Sense of coherence and depression in the framework of immigration: Turkish patients in Germany and in Turkey

Erim, Yeşim; Morawa, Eva; Atay, Halil; Aygün, Sanem; Gokalp, Peykan; Senf, Wolfgang

doi:10.3109/09540261.2011.637908

Cited by 29 publications

(38 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although low SOC does not inherently imply a depressive mood, it has been associated with depression in prior research [42]. In contrast to most previous studies, we were able to control for a clinical diagnosis of major depression, rather than simply a continuous measure of sub-threshold depressive symptoms.…”

Section: Discussionmentioning

confidence: 96%

Association between sense of coherence and health-related quality of life among primary care patients with chronic musculoskeletal pain

Chumbler

Kroenke

Outcalt

et al. 2013

Health and Quality of Life Outcomes

View full text Add to dashboard Cite

BackgroundSense of Coherence (SOC) is a measure of an individual’s capacity to use various coping mechanisms and resources when faced with a stressor. Chronic pain is one of the most prevalent and disabling conditions in clinical practice. This study examines the extent to which a strong SOC is associated with less pain and better health related quality of life (HRQoL) among patients with chronic pain.MethodsWe analyzed data from the Stepped Care to Optimize Pain care Effectiveness (SCOPE) trial which enrolled 250 patients with persistent (3 months or longer) musculoskeletal pain who were receiving care in an United States Department of Veterans Affairs (VA) primary care clinic. The abbreviated three-item SOC scale was used to measure personal coping capability. Participants were categorized into Strong SOC (score 0–1) and Weak SOC (score 2–6). The Brief Pain Inventory (BPI) was used to assess the severity and disability associated with pain. Additionally, pain self-efficacy (ASES) and catastrophizing (CSQ) were assessed. HRQoL was assessed with the 36-item Short-Form Health Survey (SF-36) social functioning, vitality, and general health subscales. Multiple linear regression models were performed to examine whether SOC was independently associated with pain-specific and HRQoL outcomes, after adjusting for sociodemographic and socioeconomic characteristics, medical comorbidities and major depression.ResultsOf the 250 study patients, 61% had a strong SOC whereas 39% had a weak SOC. Multivariable linear regression analysis showed that a strong SOC was significantly associated with better general health, vitality, social functioning and pain self-efficacy as well as less pain catastrophizing. These significant findings were partially attenuated, but remained statistically significant, after controlling for major depression. SOC was not significantly associated with pain severity or pain disability.ConclusionsA strong SOC is associated with better HRQoL and self-efficacy as well as less catastrophizing in patients with chronic pain. SOC may be an important coping mechanism (strategy) for patients with chronic musculoskeletal pain.Trial registrationClinicaltrials.gov Identifier: NCT00926588.

show abstract

Section: Discussionmentioning

confidence: 96%

Association between sense of coherence and health-related quality of life among primary care patients with chronic musculoskeletal pain

Chumbler

Kroenke

Outcalt

et al. 2013

Health and Quality of Life Outcomes

View full text Add to dashboard Cite

show abstract

“…Helping patients to develop a sense that their life is comprehensible, meaningful and manageable may improve their ability to cope with adversities by enabling them to choose and apply more appropriate coping strategies for a specific stressor [30,35]. As sense of coherence has been shown to be correlated with depression [46] and HRQL [43], assisting patients to gain a sense of coherence may be beneficial for reducing psychological distress and improving wellbeing.…”

Section: Discussionmentioning

confidence: 99%

Six-month effects of integrative treatment, therapeutic acupuncture and conventional treatment in alleviating psychological distress in primary care patients - follow up from an open, pragmatic randomized controlled trial

