Cultural meaning of perceived control: A meta-analysis of locus of control and psychological symptoms across 18 cultural regions.
Abstract
Integrating more than 40 years of studies on locus of control (LOC), this meta-analysis investigated whether (a) the magnitude of the relationship between LOC and psychological symptoms differed among cultures with distinct individualist orientations and (b) depression and anxiety symptoms yielded different patterns of cultural findings with LOC. We included studies that examined global self-ratings of LOC and at least 1 of the criterion variables in nonclinical samples (age range: 18-80 years). Data were analyzed on the basis of 152 independent samples, representing the testing of 33,224 adults across 18 cultural regions. Results revealed moderately strong relationships for external LOC with depression symptoms (k = 123, N = 28,490, r = .30, 95% confidence interval [CI] [.27, .32]) and anxiety symptoms (k = 65, N = 13,208, r = .30, 95% CI [.27, .33]). Individualism explained 20% of unique variance only in the external LOC-anxiety relationship: The link between external LOC and anxiety symptoms was weaker for collectivist societies (k = 8, N = 2,297, r = .20, 95% CI [.13, .28]) compared with individualist societies (k = 54, N = 9,887, r = .32, 95% CI [.29, .34]). Such cultural differences were attributed to the reduced emphasis on agentic goals in more collectivist societies. It is noteworthy that external LOC does not carry the same negative connotations across cultures, and members of collectivist societies may be more ready to endorse such items. Culture has been examined at the country level, and the findings may not be applicable to any particular person in a cultural region. Implications for integrating cultural meaning of perceived control into formulation of theories, research design, and intervention programs are discussed.
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“Having an internal locus of control is beneficial to mental health, such as symptoms of depression [38,39].”
BackgroundPositive leadership psychology: Authentic and servant leadership in higher education in Pakistan
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“While internal locus of control is generally associated with experiencing fewer mental health problems (Cheng et al., 2013), we found that higher levels of internal locus of control predicted greater odds of screening positive for GAD.”
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“However, it is important to note that this construct differs from the locus of control construct (Cheng et al. 2013; Rotter 1966).”
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“This belief in ancestral protection demonstrated external locus of control [47], as fate factors such as ancestral protection are perceived as having a great influence over their and their children’s lives [48];”
Are we behaviorally immune to COVID-19 through robots?
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Self-citationStress-sensitive inference of task controllability
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“Future studies in this direction should be highly productive and may further extend our knowledge about the nature of human anxiety and it’s influence of individual and public wellbeing.”
Mahmoud, A. B., Reisel, W. D., Fuxman, L., & Hack‐Polay, D. (2021) · European Management Review · doi:10.1111/emre.12494 · Cited by 51 · see citing works
Emotion regulation and mental health across cultures: a systematic review and meta-analysis
Chen, S., Cai, Q., Omari, D. I., Sanghvi, D. E., Lyu, S., & Bonanno, G. A. (2025) · Nature Human Behaviour · doi:10.1038/s41562-025-02168-8 · Cited by 61 · see citing works
“Several meta-analyses have attempted to understand the interaction between culture and human behaviours (for example, locus of control and coping style) on mental health outcomes 59,60 by linking effect sizes from primary empirical studies and publicly available data on Hofstede’s six dimensions.”
