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Multistudy Report

Development and Psychometric Evaluation of a Revised Sense of Coherence Scale

Published Online:April 22, 2016https://doi.org/10.1027/1015-5759/a000323

Abstract

Abstract. The present study introduces a revised Sense of Coherence (SOC) scale, a new conceptualization and operationalization of the resilience indicator SOC. It outlines the scale development and aims for testing its reliability, factor structure, and validity. Literature on Antonovsky’s SOC (SOC-A) was critically reviewed to identify needs for improving the scale. The scale was investigated in two samples. Sample 1 consisted of 334 bereaved participants, Sample 2 of 157 healthy controls. The revised SOC Scale, SOC-A, and theoretically relevant questionnaires were applied. Explorative and confirmatory factor analyses established a three-factor structure in both samples. The revised SOC Scale showed significant but discriminative associations with related constructs, including self-efficacy, posttraumatic growth, and neuroticism. The revised measure was significantly associated with psychological health indicators, including persistent grief, depression, and anxiety, but not to the extent as the previous SOC-A. Stability over time was sufficient. The study provides psychometric support for the revised SOC conceptualization and scale. It has several advantages over the previous SOC-A scale (unique variance, distinct factor structure, stability). The scale could be used for clinical and health psychological testing or research into the growing field of studies on resilience over the life span.

References

  • Antonovsky, A. (1979). Health, stress, and coping. San Francisco, CA: Jossey-Bass. First citation in articleGoogle Scholar

  • Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco, CA: Jossey-Bass. First citation in articleGoogle Scholar

  • Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science & Medicine, 36, 725–733. doi: 10.1016/0277-9536(93)90033-Z. First citation in articleCrossref, Google Scholar

  • Arciero, G. & Guidano, V. F. (2000). Experience, explanation, and the quest for coherence. In R. A. NeimeyerJ. D. RaskinEds., Meaning-making frameworks for psychotherapy (pp. 91–118). Washington, DC: American Psychological Association. First citation in articleGoogle Scholar

  • Baltes, P. B. & Staudinger, U. M. (2000). Wisdom: A metaheuristic (pragmatic) to orchestrate mind and virtue toward excellence. The American Psychologist, 55, 122–136. doi: 10.1037/0003-066X.55.1.122. First citation in articleCrossref, Google Scholar

  • Beck, A. T., Rush, A. J., Shaw, B. F. & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford Press. First citation in articleGoogle Scholar

  • Becker, C. M., Glascoff, M. A. & Felts, W. M. (2010). Salutogenesis 30 years later: Where do we go from here? International Electronic Journal of Health Education, 13, 25–32. First citation in articleGoogle Scholar

  • Boulet, J. & Boss, M. W. (1991). Reliability and validity of the Brief Symptom Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 433–437. doi: 10.1037/1040-3590.3.3.433. First citation in articleCrossref, Google Scholar

  • Bryant, R. A. (2014). Prolonged grief: Where to after Diagnostic and Statistical Manual of Mental Disorders. Current Opinion in Psychiatry, 27, 21–26. doi: 10.1097/YCO.0000000000000031. First citation in articleCrossref, Google Scholar

  • Bullinger, M., Morfeld, M., Kohlmann, T., Nantke, J., van den Bussche, H., Dodt, B., … Lachmann, A. (2003). Der SF-36 in der rehabilitationswissenschaftlichen Forschung. [SF-36 Health Survey in Rehabilitation Research] Die Rehabilitation, 42, 218–225. doi: 10.1055/s-2003-41645. First citation in articleCrossref, Google Scholar

  • Caap-Ahlgren, M. & Dehlin, O. (2004). Sense of coherence is a sensitive measure for changes in subjects with Parkinson’s disease during 1 year. Scandinavian Journal of Caring Sciences, 18, 154–159. doi: 10.1111/j.1471-6712.2004.00248.x. First citation in articleCrossref, Google Scholar

  • Callahan, L. F. & Pincus, T. (1995). The sense of coherence scale in patients with rheumatoid arthritis. Arthritis & Rheumatism, 8, 28–35. doi: 10.1002/art.1790080108. First citation in articleCrossref, Google Scholar

