Sense of Coherence and Mortality in Men and Women in the EPIC-Norfolk United Kingdom Prospective Cohort Study
Abstract
This study tested the hypothesis that a personality disposition defined by a strong sense of coherence is associated with a reduced risk of mortality. The authors prospectively examined, for < or =6 years, the relation between a strong sense of coherence and mortality due to all causes, cardiovascular disease, and cancer among 20,579 participants aged 41-80 years from the European Prospective Investigation into Cancer (EPIC)-Norfolk Study in the United Kingdom. Data were collected in 1996-2002. Participants were recruited by post from general practice age-sex registers and subsequently completed a postal assessment of their sense of coherence. During follow-up, 1,024 deaths were recorded. A strong sense of coherence was associated with a 30% reduction in mortality from all causes (rate ratio=0.69, p<0.0001), cardiovascular disease (rate ratio=0.70, p=0.001), and cancer (rate ratio=0.74, p=0.003), independent of age, sex, and prevalent chronic disease. These associations were consistent by sex, except that no association was observed for cancer mortality in women. The association for all-cause mortality remained after adjustment for cigarette smoking history, social class, body mass index, systolic blood pressure, cholesterol, hostility, and neuroticism (rate ratio=0.76, p=0.002). Results suggest that a strong sense of coherence may confer some resilience to the risk of chronic disease.
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In the UK cohort, low sense of coherence was a risk factor for all-cause and CVD mortality, and for cancer mortality only in men.
“In this UK cohort, the same pattern of findings emerged for those with low sense of coherence, although this trait was a risk for cancer mortality only in men [128].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [128]
In a large British national cohort, lower mastery was a risk factor for CVD mortality over 11 years, particularly in persons with low CVD risk.
“and for CVD mortality over 11 years, particularly in persons with low CVD risk [127, 128]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [128]
Cites
Handbook of Positive Psychology
(2001) · doi:10.1093/oso/9780195135336.001.0001 · Cited by 9,149 · see citing works
The structure and properties of the sense of coherence scale
Antonovsky, A. (1993) · Social Science & Medicine · doi:10.1016/0277-9536(93)90033-z · Cited by 3,515 · see citing works
A revised version of the Psychoticism scale
Eysenck, S. B. G., Eysenck, H. J., & Barrett, P. (1985) · Personality and Individual Differences · doi:10.1016/0191-8869(85)90026-1 · Cited by 3,094 · see citing works
Rozanski, A., Blumenthal, J. A., & Kaplan, J. (1999) · Circulation · doi:10.1161/01.cir.99.16.2192 · Cited by 2,846 · see citing works
The disability paradox: high quality of life against all odds
Albrecht, G. L., & DEVLIEGER, P. J. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00411-0 · Cited by 2,073 · see citing works
Unraveling the mystery of health
Antonovsky, A. (1987) · Medical Entomology and Zoology · Cited by 1,967 · see citing works
McEWEN, B. S., & SEEMAN, T. (1999) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1999.tb08103.x · Cited by 1,824 · see citing works
Allostatic load as a marker of cumulative biological risk: MacArthur studies of successful aging
Seeman, T. E., McEwen, B. S., Rowe, J. W., & Singer, B. H. (2001) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.081072698 · Cited by 1,385 · see citing works
Seeman, T. E. (1997) · Archives of Internal Medicine · doi:10.1001/archinte.1997.00440400111013 · Cited by 1,368 · see citing works
(2018) · Routledge eBooks · doi:10.4324/9781315167534 · Cited by 1,147 · see citing works
Depression as a predictor for coronary heart disease
Rugulies, R. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00439-7 · Cited by 1,110 · see citing works
Day, N., Oakes, S., Luben, R., Khaw, K., Bingham, S., Welch, A., & Wareham, N. (1999) · Nature · doi:10.17863/cam.89388 · Cited by 780 · see citing works
Personality as independent predictor of long-term mortality in patients with coronary heart disease
Denollet, J., Rombouts, H., Gillebert, T. C., Brutsaert, D. L., Sys, S. U., Brutsaert, D. L., & Stroobant, N. (1996) · The Lancet · doi:10.1016/s0140-6736(96)90007-0 · Cited by 679 · see citing works
Khaw, K., Bingham, S. A., Welch, A. A., Luben, R., Wareham, N. J., Oakes, S., & Day, N. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04128-3 · Cited by 576 · see citing works
Minor and Major Depression and the Risk of Death in Older Persons
Penninx, B. W. J. H., Geerlings, S. W., Deeg, D. J. H., van Eijk, J. T. M., van Tilburg, W., & Beekman, A. T. F. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.10.889 · Cited by 524 · see citing works
Premorbid Personality Assessments of First Onset of Major Depression
Hirschfeld, R. M. A. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810040051008 · Cited by 428 · see citing works
Pallant, J., & Lae, L. (2002) · Personality and Individual Differences · doi:10.1016/s0191-8869(01)00134-9 · Cited by 333 · see citing works
Some conceptual considerations on the sense of coherence
Geyer, S. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00286-9 · Cited by 293 · see citing works
Barefoot, J. C., Larsen, S., von der Lieth, L., & Schroll, M. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117663 · Cited by 285 · cited 1× · see citing works
“for example, reporting evidence of an association between measures of hostility (or an angry temperament) and incident physical disease and all-cause mortality (8, 9).”