Locus of control and coping strategies in older persons with and without depression
Bjørkløf, G. H., Engedal, K., Selbæk, G., Maia, D. B., Coutinho, E. S. F., & Helvik, A. (2015) · Aging & Mental Health · doi:10.1080/13607863.2015.1040722 · Cited by 53 · see citing works
Cultural factors influencing Japanese nurses’ assertive communication. Part 1: Collectivism
Omura, M., Stone, T. E., & Levett-Jones, T. L. (2018) · Nursing and Health Sciences · doi:10.1111/nhs.12411 · Cited by 46 · see citing works
Brown, A. J., Sun, C. C., Urbauer, D. L., Bodurka, D. C., Thaker, P. H., & Ramondetta, L. M. (2015) · Gynecologic Oncology · doi:10.1016/j.ygyno.2015.05.005 · Cited by 45 · see citing works
Fassett-Carman, A. N., Hankin, B. L., & Snyder, H. R. (2018) · Anxiety Stress & Coping · doi:10.1080/10615806.2018.1532504 · Cited by 45 · see citing works
Cuevas, C. D. L., Peñate, W., & y Revuelta, J. L. G. D. R. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.05.009 · Cited by 44 · see citing works
Fornili, M., Petri, D., Montiel, C. B., Fiorentino, G., Ricceri, F., Macciotta, A., Bruno, A., Farinella, D., Baccini, M., Severi, G., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0248370 · Cited by 43 · see citing works
Alnawas, I. A., Khateeb, A. A., Farha, A. A., & Ndubisi, N. O. (2022) · International Journal of Contemporary Hospitality Management · doi:10.1108/ijchm-03-2022-0290 · Cited by 43 · see citing works
Thompson, C. L., Kuah, A. T. H., Foong, R., & Ng, E. S. (2019) · Human Resource Development Quarterly · doi:10.1002/hrdq.21375 · Cited by 43 · see citing works
Williams, A. L., & Merten, M. J. (2014) · Journal of Youth and Adolescence · doi:10.1007/s10964-014-0141-8 · Cited by 42 · see citing works
“is an individualized cultural context valuing and promoting individual selfreliance and -sufficiency believing that people have substantial control over their choices and outcomes (Cheng et al. 2013; Leeder 2007).”
BackgroundInfluentialYeoh, S. H., Tam, C. L., Wong, C. P., & Bonn, G. B. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01411 · Cited by 42 · see citing works
“Health Locus of Control An interesting finding which contradicts those of many previous studies (Cheng et al., 2013; Aflakseir and Mohammad-Abadi, 2016) was that members of our sample who perceive their locus of control being centered on powerful-others reported less depressive symptoms.”
BackgroundResultVoulgaridou, I., & Kokkinos, C. M. (2023) · Adolescent Research Review · doi:10.1007/s40894-023-00207-x · Cited by 40 · see citing works
“…collectivism will be used because it has received extensive validation, it is regarded as state-of-the-art in recent, high-quality psychological research (e.g., Cheng et al., 2013), and finally because it has been used in the cross-cultural study on aggression (e.g., Bergeron & Schneider, 2005).”
MethodKhumalo, T., & Plattner, I. E. (2019) · South African Journal of Psychiatry · doi:10.4102/sajpsychiatry.v25i0.1221 · Cited by 45 · see citing works
Hashimoto, T., Takeuchi, H., Taki, Y., Sekiguchi, A., Nouchi, R., Kotozaki, Y., Nakagawa, S., Miyauchi, C. M., Iizuka, K., Yokoyama, R., et al. (2015) · NeuroImage · doi:10.1016/j.neuroimage.2015.06.061 · Cited by 40 · see citing works
“Cultural differences in LOC (Cheng et al., 2013) should be considered in interpreting the broad applicability of the present results; however, our sample sizewas large.”
BackgroundSingle-case experimental research designs.
Kazdin, A. E. (2015) · Methodological issues and strategies in clinical research (4th ed.). · doi:10.1037/14805-029 · Cited by 39 · see citing works
Lu, Y., & Wang, C. (2021) · Asian American Journal of Psychology · doi:10.1037/aap0000247 · Cited by 39 · see citing works
Nowicki, S., Iles‐Caven, Y., Gregory, S., Ellis, G. L., & Golding, J. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00546 · Cited by 38 · see citing works
“, 2016) and psychological adjustment (Harrow et al., 2009; Cheng et al., 2013).”