  • Cann, A., Calhoun, L. G., Tedeschi, R. G., Taku, K., Vishnevsky, T., Triplett, K. N. & Danhauer, S. C. (2010). A short form of the Posttraumatic Growth Inventory. Anxiety, Stress & Coping, 23, 127–137. doi: 10.1080/10615800903094273. First citation in articleCrossref, Google Scholar

  • Carmel, S. & Bernstein, J. (1989). Trait-anxiety and sense of coherence: A longitudinal study. Psychological Reports, 65, 221–222. doi: 10.1080/08917779008248741. First citation in articleCrossref, Google Scholar

  • Carmel, S. & Bernstein, J. (1990). Trait anxiety, sense of coherence and medical school stressors: Observations at three stages. Anxiety Research, 3, 51–60. doi: 10.1080/08917779008248741. First citation in articleCrossref, Google Scholar

  • Chamberlain, K., Petrie, K. & Azariah, R. (1992). The role of optimism and sense of coherence in predicting recovery following surgery. Psychology and Health, 7, 301–310. doi: 10.1080/08870449208403159. First citation in articleCrossref, Google Scholar

  • Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334. doi: 10.1007/BF02310555. First citation in articleCrossref, Google Scholar

  • Derogatis, L. R. (1993). Brief Symptom Inventory: Administration, scoring & procedures manual. Minneapolis, MN: National Computer Systems. First citation in articleGoogle Scholar

  • Dudek, B. & Makowska, Z. (1993). Psychometric characteristics of the Orientation to Life Questionnaire for measuring the sense of coherence. Polish Psychological Bulletin, 24, 309–318. First citation in articleGoogle Scholar

  • Ebert, S. A., Tucker, D. & Roth, D. (2002). Psychological resistance factors as predictors of general health status and physical symptom reporting. Psychology, Health & Medicine, 7, 363–375. doi: 10.1080/13548500220139449. First citation in articleCrossref, Google Scholar

  • Eriksson, M. & Lindström, B. (2005). Validity of Antonovsky’s sense of coherence scale: A systematic review. Journal of Epidemiology and Community Health, 59, 460–466. First citation in articleCrossref, Google Scholar

  • Feldt, T., Leskinen, E., Kinnunen, U. & Ruoppila, I. (2003). The stability of sense of coherence: Comparing two age groups in a 5-year follow-up study. Personality and Individual Differences, 35, 1151–1165. doi: 10.1016/S0191-8869(02)00325-2. First citation in articleCrossref, Google Scholar

  • Feldt, T., Lintula, H., Suominen, S., Koskenvuo, M., Vahtera, J. & Kivimäki, M. (2007). Structural validity and temporal stability of the 13-item sense of coherence scale: Prospective evidence from the population-based HeSSup study. Quality of Life Research, 16, 483–493. doi: 10.1007/s11136-006-9130-z. First citation in articleCrossref, Google Scholar

  • Feldt, T., Metsapelto, R. L., Kinnunen, U. & Pulkkinen, L. (2007). Sense of coherence and five-factor approach to personality – Conceptual relationships. European Psychologist, 12, 165–172. doi: 10.1027/1016-9040.12.3.165. First citation in articleLink, Google Scholar

  • Flannery, R. B. & Flannery, G. J. (1990). Sense of coherence, life stress, and psychological distress: A prospective methodological inquiry. Journal of Clinical Psychology, 46, 415–420. doi: 10.1002/1097-4679(199007)46:4<415::AID-JCLP2270460407>3.0.CO;2-A. First citation in articleCrossref, Google Scholar

  • Frenz, A. W., Carey, M. P. & Jorgensen, R. S. (1993). Psychometric evaluation of Antonovsky’s Sense of Coherence Scale. Psychological Assessment, 5, 145–153. doi: 10.1037/1040-3590.5.2.145. First citation in articleCrossref, Google Scholar

  • Gana, K. & Garnier, S. (2001). Latent structure of the sense of coherence scale in a French sample. Personality and Individual Differences, 31, 1079–1090. doi: 10.1016/S0191-8869(00)00205-1. First citation in articleCrossref, Google Scholar

