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Relationships between health domains and sense of coherence: A two-year cross-lagged study in patients with chronic illness

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Abstract

The latent structure of Sense of Coherence (SOC) and its relationship with three domains of health (body function, activity and participation) were studied in a cohort of people with chronic illness (n=771) over a period of 2 years. A structural equation approach with cross-lagged and synchronous models was applied to each combination of SOC and domain of health. Over the 2-year period SOC had enhanced body function and participation. Conversely, levels of activities as well as body function had contributed to SOC 2 years later. Significant synchronous effects were found that indicated the presence of reciprocal causation between SOC and all three domains of health. These findings challenge existing SOC theory and suggest that SOC can be considered a relevant outcome variable in chronic illness care.

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References

  1. A. Antonovsky (1988) Unraveling the Mystery of Health.How People Manage Stress and Stay Well Jossey-Bass San Fransisco

    Google Scholar 

  2. A. Antonovsky (1979) Health, Stress and Coping: New Perspectives on Mental and Physical Well-being Jossey-Bass San Francisco

    Google Scholar 

  3. S. Geyer (1997) ArticleTitleSome conceptual considerations on the sense of coherence Soc Sci Med 44 1771–1779 Occurrence Handle10.1016/S0277-9536(96)00286-9 Occurrence Handle1:STN:280:ByiA3sjkvF0%3D Occurrence Handle9194239

    Article  CAS  PubMed  Google Scholar 

  4. PM Smith FC Breslin DE. Beaton (2003) ArticleTitleQuestioning the stability of sense of coherence – The impact of socio-economic status and working conditions in the Canadian population Soc Psych Psych Epid 38 475–484 Occurrence Handle10.1007/s00127-003-0654-z

    Article  Google Scholar 

  5. H Snekkevik AG Anke JK Stanghelle AR Fugl-Meyer (2003) Is sense of coherence stable after multiple trauma? Clin Rehabil 17 443–453

    Google Scholar 

  6. I Karlsson E Berglin PA Larsson (2000) ArticleTitleSense of coherence: quality of life before and after coronary artery bypass surgery – A longitudinal study J Adv Nurs 31 1383–1392 Occurrence Handle10.1046/j.1365-2648.2000.01408.x Occurrence Handle1:STN:280:DC%2BD3czgslOlsg%3D%3D Occurrence Handle10849150

    Article  CAS  PubMed  Google Scholar 

  7. U Schnyder S Buchi T Sensky R Klaghofer (2000) ArticleTitleAntonovsky’s sense of coherence: Trait or state Psychother Psychosom 69 296–302 Occurrence Handle10.1159/000012411 Occurrence Handle1:STN:280:DC%2BD3M%2FntVCluw%3D%3D Occurrence Handle11070441

    Article  CAS  PubMed  Google Scholar 

  8. B Nilsson (2003) ArticleTitleSense of coherence – Stability over time and relation to health, disease, and psychosocial changes in a general population: A longitudinal study Scand J Public Health 31 297–304 Occurrence Handle10.1080/14034940210165019 Occurrence Handle15099036

    Article  PubMed  Google Scholar 

  9. T Feldt E Leskinen U Kinnunen I. Ruoppila (2003) ArticleTitleThe stability of sense of coherence: Comparing two age groups in a 5-year follow-up study Pers Indiv Differ 35 1151–1165 Occurrence Handle10.1016/S0191-8869(02)00325-2

    Article  Google Scholar 

  10. M. Bury (1997) Health and Illness in a Changing Society Routledge London

    Google Scholar 

  11. P. Conrad (1987) The experience of illness: Recent and new directions JA Roth P Conrad (Eds) The Experience and Management of Chronic Illness. Jai Press Greenwich Connecticut 1–131

    Google Scholar 

  12. M Kivimaki T Feldt J Vahtera JE Nurmi (2000) ArticleTitleSense of coherence and health: evidence from two cross-lagged longitudinal samples Soc Sci Med 50 583–597 Occurrence Handle10.1016/S0277-9536(99)00326-3 Occurrence Handle1:STN:280:DC%2BD3c7gsVOktw%3D%3D Occurrence Handle10641809

    Article  CAS  PubMed  Google Scholar 

  13. M Kivimaki M Elovainio J Vahtera et al. (2002) ArticleTitleSense of coherence as a mediator between hostility and health: Seven-year prospective study on female employees J Psychosom Res 52 239–247 Occurrence Handle10.1016/S0022-3999(01)00305-1 Occurrence Handle11943242