Arvidsdotter

Marklund

Taft

2014

BMC Complement Altern Med

View full text Add to dashboard Cite

BackgroundTo evaluate and compare 6-month effects of 8 weeks of an integrative treatment (IT), therapeutic acupuncture (TA), and conventional treatment (CT) in reducing symptoms of anxiety, depression and in improving health-related quality of life (HRQL) and sense of coherence (SOC) in psychologically distressed primary care patients.MethodsPatients who had participated in an open, pragmatic randomized controlled trial were followed up six months after treatment. The study sample consisted of 120 adults (40 per treatment arm) aged 20 to 55 years referred from four different primary health care centres in western Sweden for psychological distress. Assessments were made at baseline after eight weeks and after 24 weeks. Anxiety and depression were evaluated with the Hospital Anxiety and Depression scale (HADS), HRQL with the SF-36 Mental Component Summary scores (MCS) and SOC with the Sense of Coherence-13 questionnaire.ResultsNo baseline differences were found between groups on any outcome variable. At 24 weeks, IT and TA had significantly better values than CT on all variables. All three groups showed significant improvements from baseline on all variables, except HAD depression in CT; however, improvements were significantly greater in IT and TA than in CT. IT and TA did not differ on any outcome variable. Effect sizes were large in IT and TA for all variables and small or moderate in CT. Improvements on all variables seen after 8-weeks of IT and TA remained stable at 24 weeks and the CT group improved on HAD anxiety.ConclusionsIT and TA seem to be more beneficial than CT in reducing anxiety, depression, and in improving quality of life and sense of coherence after 24 weeks of follow up in patients with psychological distress. More research is needed to confirm these results.Trial registrationISRCTN trial number NCT01631500.

show abstract

“…Some controversy remains whether SOC is a valid concept in cultures that stress collectivist values (Erim et al, 2011). Furthermore, according to some studies among refugees, weak SOC and depressive experiences are overlapping phenomena, as both indicate helplessness and loss of control (Roth & Ekblad, 2006).…”

Section: Psychosocial Factors Related To Depressionmentioning

confidence: 99%

Depressive Symptoms and Their Psychosocial Correlates Among Older Somali Refugees and Native Finns

Kuittinen

Punamäki

Mölsä

et al. 2014

Journal of Cross-Cultural Psychology

View full text Add to dashboard Cite

In this study, we analyzed the manifestation of somatic-affective and cognitive depressive symptoms among older Somali refugees and native Finns. Second, we explored how depressive symptoms, alexithymia, and somatization are associated in the two groups. Finally, we analyzed how two psychosocial factors, sense of coherence (SOC) and social support, are connected to depressive symptoms among Somalis and Finns. The participants were examined with the Beck Depression Inventory (BDI) for depressive symptoms, the Symptom Checklist-90-Revised (SCL-90-R) for somatization, Toronto Alexithymia Scale (TAS-20) for alexithymia, and the Sense of Coherence (SOC-13) concept for SOC. Social support was indicated by help received from social networks and marital status. Results showed that Somalis manifested more somatic-affective symptoms of depression than Finns, whereas Finns manifested more cognitive symptoms than Somalis. The association between depressive symptoms and alexithymia was stronger in the Finnish group, whereas the association between depressive symptoms and somatization was stronger in the Somali group. The association between alexithymia and somatization did not differ between the groups. A weak SOC explained depressive symptoms among Somalis and Finns, but poor social support did not explain depression in either group. The results are discussed in relation to Somali and Finnish cultures, mental health beliefs, and immigrant populations.A widely discussed topic in cross-cultural research is how psychiatric problems such as depression are manifested across sociocultural contexts and what factors are associated with psychological well-being in different ethnic and cultural groups. Previous studies suggested that the rates of psychological and somatic depressive symptoms in particular can vary cross-culturally

show abstract

Sense of coherence and depression in the framework of immigration: Turkish patients in Germany and in Turkey

Cited by 29 publications

References 28 publications

Association between sense of coherence and health-related quality of life among primary care patients with chronic musculoskeletal pain

Association between sense of coherence and health-related quality of life among primary care patients with chronic musculoskeletal pain

Six-month effects of integrative treatment, therapeutic acupuncture and conventional treatment in alleviating psychological distress in primary care patients - follow up from an open, pragmatic randomized controlled trial

Depressive Symptoms and Their Psychosocial Correlates Among Older Somali Refugees and Native Finns

Contact Info

Product

Resources

About