Cited by 116Schizophrenia research and treatmentMental Health and PsychiatryPersonality Traits and Psychology

Locus of control: Relation to schizophrenia, to recovery, and to depression and psychosis — A 15-year longitudinal study

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Harrow, Martin, Hansford, Barry G., Astrachan-Fletcher, Ellen B.·2009·Psychiatry Research

Abstract

The present prospectively designed 15-year longitudinal research was conducted to study whether locus of control is linked to diagnosis, to major symptoms, to functioning and recovery, and to personality for schizophrenia patients, depressive patients, and patients with other major disorders. The research studied 128 patients from the Chicago Follow-up Study at the acute phase and reassessed them 5 times over a 15-year period. Patients were evaluated on locus of control, global outcome, recovery, premorbid developmental achievements, psychosis, diagnosis, depression, and personality variables. 1) After the acute phase, schizophrenia patients were not more external than other diagnostic groups. 2) Internality is significantly associated with increased recovery in schizophrenia. 3) A more external locus of control was significantly related to depression. 4) The relationship between externality and psychosis was significant. In severe psychiatric disorders a more external locus of control is not specific to schizophrenia and after the acute phase is not associated with one particular diagnostic group. A more external locus of control is significantly related to fewer periods of recovery, to both depressed mood and psychosis, and to various aspects of personality.

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Crossref · 10.1016/j.psychres.2008.06.002

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  • An internal locus of control is associated with increased treatment motivation, compliance and treatment adherence, and better treatment outcomes in individuals with serious mental illnesses.

    “Furthermore, although it has not been studied in the context of digital interventions, an internal locus of control is associated with increased treatment motivation, compliance and treatment adherence, and better treatment outcomes in individuals with serious mental illnesses [135].”

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Research works printed but not linked: 3

  1. Hansford B Harrow M Groen E Kaplan K Faull R 2004 Is external locus of control related to schizophrenia, global outcome, and major psychopathology? Scientific Proceedings of the 2004th Annual Meeting of the Midwestern Psychological Association 83
  2. Shirk H Harrow M Jobe T Grossman L Carter C Faull R 2005 The relationship of stress and anxiety in schizophrenia to psychosis: A 20-year multi-followup study Scientific Proceedings of the 2005 Annual Meeting for the Midwestern Psychological Association 109
  3. Telesh K 2003 Relationships between a multidimensional construct of insight into mental illness, duration of illness, and locus of control Dissertation Abstracts International: Section B: The Sciences and Engineering 64 433

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Authors
Harrow, M., Hansford, B. G., & Astrachan-Fletcher, E. B.
Affiliations
  • University of Illinois Chicago (US)
  • Georgetown University (US)
Corresponding author
Harrow, Martin
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2009-08
Volume
168
Issue
3
Pages
186-192
ISSN
0165-1781 (ISSN-L)
OpenAlex
W2048657700
Cited by
116
References
63
Citations by year
2026: 6 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 10 · 2019: 11 · 2018: 9 · 2017: 5 · 2016: 12 · 2015: 7 · 2014: 10 · 2013: 7 · 2012: 4
FWCI
2.68
Type
journal article
Language
en
Open access
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (MH-068688, MH 26341, R37MH026341, R01MH068688)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords
locus of control, schizophrenia, depression, psychosis, recovery, personality, long-term outcomes, severe mental illness
MeSH terms
Adult, Depressive Disorder, Female, Humans, Internal-External Control, Longitudinal Studies, Male, Personality, Prognosis, Psychiatric Status Rating Scales, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Time Factors, Disease Progression, Young Adult

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