BackgroundSense of coherence as a predictor of subjective state of health
Suominen, S., Helenius, H. Y. M., Blomberg, H., Uutela, A. K., & Koskenvuo, M. (2001) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00216-6 · Cited by 219 · see citing works
Meta-analyses of prospective studies on coronary heart disease, type A personality, and hostility
Myrtek, M. (2001) · International Journal of Cardiology · doi:10.1016/s0167-5273(01)00441-7 · Cited by 190 · see citing works
Lundberg, O. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00184-0 · Cited by 182 · see citing works
A simplified way of measuring sense of coherence
Lundberg, O., & Peck, M. N. (1995) · European Journal of Public Health · doi:10.1093/eurpub/5.1.56 · Cited by 166 · see citing works
Neuroticism: a vulnerability marker for depression evidence from a family study
Duggan, C. F., Sham, P. C., Lee, A., Minne, C., & Murray, R. M. (1995) · Journal of Affective Disorders · doi:10.1016/0165-0327(95)00062-3 · Cited by 153 · see citing works
Beaglehole, R., & Magnus, P. (2002) · International Journal of Epidemiology · doi:10.1093/ije/31.6.1117 · Cited by 150 · see citing works
From Social Structure to Biology Integrative Science in Pursuit of Human Health and Well-Being
Ryff, C. D., & Singer, B. H. (2001) · doi:10.1093/oso/9780195135336.003.0039 · Cited by 138 · see citing works
Poppius, E., Tenkanen, L., Kalimo, R., & Heinsalmi, P. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00105-7 · Cited by 129 · see citing works
Dalton, S. O., Boesen, E. H., Ross, L., Schapiro, I. R., & Johansen, C. (2002) · European Journal of Cancer · doi:10.1016/s0959-8049(02)00099-0 · Cited by 126 · see citing works
Personality, health, and aging: prolegomenon for the next generation
Smith, T. W., & Spiro, III (2002) · Journal of Research in Personality · doi:10.1016/s0092-6566(02)00014-4 · Cited by 118 · see citing works
Williams, J. E. (2001) · American Journal of Epidemiology · doi:10.1093/aje/154.3.230 · Cited by 96 · see citing works
Cribra orbitalia in two temporally disjunct population samples from the Dakhleh Oasis, Egypt
Fairgrieve, S. I., & Molto, J. E. (2000) · American Journal of Physical Anthropology · doi:10.1002/(sici)1096-8644(200003)111:3 · Cited by 89 · see citing works
Whiteman, M., Deary, I. J., Lee, A. J., & Fowkes, F. G. R. (1997) · The Lancet · doi:10.1016/s0140-6736(96)03141-8 · Cited by 73 · see citing works
Epidemiology of human development
Worthman, C. M. (1998) · Cambridge University Press eBooks · doi:10.1017/cbo9780511623462.003 · Cited by 57 · see citing works
Computer Assisted Standard Occupational Coding
Elias, P., Halstead, K., & Prandy, K. (1993) · HMSO eBooks · Cited by 56 · see citing works
A prospective study of life satisfaction, neuroticism and breast cancer risk (Finland)
Lillberg, K., Verkasalo, P. K., Kaprio, J. A., Teppo, L., Helenius, H. Y. M., & Koskenvuo, M. J. (2002) · Cancer Causes & Control · doi:10.1023/a:1014306231709 · Cited by 51 · see citing works
The Personality Deviance Scales: Their development, associations, factor structure and restructuring
Deary, I. J., Bedford, A., & Fowkes, F. G. R. (1995) · Personality and Individual Differences · doi:10.1016/0191-8869(95)00061-a · Cited by 49 · see citing works
Surtees, P. G., Wainwright, N. W. J., & Brayne, C. (2000) · Journal of Epidemiology & Community Health · doi:10.1136/jech.54.2.114 · Cited by 47 · see citing works
Self-citationPersonality characteristics and the risk of breast cancer: A prospective cohort study
Lillberg, K., Verkasalo, P. K., Kaprio, J. A., Helenius, H. Y. M., & Koskenvuo, M. J. (2002) · International Journal of Cancer · doi:10.1002/ijc.10484 · Cited by 36 · see citing works
Psychological influences on cancer and ischaemic heart disease.
