Antonovsky`s SOC scale and the relation with health: A systematic review

Folkhälsan Research Centre, Health Promotion Programme, PO Box 63, FIN-00250 Helsinki, Finland.
Journal of Epidemiology &amp Community Health (Impact Factor: 3.29). 06/2006; 60(5):376-81. DOI: 10.1136/jech.2005.041616
Source: PubMed

ABSTRACT The aim of this paper is to synthesise empirical findings on the salutogenic concept sense of coherence (SOC) and examine its capacity to explain health and its dimensions.
The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic research published 1992-2003. The review includes 458 scientific publications and 13 doctoral theses.
Worldwide, based on postgraduate scientific publications in eight authorised databases, doctoral theses, and available books.
SOC is strongly related to perceived health, especially mental health. The stronger the SOC the better the perceived health in general, at least for those with an initial high SOC. This relation is manifested in study populations regardless of age, sex, ethnicity, nationality, and study design. SOC seems to have a main, moderating or mediating role in the explanation of health. Furthermore, the SOC seems to be able to predict health. SOC is an important contributor for the development and maintenance of people's health but does not alone explain the overall health.
SOC seems to be a health promoting resource, which strengthens resilience and develops a positive subjective state of health. Salutogenesis is a valuable approach for health promotion and would be worth to implement in practice much more than to date.

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Available from: Bengt Lindström, Jul 16, 2014
    • "At the same time, identification of positive emotions associated with occasions such as receiving good news about treatment effectiveness could help reframe disease in a less negative light (Fava & Tomba, 2009). As for efforts targeting promotion of illness coherence, research suggests working not only on disease comprehensibility , but also on disease meaningfulness and manageability , as crucial resources in an incurable and unpredictable condition such as MS (Antonovsky, 1987; Eriksson & Lindström, 2006). Useful strategies comprise discussing the meaning of disease within a more general life perspective, understanding the gains it could bring, (e.g., in terms of tighter social relations, personal growth, or transcendental needs), and fostering beliefs in personal coping abilities. "
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    ABSTRACT: This study jointly examined illness beliefs held by persons with multiple sclerosis (PwMS) and caregivers in relation to well-being. A group of 68 PwMS and their caregivers completed the Revised Illness Perception Questionnaire, Psychological Well-being Scales, Satisfaction with Life Scale and Positive Affect and Negative Affect Schedule. Findings revealed that PwMS' well-being was primarily predicted by their own illness beliefs, and that also caregivers' well-being was primarily predicted by their own beliefs. Across the two groups, well-being was positively associated with their belief that they understood the disease, and inversely associated with their representations of negative emotions. In addition, among PwMS, well-being was inversely associated with the number of symptoms they specifically attributed to their illness, while among caregivers, well-being was positively associated with beliefs that treatment could control the disease. Based on the study findings, psychoeducational and cognitive-behavioral strategies are suggested to promote well-being among PwMS and caregivers.
    Journal of Clinical Psychology in Medical Settings 07/2015; DOI:10.1007/s10880-015-9425-8 · 1.49 Impact Factor
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    • "e average level of sense of coherence of the mental health professionals in our study is quite similar to the results obtained in other studies carried out in populations of a similar nature. Examples include studies with mental health specialists (Eriksson & Lindström, 2006), professionals providing care in internal medicine services (Tselebis, Moulou & Ilias ,2001), nursing teachers (Eriksson & Lindström, 2006), and Finnish nurses unemployed at the time the study was carried out (Leino- Loison, Gien, Katajisto & Välimaki, 2004). "
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    ABSTRACT: ABSTRACT BACKGROUND: !e Sense of Coherence (SOC) of Antonowsky (1996) which is based on salutogenic theory and the multifactor Positive Mental Health (PMH) model of Lluch (1999) provide two constructs for comprehending, evaluating, and intervening in the promotion and maintenance of a good state of mental health. AIM: Were assessed self-rated mental health of health professionals working in mental health services and relations between both constructs and sociodemographic, work, and health variables. METHODS: !e sample was made up of n=102 attending professionals at the mental health units of the Parc Hospitalari Martí i Julià, in Salt, Girona. !e variables studied were sociodemographic work-related, health-related, and self-perception of mental health, evaluated by means of the Sense of Coherence questionnaire and the Positive Mental Health questionnaire. !e questionnaires were self-administered. RESULTS: Overall, the sample studied scored high in the Sense of Coherence and the Positive Mental Health questionnaires. In terms of the relation between the overall scores of the SOC questionnaire and the PMH, analysis revealed a positive relation between the two. CONCLUSIONS: !is positive relation between the two questionnaires may be of particular interest in future studies of the multifactor model of Positive Mental Health and the salutogenic model that underlies the Sense of Coherence, by generating a global conceptual framework for the study of mental health from a positive perspective. PALAVRAS-CHAVE: Health promotion; Mental health; Community psychiatry; Health professionals
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    • "Ray, Suominen, and Roos (2009) found that a strong parental SOC was associated with their children having more regular child eating patterns, lower intake of energy-dense foods, and higher intake of nutrient-rich foods. Since its inception over 30 years ago, the framework has been applied extensively in health promotion research to study the relationship between SOC and physical and mental health as well as lifestyle behaviors (Eriksson & Lindström, 2006). However, salutogenesis is much more than just the study of the relationship between SOC and health outcomes (Mittelmark & Bull, 2013). "
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