    Article  PubMed  Google Scholar 

  14. A. Antonovsky (1993) ArticleTitleThe structure and properties of the sense of coherence scale Soc Sci Med 36 725–733 Occurrence Handle1:STN:280:ByyB2c3ksVQ%3D Occurrence Handle8480217

    CAS  PubMed  Google Scholar 

  15. S Buchi T Sensky S Allard et al. (1998) ArticleTitleSense of coherence – A protective factor for depression in rheumatoid arthritis J Rheumatol 25 869–875 Occurrence Handle1:STN:280:DyaK1c3lvVyhuw%3D%3D Occurrence Handle9598882

    CAS  PubMed  Google Scholar 

  16. JF Pallant L. Lae (2002) ArticleTitleSense of coherence, well-being, coping and personality factors: Further evaluation of the sense of coherence scale Pers Indiv Differ 33 39–48 Occurrence Handle10.1016/S0191-8869(01)00134-9

    Article  Google Scholar 

  17. RA Dantas SA Motzer MA. Ciol (2002) ArticleTitleThe relationship between quality of life, sense of coherence and self-esteem in persons after coronary artery bypass graft surgery Int J Nurs Stud 39 745–755 Occurrence Handle10.1016/S0020-7489(02)00017-2 Occurrence Handle12231031

    Article  PubMed  Google Scholar 

  18. SU Motzer BJ Stewart (1996) ArticleTitleSense of coherence as a predictor of quality of life in persons with coronary heart disease surviving cardiac arrest Res Nurs Health 19 287–298 Occurrence Handle10.1002/(SICI)1098-240X(199608)19:4<287::AID-NUR3>3.0.CO;2-E Occurrence Handle1:STN:280:BymA28bmtFY%3D Occurrence Handle8773552

    Article  CAS  PubMed  Google Scholar 

  19. SA Motzer V Hertig M Jarrett MM Heitkemper (2003) ArticleTitleSense of coherence and quality of life in women with and without irritable bowel syndrome Nurs Res 52 329–337 Occurrence Handle10.1097/00006199-200309000-00007 Occurrence Handle14501547

    Article  PubMed  Google Scholar 

  20. P Surtees N Wainwright R Luben KT Khaw N. Day (2003) ArticleTitleSense of coherence and mortality in men and women in the EPIC-Norfolk United Kingdom prospective cohort study Am J Epidemiol 158 1202–1209 Occurrence Handle10.1093/aje/kwg272 Occurrence Handle14652305

    Article  PubMed  Google Scholar 

  21. E Poppius L Tenkanen R Kalimo P. Heinsalmi (1999) ArticleTitleThe sense of coherence, occupation and the risk of coronary heart disease in the Helsinki Heart Study Soc Sci Med 49 109–120 Occurrence Handle10.1016/S0277-9536(99)00105-7 Occurrence Handle1:STN:280:DyaK1MzktFyisg%3D%3D Occurrence Handle10414844

    Article  CAS  PubMed  Google Scholar 

  22. S Suominen H Helenius H Blomberg A Uutela M Koskenvuo (2001) ArticleTitleSense of coherence as a predictor of subjective state of health: Results of 4 years of follow-up of adults J Psychosom Res 50 77–86 Occurrence Handle1:STN:280:DC%2BD3M7oslaqsQ%3D%3D Occurrence Handle11274664

    CAS  PubMed  Google Scholar 

  23. D Zapf C Dormann M. Frese (1996) ArticleTitleLongitudinal studies in organizational stress research: A review of the literature with reference to methodological issues J Occup Health Psychol 1 145–169 Occurrence Handle1:STN:280:DyaK1c7nslKksA%3D%3D Occurrence Handle9547043

    CAS  PubMed  Google Scholar 

  24. AM Jette JJ Keysor (2002) ArticleTitleUses of evidence in disability outcomes and effectiveness research Milbank Q 80 325–345 Occurrence Handle12101875

    PubMed  Google Scholar 

  25. S. Naess (2001) ArticleTitleQuality of life as psychological well-being Tidsskr Laegefor 121 1940–1944 Occurrence Handle1:STN:280:DC%2BD3Mvkt1Wqsw%3D%3D

    CAS  Google Scholar 

  26. WB. Frisch (2000) Improving mental and physical health care through quality of life therapy and assessment E Diener DR Rahtz (Eds) Advances in Quality of Life Theory and Research Kluwer Academic Publishers Dordrecht 207–241

    Google Scholar 

  27. InstitutionalAuthorNameWorld Health Organization. (2002) International Classification of Functioning Disability and Health (ICF) Geneva

