Resilience, misfortune, and mortality: evidence that sense of coherence is a marker of social stress adaptive capacity
Abstract
Objective The purpose of this study is to test the hypothesis that sense of coherence (SOC) distinguishes adaptive capacity to adverse event experience. Methods A population-based cohort of 20,921 men and women completed a postal assessment of their lifetime experience of specific adverse events and a measure of their SOC. Reports of 111,857 events allowed construction of measures of event impact and adaptation. Results Those with a weak SOC reported significantly slower adaptation to the adverse effects of their event experiences than those with a strong SOC (P<.0001). During mean follow-up of 6.7 years, 1617 deaths were recorded. A one standard deviation increase in mean adaptation score (representing slower adaptation) was associated with a 6% increase in mortality rate (P=.03) after adjusting for age and sex. Measures of event occurrence and impact were less strongly associated with SOC and were not significantly associated with mortality. Conclusion These results suggest that SOC is a potential marker of an individual's social stress adaptive capacity, which is predictive of mortality.
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This family of traits is theorized to improve adaptation to hardship or life challenges via the use of proactive, effective coping.
“In general, this family of traits is theorized to improve adaptation to hardship or life challenges via the use of proactive, effective coping [125].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [125]
Sense of coherence appears to produce more adaptive coping in response to life stressors, which is associated with lower mortality risk.
“Sense of coherence appears to produce more adaptive coping in response to life stressors, which was in turn associated with lower mortality risk [125].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [125]
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- Authors
- Surtees, P. G., Wainwright, N. W. J., & Khaw, K.-T.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- Surtees, Paul G.
- ORCID
- Khaw, Kay-Tee
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 61
- Issue
- 2
- Pages
- 221-227
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2006762356
- Cited by
- 127
- References
- 52
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 7 · 2017: 2 · 2016: 5 · 2015: 11 · 2014: 9 · 2013: 11 · 2012: 6
- FWCI
- 19.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- Stroke Association
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- sense of coherence, social stress, adaptive capacity, mortality, life events, adaptation to adversity, resilience, misfortune, event impacts
- MeSH terms
- Adaptation, Psychological, Attitude to Health, Family Practice, Female, Health Status, Humans, Internal-External Control, Life Change Events, Male, Surveys and Questionnaires, Stress, Psychological
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