scholarly journals Why is Antonovsky's sense of coherence not correlated to physical health? Analysing Antonovsky's 29-item sense of coherence scale (SOC-29)

2005 ◽  
Vol 5 ◽  
pp. 767-776 ◽  
Author(s):  
Trine Flensborg-Madsen ◽  
Søren Ventegodt ◽  
Joav Merrick

We have previously concluded that the use of the Antonovsky sense of coherence (SOC) scale was unable to document a predicted strong association between SOC and physical health. By way of statistical methods, numerous studies have investigated the validity, reliability and applicability of the SOC scale with positive results. However, this paper analyses whether the questions in the SOC scale actually represent the universe of factors necessary to describe the phenomenon of SOC, which we believe is an important supplement to the statistically means of investigating validity and reliability. In this paper we explore theidea,the concepts,the theoryandthe operationalisationbehind the SOC Scale. The conclusions are: 1) it seems that Antonovsky's basic idea of coherence, for which he coined the term sense of coherence, as the basis for the highly popular salutogenic orientation is outstandingly good, in spite of the lack of statistical evidence; 2) the chosen key explanatory concepts ofcomprehensibility,manageability, andmeaning, seems to be a fair, although mental, conceptualisation of this idea; 3) Antonovsky's theory was unfortunately much less clear, as Antonovsky assumed predictability to be very important for the sense of coherence, especially for comprehensibility and manageability. This notion of predictability leaves its footprints in his operationalization of SOC into the SOC Scale. Our analysis convinced us that the SOC scale is unlikely to be a fair materialization of the idea of coherence and thus unlikely to measure SOC correctly.

2006 ◽  
Vol 6 ◽  
pp. 2212-2219 ◽  
Author(s):  
Trine Flensborg-Madsen ◽  
Søren Ventegodt ◽  
Joav Merrick

In a previous paper, we argued that the original 29-item sense of coherence (SOC) scale developed by Aaron Antonovsky (1923–1994) was insufficient according to its reflection of SOC. The purpose of this study was to create a new version of the original 29-item SOC scale in order to test his hypothesis of a causal link between SOC and physical health. This shorter version was built on the exact same idea, theory, and conceptualization used by Antonovsky, which resulted in a SOC scale containing only 9 abstract questions. These nine questions, in addition to two questions about physical and psychological health, made up a questionnaire answered by 100 people at the entrance hall of the University Medical Center (Rigshospitalet) in Copenhagen. According to Antonovsky’s famous hypothesis, a strong association should be found between SOC and physical health, but surprisingly, we found that the new scale was falsifying the hypothesis, with a correlation between SOC and physical health of only r = 0.044 (NS). However, a highly significant correlation was found with psychological health with r = 0.502 (p= <0.0005). The authors are in a predicament since we strongly believe in Antonovsky’s famous idea of the relationship between SOC and health. However, we believe that it is our emotional aspects that primarily determine our physical health, which we will demonstrate in a subsequent study, but the reason we did not find any significant correlation in this study was the fact that our nine-item SOC scale was very mental (mental in the sense of applying to conscious cognition and attitude). We consider the mental aspects to determine our psychological health and the emotional aspects to determine our physical health. Our conclusion is that the original 29-item SOC scale mixed a few emotional aspects into the otherwise mental construct, which is the reason for the relatively low correlations found until now, when using the original scale.


2005 ◽  
Vol 5 ◽  
pp. 665-673 ◽  
Author(s):  
Trine Flensborg-Madsen ◽  
Søren Ventegodt ◽  
Joav Merrick

The aim of this paper is to systematically review the available scientific publications published concerning the association between the sense of coherence (SOC), designed by Aaron Antonovsky (1923-1994), measured with the scales SOC-29 or SOC-13, and different aspects of health. The study is descriptive and integrates more than 50 scientific publications. The results are divided into the categories: Physical health; biological measures; psychological measures; health measures incorporating psychological aspects; stress; and behavioural aspects. The conclusion from this review is that SOC is highly associated with psychological aspects, including stress and behavioural aspects when SOC is operationalized with the prevailing scales. However, we were unable to show a strong association between SOC and physical health that Antonovsky had predicted. Therefore, we conclude that the SOC scale can only serve as a predictor for health that is measured by incorporating psychological aspects, while it is not capable of explaining physical health that is measured only by means of physical terms.


