Cited by 46Health, psychology, and well-beingPosttraumatic Stress Disorder ResearchResilience and Mental Health

Sense of coherence mediates the effect of trauma on the social and emotional functioning of Palestinian health providers

Veronese, Guido, Pepe, Alessandro·2014·American Journal of Orthopsychiatry

Abstract

Palestinian health providers are widely recognized to be at risk of developing trauma. Research has examined the role of sense of coherence (SOC) as a determinant or component of psychological distress in emergency workers. In the current study, we expected that SOC would mediate the relationship between individual health providers' primary responses to the traumatic environment (as assessed using intrusion and avoidance measures) and the secondary effects suffered in terms of general psychological distress as reflected in levels of anxiety, social dysfunction, and loss of confidence. Participants (N = 218) were recruited at public hospitals in 3 different areas. The General Health Questionnaire, SOC Scale, and Impact of Event Scale were administered. Mediation analysis was conducted to assess whether and to what extent SOC influenced the effects of trauma among health providers. SOC was found to be a determinant of the relationship between impact of traumatic events and anxiety, social dysfunction, and loss of confidence. Mediation analysis confirmed that SOC partially mediated the impact of trauma on both anxiety and social dysfunction whereas it fully mediated the relationship between trauma and loss of confidence. Clinical and practical implications are discussed.

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Crossref · 10.1037/ort0000025

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Authors
Veronese, G., & Pepe, A.
Affiliations
University of Milano-Bicocca (IT)
Venue
American Journal of Orthopsychiatry
Published
2014-09
Volume
84
Issue
5
Pages
597-606
ISSN
  • 0002-9432 (ISSN-L)
  • 1939-0025
OpenAlex
W2318972480
Cited by
45
References
78
Citations by year
2026: 2 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 9 · 2020: 2 · 2019: 7 · 2018: 1 · 2017: 7 · 2016: 5 · 2015: 3 · 2014: 1
FWCI
9.63
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Orthopsychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • BOA (University of Milano-Bicocca) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
sense of coherence, trauma, health providers, psychological distress, anxiety, social dysfunction, loss of confidence, mediation, occupational injuries, emergency workers
MeSH terms
Adolescent, Adult, Health Personnel, Humans, Israel, Life Change Events, Male, Middle Aged, Warfare, Arabs, Young Adult, Sense of Coherence, Emergency Responders

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