    Google Scholar 

  28. Pettersen KI. Assessing outcomes in Norwegian Hospitals – The Norwegian Outcomes study Qual Life Newslett (1997) 2

  29. Guldvog B. Evaluation of epilepsy surgery in Norway 1949–1988. Thesis. Oslo, 1993

  30. Loge JH, Kaasa S, Hjermstad MJ, Kvien TK. Translation and performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. I. Data quality, scaling assumptions, reliability, and construct validity

  31. LA Chwastiak M. Von Korff (2003) ArticleTitleDisability in depression and back pain: Evaluation of the World Health Organization Disability Assessment Schedule (WHO DAS II) in a primary care setting J Clin Epidemiol 56 507–514 Occurrence Handle12873644

    PubMed  Google Scholar 

  32. J Fransen D Uebelhart G Stucki T Langenegger M Seitz BA. Michel (2002) ArticleTitleThe ICIDH-2 as a framework for the assessment of functioning and disability in rheumatoid arthritis Ann Rheum Dis 61 225–231 Occurrence Handle1:STN:280:DC%2BD387ivFyjtg%3D%3D Occurrence Handle11830427

    CAS  PubMed  Google Scholar 

  33. RD Hays H Hahn G. Marshall (2002) ArticleTitleUse of the SF-36 and other health-related quality of life measures to assess persons with disabilities Arch Phys Med Rehabil 83 S4–S9 Occurrence Handle10.1053/apmr.2002.36837 Occurrence Handle12474166

    Article  PubMed  Google Scholar 

  34. CA McHorney JE Ware SuffixJr JF Lu CD. Sherbourne (1994) ArticleTitleThe MOS 36-item Short-Form Health Survey (SF-36): III Tests of data quality, scaling assumptions, and reliability across diverse patient groups Med Care 32 40–66 Occurrence Handle1:STN:280:ByuC3cvjs1M%3D Occurrence Handle8277801

    CAS  PubMed  Google Scholar 

  35. SD Keller JEJ Ware PM Bentler et al. (1998) ArticleTitleUse of structural equation modeling to test the construct validity of the SF-36 Health Survey in ten countries: Results from the IQOLA Project. International Quality of Life Assessment J Clin Epidemiol 51 1179–1188 Occurrence Handle1:STN:280:DyaK1M%2Fjt1ShtA%3D%3D Occurrence Handle9817136

    CAS  PubMed  Google Scholar 

  36. KA. Bollen (1989) Structural Equations with Latent Variables John Wiley New York

    Google Scholar 

  37. SE Finkel (1995) Causal analysis with panel data Thousand Oaks CA, Sage, London

    Google Scholar 

  38. T Feldt A. Rasku (1998) ArticleTitleThe structure of Antonovsky’s Orientation to life questionnaire Pers Indiv Differ 25 505–516

    Google Scholar 

  39. T Feldt E Leskinen U Kinnunen S. Mauno (2000) ArticleTitleLongitudinal factor analysis models in the assessment of the stability of sense of coherence Pers Indiv Differ 28 239–257

    Google Scholar 

  40. K Gana S. Garnier (2001) ArticleTitleLatent structure of the sense of coherence scale in a French sample Pers Indiv Differ 31 1079–1090

    Google Scholar 

  41. JC. Loehlin (1998) Latent Variable Models. An introduction to Factor, Path and Structural Analysis Lawrence Erlbaum Associates Mahwah, New Jersey

    Google Scholar 

  42. B Gandek JE Ware NK Aaronson et al. (1998) ArticleTitleCross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International Quality of Life Assessment J Clin Epidemiol 51 1171–1178 Occurrence Handle1:STN:280:DyaK1M%2Fjt1Shtw%3D%3D Occurrence Handle9817135

    CAS  PubMed  Google Scholar 

  43. U Schnyder S Buchi H Morgeli T Sensky R. Klaghofer (1999) ArticleTitleSense of coherence – A mediator between disability and handicap? Psychother Psychosom 68 102–110 Occurrence Handle1:STN:280:DyaK1M7lt1arsQ%3D%3D Occurrence Handle10026462

    CAS  PubMed  Google Scholar 

  44. WHO Quality of Life. Measuring quality of life. http://www.who.int/evidence/assessment-instruments/qol/. (accessed: May 7th, 2004)

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Veenstra, M., Moum, T. & Røysamb, E. Relationships between health domains and sense of coherence: A two-year cross-lagged study in patients with chronic illness. Qual Life Res 14, 1455–1465 (2005). https://doi.org/10.1007/s11136-004-0015-8

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