BackgroundEnterprising personality profile in youth: Components and assessment
Muñiz, J., Suárez‐Álvarez, J., Pedrosa, I., Fonseca‐Pedrero, E., & Garcı́a-Cueto, E. (2014) · Psicothema · doi:10.7334/psicothema2014.182 · Cited by 36 · see citing works
Crandall, A., Allsop, Y., & Hanson, C. L. (2018) · Journal of Adolescence · doi:10.1016/j.adolescence.2018.03.009 · Cited by 35 · see citing works
Impact of controllability on pain and suffering
Löffler, M., Kamping, S., Brunner, M., Bustan, S., Kleinböhl, D., Anton, F., & Flor, H. (2018) · PAIN Reports · doi:10.1097/pr9.0000000000000694 · Cited by 36 · see citing works
“In addition, cultural factors should be considered because it has been shown that the influence of external locus of control on affective symptoms is weaker for collectivistic societies.(18) Moreover, the meaning of suffering differs between cultures and depends not only on the cultural background of the patient but a…”
Revisiting the relation between academic buoyancy and coping: A network analysis
Putwain, D. W., Daumiller, M. H., Hussain, T., & Pekrun, R. H. (2024) · Contemporary Educational Psychology · doi:10.1016/j.cedpsych.2024.102283 · Cited by 42 · see citing works
“…2021), low agentic control (implied by low buoyancy) has been associated with increased risk for negative emotions and emotion disorders (e.g., Cheng et al., 2013; Gallagher et al., 2014; Pekrun & Loderer, 2020), and in school with negative academic emotions, lower motivation, and reduced…”
BackgroundEffect of national culture on BMI: a multilevel analysis of 53 countries
Masood, M., Aggarwal, A., & Reidpath, D. D. (2019) · BMC Public Health · doi:10.1186/s12889-019-7536-0 · Cited by 35 · see citing works
Nowicki, S., Ellis, G. L., Iles‐Caven, Y., Gregory, S., & Golding, J. (2018) · Personality and Individual Differences · doi:10.1016/j.paid.2018.01.017 · Cited by 35 · see citing works
Brown, A. J., Thaker, P. H., Sun, C. C., Urbauer, D. L., Bruera, E. D., Bodurka, D. C., & Ramondetta, L. M. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3605-z · Cited by 34 · see citing works
“Patients with high internal LOC interpret their life situation as being dictated by their own actions [1].”
BackgroundWang, Z., Oh, W., Malanchini, M., & Borriello, G. A. (2020) · Contemporary Educational Psychology · doi:10.1016/j.cedpsych.2020.101876 · Cited by 34 · see citing works
Klug, K., Selenko, E., & Gerlitz, J.-Y. (2020) · European Journal of Work and Organizational Psychology · doi:10.1080/1359432x.2020.1843533 · Cited by 32 · see citing works
“Although we can expect negative psychological consequences of economic vulnerability to be more or less universal across market economies (e.g. Cheng et al., 2013; Lund et al., 2010), the strength of relationships may differ across institutional settings and cultures: For example, risk factors for…”
BackgroundInfluentialFine, A., & Marsh, S. (2024) · Discover Artificial Intelligence · doi:10.1007/s44163-024-00142-3 · Cited by 37 · see citing works
“One research team conducted a meta-analysis of locus of control using Hofstede’s dimensions [14].”
Bernardi, J., Engelbrecht, A., & Jobson, L. (2018) · Clinical Psychologist · doi:10.1111/cp.12161 · Cited by 32 · see citing works
Health-related fake news during the COVID-19 pandemic: perceived trust and information search
Zheng, L., Elhai, J. D., Miao, M., Wang, Y., Wang, Y., & Gan, Y. (2022) · Internet Research · doi:10.1108/intr-11-2020-0624 · Cited by 31 · see citing works
Baum, M. A., Druckman, J. N., Simonson, M. D., Lin, J., & Perlis, R. H. (2024) · American Journal of Political Science · doi:10.1111/ajps.12827 · Cited by 31 · see citing works
Maintaining Perceived Control with Unemployment Facilitates Future Adjustment
Infurna, F., Gerstorf, D., Ram, N., Schupp, J., Wagner, G., & Heckhausen, J. (2016) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2016.01.006 · Cited by 30 · see citing works
Callaghan, C. W., & Papageorgiou, E. (2015) · Meditari Accountancy Research · doi:10.1108/medar-02-2014-0018 · Cited by 29 · see citing works
Sharif, S. P., & Khanekharab, J. (2017) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2017.1308984 · Cited by 29 · see citing works
“Third, patients’ LoC and their use of coping strategies are cultural dependent (Cheng et al., 2013; Kayser et al., 2014).”
