While there is support for the rationale behind adequate risk perception as a goal of preventive interventions, the possibility of risk reappraisal should not be neglected, especially regarding illicit substances.

BackgroundSeveral studies have demonstrated the importance of sense of coherence (SOC), neuroticism (N), extraversion (E), and general self-efficacy (GSE) for health, yet the unique utility of these overlapping constructs remains uncertain. The present research aims at exploring incremental validity when predicting (1) substance use specifically and (2) mental health generally among adolescents.MethodsA prospective and longitudinal design was used to predict (1) initial substance use nine years into the future and (2) mental health one year and four years into the future. Participants were 318 adolescents (age 14 to 15 at the beginning of the study).ResultsStructural equation modeling revealed (1) that SOC had long-term incremental validity over N, E, and GSE for tobacco use and alcohol use, whereas cannabis use was predicted by E and GSE; and (2) that long-term mental health after four years was only predicted by SOC.ConclusionsTwo studies provide further evidence for the importance of considering salutogenic factors when forecasting mental health and health-related behavior beyond classical constructs such as N, E, and GSE. Differences in criterion validity reveal that SOC cannot be equated with reversed neuroticism.

Sense of coherence (SOC), resilience, dispositional optimism, and self-compassion are highly related aspects of personality that promote health and well-being. We systematically compared these constructs and explored their criterion validity when predicting psychological distress. With the help of structural equation modeling, we examined SOC's factor structure and incremental validity over resilience (N1 = 208) as well as over optimism and self-compassion (N2 = 308) in two studies. Despite strong overlap (shared variance) SOC clearly outperformed its competitors. Neither resilience, nor optimism, nor self-compassion had significant incremental validity over SOC on a latent level. A two-factor model for SOC explained most variance in psychological distress. Results highlight the importance of salutogenic factors even in a neck-to-neck comparison with other potentially healthbenefitting personality variables. Meaningfulness appears to contribute to SOC's uniqueness.