Validity of Antonovsky's sense of coherence scale: a systematic review.

Nordic School of Public Health, Box 12133, S-40242 Gothenburg, Sweden.
Journal of Epidemiology &amp Community Health (Impact Factor: 3.29). 07/2005; 59(6):460-6. DOI: 10.1136/jech.2003.018085
Source: PubMed

ABSTRACT The aim of this paper is to systematically review and analyse the validity and reliability of Antonovsky's life orientation questionnaire/sense of coherence scale (SOC).
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 authorized databases, doctoral theses, and available books.
The SOC questionnaire has been used in at least 33 languages in 32 countries with at least 15 different versions of the questionnaire. In 124 studies using SOC-29 the Cronbach's alpha ranges from 0.70 to 0.95. The alpha values in 127 studies using SOC-13 range from 0.70 to 0.92, and in 60 studies using a modified SOC scale range from 0.35 to 0.91. Test-retest correlation show stability and range from 0.69 to 0.78 (1 year), 0.64 (3 years), 0.42 to 0.45 (4 years), 0.59 to 0.67 (5 years) to 0.54 (10 years). The means of SOC-29 range 100.50 (SD 28.50) to 164.50 (SD 17.10) points and SOC-13 from 35.39 (SD 0.10) to 77.60 (SD 13.80) points. After 10 years SOC seems to be comparatively stable, but not as stable as Antonovsky initially assumed. SOC tends to increase with age. The factorial structure of SOC seems rather to be multidimensional than unidimensional. SOC predicts a positive outcome in a long term perspective, although there are divergent findings reported. The SOC scale seems to be a reliable, valid, and cross culturally applicable instrument measuring how people manage stressful situations and stay well.


Available from: Bengt Lindström, Jul 16, 2014
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    ABSTRACT: In an interdisciplinary review of twenty-one German- and English-language intervention studies, the effectiveness of spiritually/religiously based interventions is evaluated statistically by measur-ing the participants’ sense of coherence (SOC). Although Aaron Antonovsky considered a change in the SOC-29 score of no more than ±5 points possible, the intentional modification of the SOC-29 median through religious/spiritual interventions ranges from 3.5 to 21 points. In studies using the SOC-13 questionnaire, the SOC increase ranges from about 2 to 7.5 points. Although it is pos-sible that, for example, small sample sizes and biographical factors skew the statistics, the fact that the experimental groups’ SOC score was in all cases higher than the control groups’ SOC score strongly suggests that the improvement in SOC can be traced to the religious/spiritual practices. However, there seem to be no difference between the efficacy of spiritually/religiously based in-terventions and that of secular interventions. Moreover, some studies indicate that an intentionally modified SOC might not be stable over time. After reconsidering why I decided to categorize ther-apeutic programs such as Mindfulness-Based Stress Reduction (MBSR) as religiously/spiritually based interventions, I propose and criticize an ad hoc model of the SOC-enhancing effect of MBSR. I then discuss the potentials and shortcomings of this segment of research and develop perspectives for methodologically more sophisticated investigations.
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    10/2014; , ISBN: 978-91-7549-635-1
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    ABSTRACT: El presente estudió buscó evaluar la influencia del sentido de coherencia y las prácticas de salud en la salud mental y física de un grupo de jóvenes universitarios. Se evaluaron 448 estudiantes universitarios con edades entre 18-29 años, (M= 23.1 años, DE = 1.95) de distintas facultades de los cuales, 58 % fueron hombres y 42 % mujeres. Se utilizaron regresiones lineales para el tratamiento de los datos. Los resultados mostraron que el sentido de coherencia, el sexo, la organización del tiempo libre y la organización del sueño influencian en la salud mental. Mientras tanto la salud física está influenciada por el sentido de coherencia, la organización del tiempo libre, la actividad física, la organización del sueño, el sexo y los hábitos alimentarios. Factores psicológicos y comportamentales influenciaron la salud mental y física. El sentido de coherencia, un mecanismo de afrontamiento mostró ser importante para la salud en general, especialmente salud mental. Género mostró tener valor predictivo en ambos modelos demostrando que existen diferencias en la percepción de salud en hombres y mujeres. La organización del tiempo libre y la organización del sueño estuvieron presentes en ambos modelos, siendo la primera la práctica con mayor fuerza predictiva en ambos modelos. Actividad física y hábitos alimentarios mostraron valor predictivo en la salud física. Una hipótesis es que los estudiantes universitarios practican estas actividades enfocándose más en su salud física y no tanto en su salud mental.
    09/2013, Degree: Master in Arts. Master in Health Psychology, Supervisor: Cecilia Chau