Sense of Coherence bei Bulimie-Patientinnen: ein protektiver Faktor für psychische Gesundheit?

 

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Zusammenfassung

Anliegen Ziel der Studie war es, die Ausprägung des Sense of Coherence (SOC) und den Zusammenhang zwischen SOC, Ängstlichkeit, Depressivität, somatoformen Beschwerden und Lebenszufriedenheit bei Bulimia nervosa (BN) zu untersuchen. Methode In einer Querschnittsstudie wurden 73 ambulante BN-Patientinnen mit der Sense of Coherence Scale (SOC-13), der Hospital Anxiety and Depression Scale (HADS-D) und dem Screening für Somatoforme Störungen (SOMS-2) untersucht. Ergebnisse Die BN-Patientinnen zeigten im Vergleich zur Normgruppe ein extrem geringes Kohärenzgefühl (M = 45,09 vs. M = 71,23; p ≤ 0,001). Das Kohärenzgefühl korrelierte signifikant negativ mit der Depressivität und der Anzahl der somatoformen Symptome. Dagegen fand sich ein signifikant positiver Zusammenhang mit der Lebenszufriedenheit (r = 0,467; p ≤ 0,001). Zwischen SOC und Ängstlichkeit bestand kein Zusammenhang. Schlussfolgerungen Die Ergebnisse stützen die Hypothese, dass ambulante BN-Patientinnen hinsichtlich ihrer depressiven Symptomatik und der somatoformen Beschwerden von einer gezielten Stärkung des Kohärenzgefühls profitieren könnten.

Abstract

Objective The aim of the current study was to examine the occurrence of sense of coherence (SOC) and the relationship between SOC and anxiety, depression, somatoform complaints and life satisfaction in female bulimia nervosa (BN) outpatients. Methods In a consecutive cross-sectional study 73 BN outpatients (age 26.9 years, SD 7.8) were assesssed with the Sense of Coherence Scale (SOC-13), the Hospital Anxiety and Depression Scale (HADS-D), and the Screening for Somatoform Disorders (SOMS-2). Results The BN outpatients showed highly reduced SOC in comparison to the reference group (M = 45.09 vs. M = 71.23; p ≤ 0.001). SOC significantly correlated inversely with depression and somatoform complaints. Additionally, there was a positive correlation between SOC and life satisfaction (r = 0.467; p ≤ 0.001). Interestingly, SOC was not significantly correlated with anxiety. Conclusions The results support the thesis that female BN outpatients could benefit from an enhancement of SOC particularly with regard to depression and somatoform complaints.

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Dr. rer. medic. Dipl.-Psych. Sefik Tagay

Rheinische Kliniken Essen, Klinik für Psychosomatische Medizin und Psychotherapie, Universität Duisburg-Essen

Virchowstraße 174

45147 Essen

Email: sefik.tagay@uni-due.de