2008 ◽  
Vol 8 ◽  
pp. 451-453 ◽  
Author(s):  
P. Christian Endler ◽  
Thomas M. Haug ◽  
Heinz Spranger

According to Antonovsky's (Aaron Antonovsky, 1923–1994) sense of coherence (SOC) model, persons with a high SOC have the ability to benefit from their general defense mechanisms in order to overcome stressful situations. In a health-disease continuum, this leads to the development towards health. However, Antonovsky's global hypothesis that the strength of the SOC may influence the physical health status of a person could not be proven.Flensborg-Madsen et al. from Copenhagen were able to provide a new access regarding SOC and health. They investigated the mixture of emotional aspects and mental constructions as a possible cause for fairly low correlation between SOC and physical health. Thus, in an empirical way, they described “emotional coherence” in relation to physical health, while “mental coherence” was linked topsychologicalhealth. These authors introduced the idea of applying a shortened version of the original 29-item SOC questionnaire, but have not yet developed or tested the shortened questionnaire. Backed by their important findings, it appears to be promising to consider the use of the SOC questionnaire as standardized by Antonovsky, but cleared of the items regarding “predictability”, i.e., Flensborg-Madsen et al. suggested that the items on “predictability” be excluded from the SOC scale when a correlation to physical health is to be investigated. Further investigations in this area of research will be of high impact, not only for health sciences, but also for medical practice.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pilar Dominguez-Olivan ◽  
Angel Gasch-Gallen ◽  
Esmeralda Aguas-Garcia ◽  
Ana Bengoetxea

Abstract Background The Balance Evaluation Systems Test (BESTest) and its abbreviated version, the Mini-BESTest are clinical examination of balance impairment, but its psychometric properties have not yet been tested in European Spanish. We aimed to assess the psychometric properties of BESTest and Mini-BESTest in Spanish in community-dwelling elderly people. Methods We designed a cross-sectional transcultural adaptation and validation study. Convenience sample of thirty (N-30) adults aged 65 to 89 years old without balance problems were recruited. Two physiotherapists assessed participants at the same time. Internal consistency of Spanish BESTest and Mini-BESTest was carried out by obtaining the Cronbach Alpha. The reproducibility between raters was studied with the Intraclass Correlation Coefficient. The Pearson correlation coefficient was calculated by comparing the relationship between the BESTest, mini-BESTest, Berg Balance Scale (BBS) and Falls Efficacy Scale-International (FES-I). Results BESTest and Mini-BESTest showed good internal consistency. BESTest and Mini-BESTest total scores showed an excellent inter-rater agreement. There was a significant correlation between total score of the BESTest and the Mini-BESTest (r = 0.65; p < 0.001). BESTest had a moderate association with BBS and a strong association with FES-I. Mini-BESTest had a fair correlation with BBS and FES-I. Total scores obtained by women at BESTest and at Mini-BESTest were significantly lower than those reached by men. The differences observed in all the test when disaggregating data by sex require further research. Conclusions Spanish versions of BESTest and Mini-BESTest are comprehensible for new raters. They are reliable tools to provide information on which particular balance systems show impairment in community dwelling older adults. Elderly women had a worse quality of balance and a greater perception of their risk of falling. Trial registration This study was registered in ClinicalTrials.gov with NCT 03403218 on 2018/01/17.


2020 ◽  
pp. JNM-D-19-00107
Author(s):  
Nabeel Al-Yateem ◽  
Intima Alrimawi ◽  
Randa Fakhry ◽  
Arwa AlShujairi ◽  
Syed Azizur Rahman ◽  
...  

Background and purposeApplying strategies that improve sense of coherence (SOC) may positively affect adolescents’ wellbeing. This may be particularly beneficial for those with chronic conditions. Therefore, having a valid measurement tool for SOC is important. This study assessed the validity and reliability of the Arabic version of the SOC questionnaire (A-SOC). Secondary objectives were to establish baseline data on SOC levels in a population of adolescents in the United Arab Emirates.MethodsWe used a cross-sectional correlational design.ResultsThe A-SOC was found to be a valid tool, with a Cronbach’s alpha of 0.75. The mean A-SOC score in the study sample was 57.38.ConclusionsFollowing an initial assessment of children’s SOC, healthcare professionals could implement strategies that improve SOC for this population, thereby improving their general wellbeing.


