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The sense of coherence, occupation and the risk of coronary heart disease in the Helsinki Heart Study

Published on Jul 1, 1999in Social Science & Medicine 3.09
· DOI :10.1016/S0277-9536(99)00105-7
Esko Poppius5
Estimated H-index: 5
Leena Tenkanen30
Estimated H-index: 30
(UTA: University of Tampere)
+ 1 AuthorsPertti Heinsalmi3
Estimated H-index: 3
The risk of coronary heart disease (CHD) was studied in 4405 Finnish middle-aged working men in different occupations according to their sense of coherence (SOC). The study design was prospective and the follow-up time was eight years. Clinical findings such as total cholesterol, systolic blood pressure and body-mass index showed differences when comparing blue and white collar workers. Lifestyle factors such as smoking also differed, but leisure time physical activity depended on SOC. In the white collar work environment the low SOC tertile had a high CHD incidence of 20.1 per 1000 person-years; the incidences in the medium and high SOC tertiles were 10.9 and 12.3, respectively. A similar effect was not observed in the blue collar work environment. There, contrary to theoretical expectations, the low SOC tertile had the lowest incidence of CHD. The difference in the CHD incidence pattern depended on the blue and white collar dichotomy and not on the branch (state agencies vs. industry). The SOC had a salutogenic effect among white collar workers, but failed to have any consequent effect on the health of blue collar workers. Further study is needed to look at the psychosocial factors among blue collar workers.
  • References (30)
  • Citations (109)
Published on Dec 17, 1998in Social Work in Health Care 1.10
Ora Gilbar20
Estimated H-index: 20
(University of Haifa)
ABSTRACT The aim of this study was to determine whether a strong sense of coherence as a coping strategy affects burnout in health social workers. The research sample consisted of 31 social workers in the field of physical illness, 21 in the field of mental illness, and 29 in the field of the handicapped. The main finding indicates that health social workers who have a strong sense of coherence experience less burnout than those with a weak sense of coherence. More specifically, the findings ind...
92 Citations Source Cite
Published on Jun 1, 1997in Social Science & Medicine 3.09
Siegfried Geyer24
Estimated H-index: 24
(HHU: University of Düsseldorf)
Aaron Antonovsky's sense of coherence (SOC) [(1987) Unraveling the Mystery of Health, How People Manage Stress and Stay Well, Jossey-Bass, San Francisco] ought to explain why some people manage stress and stay well while others break down. According to Antonovsky's formulation, SOC is strongly developed if a person sees the world as comprehensible (i.e. rational, understandable, consistent and predictable), as manageable, and as meaningful (i.e. challenging and that things are worth making commi...
228 Citations Source Cite
Published on Mar 1, 1997in Social Science & Medicine 3.09
Olle Lundberg40
Estimated H-index: 40
(Stockholm University)
In order to expand our knowledge of how health inequalities are generated, a broader range of possible mechanisms has to be studied. Two mechanisms of potential importance here are childhood conditions and sense of coherence. Drawing on theoretical arguments and empirical findings in these two research fields, a conceptual model of the relationships between childhood conditions, sense of coherence, adult social class and adult health is presented. On the basis of this model, this paper sets out ...
161 Citations Source Cite
Published on Jan 1, 1997in Annals of Medicine 3.05
Kati Pietilä2
Estimated H-index: 2
(UTA: University of Tampere),
Leena Tenkanen30
Estimated H-index: 30
+ 1 AuthorsVesa Manninen37
Estimated H-index: 37
(UH: University of Helsinki)
Information on coronary heart disease (CHD) obtained from the Finnish Hospital Discharge and Cause-of-Death Registers was compared with that collected in the Helsinki Heart Study (HHS) during an 8.5-year follow-up. The purpose of the comparison was two-fold, firstly, to study the accuracy of registration of CHD and secondly, to find out what diagnostic codes to use for CHD in register-based follow-up studies. The HHS cases were used as the ‘golden standard’ and the CHD deaths and definite nonfat...
25 Citations Source Cite
Published on Sep 1, 1996in European Journal of Public Health 2.23
Gerry Larsson30
Estimated H-index: 30
Kjell Kallenberg8
Estimated H-index: 8
This study explores the distribution of sense of coherence (SOC) in common demographic and socioeconomic subgroups in a nation-wide representative sample. It also explores the relationship between SOC and these conditions, on the one hand and self-reported indicators of health, on the other. The sample consisted of 2,003 Swedes; 976 men and 1,027 women. The mean age was 44.2 years (SD = 16.6 years). The sample was selected by SIFO, the biggest Swedish market research institute, to be representat...