  • Geyer, S. (1997). Some conceptual considerations on the sense of coherence. Social Science and Medicine, 44, 1771–1779. doi: 10.1016/S0277-9536(96)00286-9. First citation in articleCrossref, Google Scholar

  • Gruszczynska, E. (2006). What is measured by the Orientation to Life Questionnaire? Construct validity of the instrument for the Sense of Coherence measurement. Polish Psychological Bulletin, 37, 74–83. First citation in articleGoogle Scholar

  • Hawley, D. J., Wolfe, F. & Cathey, M. (1992). The sense of coherence questionnaire in patients with rheumatic disorders. The Journal of Rheumatology, 19, 1912–1918. First citation in articleGoogle Scholar

  • Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179–185. doi: 10.1007/BF02289447. First citation in articleCrossref, Google Scholar

  • Johnson, D. (2013). Gender differences in rumination: A meta-analysis. Personality and Individual Differences, 55, 367–374. doi: 10.1016/j.paid.2013.03.019. First citation in articleCrossref, Google Scholar

  • Kammer, D. (1983). Eine Untersuchung der psychometrischen Eigenschaften des deutschen Beck-Depressionsinventars (BDI). [A study of the psychometric properties of the German Beck Depression Inventory (BDI)] Diagnostica, 29, 48–60. First citation in articleGoogle Scholar

  • Kersting, A. (2007). Geschlechtsspezifische Unterschiede im Trauerverlauf. [Gender differences in bereavement reactions] Psychodynamische Psychotherapie, 6, 39–46. First citation in articleGoogle Scholar

  • Langner, R. & Maercker, A. (2005). Complicated grief as a stress response disorder: Evaluating diagnostic criteria in a German sample. Journal of Psychosomatic Research, 58, 235–242. doi: 10.1016/j.jpsychores.2004.09.012. First citation in articleCrossref, Google Scholar

  • Larsson, G. & Kallenberg, K. (1999). Dimensional analysis of sense of coherence using structural equation modelling. European Journal of Personality, 13, 51–61. doi: 10.1002/(SICI)1099-0984(199901/02)13:1<51::AID-PER321>3.0.CO;2-P. First citation in articleCrossref, Google Scholar

  • Larsson, G. & Kallenberg, K. O. (1996). Sense of coherence, socioeconomic conditions and health Interrelationships in a nation-wide Swedish sample. The European Journal of Public Health, 6, 175–180. doi: 10.1093/eurpub/6.3.175. First citation in articleCrossref, Google Scholar

  • Li, S. M. & Shiu, A. T. Y. (2008). Sense of coherence and diabetes psychosocial self-efficacy of members of a peer-led organisation in Hong Kong. Journal of Clinical Nursing, 17, 1526–1528. doi: 10.1111/j.1365-2702.2007.02062.x. First citation in articleCrossref, Google Scholar

  • Maercker, A., Brewin, C. R., Bryant, R. A., Cloitre, M., Ommeren, M., Jones, L. M., … Rousseau, C. (2013). Diagnosis and classification of disorders specifically associated with stress: Proposals for ICD-11. World Psychiatry, 12, 198–206. doi: 10.1002/wps.20057. First citation in articleCrossref, Google Scholar

  • O’Connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instruments, & Computers, 32, 396–402. doi: 10.3758/BF03200807. First citation in articleCrossref, Google Scholar

  • Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., … Neimeyer, R. A. (2009). Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. Plos Medicine, 6, e1000121. doi: 10.1371/journal.pmed.1000121. First citation in articleCrossref, Google Scholar

  • Richardson, C. G., Ratner, P. A. & Zumbo, B. D. (2007). A test of the age-based measurement invariance and temporal stability of Antonovsky’s Sense of Coherence Scale. Educational and Psychological Measurement, 67, 679–696. doi: 10.1177/0013164406292089. First citation in articleCrossref, Google Scholar

  • Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58, 307–321. doi: 10.1002/jclp.10020. First citation in articleCrossref, Google Scholar

