Negative Life Events and Mental Ill-Health Among Women: A Prospective Study of the Main, Moderating and Mediating Effect of Sense of Coherence

Hochwälder, Jacek

doi:10.1007/s10902-012-9407-6

Cited by 9 publications

(9 citation statements)

References 20 publications

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“…Antonovsky stated that health status could influence SOC. However, recent papers have reported that SOC is a causal variable, moderator, or mediator of health status [ 31 , 32 ], and could not be predicted by other psychological factors [ 33 ]. The effects of SOC on mental health are thought to act through two mechanisms.…”

Section: Discussionmentioning

confidence: 99%

“…One mechanism is that individuals with stronger SOC perceived less stress associated with daily living [ 34 , 35 ]. The second mechanism is that SOC may moderate stressors [ 31 , 32 ]. During the COVID-19 pandemic, which introduced strong stressors for both daily living and in healthcare workplaces, healthcare workers with weak SOC should pay particular attention to their own mental health status.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Lifestyle Changes on the Mental Health of Healthcare Workers with Different Sense of Coherence Levels in the Era of COVID-19 Pandemic

Tanaka

Tahara

Mashizume

et al. 2021

IJERPH

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Sense of coherence (SOC) is a psychological factor that contributes to mental health maintenance under stressful environment. Likewise, level of SOC might affect mental health among healthcare workers during the COVID-19 pandemic differently. In this study, we investigated the relationships between lifestyle changes and mental health (General Health Questionnaire-12: GHQ-12) among different level of SOC (weak, moderate, or strong by SOC-13). The data of 898 healthcare workers from cross-sectional survey dataset were extracted and analyzed. As results, based on GHQ-12 score, 86.1% of 244 participants with weak SOC, 60.1% of 606 participants with moderate SOC, and 31.3% of 48 participants with strong SOC had poor mental health. Both SOC levels and lifestyle changes (except alcohol consumption) had significant main effects on the GHQ-12 score. Analysis on the association between lifestyle changes and mental health status stratified by SOC level reveled that among participants with weak SOC, those who increased their leisure and activity time had reduced odds of poor mental health than those who made no changes (OR: 0.08, CI: 0.01 to 0.64). Healthcare workers with weak SOC were at risk of poor mental health during the COVID-19 pandemic, and lifestyle changes may improve their mental health.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of Lifestyle Changes on the Mental Health of Healthcare Workers with Different Sense of Coherence Levels in the Era of COVID-19 Pandemic

Tanaka

Tahara

Mashizume

et al. 2021

IJERPH

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“…Although strong negative relations between sense of coherence and negative aff ect have been found in large-sample research (in Breslin, et al ., 2006 , in 9000 participants, the correlation between reversed distress latent factor and SOC latent factor was .86; in Konttinen, et al ., 2008 , in about 4500 participants, SOC correlation with anxiety was -.65 and with depression -.75), other studies continue to use SOC as a single explanatory variable and ignore the overlap with negative aff ectivity. One of the reasons for this could be a hidden assumption of functional diff erences between these constructs ( Kaźmierczak, Strelau, & Zawadzki, 2012 ;Hochwälder, 2013 ). In that light, what some researchers interpret as possible confounding overlap or similarity in construct other researchers see as statistically created fi ction, which does not represent how each construct functions; for instance, in the regulation of emotional state during a demanding situation.…”

Section: Overview Of the Present Studymentioning

confidence: 99%

Discriminant Validity of Sense of Coherence vs Trait Anxiety in Explaining Emotional State in an Experimental Task

Gruszczyńska

2014

Psychol Rep

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Prior work has indicated that sense of coherence and trait anxiety are overlapping constructs. This study assessed this overlap in explaining emotional states during a task situation. Participants were 150 students, randomly assigned to a control and an experimental group. The experimental task was to put a jigsaw puzzle together under time pressure. Sense of coherence (SOC) and trait anxiety were measured at baseline. The dependent variables, positive and negative emotions, were measured three times: at baseline, soon before the task, and after finishing the task. As expected, at each measurement point correlations between emotional state and sense of coherence did not differ significantly from the absolute values of the relevant correlations with trait anxiety. Also, from a repeated-measures perspective, for Low SOC vs High trait anxiety and also for High SOC vs Low trait anxiety, similar explanatory power for changes in emotional state was noted. The results support doubts in literature about insufficient discriminant validity of the Orientation to Life Questionnaire as a measure of the salutogenic construct.

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“…With improved coping strategies, the symptoms of psychological distress can reduce [ 1 , 3 , 9 , 61 ]. SOC appears to protect against various aspects of mental ill health, as do similar concepts, e.g., self-efficacy, hardiness, emotional stability and social support [ 62 ]. Active elements of increased clinical effectiveness have been presented as: being taken seriously; being listened to; talking about problems; and increased self-efficacy and self-care [ 31 , 34 , 45 , 63 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of life, sense of coherence and experiences with three different treatments in patients with psychological distress in primary care: a mixed-methods study

Arvidsdotter

Marklund

Taft

et al. 2015

BMC Complement Altern Med

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BackgroundPsychological distress is associated with impaired health-related quality of life (HRQL) and poor sense of coherence (SOC). In a previous study, we found that therapeutic acupuncture (TA) and an integrative treatment that combined TA with person-centred approach in a salutogenic dialogue (IT) alleviated anxiety and depression significantly more than conventional treatment (CT) in primary care patients. Here, we report on secondary analyses regarding the HRQL and SOC from that previous pragmatic randomised controlled trial (RCT).MethodQuantitative and qualitative design. One hundred twenty patients were referred for psychological distress. Quantitative analyses were performed at baseline and after 8 weeks of treatment using the SF-36 mental component summary (MCS), physical component summary (PCS) and the Sense of Coherence-13 (SOC) questionnaires. Qualitative manifest content analyses were based on open-ended questions—“Have you experienced any changes since the start of the treatment? Will you describe these changes?”ResultsNo baseline differences were found. At 8 weeks, both the IT and TA groups had statistically better scores and greater improvement from baseline on the MCS and SOC than the CT group. The effect sizes were large. No significant differences were found between the IT and TA groups or in relation to the PCS. SOC was highly correlated with the MCS but not with the PCS. Dropout rates were low.The experiences of the intervention resulted in four categories: Being heading back; Status quo; Feeling confirmed; and Feeling abandoned, with 13 related subcategories.ConclusionIT and TA seem to improve sense of coherence and mental health status in primary care patients with psychological distress, whereas CT appears to be less beneficial. IT and TA appear to be well-accepted and may serve as useful adjunct treatment modalities to standard primary care. Our results are consistent with much of the previous research in highlighting a strong relationship between SOC and mental health status. The written qualitative data described feeling confirmed and feeling increased self-efficacy, self-care and faith in the future. Those in the CT group, however, described feeling abandoned, missing treatment and experiencing increased emotional and physical problems. More research is needed.Trial registrationISRCTN trial number NCT01631500.

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Negative Life Events and Mental Ill-Health Among Women: A Prospective Study of the Main, Moderating and Mediating Effect of Sense of Coherence

Cited by 9 publications

References 20 publications

Effects of Lifestyle Changes on the Mental Health of Healthcare Workers with Different Sense of Coherence Levels in the Era of COVID-19 Pandemic

Effects of Lifestyle Changes on the Mental Health of Healthcare Workers with Different Sense of Coherence Levels in the Era of COVID-19 Pandemic

Discriminant Validity of Sense of Coherence vs Trait Anxiety in Explaining Emotional State in an Experimental Task

Quality of life, sense of coherence and experiences with three different treatments in patients with psychological distress in primary care: a mixed-methods study

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