174 Citations Source Cite
Published on Aug 1, 1996in Research in Nursing & Health 1.68
Sandra Underhill Motzer1
Estimated H-index: 1
(UW: University of Washington),
Barbara J. Stewart34
Estimated H-index: 34
(OHSU: Oregon Health & Science University)
The unique contribution of sense of coherence to explained variance in quality of life was studied in 149 persons with coronary heart disease who survived cardiac arrest. Using hierarchical multiple regression, 16 predictors, including 5 social status variables related to poor health vulnerability, perceived social support, self-esteem, and 9 variables reflecting instability and work of the chronic illness trajectory, accounted for 50% of variance in quality of life. The addition of sense of coh...
114 Citations Source Cite
Published on Aug 1, 1996in European Spine Journal 2.51
Nina Santavirta4
Estimated H-index: 4
(KI: Karolinska Institutet),
Hjördis Björvell27
Estimated H-index: 27
(KI: Karolinska Institutet)
+ 3 AuthorsSeppo Santavirta55
Estimated H-index: 55
Eighty adult patients, 33 men and 47 women, mean age 46 years (SD 11.8, range 19–74 years), were evaluated 5 years after lowback surgery. The mean duration of symptoms before operation was 8.7 (SD 7.1) years. The purpose was to evaluate the 5-year outcome of lowback surgery, to find the best predictors for the outcome, and to find out if a correlation exists between the patient's sense of coherence and the outcome of low-back surgery. The mean Oswestry pain index for the whole group of patients ...
17 Citations Source Cite
Sharon Lewis14
Estimated H-index: 14
Peter N. Bonner5
Estimated H-index: 5
+ 2 AuthorsA. Willard1
Estimated H-index: 1
Abstract The goal of this study was to examine the relationships among personality types, personal and work-related stress, coping resources, and sense of coherence (SOC) among nephrology nurses in dialysis settings. Nurses (n = 49) from 13 dialysis units in New Mexico completed a demographic data form, Perceived and Nursing Stress Scales, SOC Scale, Coping Resources Inventory, and the Myers-Briggs Type Indicator (MBTI). The results indicated that there was a positive correlation between perceiv...
27 Citations
Published on Jul 1, 1994in Journal of Clinical Psychology 2.06
W.Clinton McSherry2
Estimated H-index: 2
(UND: University of North Dakota),
Jeffrey E. Holm17
Estimated H-index: 17
(UND: University of North Dakota)
This study examined whether Antonovsky's (1987) stress-resistance construct, sense of coherence (SOC), affected individuals' psychological and/or physiological responses to a controlled stressful situation. Subjects were assessed for SOC level and then completed a battery of questionnaires before and after a stressful situation. Physiological responses were monitored during baseline, anticipation, and recovery periods. Analyses examined differences among low, middle, and high SOC groups and reve...
111 Citations Source Cite
Published on Oct 1, 1993in European Journal of Personality 3.33
Shlomo Kravetz26
Estimated H-index: 26
Yaacov Drory26
Estimated H-index: 26
(Sheba Medical Center),
Victor Florian40
Estimated H-index: 40
(BIU: Bar-Ilan University)
This study attempted to determine the degree to which measures of health proneness and measures of negative affect represent two distinct, although related, constructs. In addition, it examined the relation between Antonovsky's salutogenic construct of sense of coherence (SOC) and Kobasa's health proneness construct of hardiness. Five health proneness and three negative affect measures were filled out by 164 male patients with coronary heart disease. The pattern of correlations between these mea...
56 Citations Source Cite
Cited By109
Published on Mar 1, 2018in Journal of Endocrinological Investigation
Chiara Nuccitelli4
Estimated H-index: 4
A. Valentini1
Estimated H-index: 1
+ 4 AuthorsGiulio Marchesini66
Estimated H-index: 66
Background Despite intensive training, a few individuals with Type 1 diabetes mellitus (T1DM) fail to reach the desired metabolic targets.
1 Citations Source Cite
Published on Dec 1, 2017in BMC Geriatrics 2.82
Javier Virués-Ortega18
Estimated H-index: 18
(University of Auckland),
Saturio Vega13
Estimated H-index: 13
+ 15 AuthorsIgnacio Mahillo-Fernandez11
Estimated H-index: 11
(ISCIII: Instituto de Salud Carlos III)
Background Sense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in the face of illness and traumatic events and is a predictor of self-reported and objective health in a variety of contexts. In the present study we aim to evaluate the association of SOC with disability...