BackgroundThe EMERGE framework to measure empowerment for health and development
Raj, A., Dey, A., Rao, N., Yore, J. B., McDougal, L., Bhan, N., Silverman, J. G., Hay, K., Thomas, E. E., Fotso, J. C., et al. (2024) · Social Science & Medicine · doi:10.1016/j.socscimed.2024.116879 · Cited by 28 · see citing works
Emotional distress and coping strategies in COVID-19 anxiety
Vintilă, M., Tudorel, O. I., Ştefǎnuţ, A. M., Ivanoff, A., & Bucur, V. M. (2022) · Current Psychology · doi:10.1007/s12144-021-02690-8 · Cited by 30 · see citing works
Jobson, L., Haque, S., Abdullah, S. Z., Lee, B., Li, H., Reyneke, T., Tan, B. K. W., Lau, W., & Liddell, B. J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031163 · Cited by 27 · see citing works
“…such appraisals have rarely been considered in the context of PTSD. Appraising events in terms of the personal self, control and achievement is important for the general wellbeing of people from a Western background but has less relevance to the wellbeing of those from Asian backgrounds [7,17].”
Atilola, O., Stevanović, D., Moreira, P. A. S., Dodig-Ćurković, K., Franić, T., Djoric, A., Davidović, N., Avicenna, M., Noor, I. M., Monteiro, A. L., et al. (2021) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2021.1891224 · Cited by 24 · see citing works
“Firstly, research conducted among adults suggests that the influence of LOC on the psychological reaction to trauma exposure is culturally sensitive (Cheng et al., 2013).”
BackgroundRichter, L., & Heidinger, T. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.737787 · Cited by 25 · see citing works
“It has been previously shown that an internal locus of control is beneficial to mental health (Cheng et al., 2013), with a study conducted during the pandemic finding an association between external locus of control and adverse mental health states, such as anxiety, depression, and stress…”
BackgroundMahmoud, A. B., Reisel, W. D., Hack‐Polay, D., & Fuxman, L. (2021) · BMC Public Health · doi:10.1186/s12889-021-12071-2 · Cited by 26 · see citing works
“Locus of control also moderates psychosocial reactions [41].”
BackgroundDepression and Financial Planning Horizon
Choung, Y., Chatterjee, S., & Pak, T.-Y. (2022) · Journal of Behavioral and Experimental Economics · doi:10.1016/j.socec.2022.101877 · Cited by 23 · see citing works
Locus of Control revisited: Development of a new bi-dimensional measure
Suárez‐Álvarez, J., Pedrosa, I., Garcı́a-Cueto, E., & Muñiz, J. (2016) · Anales de Psicología · doi:10.6018/analesps.32.2.200781 · Cited by 26 · see citing works
“These results differ to some extent from what was expected, since the general tendency in studies with adult populations is to find a negative relation between age and perception of control (Cheng et al., 2012).”
BackgroundMethodResultInfluentialAfraid of injustice? Justice sensitivity is linked to general anxiety and social phobia symptoms
Bondü, R., & Inerle, S. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.03.167 · Cited by 25 · see citing works
Güss, C. D., & Tuason, M. T. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.620490 · Cited by 25 · see citing works
“Although some of the data have been conducted decades ago, the cultural value dimensions have been replicated and validated many times (e.g., Van Nimwegen, 2002; Cheng et al., 2013).”
