Salutogenesis: Sense of Coherence in Adolescence

Braun‐Lewensohn, Orna; Idan, Orly; Lindström, Bengt; Margalit, Malka

doi:10.1007/978-3-319-04600-6_14

Cited by 47 publications

(70 citation statements)

References 60 publications

(67 reference statements)

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“…Questionnaire data obtained from the adolescents again confirmed the important role of individual strategies mediating the effects of trauma exposure on mental and physical health. While we could replicate the inverse associations of SoC with traumatic stress and its sequelae already well documented for adolescents (Braun‐Lewensohn et al, ), we are the first to show matching associations for HCC. Our data reveal that, in individuals with a likely diagnosis of PTSD according to the UCLA PTSD Reaction Index, lower SoC is associated with higher HCC and vice versa.…”

Section: Discussionsupporting

confidence: 72%

“…Importantly, the presented data, due to their cross‐sectional character, cannot provide any insight into the directions of the reported associations. Current literature points toward a bidirectional link between SoC and adversities, with the level of SoC modulating the strength of negative life events’ sequelae, but also the number and severity of negative experiences modulating the extent of SoC (Braun‐Lewensohn et al, ). Further studies suited to address this directionality, as well as the fact that in our data SoC seems to play a role only in PTSD and not in trauma exposure per se, are necessary.…”

Section: Discussionmentioning

confidence: 99%

“…One crucial mechanism could be the so-called sense of coherence (SoC), defined as the global mindset to interpret the world and emerging stressors as comprehensible, manageable, and meaningful (Antonovsky, 1987). It is already well established that the level of SoC is associated with lower self-reported stress and psychopathology in the aftermath of trauma exposure in adults (Kimhi, Eshel, Zysberg, Hantman, & Enosh, 2010;Veronese, Fiore, Castiglioni, el Kawaja, & Said, 2013) as well as in adolescents (Braun-Lewensohn, Idan, Lindström, & Margalit, 2017;Sagy & Braun-Lewensohn, 2009). Importantly, there are initial indications that SoC is also associated with psychoneuroendocrine sequelae of ongoing or traumatic stress manifested in the HPA axis.…”

Section: Jonesmentioning

confidence: 99%

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Victims of war—Psychoendocrine evidence for the impact of traumatic stress on psychological well‐being of adolescents growing up during the Israeli–Palestinian conflict

et al. 2018

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Violent conflicts are severe traumatic stressors with detrimental effects on physical and mental health, with children and adolescents being particularly at risk. For the hypothalamic-pituitary-adrenal (HPA) axis, characteristic patterns of dysregulation in trauma-exposed individuals have been shown. This study set out to investigate self-reported mental well-being in Palestinian adolescents growing up during the Israeli-Palestinian conflict. Hair cortisol concentrations (HCC) as a psychoendocrine marker for long-term HPA axis aberrations along with the potential protective factor sense of coherence (SoC; i.e., the global mindset to interpret the world and emerging stressors as comprehensible, manageable, and meaningful) were examined. Between 2014 and 2016, posttraumatic stress disorder (PTSD), depression, anxiety, HCC, and SoC were examined in 233 adolescents aged 11 to 16 from the West Bank. More than half of the participants reported trauma exposure, with 40% fulfilling the criteria of a preliminary PTSD diagnosis and a high prevalence of anxiety and depression. HCC was significantly elevated in the PTSD subgroup compared to the subgroup not exposed to any traumatic events (p = 0.046), with trauma-exposed individuals in between. HCC was further associated with typical sequelae of traumatic stress. Notably, SoC was inversely related to self-reported psychopathology, as well as to HCC in the trauma group. The results illustrate the situation of adolescents exposed to chronic traumatic stress and extend the literature on aberrant HPA axis functioning under such conditions. They also point out a central role of SoC, which may imply new strategies to aid individuals exposed to ongoing conflicts.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Jonesmentioning

confidence: 99%

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Victims of war—Psychoendocrine evidence for the impact of traumatic stress on psychological well‐being of adolescents growing up during the Israeli–Palestinian conflict

et al. 2018

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“…Some authors have emphasized that SOC may present a certain stability as from 15-16 years of age, and may therefore, contribute to the mediation of stressor factors during adolescence 15,16 . Evidences have shown that high SOC levels were associated with reduction in stress and decrease in the internalizing and externalizing problems experienced by adolescents in this stage of psychological and cognitive changes in their individual lives 17 .…”

Section: Introductionmentioning

confidence: 99%

Senso de coerência e fatores associados ao desempenho escolar de adolescentes

Oliva

Cunha

Silva

et al. 2019

Ciênc. saúde coletiva

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Resumo O desempenho escolar é um aspecto fundamental para o futuro sucesso profissional e social. O objetivo do presente estudo foi investigar os fatores associados ao desempenho escolar dos adolescentes, incluindo o Senso de Coerência (SOC) e o estado de saúde bucal. Foram incluídos, no estudo, 381 escolares entre 15 e 18 anos de idade da cidade de Campo Grande, Mato Grosso do Sul, Brasil. O desfecho foi o desempenho escolar avaliado por meio das notas finais das disciplinas de Português e Matemática em 2013. As variáveis independentes foram dados sociodemográficos, autopercepção de saúde bucal, uso de serviços odontológicos e Senso de Coerência, obtidos por um questionário autoaplicado. Além disso, avaliou-se o número de dentes cariados, perdidos e obturados (índice de CPO-D). Análises de regressão logística foram realizadas, com base em um modelo hierárquico. A idade média dos alunos foi de 16 anos; valor médio do CPO-D 4,1 e SOC 44,5. No ajuste final, os indivíduos do sexo masculino (p = 0,0021); aqueles com o maior número de pessoas que moravam em casa (p = 0,0021) e o SOC fraco (p = 0,0005) mostraram associação com o menor desempenho escolar. Em conclusão, o desempenho escolar é um fenômeno complexo, associado ao SOC e às características bucais.

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“…Research on salutogenesis by Cederblad and Hansson () and by Eriksson and Lindström () found that SOC among adults correlated positively with quality of life, defined as the general standard of wellbeing, that is health, family education, and happiness among individuals and groups. In adolescents, SOC has been considered a possible resource in a variety of stressful situations (Braun‐Lewensohn, Idan, Lindström, & Margali, ). However, a salutogenic treatment model has not been extensively studied in child and adolescent psychiatry settings.…”

Section: Problemmentioning

confidence: 99%