Pelosi, A. J., & Appleby, L. (1992) · BMJ · doi:10.1136/bmj.304.6837.1295 · Cited by 32 · see citing works
Tijhuis, M. A. R., Elshout, J. R. A. F., Feskens, E. J. M., Janssen, M., & Kromhout, D. (2000) · Cancer Causes & Control · doi:10.1023/a:1008955818369 · Cited by 13 · see citing works
Commentary: Occupational therapy or the major challenge?
Marmot, M. G. (2002) · International Journal of Epidemiology · doi:10.1093/ije/31.6.1122 · Cited by 13 · see citing works
Surtees, P. G., Wainwright, N. W. J., Khaw, K., Luben, R., Brayne, C., & Day, N. (2003) · Personality and Individual Differences · doi:10.1016/s0191-8869(02)00347-1 · Cited by 11 · see citing works
Self-citation
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Cited by
Sorted by citations
Roberts, B. W., Kuncel, N. R., Shiner, R., Caspi, A., & Goldberg, L. R. (2007) · Perspectives on Psychological Science · doi:10.1111/j.1745-6916.2007.00047.x · Cited by 2,361 · see citing works
Validity of Antonovsky’s sense of coherence scale: a systematic review
Eriksson, M., & Lindström, B. (2005) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2003.018085 · Cited by 1,542 · see citing works
Antonovsky’s sense of coherence scale and the relation with health: a systematic review
Eriksson, M., & Lindström, B. (2006) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2005.041616 · Cited by 1,477 · see citing works
Jia, K., Chen, D., & Riddle, D. L. (2004) · Development · doi:10.1242/dev.01255 · Cited by 705 · see citing works
Seiler, A., & Jenewein, J. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00208 · Cited by 507 · see citing works
To Flourish or Not: Positive Mental Health and All-Cause Mortality
Keyes, C. L. M., & Simoes, E. J. (2012) · American Journal of Public Health · doi:10.2105/ajph.2012.300918 · Cited by 397 · see citing works
Oelofsen, N., & Richardson, P. H. (2006) · Journal of Intellectual & Developmental Disability · doi:10.1080/13668250500349367 · Cited by 297 · see citing works
Personality and Risk of Physical Illness
Smith, T. W., & MacKenzie, J. J. (2006) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.2.022305.095257 · Cited by 281 · see citing works
Chapman, B. P., Roberts, B., & Duberstein, P. (2011) · Journal of Aging Research · doi:10.4061/2011/759170 · Cited by 283 · see citing works
“although this trait was a risk for cancer mortality only in men [128].”
BackgroundTrudel‐Fitzgerald, C., Millstein, R. A., von Hippel, C. D., Howe, C. J., Tomasso, L. P., Wagner, G. R., & VanderWeele, T. J. (2019) · BMC Public Health · doi:10.1186/s12889-019-8029-x · Cited by 271 · see citing works
Positive Psychology in Cancer Care: Bad Science, Exaggerated Claims, and Unproven Medicine
Coyne, J. C., & Tennen, H. A. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9154-z · Cited by 268 · see citing works
Stress and Type 2 Diabetes: A Review of How Stress Contributes to the Development of Type 2 Diabetes
Kelly, S. J., & Ismail, M. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122921 · Cited by 256 · see citing works
Healthy lifestyle choices: could sense of coherence aid health promotion?
