Salutogenesis
Open accessAbstract
The editor of the journal has taken the initiative to develop glossaries on central concepts in health promotion. The aim of this paper is to explain and clarify the key concepts of the salutogenic theory sense of coherence coined by Aaron Antonovsky. The explanations and interpretations are the result of an analysis of the scientific evidence base of the first 25 years of salutogenic research, described and discussed in an ongoing project on a systematic review by the above authors. The contemporary evidence shows the salutogenic approach could have a more central position in public health and health promotion research and practice. Furthermore, it could contribute to the solution of some of the most urgent public health problems of our time such as the question of mental health promotion. Finally, it could create a solid theoretical framework for health promotion.
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The theory of salutogenesis takes a different view, searching for factors that support human health and welfare (origins of health).
“The theory of salutogenesis takes a different view of what creates health and what factors support health, as opposed to the conventional approach of pathogenesis to study the factors that cause disease (9). To find the “origins of health”, one needs to search for factors that support the human health and welfare (10).”
From Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society (2017) · cites this paper as [10]
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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
Sense of coherence and health: evidence from two cross-lagged longitudinal samples
Kivimäki, M., Feldt, T., Vahtera, J., & Nurmi, J.-E. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00326-3 · Cited by 262 · see citing works
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Research works printed but not linked: 41
- Lindstro ¨m B, Eriksson M. Professor Aaron Antonovsky (1923-1994): the father of the salutogenesis. J Epidemiol Community Health 2005;59:511.
- Eriksson M, Lindstro ¨m B. Validity of Antonovsky's sense of coherence scale: a systematic review. J Epidemiol Community Health 2005;59:460-6.
- Sagy S, Antonovsky A. The family sense of coherence and the retirement transition. Journal of Marriage and Family 1992;54:983-94.
- Sagy S. Effects of personal, family, and community characteristics on emotional reactions in a stress situation. Youth and Society 1998;29:311-30.
- Sagy S, Dotan N. Coping resources of maltreated children in the family: a salutogenic approach. Child Abuse Negl 2001;25:1463-80.
- Sagy S. Moderating factors explaining stress reactions: comparing chronic- without-acute-stress and chronic-with-acute-stress situations. J Psychol 2002;136:407-19.
- Margalit M, Efrati M. Loneliness, coherence and companionship among children with learning disorder. Educational Psychology 1996;16:69-80.
- Margalit M, Raviv A, Ankonina DB. Coping and coherence among parents with disabled children. Journal of Clinical Child Psychology 1992;21:202-9.
- Vinson JA. Children with asthma: initial development of the child resilience model. Pediatric Nursing 2002;28:149-58.
- Bowen GL, Richman JM, Brewster A, et al. Sense of school coherence, perceptions of danger at school, and teacher support among youth at risk of school failure. Child and Adolescent Social Work Journal 1998;15:273-86.
- Nash JK. Neighborhood effects on sense of school coherence and educational behavior in students at risk of school failure. Children and Schools 2002;24:73-89.
- Frenz AW, Carey MP, Jorgensen RS. Psychometric evaluation of Antonovsky's sense of coherence scale. Psychological Assessment 1993;5:145-53.
- Gana K. Is sense of coherence a mediator between adversity and psychological well-being in adults? Stress and Health 2001;17:77-83.
- Feldt T. Sense of coherence. Structure, stability and health promoting role in working life. Jyva ¨skyla ¨studies in education, psychology and social research. [Doctoral thesis] Jyva ¨skyla ¨: University of Jyva ¨skyla ¨, 2000.
- Bu ¨chi S, Sensky T, Allard S, et al. Sense of coherence-a protective factor for depression in rheumatoid arthritis. J Rheumatol 1998;25:869-75.
- Flannery R, Perry C, Penk WE, et al. Validating Antonovsky's sense of coherence scale. J Clin Psychol 1994;50:575-7.
- Larsson G, Kallenberg K. Dimensional analysis of sense of coherence using structural equation modelling. European Journal of Personality 1999;13:51-61.
- Dudek B, Makowska Z. Psychometric characateristics of the orientation to life questionnaire for measuring the sense of coherence. Polish Psychological Bulletin 1993;24:309-18.
- Germano D, Misajon R, Cummins RA. Quality of life and sense of coherence in people with arthritis. Journal of Clinical Psychology in Medical Settings 2001;8:253-61.
- Gibson LM, Cook MJ. Neuroticism and sense of coherence. Psychol Rep 1996;79:343-9.
- Snekkevik H, Anke AG, Stanghelle JK, et al. Is sense of coherence stable after multiple trauma? Clinical Rehabilitation 2003;17:443-53.
- Forsberg C, Bjo ¨rvell H, Cedermark B. Well-being and its relation to coping ability in patients with colo-rectal and gastric cancer before and after surgery. Scandinavian Journal of Caring Science 1996;10:35-44.
