Search results

Prediction of increased risk of suicide is difficult. We had the opportunity to follow up 20 patients receiving electroconvulsive therapy (ECT) because of severe depression. They filled in the Antonovsky sense of coherence test (SOC) and Beck depression inventory (BDI) before and after a series of ECT treatments. Seventeen surviving patients had a mean observation time of 20.6 months, whereas the three deceased patients had 11.3 months. There was a lower mean age at onset of illness and a longer mean duration of disease in the deceased. Other clinical parameters did not differ. The surviving patients had a significant decrease on the BDI from 35 to 18 (P<0.001) and an increase on the SOC test after ECT from 2.45 to 3.19 (P<0.001), indicating both less depression and better functioning in life. The deceased had a larger change on the BDI from 32 to 13, not attaining significance because of the low number of deceased. The SOC test, however, did not increase to a purported normal level; that is, from 2.43 to 2.87. Although the SOC scale has been shown to predict mortality in substance abusers, the SOC test has not been part of earlier reviews of predictive power. Tentatively, a low pathological score on the SOC test may indicate low sense of coherence in life that might increase the propensity for suicide. These preliminary results need replication in larger studies.

Guided by the salutogenic model of health and well-being, this study aims to use empirical measures of sense of coherence (SOC) and generalized resistance resources (GRRs) to gain a better understanding of the facilitators of successful transition and integration of refugees to Canada and relate these findings to current program development and delivery for the settlement of refugees.

Survey research and structural equation modeling.

The authors found that newcomers with a stronger SOC were more likely to report successful integration outcomes. GRRs were found to have both direct and indirect effects on the positive settlement of refugees, with the SOC acting as a strong mediator of indirect effects.

Owing in part, to the disruption caused by the global pandemic, the authors’ data collection period was protracted and the final sample size of 263 is smaller than the authors would have preferred. Another limitation of this study has to do with its cross-sectional design, which limits the articulation of cause-and-effect relationships among the variables.

In terms of program development and delivery for the settlement of refugees, the authors’ results provide further evidence that refugee participation in socially valued decision-making represents a key determinant of healthy resettlement.

Much research on refugee settlement originates within “a pathogenic paradigm” that focuses on the stressors and obstacles encountered by people who have been displaced. Taking its cue from Israeli health sociologist, Aaron Antonovsky’s salutogenic model of health and well-being, this study uses empirical measures of Antonovsky’s interrelated concepts of SOC and GRRs to gain a better understanding of the facilitators of successful transition and integration of refugees to a prairie province in Canada and relate these findings to current program development and delivery for the settlement of refugees.

The purpose of this paper is to examine how promotion- and prevention-focussed job crafting impacts the motivation of older employees to continue working beyond retirement age. The authors hypothesized that promotion-focussed job crafting (i.e. increasing social and structural job resources, and challenging job demands) relates positively and prevention-focussed job crafting (i.e. decreasing hindering job demands) relates negatively with motivation to continue working after reaching the official retirement age, and that these relationships are sequential mediated by work sense of coherence and burnout.

Data from 229 older employees (mean age=55.77) were analyzed using structural equation modeling.

Promotion-focussed job crafting was positively and prevention-focussed job crafting was negatively related with employees’ work sense of coherence, which was predictive of employees’ burnout, which in turn was predictive of motivation to continue working beyond retirement age.

Despite the cross-sectional study design, the results unfold how promotion- and prevention-focussed job crafting are related with motivation to continue working beyond retirement age through work sense of coherence and burnout.

Given today’s aging and shrinking workforce, older employees working beyond their official retirement age are a necessity for organizations’ functional capability. The results suggest that organizations should encourage employees’ promotion-focussed job crafting and limit prevention-focussed job crafting. Promotion-focussed job crafting facilitates employees’ work sense of coherence, which keeps them healthy and motivates older employees to continue working beyond retirement age.

This study adds to the literatures on job crafting and motivation to continue working beyond retirement age and explicates intervening processes in this relationship.

The purpose of this research is to report on an evaluation of a programme of supported education in a Further Education context for students with long‐term mental health problems, based on Antonovsky's Salutogenic model of health. The students are referred by the Community Mental Health Team.

Three consecutive cohorts of students (n=148, 93 male, 55 female; average age 39.5 years) undertaking the programme, completed Antonovsky's Short‐form Sense of Coherence scale (the SOC13) on entry to the programme, and when exiting from it. Qualitative feedback from the second cohort of students was examined to establish the processes at work in the programme. This identified a number of themes relating to the processes at work in the programme and its outcomes (Peer Support, Learning Support, Learning Effects, Symptom Reduction and Positive Affect) and provided a basis for designing short questionnaires, which were completed by the second cohort. Data from these questionnaires and the SOC13 were used to build a causal model of the processes at work in the programme.

The overall change between the entry and exit SOC13 scores was not significant. However, students with SOC13 scores below 52 (total n=81, 52 male, 29 female; average age 42.8 years) made statistically significant positive gains. In this initially low scoring group, 70 per cent improved their exit SOC13 score, 2 per cent remained constant, and 28 per cent reported lower exit SOC13 scores. The causal model from the whole of the second cohort of students suggests that peer support is the initial factor contributing to the success of the programme by positively influencing learning effects of the programme and the uptake of learning support. In turn, learning effects reduced symptoms and this had the effect of raising positive affect. Raised positive affect reduced the need for learning support and was positively linked to entry and exit SOC13 scores.

This research has implications for budget holders, health promotion staff and allied professionals in the collaborative use of resources to help people recovering from or managing mental health difficulties move forward in their lives.

This study highlights the need for community collaborative social initiatives to be properly funded and validated. Approaches to evaluation could usefully be formulated on the basis of Antonovsky's model. Professionals need to consider investing in creating peer support and positive affect when working with people with mental health needs.

