The relationship between sense of coherence and post-traumatic stress: a meta-analysis.

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Serval ID
serval:BIB_18A31F4F3E4C
Type
Article: article from journal or magazin.
Collection
Publications
Title
The relationship between sense of coherence and post-traumatic stress: a meta-analysis.
Journal
European journal of psychotraumatology
Author(s)
Schäfer S.K., Becker N., King L., Horsch A. (co-last), Michael T. (co-last)
ISSN
2000-8066 (Print)
ISSN-L
2000-8066
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
10
Number
1
Pages
1562839
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
Background: Antonovsky's concept of sense of coherence (SOC) - as a global orientation reflecting an individual's feeling of confidence in both the predictability of their internal and external environment and their ability to cope with stressful and challenging situations in life - shows a negative association with symptoms of post-traumatic stress. However, single studies varying in study characteristics provide heterogeneous effect size estimations. Objective: The purpose of the current study is to investigate the relationship between SOC and post-traumatic stress disorder (PTSD) symptom severity for the first time on a meta-analytical level. Method: The random-effects meta-analysis is based on zero-order correlations (r) and consists of 47 independent samples out of 45 studies (N = 10,883). Results: After correcting for sampling error, the mean correlation between SOC and PTSD symptoms was M(r) = -.41 (excluding four outliers: -.39). However, this effect could not be generalized to all types of PTSD samples owing to substantial remaining heterogeneity. Subsequent moderator analyses investigating the influence of different SOC and PTSD measures, trauma type and duration, mean age and gender imbalances per sample did not reveal significant moderating effects. Conclusions: The meta-analysis reveals a substantial correlation between SOC and PTSD symptom severity: higher SOC levels are associated with lower symptom severity. Thus, future research should progress to the question of whether the relationship between SOC and post-traumatic stress is causal, and by which factors it is moderated. Abbreviations: CD, Cook's distance; DSM, Diagnostic and Statistical Manual of Mental Disorders; (G)RR, general (and specific) resistance resources; IES(-R), Impact of Event Scale (Revised); PDS, Posttraumatic Stress Diagnostic Scale; PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses; PTSD, post-traumatic stress disorder; SDR, standard deleted residual; SOC, sense of coherence; SOC-R, Sense of Coherence Scale - Revised.
Keywords
PTSD, PTSD symptoms, Sense of coherence, meta-analysis, post-traumatic stress disorder, resilience, review, salutogenesis, • This meta-analysis reports a robust correlation between sense of coherence (SOC) and post-traumatic stress disorder (PTSD) symptoms. • Higher SOC levels are linked to lower PTSD symptom scores. • No significant moderating effects were found for the correlation between SOC and PTSD symptoms. • There were homogeneous correlations for Holocaust and war traumas and enduring stressors. • Future research needs to investigate a potential causal relationship.
Pubmed
Web of science
Open Access
Yes
Create date
18/01/2019 13:47
Last modification date
03/12/2019 6:23
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