2016 ◽  
Vol 23 (4) ◽  
pp. 16-26 ◽  
Author(s):  
Gururaghavendran Rajesh ◽  
Monica Eriksson ◽  
Keshava Pai ◽  
S Seemanthini ◽  
Dilip G. Naik ◽  
...  

Background: The importance of salutogenesis, with the focus of what creates health rather than what causes diseases, has been highlighted for a long time. This has been operationalized by Aaron Antonovsky as the Sense of Coherence (SOC-13) scale. The aim of this study was to further examine the psychometric properties of the SOC-13 in India. Methods: The present study was carried out among second-year degree students at three randomly chosen institutions at Mangalore University. Investigators assessed the appropriateness, relevance, comprehensiveness and understandability of the scale. Further, the scale was assessed by five subject experts. The SOC-13 was then pretested by administering it to peers, individuals and a few of the study subjects. Internal consistency was assessed by Cronbach’s alpha and split-half reliability. Test-retest reliability was assessed by administering the instrument to the same study participants after two weeks. Confirmatory factor analysis employing varimax rotation was employed. Results: The SOC-13 revealed a Cronbach’s alpha value of 0.76. Split-half reliability and Guttman split-half reliability were found to be 0.71 and 0.70, respectively. Test-retest reliability was found to be 0.71 ( p < 0.01). Factor analysis revealed a three-factor solution explaining 40.53% of the variation in SOC. Conclusions: SOC-13 was found to be a reliable and valid instrument for measuring SOC in an Indian context. The present study contributes to health promotion in an Indian context, and could be useful even in other developing countries and for further research in India.


2011 ◽  
Vol 460-461 ◽  
pp. 611-616
Author(s):  
Hong Jie Li ◽  
Xiao Ning Zhang

The research presented here constructed highway landscape quality evaluation indexes and a model based on public satisfaction. The goal was to determine if public satisfaction of highway landscape quality can be statistically measured. Several methods of highway landscape quality evaluation were first reviewed to determine what limitations were existed. From that review, a highway landscape quality evaluation indexes were selected and a model based on the selected indexes were constructed according to theory of public satisfaction. An on-site study was conducted to obtain public satisfaction of a scenic road using the selected indexes and model, statistical methods were employed to test the validity and reliability. Results indicate that the public satisfaction can reflect the quality of highway landscape, and the selected indexes can fully represent highway landscape quality.


2006 ◽  
Vol 1 ◽  
pp. 236-247 ◽  
Author(s):  
Trine Flensborg-Madsen Trine Flensborg-Madsen ◽  
Søren Ventegodt ◽  
Joav Merrick

2019 ◽  
Vol 2 (2) ◽  
pp. 128-136
Author(s):  
DESSY ISFIANADEWI ◽  
TEZZA ADRIANSYAH ANWAR

This study aims to determine the extent of the benefits of implementing CSR programs provided by companies to the public. Specifically, this research was carried out on the implementation of CSR programs carried out by Shopee, Shopee for the Country, for the community, in this case, the Pringgodani community as the recipient of assistance. This village is widely known for bamboo crafts made by craftsmen in the village.  This study use three methods of data collection, namely: interview method, observation, and documentation to maintain data validity and reliability. The results of this study note that CSR programs carried out by Shopee, Shopee for the Country to the Pringgodani Community include: UMKM (Community) education and training assistance in workshop building, capital assistance in the form of purchasing production machinery, assistance with product promotion and marketing partners online. The success of the Shopee CSR program to improve and develop the Community's potential has provided positive results and impacts even though it has not been fully optimized. This is because there are still some obstacles in addition to the existence of several supporting factors. It can be concluded that the current needs of the Community are the existence of education and ongoing assistance to craftsmen in producing quality products and running businesses that are ready to compete. Suggestions, CSR programs should be delivered directly to the recipient community without intermediaries, so that the program implementation can be carried out directly by the community.


2006 ◽  
Vol 1 ◽  
pp. 248-255
Author(s):  
Trine Flensborg-Madsen ◽  
Søren Ventegodt ◽  
Joav Merrick

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