This study introduces sense of coherence (SOC) as a factor in information sharing at the workplace.

Data were collected by a survey conducted on 311 respondents in a multinational organization, and analyzed using partial least square structural equation modelling.

SOC influenced information sharing both directly and indirectly as mediated by trust and employee learning orientation. Trust, moreover, influenced receiving information more strongly than sending it, while employee learning orientation more strongly affected sending information.

The findings underline the importance of a holistic understanding of information sharing, including individual differences and employee well-being.

The purpose of this paper is to investigate changes in, and associations between, sense of coherence (SOC) and emotional distress in women who participated in an accredited motivational program (VINN) in correctional institutions in five countries.

A prospective study with a pre- and post-test design included 316 participants from Sweden, Estonia, Denmark, Russia and Norway. Global emotional distress was measured by the Hospital Anxiety and Depression Scale. SOC was measured using the 13-item Orientation to Life Questionnaire. One-way analysis of variance and multilevel regression models were used in the statistical analyses.

An increase in SOC was associated with a decrease in emotional distress. Emotional distress decreased significantly −3.80 points (95 percent CI (−4.61, −2.97)), and SOC significantly improved from pre- to post-measurement by 1.82 points (95 percent CI (0.72, 2.92)), regardless of country and correctional institution.

The results add new knowledge regarding a coherent theoretical foundation of a motivational program for women. The ability of a program promoting health is important for researchers, health-care workers and facilitators delivering programs for women in correctional facilities. An increase in SOC can act as a protective factor in order to manage stressors and risk factors among women serving in correctional facilities.

The present study indicates that enhancing women’s coping resources and providing income alternatives to crime is fundamental to their capacity to desist from criminal behavior.

Depression is a usual comorbidity in patients with Parkinson's disease. It has been known for more than 50 years that electroconvulsive treatment (ECT) has a positive effect on the muscular symptoms of Parkinson's disease. Many countries do not allow giving ECT for this indication. We have recently treated a resident patient in an acute psychiatric facility referred to the hospital with moderate depressive symptoms and strong suicidal ideation. Before and after a series of ECT he filled out the Beck Depression Inventory and the Antonovsky Sense of Coherence test. The scores before ECT were 20 and 2.69, respectively, and after 12 treatments 14 and 3.38. Both test results indicate improvement regarding level of depression and coping in life. The physiotherapists treating him observed that his rigidity was reduced and his gait improved. Muscular tonus was reduced and increased his tendency of falling as he had less tonus in muscles close to joints. Self help efficiency in daily tasks improved. He got cognitive impairment during and in the weeks after ECT. Electroconvulsive treatment should be offered to more patients with Parkinson disease and depression in order to lessen the burden of both depression and Parkinson symptoms.

This paper aims to describe the cultural and communicational traits of Finnish oral health care. First, employees' views and experiences regarding their organization and their position within it are investigated and, second, relations between different individual and organizational factors are analyzed. Finally, a conceptual framework of organizational coherence is constructed.

The paper shows that data collection (n=58, 84 percent response rate) was carried out in 2002 at a Finnish dental clinic by using a semi‐structured questionnaire. The data were analyzed statistically by using, among other things, non‐parametric tests and a structural equation model (LISREL) and qualitatively by using content analysis.

The paper finds that the organization was described as role‐dependent and task‐centered. Unidirectional chain of communication and responsibility for interaction were observed as the descriptive traits of communication, regardless of satisfaction or dissatisfaction with the communication. Developmental challenges involved opportunities to exert influence in the organization as well as giving and receiving feedback in leadership relations. It was found that a good sense of one's position in the organization was positively associated with several essential experiences (e.g. confidence, openness and equality), regarding organizational factors.

It appears in this paper likely that, by adopting the perspective of organizational coherence, it will be possible to approach the reality of an oral health care organization. As such a new and informative perspective is added.

Existing quantitative research demonstrates negatively impacted mental health outcomes for people detained in immigration removal centres (IRCs) in the UK. However, there is limited qualitative research on the phenomenology of life inside UK IRCs. The purpose of this paper is to explore the psychosocial stressors experienced by people in detention, the psychological impacts of being detained and the ways in which people express resilience and cope in detention.

In-depth interviews were conducted with nine people who had previously been held in UK IRCs. Interview transcripts were analysed using interpretative phenomenological analysis.

Participants experienced incredulity and cognitive dissonance at being detained, and found themselves deprived of communication and healthcare needs. These stressors led participants to feel powerless, doubt themselves and their worldviews, and ruminate about their uncertain futures. However, participants also demonstrated resilience, and used proactive behaviours, spirituality and personal relationships to cope in detention. Antonovsky’s (1979) theory on wellbeing – sense of coherence – was found to have particular explanatory value for these findings.

The sample of participants used in this study was skewed towards male, Iranian asylum seekers, and the findings therefore may have less applicability to the experiences of females, ex-prisoners and people from different geographical and cultural backgrounds.

This study offers a range of new insights into how detention in the UK impacts on people’s lives. The findings may be useful to policy makers who legislate on and regulate the UK immigration detention system, as well as custodial staff and health and social care practitioners working in IRCs.

Community household survey data tested the intervening role (between education and reported health outcomes) of adaptations of Antonovsky’s (1987) tripartite sense of coherence (SOC). Comprehensibility was indexed by clarity and responsiveness of insurance representatives, manageability was measured by problems reported with physician office visits, and meaningfulness was assessed with household members’ community health activities. SOC measures did not link education to either impairments or to health lifestyle scores. Comprehensibility and manageability linked education with self-reported well-being. Education and manageability each reduced impairments, while education, manageability, and meaningfulness increased lifestyle totals. Results help elucidate the influence of education on health.