Sense of coherence is a predictor of survival: A prospective study in women treated for breast cancer

Lindblad, Carina; Langius‐Eklöf, Ann; Petersson, Lena-Marie; Sackey, Helena; Bottai, Matteo; Sandelin, Kerstin

doi:10.1002/pon.4702

Cited by 27 publications

(19 citation statements)

References 27 publications

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“…We found that the women's SOC tended to be combined with a high sense of meaningfulness and a low sense of compensability or/and manageability. This nding is supported by a cohort study exploring predictors for SOC among women with breast cancer (37). Lindblad et al (37) found a link between a high SOC and coping with life stress for women with breast cancer, as the women used, for example, meaningfulness to accept hormonal treatment even though it had side effects.…”

Section: Relying On Inner Logics and Maintaining Controlmentioning

confidence: 91%

Women’s reasons for declining cardiovascular screening – a qualitative study

Dahl

Andersen

Heggen

et al. 2020

Preprint

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Background During 2011–2013, women from a municipality in Denmark who were born in 1936, 1941, 1946 or 1951 were invited to cardiovascular screening (n = 1984); of those, ten nonattendees were interviewed about their perspectives on cardiovascular screening. The interviews were re-analysed to gain a deeper understanding of their motives for viewing screening as personally irrelevant. A salutogenic perspective formed the premise for the data analysis. Methods A secondary analysis applying a deductive content analysis inspired by Elo and Kyngäs. The core components of Sense of Coherence were used as a theoretical framework. Results We found that nonattendance was rooted in the women’s social role as caregiver and their individual inner logics. Being a caregiver provided the women with a feeling of Sense of Coherence in their daily lives. The inner logics reflected a line of reasoning without critical reflections and the women acted upon these when declining screening. Inner logics were used as a strategy to uphold their social role and identity. Conclusion The women had a salutogenic orientation to life and they found screening meaningless. Inner logics, caring role and personal desire to maintain control of one’s life interact with individuals’ experiences of Sense of Coherence, and thus their identities. If women are expected to attend screening, it must be emotionally and cognitively meaningful for them. This could be facilitated by using a salutogenic approach in the screening invitation.

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Section: Relying On Inner Logics and Maintaining Controlmentioning

confidence: 91%

Women’s reasons for declining cardiovascular screening – a qualitative study

Dahl

Andersen

Heggen

et al. 2020

Preprint

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“…Many studies found that higher SOC scores were correlated with greater psychological well-being, higher selfesteem, better general health, more sufficient coping strategies against stress, higher level of quality of life, and better interpersonal relationships. 13,16,[19][20][21] The SOC scale is also strongly and negatively associated with anxiety, anger, burnout, demoralisation, hostility, hopelessness, perceived depression, perceived stressors, and posttraumatic stress disorder. [22][23][24] The literature presents interesting reports confirming the correlation between SOC and emotional adjustment to the disease in women with breast cancer.…”

Section: Manageability Manifests Itself In An Individual's Belief Abomentioning

confidence: 99%

“…Manageability manifests itself in an individual's belief about their capacity to cope with difficult situations, to have an active and effective influence on their own life situation, and to draw conclusions from past experiences. Many studies found that higher SOC scores were correlated with greater psychological well‐being, higher self‐esteem, better general health, more sufficient coping strategies against stress, higher level of quality of life, and better interpersonal relationships . The SOC scale is also strongly and negatively associated with anxiety, anger, burnout, demoralisation, hostility, hopelessness, perceived depression, perceived stressors, and post‐traumatic stress disorder .…”

Section: Introductionmentioning

confidence: 99%

“…12 Another construct that focuses on integration and regulation of mental functions of the individual in the context of cancer patients is the sense of coherence (SOC). [13][14][15][16] According to the concept of Aaron Antonovsky, SOC is understood as an individualised way of being, thinking, and acting connected with an inner confidence, which leads an individual to identify, take advantage of, use, and reuse the resources available. SOC consists of three components: comprehensibility, meaningfulness, and manageability.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the relationship between the body self and the sense of coherence in women after surgical treatment for breast cancer