BackgroundMunn, M., & James, D. (2022) · Archives of Sexual Behavior · doi:10.1007/s10508-022-02316-5 · Cited by 25 · see citing works
Lindsay, J. A. B., McGowan, N. M., King, N., Rivera, D., Li, M., Byun, J., Cunningham, S., Saunders, K. E. A., & Duffy, A. C. (2022) · BJPsych Open · doi:10.1192/bjo.2022.48 · Cited by 24 · see citing works
Msetfi, R. M., Kornbrot, D. E., Matute, H., & Murphy, R. A. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01430 · Cited by 22 · see citing works
“ORIGINAL RESEARCH published: 29 September 2015 doi: 10.3389/fpsyg.2015.01430 Frontiers in Psychology | www.frontiersin.org 1 September 2015 | Volume 6 | Article 1430 Edited by: Antoine Bechara, University of Southern California, USA Reviewed by: Andy Wills, Plymouth University, UK W. James Greville, Swansea University…”
BackgroundInfluentialKhan, C. M., Rini, C. K., Bernhardt, B. A., Roberts, J. S., Christensen, K. D., Evans, J. P., Brothers, K. B., Roche, M. I., Berg, J. S., & Henderson, G. E. (2014) · Journal of Genetic Counseling · doi:10.1007/s10897-014-9804-6 · Cited by 23 · see citing works
Top-down or outside-in? Culturally diverse approaches to hotel crisis planning
Wang, J., & Wu, X. (2018) · Journal of Hospitality and Tourism Management · doi:10.1016/j.jhtm.2018.08.002 · Cited by 22 · see citing works
The Protective Effects of Perceived Control During Repeated Exposure to Aversive Stimuli
Wang, K. S., & Delgado, M. R. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.625816 · Cited by 24 · see citing works
Costantini, I., Kwong, A. S. F., Major‐Smith, D., Lewcock, M., Lawlor, D. A., Moran, P., Tilling, K. M., Golding, J., & Pearson, R. M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.599240 · Cited by 23 · see citing works
“This may be especially true in individualistic societies where values like individual sense of agency and personal responsibilities are emphasized and therefore may not be generalisable to societies with different values systems (Cheng et al., 2013).”
BackgroundInfluentialJames, D. (2020) · Group Processes & Intergroup Relations · doi:10.1177/1368430220942849 · Cited by 21 · see citing works
“Importantly, the specification of the SEM models (see Figure 1) was informed by theoretical and empirical evidence (Cheng et al., 2013; Gale et al., 2020; Grevenstein et al., 2016; Sowislo & Orth, 2013).”
BackgroundMethodStrebinger, A., & Treiblmaier, H. (2022) · Journal of Hospitality and Tourism Technology · doi:10.1108/jhtt-10-2021-0293 · Cited by 21 · see citing works
Scodari, B. T., Chacko, S. M., Matsumura, R., & Jacobson, N. C. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.08.004 · Cited by 20 · see citing works
Li, Y., Shen, X., & Wang, J.-L. (2024) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-024-02725-y · Cited by 23 · see citing works
“Meanwhile, a meta-analysis integrating more than 40 years of research found that external locus of control was moderately correlated with depression [53].”
Au, E. W. M., Qin, X., & Zhang, Z.-X. (2017) · Organizational Behavior and Human Decision Processes · doi:10.1016/j.obhdp.2017.07.001 · Cited by 21 · see citing works
“…three decades, empirical findings have consistently shown that people from Asian countries, relative to those from Western countries, have lower internal locus of control or higher external locus of control (Cheng et al., 2013; Evans, 1981), and believe more strongly in fate (Leung et al., 2002).”
