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      Antonovsky's Sense of Coherence in psychosomatic patients - a contribution to construct validation Translated title: Antonovsky's Sense of Coherence bei psychosomatischen Patienten - ein Beitrag zur Konstruktvalidität

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          Abstract

          Objective: The objective of the present study is to contribute towards the validation of the SOC (Sense of Coherence) construct on the basis of data from psychosomatic patients.

          Method: The study included a total of 1403 patients treated as out-patients or in consultations in the Clinic for Psychosomatic Medicine at the Charité University of Medicine, Berlin, between July 2002 and October 2005. Correlations were tested between the sense of coherence (SOC-L9), sociodemographic variables and the following psychometric instruments: Patient Health Questionnaire (PHQ), Brief COPE, Questionnaire on Self-Efficacy, Optimism and Pessimism (SWOP-K9) and Perceived Stress Questionnaire (PSQ-20).

          Results: Associations were found between sense of coherence and age, but not with gender. In addition, high sense of coherence was correlated with high self-efficacy, optimism, subjective physical well-being and favourable coping strategies as well as with low perceived stress.

          Conclusion: The results contribute to the validation of the SOC construct. Future investigations should include longitudinal studies of the precise association between sense of coherence and other psychological variables.

          Translated abstract

          Zielsetzung: Ziel der vorliegenden Studie ist es, anhand der Daten von psychosomatischen Patienten einen Beitrag zur Konstruktvalidität des SOC (Sense of Coherence) zu leisten.

          Methode: In die Untersuchung wurden insgesamt n=1403 Patienten einbezogen, die in der Medizinischen Klinik mit Schwerpunkt Psychosomatik der Charité-Universitätsmedizin Berlin in der Zeit vom Juli 2002 bis Oktober 2005 poliklinisch oder konsiliarisch behandelt wurden. Es wurden Zusammenhänge zwischen dem Kohärenzempfinden (SOC-L9) und soziodemographischen Variablen sowie Korrelationen mit folgenden psychometrischen Instrumenten überprüft: Patient Health Questionnaire (PHQ), Brief-COPE, Fragebogen zu Selbstwirksamkeit, Optimismus und Pessimismus (SWOP-K9) und Perceived Stress Questionnaire (PSQ-20).

          Ergebnisse: Es zeigten sich Zusammenhänge zwischen dem Kohärenzempfinden und Alter, nicht aber mit dem Geschlecht. Außerdem ist ein hohes Kohärenzempfinden mit höherer Selbstwirksamkeit, mehr Optimismus, günstigeren Copingstrategien, stärkerem subjektiven physischen Wohlbefinden und weniger subjektiv wahrgenommener Stressbelastung assoziiert.

          Fazit: Die Ergebnisse leisten einen Beitrag zur Konstruktvalidität. In weiteren Studien sollten längsschnittlich die genauen Wirkungszusammenhänge von Kohärenzempfinden mit anderen psychologischen Variablen untersucht werden.

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          Most cited references21

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          Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal.

          Using outpatients with anxiety and mood disorders (N = 350), the authors tested several models of the structural relationships of dimensions of key features of selected emotional disorders and dimensions of the tripartite model of anxiety and depression. Results supported the discriminant validity of the 5 symptom domains examined (mood disorders: generalized anxiety disorder, GAD; panic disorder; obsessive-compulsive disorder; social phobia). Of various structural models evaluated, the best fitting involved a structure consistent with the tripartite model (e.g., the higher order factors, negative affect and positive affect, influenced emotional disorder factors in the expected manner). The latent factor, GAD, influenced the latent factor, autonomic arousal, in a direction consistent with recent laboratory findings (autonomic suppression). Findings are discussed in the context of the growing literature on higher order trait dimensions (e.g., negative affect) that may be of considerable importance to the understanding of the pathogenesis, course, and co-occurrence of emotional disorders.
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            On traits and temperament: general and specific factors of emotional experience and their relation to the five-factor model.

            In this article we investigate relations between general and specific measures of self-rated affect and markers of Neuroticism, Extraversion, Openness to Experience, Agreeableness, and Conscientiousness. Replicating previous research, we found strong and pervasive associations between Neuroticism, its facets, and the various negative affects; and between Extraversion, its facets, and the positive affects. Conscientiousness also had a significant, independent relation with general positive affect, but this effect was entirely due to the specific affect of attentiveness, which was more strongly related to Conscientiousness than Extraversion. Conversely, only the achievement facet of Conscientiousness correlated broadly with the positive affects. Finally, hostility had a strong independent association with (low) Agreeableness. The results for Neuroticism and Extraversion further clarify the temperamental basis of these higher order trait dimensions; whereas those obtained for Agreeableness and Conscientiousness illustrate the importance of examining personality-affect relations at the lower order level.
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              The development of a sense of coherence and its impact on responses to stress situations.

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                Author and article information

                Journal
                Psychosoc Med
                GMS Psychosoc Med
                GMS Psycho-Social Medicine
                German Medical Science GMS Publishing House
                1860-5214
                03 April 2007
                2007
                : 4
                : Doc03
                Affiliations
                [1 ]Charité Centre for Internal Medicine and Dermatology - Clinic for Psychosomatic Medicine, Charité University Medicine, Berlin, Germany
                [2 ]ENT - Clinic, Tinnitus Centre, Charité University Medicine, Berlin, Germany
                Author notes
                *To whom correspondence should be addressed: Nina Zirke, Medizinische Klinik m. S. Psychosomatik, Charité Universitätsmedizin Berlin, Luisenstr. 13a, 10117 Berlin, Germany, E-mail: Nina.Zirke@ 123456charite.de
                Article
                psm000035
                2736525
                19742290
                37035311-3d08-4c6a-b7d3-5bbfd561902c
                Copyright © 2007 Zirke et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free to copy, distribute and transmit the work, provided the original author and source are credited.

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                Categories
                Article

                Clinical Psychology & Psychiatry
                psychosomatic patients,sense of coherence,salutogenesis,construct validation

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