- Cederfja ¨ll C, Langius-Eklo ¨f A, Lidman K, et al. Gender differences in perceived health-related quality of life among patients with HIV infection. AIDS Patient Care and STDS 2001;15:31-9.
- Ingram KM, Corning AF, Schmidth LD. The relationship of victimization experiences to psychological well-bering among homeless women and low- income housed women. Journal of Counseling Psychology 1996;43:218-27.
- Friborg O, Hjemdal O, Rosenvinge JH, et al. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research 2003;12:65-76.
- Cohen O, Savaya R. Sense of coherence and adjustment to divorce among Muslim Arab citizens of Israel. European Journal of Personality 2003;17:309-26.
- Florian V, Dangoor N. Personal and familial adaptation of women with severe physical disabilities: A further validation of the double ABCX model. Journal of Marriage and Family 1994;56:735-46.
- Nilsson B, Holmgren L, Stegmayr B, et al. Sense of coherence-stability over time and relation to health, disease, and psychosocial changes in a general population: a longitudinal study. Scand J Public Health 2003;31:297-304.
- Virtanen P, Koivisto A-M. Wellbeing of professionals at entry into the labour market: a follow up survey of medicine and architecture students. J Epidemiol Community Health 2001;55:831-5.
- Suominen S, Helenius H, Blomberg H, et al. Sense of coherence as a predictor of subjective state of health. Results of 4 years of follow-up of adults. J Psychosom Res 2001;50:77-86.
- Kuuppelomaki M, Utriainen P. A 3 year follow-up study of health care students' sense of coherence and related smoking, drinking and physical exercise factors. Int J Nurs Stud 2003;40:383-8.
- Kalimo R, Pahkin K, Mutanen P, et al. Staying well or burning out at work: work characteristics and personal resources as long-term predictors. Work and Stress 2003;17:109-22.
- Malterud K, Hollnagel H. Encouraging the strengths of women patients. A case study from general practice on empowering dialogues. Scand J Public Health 1999;27:254-9.
- Berg A, Hallberg IR. Effects of systematic clinical supervision on psychiatric nurses' sense of coherence, creativity, work-related strain, job satisfaction and view of the effects from clinical supervision: a pre-post test design. Journal of Psychiatric and Mental Health Nursing 1999;6:371-81.
- Pa ˚lsson M-BE, Hallberg IR, Norberg A, et al. Systematic clinical supervision and its effects for nurses handling demaning care situations. Interviews with Swedish district nurses and hospital nurses in cancer care. Cancer Nurs 1994;17:385-94.
- Forsga ¨rde M, Westman B, Nygren L. Ethical discussion groups as an intervention to improve the climate in interprofessional work with the elderly and disabled. Journal of Interprofessional Care 2000;14:351-61.
- Hillert L, Savlin P, Berg AL, et al. Environmental illness-effectiveness of a salutogenic group-intervention programme. Scand J Public Health 2002;30:166-75.
- Delbar V, Benor DE. Impact of a nursing intervention on cancer patients' ability to cope. Journal of Psychosocial Oncology 2001;19:57-75.
- Antonovsky A. Complexity, conflict, chaos, coherence, coercion and civility. Soc Sci Med 1993;37:969-81.
- Davios JK, Hall C, Linwood E. European Masters in Health Promotion (EUMAHP): phase 2: programme delivery final report to the European Commission (DG SANCO). Brighton: IHDRC, Faculty of Health, University of Brighton (in press).
- Lindstro ¨m B, Eriksson M. ''The salutogenic perspective-the next generation of mental health promotion? In: Promoting mental health: concepts emerging evidence practice. Geneva: WHO (in press).
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- Authors
- Lindström, B., & Eriksson, M.
- Affiliations
- Nordic School of Public Health (SE)
- Corresponding author
- Lindström, Bengt
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2005-05-23
- Volume
- 59
- Issue
- 6
- Pages
- 440-442
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC1757059
- OpenAlex
- W4237963634
- Cited by
- 523
- References
- 2
- Citations by year
- 2026: 23 · 2025: 26 · 2024: 37 · 2023: 30 · 2022: 39 · 2021: 32 · 2020: 36 · 2019: 39 · 2018: 27 · 2017: 29 · 2016: 31 · 2015: 22 · 2014: 20 · 2013: 25 · 2012: 17
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- European Commission
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Keywords
- salutogenesis, sense of coherence, Aaron Antonovsky, health promotion, mental health promotion, theoretical framework, evidence base
- MeSH terms
- Adaptation, Psychological, Attitude to Health, Health Promotion, Health Status, Humans, Models, Psychological, Terminology as Topic, Psychometrics, Public Health
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