Wainwright, N. W. J., Surtees, P. G., Welch, A., Luben, R., Khaw, K., & Bingham, S. A. (2007) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2006.056275 · Cited by 189 · see citing works
Self-citationResilience in Health and Illness.
Babić, R., Babić, M., Rastović, P., Ćurlin, M., Šimić, J., Mandić, K., & Pavlović, K. (2020) · PubMed · Cited by 179 · see citing works
Melis, G., Gelormino, E., Marra, G., Ferracin, E., & Costa, G. (2015) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph121114898 · Cited by 167 · see citing works
The Sense of Coherence and Its Measurement
Eriksson, M., & Mittelmark, M. B. (2016) · Springer eBooks · doi:10.1007/978-3-319-04600-6_12 · Cited by 162 · see citing works
Strengthening sense of coherence: opportunities for theory building in health promotion: Fig. 1:
Super, S., Wagemakers, M. A. E., Picavet, H. S. J., Verkooijen, K. T., & Koelen, M. A. (2015) · Health Promotion International · doi:10.1093/heapro/dav071 · Cited by 154 · see citing works
Evaluation of social and psychological factors in periodontal disease
Sheiham, A., & Nicolau, B. F. (2005) · Periodontology 2000 · doi:10.1111/j.1600-0757.2005.00115.x · Cited by 139 · see citing works
Surtees, P. G., Wainwright, N. W. J., & Khaw, K.-T. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.02.014 · Cited by 127 · see citing works
Self-citationSense of Coherence and Physical Health. A Review of Previous Findings
Flensborg‐Madsen, T., Ventegodt, S., & Merrick, J. (2005) · The Scientific World JOURNAL · doi:10.1100/tsw.2005.85 · Cited by 127 · see citing works
Hakanen, J., Feldt, T., & Leskinen, E. (2006) · Journal of Research in Personality · doi:10.1016/j.jrp.2006.07.001 · Cited by 121 · see citing works
Surtees, P. G., Wainwright, N. W. J., Luben, R., Khaw, K.-T., & Day, N. E. (2006) · Health Psychology · doi:10.1037/0278-6133.25.1.102 · Cited by 115 · see citing works
Self-citationPositive Psychology in Cancer Care: A Story Line Resistant to Evidence
Coyne, J. C., Tennen, H. A., & Ranchor, A. V. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9157-9 · Cited by 114 · see citing works
The influence of resilience on fatigue in cancer patients undergoing radiation therapy (RT)
Strauss, B. M., Brix, C., Fischer, S., Leppert, K., Füller, J., Roehrig, B., Schleußner, C., & Wendt, T. G. (2007) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-007-0195-z · Cited by 105 · see citing works
Paika, V., Almyroudi, A., Tomenson, B., Creed, F. H., Kampletsas, E. O., Siafaka, V., Gkika, S., Mavreas, V. G., Pavlidis, N. A., & Hyphantis, T. N. (2009) · Psycho-Oncology · doi:10.1002/pon.1563 · Cited by 104 · see citing works
Impact of Sense of Coherence on Oral Health Behaviors: A Systematic Review
Elyasi, M., Abreu, L. G., Badri, P., Saltaji, H., Flores‐Mir, C., & Amin, M. S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0133918 · Cited by 102 · see citing works
Konttinen, H. M., Haukkala, A., & Uutela, A. K. (2008) · Social Science & Medicine · doi:10.1016/j.socscimed.2008.01.053 · Cited by 97 · see citing works
Self‐management in older patients with chronic illness
Gallagher, R. D., Donoghue, J., Chenoweth, L., & Stein‐Parbury, J. (2008) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2008.00709.x · Cited by 98 · see citing works
van der Linde, R. M., Mavaddat, N., Luben, R., Brayne, C., Simmons, R. K., Khaw, K., & Kinmonth, A. L. (2013) · PLoS ONE · doi:10.1371/journal.pone.0065290 · Cited by 96 · see citing works
Barrett, B. P., Muller, D., Rakel, D. P., Rabago, D., Marchand, L. R., & Scheder, J. C. (2006) · Perspectives in biology and medicine · doi:10.1353/pbm.2006.0019 · Cited by 95 · see citing works
Savolainen, J., Suominen‐Taipale, A., Hausen, H., Harju, P., Uutela, A., Martelin, T., & Knuuttila, M. (2005) · European Journal of Oral Sciences · doi:10.1111/j.1600-0722.2005.00201.x · Cited by 93 · see citing works
