Sense of coherence mediates the effect of trauma on the social and emotional functioning of Palestinian health providers
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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Kagee, A., Coetzee, B., & Haine, P. (2026) · Journal of Health Psychology · doi:10.1177/13591053251408192 · Cited by 1 · see citing works
Sarmini, I. M. (2025) · Journal of Indonesian Psychological Science (JIPS) · doi:10.18860/jips.v5i2.36354
“…of what they receive within a supportive and structured environment help individuals achieve balance despite heavy loads (burdens beyond their capacity), the ability to make sound decisions, and contribute to life while receiving recognition for their efforts (Veronese & Pepe, 2014, p. 598).”
InfluentialSense of Coherence: A Predictor of Quality of Life in Caregivers of Cancer Patients
Dadashi, N., Pazokian, M., Yadollahzade, N., Kamian, S., Taheri, M., & Velayatimehr, M. (2024) · International Journal of Cancer Management · doi:10.5812/ijcm-145910
Ghandour, L., Brown, G., Tleis, M., Fares, M., Masri, H. A., Halabi, F. A., Najjar, Y., Louis, B., Nakkash, R., & Afifi, R. (2026) · Conflict and Health · doi:10.1186/s13031-026-00781-6
- 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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