Calling and career commitment among Chinese college students: career locus of control as a moderator
Jia, Y., Hou, Z., & Wang, D. (2020) · International Journal for Educational and Vocational Guidance · doi:10.1007/s10775-020-09439-y · Cited by 21 · see citing works
Desire for Control Moderates the Relationship between Perceived Control and Depressive Symptomology
Myles, L. A. M., Merlo, E. M., & Obele, A. (2021) · Journal of Mind and Medical Sciences · doi:10.22543/7674.82.p299305 · Cited by 20 · see citing works
Nguyen‐Feng, V. N., Baker, M. R., Merians, A. N., & Frazier, P. A. (2017) · Journal of Counseling Psychology · doi:10.1037/cou0000244 · Cited by 20 · see citing works
Árbol, J. R., Ruiz-Osta, A., & Montoro Aguilar, C. I. M. (2021) · Behavioral Sciences · doi:10.3390/bs12010005 · Cited by 19 · see citing works
“For example, comparing the rs values of LOC and IUS with BDI-II scores (0.22 and 0.56, respectively), it is remarkable that the latest factor showed a much stronger association with depression, which has been closely associated to external LOC [22].”
BackgroundInfluentialScreening Enterprising Personality in Youth: An Empirical Model
Suárez‐Álvarez, J., Pedrosa, I., Garcı́a-Cueto, E., & Muñiz, J. (2014) · The Spanish Journal of Psychology · doi:10.1017/sjp.2014.61 · Cited by 19 · see citing works
Bjørkløf, G. H., Engedal, K., Selbæk, G., Maia, D. B., Borza, T., Benth, J. Š., & Helvik, A. (2017) · Aging & Mental Health · doi:10.1080/13607863.2016.1262817 · Cited by 19 · see citing works
“From this perspective, LoC can be altered through new experiences and interactions (Cheng et al., 2013; Skinner & Zimmer-Gembeck, 2011).”
BackgroundBarakji, F., Maguire, K. C., Reiss, H., Gaule, J. M., Smith, N., Pelliccio, L., Sellnow-Richmond, S. A., Jeon, J., & Oshagan, H. (2018) · Journal of Family Communication · doi:10.1080/15267431.2018.1530675 · Cited by 19 · see citing works
“The IDV has been well validated in research (Cheng, Cheung, Chio, & Chan, 2013).”
MethodAu, E. W. M., & Savani, K. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02354 · Cited by 19 · see citing works
“Past research revealed that Easterners believed in fate to a greater extent than Westerners (Cheng et al., 2013).”
BackgroundWu, W. C. H., Chen, S. X., & Ng, J. C. K. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176383 · Cited by 20 · see citing works
“Cheng and colleagues’ [90] meta-analysis found the moderating effect of culture on the relationships between locus of control and psychological symptoms, such that the negative effects of external control were weaker in collectivistic cultures.”
BackgroundBernardi, J., & Jobson, L. (2019) · Clinical Psychological Science · doi:10.1177/2167702619841886 · Cited by 19 · see citing works
- Authors
- Cheng, C., Cheung, S. F., Chio, J. H.-M., & Chan, M.-P. S.
- Affiliations
- University of Hong Kong (HK)
- University of Macau (MO)
- Venue
- Psychological Bulletin
- Published
- 2013-01
- Volume
- 139
- Issue
- 1
- Pages
- 152-188
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- OpenAlex
- W2004357556
- Cited by
- 407
- References
- 300
- Citations by year
- 2026: 30 · 2025: 42 · 2024: 36 · 2023: 31 · 2022: 35 · 2021: 62 · 2020: 53 · 2019: 24 · 2018: 20 · 2017: 17 · 2016: 19 · 2015: 19 · 2014: 15 · 2013: 3 · 2012: 1
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Funders
- Hong Kong Research Grants Council (HKU 742810H; 201011159109)
- Topics
- Social Sciences › Psychology › Social Psychology › Cultural Differences and Values
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- locus of control, perceived control, cultural differences, individualism, collectivism, depressive symptoms, anxiety symptoms, psychological symptoms, agentic goals, cross-cultural psychology
- MeSH terms
- Adolescent, Adult, Africa, Aged, Aged, 80 and over, Anxiety Disorders, Asia, Australia, Cross-Cultural Comparison, Depressive Disorder, Europe, Female, Humans, Internal-External Control, Male, Middle Aged, New Zealand, North America, Perception, Surveys and Questionnaires, Young Adult
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