Sense of coherence and distress in cancer patients and their partners
Gustavsson‐Lilius, M., Julkunen, J., Keskivaara, P., & Hietanen, P. S. (2007) · Psycho-Oncology · doi:10.1002/pon.1173 · Cited by 86 · see citing works
Development of a short version of the sense of coherence scale for population survey: Table 1
Togari, T., Yamazaki, Y., Nakayama, K., & Shimizu, J. (2007) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2006.056697 · Cited by 81 · see citing works
Hyphantis, T. N., Paika, V., Almyroudi, A., Kampletsas, E. O., & Pavlidis, N. A. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.09.011 · Cited by 79 · see citing works
Flensborg‐Madsen, T., Ventegodt, S., & Merrick, J. (2005) · The Scientific World JOURNAL · doi:10.1100/tsw.2005.89 · Cited by 78 · see citing works
Sense of coherence and the motivational process of the job-demands–resources model.
Vogt, K., Hakanen, J., Jenny, G. J., & Bauer, G. F. (2015) · Journal of Occupational Health Psychology · doi:10.1037/a0039899 · Cited by 78 · see citing works
Julkunen, J., & Ahlström, R. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2005.12.005 · Cited by 77 · see citing works
Sense of coherence and diabetes: A prospective occupational cohort study
Kouvonen, A. M., Väänänen, A., Woods, S. A., Heponiemi, T., Koskinen, A., & Toppinen‐Tanner, S. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-46 · Cited by 71 · see citing works
Sense of coherence, lifestyle choices and mortality: Table 1
Wainwright, N. W. J., Surtees, P. G., Welch, A., Luben, R., Khaw, K., & Bingham, S. A. (2008) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2007.066464 · Cited by 72 · see citing works
Self-citationValidation of Sense of Coherence (SOC) 13-item scale in Iranian sample
Mahammadzadeh, A., Poursharifi, H., & Alipour, A. (2010) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2010.07.306 · Cited by 65 · see citing works
Extending conceptual frameworks: life course epidemiology for the study of back pain
Dunn, K. M. (2010) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-11-23 · Cited by 63 · see citing works
Surtees, P., Wainwright, N., Luben, R., Wareham, N., Bingham, S., & Khaw, K. (2007) · Stroke · doi:10.1161/strokeaha.106.473116 · Cited by 72 · see citing works
Self-citationNorekvål, T. M., Fridlund, B., Rokne, B., Segadal, L., Wentzel‐Larsen, T., & Nordrehaug, J. E. (2010) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-8-140 · Cited by 62 · see citing works
Sense of coherence and oral health in dentate adults: findings from the Finnish Health 2000 survey
Bernabé, E., Watt, R. G., Sheiham, A., Suominen‐Taipale, A. L., Uutela, A. K., Vehkalahti, M. M., Knuuttila, M. L. E., Mika Kivimaki, B., & Tsakos, G. (2010) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2010.01604.x · Cited by 60 · see citing works
Langeland, E., Wahl, A., Kristoffersen, K., Nortvedt, M., & Hanestad, B. (2007) · Quality of Life Research · doi:10.1007/s11136-007-9199-z · Cited by 65 · see citing works
Sense of coherence and 22-year all-cause mortality in adult men
Geulayov, G., Drory, Y., Novikov, I., & Dankner, R. S. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.12.010 · Cited by 59 · see citing works
Low psychological resilience is associated with depression in patients with cardiovascular disease
Toukhsati, S. R., Jovanović, A., Dehghani, S., Tran, T., Tran, A., & Hare, D. L. (2016) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515116640412 · Cited by 59 · see citing works
Volanen, S., Suominen, S., Lahelma, E. T., Koskenvuo, M. J., & Silventoinen, K. (2006) · Scandinavian Journal of Public Health · doi:10.1080/14034940600585812 · Cited by 58 · see citing works
Health, Behavior, and Optimal Aging
Aldwin, C. M., Spiro, A., & Park, C. L. (2006) · Handbook of the Psychology of Aging · doi:10.1016/b978-012101264-9/50008-2 · Cited by 54 · see citing works
Is Subjective Status Influenced by Psychosocial Factors?
