Sense of coherence as a predictor of physical and psychosocial health among cardiac patients

Janusz Kocjan


Kocjan Janusz. Sense of coherence as a predictor of physical and psychosocial health among cardiac patients. Journal of Education, Health and Sport. 2015;5(6):241-250. ISSN 2391-8306. DOI 10.5281/zenodo.18558

Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014



Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie.

Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.

The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).

© The Author (s) 2015;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,

provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License

( which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License ( which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 21.04.2015. Revised 28.05.2015. Accepted: 10.06.2015.




Janusz Kocjan

Medical University of Silesia, Faculty of Medicine




INTRODUCTION: According to salutogenic concept, a strong sense of coherence is associated with physical and psychological health. Global life orientation is a measure of an individual’s ability to balance needs and resources of the body in confrontation with stress.

AIM OF THE STUDY: The aim of the present study was to assess relationship between sense of coherence (SOC) with health-related quality of life (HRQoL), especially with physical (PC) and mental (MC) component of health in patients undergoing cardiac treatment.

MATERIAL AND METHODS: 144 patients in age of 40-84 (mean age: 63,35 ± 10,71 years) were examined. The following scale were used: SOC-29 (Sense of Coherence) and SF-36 (Short Form Health Survey). Statistical analyses included perform descriptive statistics, calculate correlation between variables and comparision in groups. Levels of p<0,05 were accepted as being statistically significant values.

RESULTS: The median score for SOC and its individuals components were as follows: SOC: 121,50; sense of  comprehensibility: 46,00; sense of meaningfulness: 40,00; sense of manageability: 39,00. Correlation between SOC and all components with MC were noted (0,20<r<0,30; p<0,02). In case of PC, correlations were weaker (0,17<r<0,23), but statistically significant (p<0,05).  Differences between group with low and strong SOC revealed in factors: physical functioning, role limitations due to physical health, pain, health-general, energy/fatigue, role limitations due to emotional problems as well as in MC and PC components (0,0000<p<0,0393).

CONCLUSIONS: Sense of Coherence has an impact both for MC as well as PC. Strong SOC is associated with better HRQoL.

KEY WORDS: Sense of coherence, SOC-29,  health-related quality of life, cardiac patients.


sense of coherence, SOC-29, health-related quality of life, cardiac patients.

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Antonovsky A. Health, Stress and Coping. Jossey-Bass, San Francisco, 1979.

Antonovsky, A, Unraveling the Mystery of Health. How People Manage Stress and Stay Well. Jossey-Bass, San Francisco, 1987.

Lazarus R, Folkman S. Stress, Appraisal, and Coping. Springer, New York, 1984.

 Chumbler NR, Rittman M, Van Puymbroeck M, Vogel WB, Qin H. The sense of coherence, burden and depressive symptoms in informal caregivers during the first month after stroke. Int J Geriatr Psychiatry 2004, 19: 944-953.

Fayers P M, Machin D. Quality of life. assessment, analysis and interpretation. New York: John Wiley & Sons, 2000

Kovess-Masfety V, Murray M, Gureje O. Evolution of our understanding of positive mental health. In: Herrman H, Saxena S, Moodie R, eds. Promoting mental health. Concepts, emerging evidence, Practice. Geneva: World Health Organization, 2005; pp. 35–45.

Flanagan JC: A research approach to improving our quality of life. American Psychologist 1978, 33: 138-147.

 Bowling A. Measuring health. A review of quality of life measurement scales. 2nd edn. Maidenhead: Open University Press, 1997.

Lindström B. The essence of existence. On the quality of life of children in the Nordic countries - theory and practice in public health. [doctoral thesis]. Göteborg: Nordic School of Public Health, 1994.

Lindström B. Quality of life: A model for evaluating health for all. Conceptual considerations and policy implications. Soz Praventivmed 1992; 37: 301-306.

Nahlen C, Saboonchi F. Coping, sense of coherence and the dimensions of affect in patients with chronic heart failure", European Journal of Cardiovascular Nursing, 2009.

Kennedy P, Lude P, Elfstrom ML, Smithson E. Sense of coherence and psychological outcomes in people with spinal cord injury: Appraisals and behavioural responses, British Journal of Health Psychology 2009.

Eriksson M, Lindström B. Lilja J. A sense of coherence and health. Salutogenesis in a societal context: Åland, a special case? Journal of Epidemiology and Community health 2007; 61(8): 684-688.

