Cited by 128Health, psychology, and well-beingResilience and Mental HealthHealth disparities and outcomes

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Resilience, misfortune, and mortality: evidence that sense of coherence is a marker of social stress adaptive capacity

Surtees, Paul G., Wainwright, Nicholas W.J., Khaw, Kay-Tee·2006·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2006.02.014

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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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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)
DOI: 10.1016/j.jpsychores.2006.02.014
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Resilience, misfortune, and mortality: evidence that sense of coherence is a marker of social stress adaptive capacity

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