4 Citations Source Cite
Published on Nov 1, 2017in Geriatrics & Gerontology International 2.12
Nanae Dewake (Aichi Gakuin University), Tomoko Hamasaki18
Estimated H-index: 18
(Kyushu Women's University)
+ 8 AuthorsYoshihiro Shimazaki4
Estimated H-index: 4
(Aichi Gakuin University)
Source Cite
Frédéric Chapelle1
Estimated H-index: 1
Resume Il y a une cinquantaine d’annee, au Japon, a ete decrit le phenomene de karoshi : la mort par infarctus ou par accident vasculaire cerebral en lien avec les conditions de travail. Differents troubles sont progressivement apparus dans le monde du travail en Occident comme le workaholism, l’epuisement compassionnel, le burn out ou encore le bore out . Ces troubles correspondent a des processus psychologiques qui se mettent en place en reponse a des facteurs de risque psychosociaux comme la ...
2 Citations Source Cite
Published on May 2, 2016in PLOS ONE 2.78
Elfriede Greimel18
Estimated H-index: 18
(University of Graz),
Yoshiko Kato4
Estimated H-index: 4
(Kobe University)
+ 3 AuthorsWolfgang Freidl19
Estimated H-index: 19
(University of Graz)
Background The salutogenic model has been established as a health promoting resource that is related to a strong sense of coherence (SOC), positive subjective health and quality of life (QoL). The aim of the study was to compare internal and external resources, life style factors, perceived health and QoL in Japan and Austria and to determine associations among these factors. Methodology and Principal Findings A survey was conducted in a Japanese (N = 460) and an Austrian (N = 421) student sampl...
5 Citations Source Cite
Published on Dec 1, 2015in Journal of Exercise Science & Fitness 0.79
Sara Mutikainen7
Estimated H-index: 7
(University of Jyväskylä),
Tiina Föhr4
Estimated H-index: 4
(University of Jyväskylä)
+ 4 AuthorsUrho M. Kujala62
Estimated H-index: 62
(University of Jyväskylä)
Abstract Background/Objective The beneficial effects of physical activity (PA) are well known, but it remains challenging to increase PA among physically inactive and overweight young individuals. The present study aimed to examine how selected psychological and physical characteristics assessed at baseline predict the increase in total PA over a 6-month follow-up among 51 physically inactive and overweight adults (20 women, 31 men; age 26–40 years) who participated in a lifestyle counselling st...
2 Citations Source Cite
Published on Jun 1, 2015in Appetite 3.50
E.C. Swan4
Estimated H-index: 4
(WUR: Wageningen University and Research Centre),
L.I. Bouwman7
Estimated H-index: 7
(WUR: Wageningen University and Research Centre)
+ 2 AuthorsM.A. Koelen15
Estimated H-index: 15
(WUR: Wageningen University and Research Centre)
Research has identified multiple factors that predict unhealthy eating practices. However what remains poorly understood are factors that promote healthy eating practices. This study aimed to determine a set of factors that represent a profile of healthy eaters. This research applied Antonovsky's salutogenic framework for health development to examine a set of factors that predict healthy eating in a cross-sectional study of Dutch adults. Data were analyzed from participants (n = 703) who comple...
14 Citations Source Cite
Published on Feb 1, 2015in Public Health 1.70
Vegard Nilsen3
Estimated H-index: 3
Per Bakke63
Estimated H-index: 63
(University of Bergen)
+ 1 AuthorsFrode Gallefoss15
Estimated H-index: 15
Objective: To determine whether the sense of coherence (SOC) could predict the outcome of an 18-month lifestyle intervention program for subjects at risk of type 2 diabetes. Methods: Subjects at high risk of type 2 diabetes mellitus were recruited to a low-intensity lifestyle intervention program by their general practitioners. Weight reduction � 5% and improvement in exercise capacity of � 10% from baseline to follow-up indicated a clinically significant lifestyle change. SOC was measured using...
7 Citations Source Cite
Yusaku Morita3
Estimated H-index: 3
(University of Occupational and Environmental Health Japan),
Masanori Ohta3
Estimated H-index: 3
(University of Occupational and Environmental Health Japan)
+ 4 AuthorsHiroshi Yamato18
Estimated H-index: 18
(University of Occupational and Environmental Health Japan)
Objectives Sense of coherence (SOC) is an individual characteristic related to a positive life orientation, leading to effective coping. Little is known about the relationship between SOC and metabolic syndrome (MetS). This cross-sectional study aimed at testing the hypothesis that workers with a strong SOC have fewer atherosclerotic risk factors, including MetS, and healthier lifestyle behaviors.
3 Citations Source Cite
Published on Sep 1, 2014in International journal of childbirth
Sally Ferguson5
Estimated H-index: 5
Deborah Davis15
Estimated H-index: 15
+ 1 AuthorsJanice Taylor2
Estimated H-index: 2
10 Citations Source Cite