Lundberg, J., & Kristenson, M. (2008) · Social Indicators Research · doi:10.1007/s11205-008-9238-3 · Cited by 53 · see citing works
Strohmaier, J., Amelang, M., Hothorn, L. A., Witt, S. H., Nieratschker, V., Gerhard, D., Meier, S., Wüst, S., Frank, J., Loerbroks, A., et al. (2012) · Molecular Psychiatry · doi:10.1038/mp.2012.53 · Cited by 52 · see citing works
Salutogenesis: A bona fide guide towards health preservation
Bhattacharya, S., Pradhan, K., Bashar, M., Tripathi, S. K., Thiyagarajan, A., Srivastava, A., & Singh, A. (2020) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_260_19 · Cited by 38 · see citing works
Garvin, P., Nilsson, L., Carstensen, J. M., Jonasson, L., & Kristenson, M. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181960e7f · Cited by 51 · see citing works
Sense of coherence and psychiatric morbidity: a 19-year register-based prospective study
Kouvonen, A. M., Väänänen, A., Vahtera, J., Heponiemi, T., Koskinen, A., Cox, S. J., & Mika Kivimaki, B. (2009) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2008.083352 · Cited by 51 · see citing works
Stability of the sense of coherence in adolescence
Honkinen, P., Suominen, S., Helenius, H. Y. M., Aromaa, M. E., Rautava, P. T., Sourander, A., & Sillanpää, M. L. (2008) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh.2008.20.1.85 · Cited by 51 · see citing works
Sense of Coherence, Depressive Symptoms, Cardiovascular Diseases, and All-Cause Mortality
Haukkala, A., Konttinen, H. M., Lehto, E., Uutela, A. K., Kawachi, I. I., & Laatikainen, T. K. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31828c3fa4 · Cited by 51 · see citing works
Veenstra, M., Moum, T., & Røysamb, E. (2005) · Quality of Life Research · doi:10.1007/s11136-004-0015-8 · Cited by 52 · see citing works
The sense of coherence and incidence of cancer—role of follow-up time and age at baseline
Poppius, E., Virkkunen, H., Hakama, M., & Tenkanen, L. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.01.017 · Cited by 51 · see citing works
A weak sense of coherence is associated with a higher mortality risk
Super, S., Verschuren, W. M. M., Zantinge, E. M., Wagemakers, A., & Picavet, H. S. J. (2014) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2013-203085 · Cited by 50 · see citing works
Do different scales measure the same construct? Three Sense of Coherence scales: Table 1
Olsson, M. O., Gassne, J., & Hansson, K. (2008) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2007.063420 · Cited by 50 · see citing works
Early Childhood Psychological Problems Predict a Poor Sense of Coherence in Adolescents
Honkinen, P., Aromaa, M. E., Suominen, S., Rautava, P. T., Sourander, A., Helenius, H. Y. M., & Sillanpää, M. L. (2009) · Journal of Health Psychology · doi:10.1177/1359105309103578 · Cited by 49 · see citing works
Sense of Coherence: Notes on Some Challenges for Future Research
Hochwälder, J. (2019) · SAGE Open · doi:10.1177/2158244019846687 · Cited by 47 · see citing works
Allostatic Load and Clinical Risk as Related to Sense of Coherence in Middle-Aged Women
