The concept of “sense of coherence” and the development of posttraumatic stress disorder in traffic accident victims

Frommberger, Ulrich; Stieglitz, Rolf‐Dieter; Straub, Steffen; Nyberg, Elisabeth; Schlickewei, W.; Kuner, E. H.; Berger, Thomas

doi:10.1016/s0022-3999(98)00117-2

Cited by 69 publications

(51 citation statements)

References 13 publications

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“…The high SOC scores in the LSG correspond to the concept of the SOC as an indicator for an individual’s capacity to adequately respond to a stressor by means of appropriate and diverse coping strategies and is in accordance with the literature [3, 41]. Patients scoring high on the SOC can probably accept their situation better than those with low SOC scores.…”

Section: Discussionsupporting

confidence: 85%

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Coping with Serious Accidental Injury: A One-Year Follow-Up Study

Hepp

Moergeli

Büchi

et al. 2005

Psychother Psychosom

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Background: The aim of this study was to analyze changes of coping strategies in severely injured accident victims over time and to compare patients with high and low posttraumatic stress disorder (PTSD) symptom levels with regard to their coping patterns and accident-related cognitions. Methods: 106 consecutive patients with severe accidental injuries admitted to a trauma surgery intensive care unit (ICU) were assessed within 1 month after the trauma and 6 and 12 months later. Assessments included a clinical interview, the Freiburg Questionnaire of Coping with Illness, the patients’ accident-related cognitions, the Clinician-Administered PTSD Scale, the 90-item revised Symptom Checklist (SCL-90-R), and the Sense of Coherence Questionnaire (SOC). Patients who met the criteria for either full or subsyndromal PTSD at least once over the observation period (36 subjects; 34.0%) were assigned to a highly symptomatic group (HSG), the remainder (70 subjects; 66.0%) to a less symptomatic group. Results: Overall, active problem-focused coping was predominant immediately after the accident and declined over time, with a stronger decrease in the HSG. Patients in the HSG scored higher on the SCL Global Severity Index and lower on the SOC. The patients’ subjective appraisal of accident severity was higher in the HSG, whereas there was no group difference with regard to accident-related variables such as type of accident, injury severity and mild to moderate traumatic brain injury. Conclusions: Active problem-focused coping, although utilized most frequently and often regarded as protective, might be an inadequate strategy in face of acute stress following a severe accident. Clinicians should not expect their patients to cope very actively in the acute ICU phase. In the subsequent rehabilitation, active coping seems to be more adaptive.

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Section: Discussionsupporting

confidence: 85%

“…Frommberger et al [41 ]found a negative correlation between SOC and posttraumatic psychopathology 6 months after traffic accidents. However, as there was no baseline SOC, it remains unclear whether high SOC scores are responsible for better psychological outcome or low SOC scores are a consequence of poor psychological outcome.…”

Section: Discussionmentioning

confidence: 99%

Coping with Serious Accidental Injury: A One-Year Follow-Up Study

Hepp

Moergeli

Büchi

et al. 2005

Psychother Psychosom

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“…As a construct of resiliency, SOC has been found to be close to many other coping-related personality constructs, such as dispositional optimism [5] and self-efficacy [8]. Furthermore, a high SOC has shown to be associated with emotional stability (the opposite of neuroticism) [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Development of sense of coherence in adulthood: a person-centered approach. The population-based HeSSup cohort study

et al. 2010

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“…Psychosocial adaptation to life after a severe trauma depends both on trauma-dependent predictors, as well as trauma-independent factors. The development of PTSD depends largely on traumadependent factors that concern the patient's subjective view of the severity of the accident and injury [7][8][9] and the duration of their inability to work [10].…”

Section: Introductionmentioning

confidence: 99%