland LoC Scales (NSLS) to assess the degree of externality of LoC; coeliacs fill in also the Kindl Test, to measure compliance to GFD and QL.
Results - There is no difference in LoC scores between coeliac subjects, epileptic subjects and healthy controls (coeliac subjects 12.93±3.9 and epileptic subject 13.95±3.9 vs healthy subjects 13.45±4.25; p=ns). Coeliacs who consider to have a satisfactory QL, have a more internal LoC than coeliacs who believe their lives are negatively affected (p=0.002). Furthermore, coeliacs with a good compliance to GFD show a more internal LoC than coeliacs who are not compliant (p=0.01).
Conclusions - Unlike children affected by other chronic diseases, coeliacs and children with epilepsy do not have a more external LoC if compared to their healthy counterparts. Probably, this internality corresponds to high degree of personal responsibility for the treatment of the disease. Specific metacognitive trainings could improve internality, compliance to GFD and QL of coeliacs.


Vuoi citare questo contributo?
A. Bellini, C. Zanchi. LOCUS OF CONTROL: COSA DEVE SAPERE IL PEDIATRA. Medico e Bambino 2012;31:40-45 https://www.medicoebambino.com/?id=1201_40.pdf






L'accesso è riservato agli abbonati alla rivista che si siano registrati.
Per accedere all'articolo in formato full text è necessario inserire username e password.




La riproduzione senza autorizzazione è vietata. Le informazioni di tipo sanitario contenute in questo sito Web sono rivolte a personale medico specializzato e non possono in alcun modo intendersi come riferite al singolo e sostitutive dell'atto medico. Per i casi personali si invita sempre a consultare il proprio medico curante. I contenuti di queste pagine sono soggetti a verifica continua; tuttavia sono sempre possibili errori e/o omissioni. Medico e Bambino non è responsabile degli effetti derivanti dall'uso di queste informazioni.

Unauthorised copies are strictly forbidden. The medical information contained in the present web site is only addressed to specialized medical staff and cannot substitute any medical action. For personal cases we invite to consult one's GP. The contents of the pages are subject to continuous verifications; anyhow mistakes and/or omissions are always possible. Medico e Bambino is not liable for the effects deriving from an improper use of the information.