Lindfors, P., Lundberg, O., & Lundberg, U. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000232267.56605.22 · Cited by 49 · see citing works
Psychosocial Aspects of Pulmonary Hypertension: A Review
Wryobeck, J. M., Lippo, G., McLaughlin, V. V., Riba, M., & Rubenfire, M. (2007) · Psychosomatics · doi:10.1176/appi.psy.48.6.467 · Cited by 48 · see citing works
Boeckxstaens, P., Vaes, B., Sutter, A. D., Aujoulat, I., Pottelbergh, G. V., Matheï, C., & Degryse, J. (2016) · The Annals of Family Medicine · doi:10.1370/afm.1950 · Cited by 48 · see citing works
Togari, T., Yamazaki, Y., Takayama, T., Yamaki, C., & Nakayama, K. (2008) · Personality and Individual Differences · doi:10.1016/j.paid.2007.12.002 · Cited by 47 · see citing works
Keil, D. C., Vaske, I., Kenn, K., Rief, W., & Stenzel, N. (2016) · Chronic Respiratory Disease · doi:10.1177/1479972316654286 · Cited by 46 · see citing works
A high sense of coherence protects from the burden of caregiving in older spousal caregivers
Potier, F., Degryse, J., Henrard, S., Aubouy, G., & de Saint‐Hubert, M. (2017) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2017.11.013 · Cited by 46 · see citing works
A salutogenic approach to oral health promotion
da Silva, A. N., de Mendonça, M. H. M., & Vettore, M. V. (2008) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2008001600005 · Cited by 46 · see citing works
Bai, M., Tomenson, B., Creed, F. H., Mantis, D., Tsifetaki, N., Voulgari, P. V., Drosos, A. A., & Hyphantis, T. N. (2009) · Scandinavian Journal of Rheumatology · doi:10.3109/03009740903015135 · Cited by 45 · see citing works
Kazlauskas, E., Gailienė, D., Vaskelienė, I., & Skerytė-Kazlauskienė, M. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01677 · Cited by 44 · see citing works
Anyfantakis, D., Symvoulakis, E. K., Panagiotakos, D. B., Tsetis, D. K., Castanas, E., Shea, S., Venihaki, M., & Lionis, C. D. (2013) · HORMONES · doi:10.1007/bf03401304 · Cited by 43 · see citing works
A Salutogenic Analysis of Healthy Aging in Active Elderly Persons
Wiesmann, U., & Hannich, H. (2010) · Research on Aging · doi:10.1177/0164027509356954 · Cited by 43 · see citing works
Sense of coherence changes with aging over the second half of life
Silverstein, M. D., & Heap, J. (2015) · Advances in Life Course Research · doi:10.1016/j.alcr.2014.12.002 · Cited by 42 · see citing works
Sense of Coherence and Childbearing: A Scoping Review of the Literature
Ferguson, S. A., Davis, D. L., Browne, J., & Taylor, J. (2014) · International Journal of Childbirth · doi:10.1891/2156-5287.4.3.134 · Cited by 41 · see citing works
Sense of Coherence and Health-Related Behaviour among University Students - A Questionnaire Survey
Binkowska‐Bury, M., & Januszewicz, P. (2010) · Central European Journal of Public Health · doi:10.21101/cejph.a3591 · Cited by 41 · see citing works
Pham, P. N., Vinck, P., Kinkodi, D. K., & Weinstein, H. M. (2010) · Journal of Traumatic Stress · doi:10.1002/jts.20527 · Cited by 52 · see citing works
Hyphantis, T. N., Palieraki, K., Voulgari, P. V., Tsifetaki, N., & Drosos, A. A. (2011) · Lupus · doi:10.1177/0961203311398264 · Cited by 40 · see citing works
The role of the student: Salutogenic or pathogenic?