et al. 2018

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Objective Analysis of the relationship between the body self (BS) and the sense of coherence (SOC) in women after breast surgery due to cancer in comparison with a control group. Methods A cross‐sectional study in a group of 78 women using the body–self questionnaire (BS‐Q), and the life orientation questionnaire (SOC‐29). Statistics based on the IBM SPSS v.25. Results Multivariate analysis of variance (MANOVA) has shown significant differences based on groups in experiencing intimacy, manifesting femininity, body acceptance, and manageability. In particular, manifesting femininity and body acceptance showed a big effect size (0.30 < partial ɳ2 < 0.32). Correlation analysis between the BS‐Q and SOC‐29 subscales and Fisher's r to z transformation determines that the differences between groups were significant in favour of healthy women in two sets of variables: experiencing intimacy/meaningfulness and attitude to food and weight/manageability. Conclusions Breast cancer survivors are at greater risk of developing decreased body acceptance and problems in intimacy, and have less correlation than the healthy control group between manageability and meaningfulness with an appropriate attitude to food and intimate relationship with their partner, respectively. A higher manifestation of femininity in the treated group can be considered a positive but socioculturally conditioned coping strategy.

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“…osoby z wyższym poczuciem koherencji cechuje mniejsza śmiertelność z powodu raka piersi, ponadto u chorych z wyższym SOC zauważono zmniejszenie ryzyka progresji choroby. Jednak przy stwierdzeniu współistnienia objawów depresji związek SOC z umieralnością staje się nieistotny [51].…”

Section: Psychosocjalne Aspekty Jakości żYciaunclassified

Jakość życia pacjentek z rozpoznaniem nowotworu piersi

2018

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Jakość życia pacjentek z rozpoznaniem nowotworu piersiQuality of life in patients diagnosed with breast cancer Streszczenie Rak piersi stanowi drugą co do częstości przyczynę zgonów spowodowanych przez nowotwory złośliwe u kobiet. Rak piersi we wczesnych stadiach rozwoju nie wywołuje objawów, jednak w okresie zaawansowanej choroby powoduje liczne objawy fizyczne, ale także zaburza funkcjonowanie w sferze psychologicznej, społecznej, rodzinnej, seksualnej i duchowej. Jakość życia związana ze stanem zdrowia stanowi najważniejszy aspekt życia każdego człowieka. Kobiety z rozpoznaniem raka piersi cechuje obniżona jakość życia, w porównaniu z populacją zdrową. Ocena jakości życia kobiet z rakiem piersi, jako chorobą dającą odległe skutki, jest niezwykle istotna, również dla powodzenia leczenia przeciwnowotworowego i objawowego. Wśród czynników warunkujących jakość życia wymieniane są 4 grupy: zmienne socjodemograficzne, zmienne kliniczne, czynniki psychosocjalne i przekonania zdrowotne. Ocena jakości życia pozwala dobrać korzystne dla pacjentki leczenie, a poziom jakości życia posiada także znaczenie rokownicze. Interwencje mające na celu poprawę jakości życia mogą wydłużyć czas przeżycia kobiet z rakiem piersi. AbstractBreast cancer is the second most common cause of death caused by malignant tumors in women. Initially, breast cancer does not give symptoms, but then it manifests itself not only with unpleasant physical and mental symptoms, but also disturbs functioning in the social, family or sexual sphere. The quality of life associated with the state of health is the most important aspect of every human life. Unfortunately, women with breast cancer still have a reduced quality of life in relation to the healthy population. Assessing the quality of life of women with breast cancer as a disease with long-term effects is extremely important also for the success of the therapy. Among the determinants of quality of life 4 groups are mentioned: sociodemographic variables, clinical variables, psychosocial factors and health convictions. The assessment of quality of life allows us to choose a treatment beneficial for the patient and also has prognostic importance. Interventions to improve the quality of life can increase the survival of women with breast cancer. Palliat Med Pract 2018; 12, 3: 143-150

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Sense of coherence is a predictor of survival: A prospective study in women treated for breast cancer

Abstract: This study provides evidence of SOC's predictive value for disease progression and BC-caused and all-cause mortality. Sense of coherence provides a complement when designing individual plans that aims to support patients during their treatment.

Cited by 27 publications

References 27 publications

Women’s reasons for declining cardiovascular screening – a qualitative study

Women’s reasons for declining cardiovascular screening – a qualitative study

Exploring the relationship between the body self and the sense of coherence in women after surgical treatment for breast cancer

Jakość życia pacjentek z rozpoznaniem nowotworu piersi

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