 Silarova B, Nagyova I, Rosenberger J, Studencan M, et al. Sense of coherence as an independent predictor of health-related quality of life among coronary heart disease patients. Qual Life Res 2012; (10): 1863-1871

Kattainen E, Merilainen P, Sintonen H. Sense of coherence and health-related quality of life among patients undergoing coronary artery bypass grafting or angioplasty. Eur J Cardiovasc Nursing 2006; 5: 21-30.

Ekman I, Fagerberg B, Lundman B: Health-related quality of life and sense of coherence among elderly patients with severe chronic heart failure in comparison with healty controls. Heart Lung 2002; 31(2): 94-101.

Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med 1993; 36: 725–733.

Koniarek J, Dudek B, Makowska Z. Kwestionariusz Orientacji Życiowej. Adaptacja The Sense of Coherence Questionnaire (SOC) A. Antonovsky’ego. Przegląd Psychologiczny 1993; 36: 491-502.

Eriksson M, Lindstrom B. Validity of Antonovsky’ sense of coherence scale: A systematic review. Journal of Epidemiology and Community Health 2005; 59: 460–466

Ware JE, Brook RH, Williams KN, et al. Conceptualisation and Measurement of Health for Adults in the Health Insurance Study, Vol 1. Model of Health and Methodology. Santa Monica, CA: Rand Corp; 1980.

Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-483.

 Żołnierczyk-Zreda D, Wrześniewski K, Bugajska J, Jędryka-Góral A. Polska wersja Kwestionariusza SF36v2 do badania jakości życia. Centralny Instytut Ochrony Pracy – Państwowy Instytut Badawczy, Warszawa, 2009.

Antonovsky A. Can attitudes contribute to health? Advances 1992; 8: 33-49.

Eriksson M. Unravelling the mystery of salutogenesis. The evidence base of the salutogenic reasearch as measured by Antonovsky's Sense of Coherence Scale. Folkhälsan Research Centre, Health promotion research programme, Turku, 2007.

Bernabe E, Kivimäki M, Tsakos G, Suominen-Taipale, et al. The relationship among sense of coherence, socio-economic status, and oral health-related behaviours among Finnish dentate adults. European Journal of Oral Sciences 2009; 117(4): 413-418.

Savolainen J, Suominen-Taipale A, Uutela A, Aromaa A, et al. Sense of coherence associates with oral and general health behaviours. Community Dental Health 2009; 26(4): 197-203.

Suominen S, Blomberg H, Helenius H, Koskenvuo M. Sense of coherence and health - does the association depend on resistance resources? A study of 3115 adults in Finland. Psychology & Health 1999; 14(5): 937-948.

Jakobsson L: Indwelling catheter treatment and health-related quality of life in men with prostate cancer in comparison with men with benign prostatic hyperplasia. Scand J Caring Sci 2002; 16: 264-271.

Helvik AS, Engedal K, Selbæk G. Sense of coherence and quality of life in older in-hospital patients without cognitive impairment - a 12 month follow-up study. BMC Psychiatry 2014; 14: 82.

Chumbler NR, Kroenke K, Outcalt S, Bair MJ, et al. Association between sense of coherence and health-related quality of life among primary care patients with chronic musculoskeletal pain. Health and Quality of Life Outcomes 2013, 11: 216.

Drageset J, Nygaard HA, Eide GE, Bondevik M, et al. Sense of coherence as a resource in relation to health-related quality of life among mentally intact nursing home residents - a questionnaire study. Health and Quality of Life Outcomes 2008; 6: 85.

Kouvonen AM, Väänänen A, Woods SA, Heponiemi T, et al. Sense of coherence and diabetes: a prospective occupational cohort study", BMC Public Health 2008; 8: 46.

Sagy S, Antonovsky A. Coping with retirement: Does the sense of coherence matter less in the Kibbutz? International Journal of Health Sciences 1990; 1: 233-242.

Langius A, Björvell H, Antonovsky A. The sense of coherence concept and its relation to personality traits in Swedish samples. Scand J Caring Sci 1992; 6: 165–171.

Polewka A, Chrostek-Maj J, Kroch S. Psychosocial aspects of the suicidal attempts of Polish females. Archives of Psychiatry and Psychotherapy 2001; 3: 51–60.

Zhang J, Vitaliano PP, Lutgendorf SK, et al. Sense of coherence buffers relationships of chronic stress with fasting glucose levels. J Behav Med 2001; 24: 33–55.


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