  • Sandell, R., Blomberg, J. & Lazar, A. (1998). The factor structure of Antonovsky’s sense of coherence scale in Swedish clinical and nonclinical samples. Personality and Individual Differences, 24, 701–711. doi: 10.1016/S0191-8869(97)00225-0. First citation in articleCrossref, Google Scholar

  • Saucier, G. (1994). Mini-markers: A brief version of Goldberg’s unipolar Big-Five markers. Journal of Personality Assessment, 63, 506–516. doi: 10.1207/s15327752jpa6303_8. First citation in articleCrossref, Google Scholar

  • Scheier, M. F., Carver, C. S. & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67, 1063. doi: 10.1037/0022-3514.67.6.1063. First citation in articleCrossref, Google Scholar

  • Schmidt-Rathjens, C., Benz, D., Van Damme, D., Feldt, K. & Amelang, M. (1997). Über zwiespältige Erfahrungen mit Fragebögen zum Kohärenzsinn sensu Antonovsky. [Conflicting results with questionnaires on Antonovsky’s Sense of Coherence] Diagnostica, 43, 327–346. First citation in articleGoogle Scholar

  • Schwarzer, R. & Jerusalem, M. (1995). Generalized Self-Efficacy scale. In J. WeinmanS. WrightM. JohnstonEds., Measures in health psychology: A user’s portfolio (pp. 35–37). Windsor, UK: Nfer-Nelson. First citation in articleGoogle Scholar

  • Schwarzer, R., Mueller, J. & Greenglass, E. (1999). Assessment of perceived general self-efficacy on the Internet: Data collection in cyberspace. Anxiety, Stress and Coping, 12, 145–161. doi: 10.1080/10615809908248327. First citation in articleCrossref, Google Scholar

  • Singer, J. A. (2004). Narrative identity and meaning making across the adult lifespan: An introduction. Journal of Personality, 72, 437–460. doi: 10.1111/j.0022-3506.2004.00268.x. First citation in articleCrossref, Google Scholar

  • Smith, P. M., Breslin, F. C. & Beaton, D. E. (2003). Questioning the stability of sense of coherence. Social Psychiatry and Psychiatric Epidemiology, 38, 475–484. doi: 10.1007/s00127-003-0654-z. First citation in articleCrossref, Google Scholar

  • Smith, T. L. & Meyers, L. S. (1997). The sense of coherence: Its relationship to personality, stress, and health measures. Journal of Social Behavior and Personality, 12, 513–526. First citation in articleGoogle Scholar

  • Steer, R., Beck, A. & Garrison, B. (1986). Applications of the Beck Depression Inventory. In N. SartoriusT. B. BanEds., Assessment of depression (pp. 123–142). Geneva, Switzerland: World Health Organization. First citation in articleGoogle Scholar

  • Strümpfer, D., Gouws, J. & Viviers, M. (1998). Antonovsky’s sense of coherence scale related to negative and positive affectivity. European Journal of Personality, 12, 457–480. doi: 10.1002/(SICI)1099-0984(199811/12)12:6<457::AID-PER314>3.0.CO;2-#. First citation in articleCrossref, Google Scholar

  • Tedeschi, R. G. & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471. doi: 10.1007/BF02103658. First citation in articleCrossref, Google Scholar

  • Volanen, S. M., Suominen, S., Lahelma, E., Koskenvuo, M. & Silventoinen, K. (2007). Negative life events and stability of sense of coherence: A five-year follow-up study of Finnish women and men. Scandinavian Journal of Psychology, 48, 433–441. doi: 10.1111/j.1467-9450.2007.00598.x. First citation in articleCrossref, Google Scholar

  • Ware, J. E., Kosinski, M. & Keller, S. D. (1995). SF-12: How to score the SF-12 physical and mental health summary scales. Boston, MA: Health Institute. First citation in articleGoogle Scholar

  • Zimprich, D., Allemand, M. & Hornung, R. (2006). Measurement invariance of the abridged sense of coherence scale in adolescents. European Journal of Psychological Assessment, 22, 280–287. doi: 10.1027/1015-5759.22.4.280. First citation in articleLink, Google Scholar