Natvig, G. K., Hanestad, B. R., & Samdal, O. (2006) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2006.00583.x · Cited by 40 · see citing works
Swan, E., Bouwman, L., Hiddink, G. J., Aarts, N., & Koelen, M. A. (2015) · Appetite · doi:10.1016/j.appet.2015.02.006 · Cited by 40 · see citing works
von Humboldt, S., Leal, I. M. P., & Pimenta, F. (2013) · Educational Gerontology · doi:10.1080/03601277.2013.860757 · Cited by 39 · see citing works
Flensborg‐Madsen, T., Ventegodt, S., & Merrick, J. (2006) · The Scientific World JOURNAL · doi:10.1100/tsw.2006.344 · Cited by 39 · see citing works
Sense of coherence and biomarkers of health in 43-year-old women
Lindfors, P., Lundberg, O., & Lundberg, U. (2005) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm1202_7 · Cited by 38 · see citing works
Chumbler, N. R., Kroenke, K., Outcalt, S. D., Bair, M. J., Krebs, E. E., Wu, J., & Yu, Z. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-216 · Cited by 38 · see citing works
Suominen, S., Gould, R., Ahvenainen, J., Vahtera, J., Uutela, A., & Koskenvuo, M. (2005) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2003.019414 · Cited by 38 · see citing works
Hematian, H., & Ranjbar, E. (2022) · Journal of Transport & Health · doi:10.1016/j.jth.2022.101532 · Cited by 37 · see citing works
Myers, V., Drory, Y., Gerber, Y., & the Israel Study Group on First Acute Myocardial Infarction (2011) · BMC Public Health · doi:10.1186/1471-2458-11-708 · Cited by 37 · see citing works
Blättner, B. (2007) · Prävention und Gesundheitsförderung · doi:10.1007/s11553-007-0063-3 · Cited by 36 · see citing works
Togari, T., Yamazaki, Y., Nakayama, K., Yamaki, C., & Takayama, T. (2008) · Japanese Journal of Health and Human Ecology · doi:10.3861/jshhe.74.71 · Cited by 36 · see citing works
The Sense of Coherence: Measurement Issues
Eriksson, M., & Contu, P. (2022) · Springer eBooks · doi:10.1007/978-3-030-79515-3_11 · Cited by 35 · see citing works
The KORA Study Group, von Lengerke, T., Janßen, C., & John, J. (2007) · Sozial- und Präventivmedizin · doi:10.1007/s00038-006-5038-1 · Cited by 34 · see citing works
Sense of Coherence and Physical Health. Testing Antonovsky's Theory
Flensborg‐Madsen, T., Ventegodt, S., & Merrick, J. (2006) · The Scientific World JOURNAL · doi:10.1100/tsw.2006.351 · Cited by 34 · see citing works
Suominen, S., & Lindström, B. (2008) · Scandinavian Journal of Public Health · doi:10.1177/1403494808093268 · Cited by 34 · see citing works
S�rensen, T. I. A., Klungs⊘yr, O., Kleiner, R. J., & Klepp, O. M. (2011) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2011.9715648 · Cited by 33 · see citing works
Hendrikx, T., Nilsson, M., & Westman, G. A. (2008) · Scandinavian Journal of Public Health · doi:10.1177/1403494808089560 · Cited by 33 · see citing works
A Review of Psychological Well-Being and Mortality Risk
Trudel‐Fitzgerald, C., Kubzansky, L. D., & VanderWeele, T. J. (2021) · doi:10.1093/oso/9780197512531.003.0006 · Cited by 30 · see citing works
Bergman, E., Årestedt, K., Fridlund, B., Karlsson, J., & Malm, D. (2012) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515111435607 · Cited by 30 · see citing works
Sense of coherence and intentions to retire early among Finnish women and men
Volanen, S., Suominen, S., Lahelma, E. T., Koskenvuo, K., Koskenvuo, M. J., & Silventoinen, K. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-22 · Cited by 30 · see citing works
Is sense of coherence a predictor of lifestyle changes in subjects at risk for type 2 diabetes?
Nilsen, V., Bakke, P. S., Rohde, G. E., & Gallefoss, F. (2015) · Public Health · doi:10.1016/j.puhe.2014.12.014 · Cited by 30 · see citing works
Meaningfulness is not the most important component for changes in sense of coherence
Bergman, E., Malm, D., Ljungquist, B., Berterö, C., & Karlsson, J. (2011) · European Journal of Cardiovascular Nursing · doi:10.1016/j.ejcnurse.2011.05.005 · Cited by 30 · see citing works
- Authors
- Surtees, P.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- Surtees, P.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-12-15
- Volume
- 158
- Issue
- 12
- Pages
- 1202-1209
- ISSN
- 0002-9262 (ISSN-L)
- OpenAlex
- W2101075322
- Cited by
- 252
- References
- 42
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 12 · 2021: 5 · 2020: 12 · 2019: 8 · 2018: 5 · 2017: 10 · 2016: 9 · 2015: 17 · 2014: 15 · 2013: 12 · 2012: 14
- FWCI
- 25.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- sense of coherence, mortality, all-cause mortality, cardiovascular mortality, cancer mortality, personality, sex differences, EPIC-Norfolk cohort, chronic disease risk, resilience
- MeSH terms
- Adult, Aged, Attitude, Cardiovascular Diseases, Female, United Kingdom, Humans, Male, Middle Aged, Neoplasms, Personality, Prospective Studies, Cohort Studies
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