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|Der Einfluss von Lebensereignissen auf die Stabilität des Sense of Coherence|
|Main title||Der Einfluss von Lebensereignissen auf die Stabilität des Sense of Coherence|
|Title variations||The Influence of Life Events on the Stability of the Sense of Coherence|
Place of birth: Luckenwalde
|1. Referee||Prof. Dr. med. U. Schwantes|
|Further Referee(s)||Prof. Dr. med. M. Herrmann
Prof. Dr. med. A. Heinz
|Classification (DDC)||610 Medical sciences; Medicine|
|Summary||The aim of this study was to investigate the influence of life events on the stability of the sense of coherence (SOC) after the age of 30. According to Antonovsky the SOC is stable from the age of 30.
People with a high SOC sense live events less stressful (comprehensibility). They activate personal resources to cope with it (manageability) and possess the motivation and desire to deal with the problem (meaningfulness).
The participants were recruited at their general practitioner during their latency. They completed the SOC-scale, a live event questionnaire and the WHO-5-Well-Being-Index. After 6 and 12 month the same data were collected by follow-up surveys. 103 participants fully completed the 12 month long study.
The SOC decreased insignificantly from the first to the second survey. From the second to the third survey the SOC-score changed only slightly. The experience of life events between the single surveys showed no significant difference in the SOC scores. However participants with a negatively tended life event showed indeed a decrease in their SOC from the first to the second survey (p=0,038 T-Test; p=0,025 Mann-Whitney-U-Test).
A change in the SOC was observed by considering single life events. During the first 6 months the live events “change of the state of health of family members“ and “dismissal from work” showed a significant influence on the SOC. In the second part of the study “participants with a painful medical treatment, a loan amounting to over an annual income, son or daughter leaving home” or “going into retirement” were observed to show a significant change in their SOC. A comparison between participants who experienced a life event in both periods and people who never described one did not show a difference in their SOC. Furthermore individuals in relationships showed significantly higher SOC score than single persons. Elderly persons were characterised by a significantly higher SOC score and WHO-5-Well-Being-Index. At all three surveys highly positive correlation were found between the SOC-Score and the WHO-5-Well-Being-Index. As Antonovsky postulated the SOC can be interpreted as a relatively stable measurement over time. However the influence of life events should be further evaluated in studies with more participants. It has been emerged repeatedly that the SOC correlates with depressive symptoms. The negative correlation between the SOC and depressions could be sustained in the present study as well. According to Antonovsky a possible influence of psychotherapy on the SOC cannot be excluded. This aspect should be analysed in further studies in order to comprehend a possible influence which can be used to strengthen the SOC.
Dataobject from FUDISS_thesis_000000004975
|FU Department||Department of Medicine - Charité - University Medicine Berlin|
|Year of publication||2008|
|Document type||Doctoral thesis|
|Date of defense||2008-08-18|
|Created at||2008-08-14 : 07:52:47|
|Last changed||2010-02-19 : 12:26:04|