The sense of coherence: a tool for evaluating patients with peripheral vestibular disorders

Mendel, Barbro; Bergenius, Johan; Langius, Ann

doi:10.1046/j.1365-2273.2001.00398.x

Cited by 26 publications

(27 citation statements)

References 24 publications

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“…Furthermore, they demonstrated less dizziness-specific anxiety at the onset of the vestibular disease. Mendel et al [29] were the first to examine the relationship between peripheral vestibular disorders and the sense of coherence (SOC). They showed that high SOC scores were significantly correlated with lower handicap scores, psychosocial dysfunction, and mental comorbidity.…”

Section: Discussionmentioning

confidence: 99%

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Patients’ psychological well-being and resilient coping protect from secondary somatoform vertigo and dizziness (SVD) 1 year after vestibular disease

et al. 2010

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Secondary somatoform dizziness and vertigo (SVD) is an underdiagnosed and handicapping psychosomatic disorder, leading to extensive utilization of health care and maladaptive coping. Few long-term follow-up studies have focused on the assessment of risk factors and little is known about protective factors. The aim of this 1-year follow-up study was to identify neurootological patients at risk for the development of secondary SVD with respect to individual psychopathological disposition, subjective well-being and resilient coping. In a prospective interdisciplinary study, we assessed mental disorders in n=59 patients with peripheral and central vestibular disorders (n=15 benign paroxysmal positional vertigo, n=15 vestibular neuritis, n=8 Menière's disease, n=24 vestibular migraine) at baseline (T0) and 1 year after admission (T1). Psychosomatic examinations included the structured clinical interview for DSM-IV, the Vertigo Symptom Scale (VSS), and a psychometric test battery measuring resilience (RS), sense of coherence (SOC), and satisfaction with life (SWLS). Subjective well-being significantly predicted the development of secondary SVD: Patients with higher scores of RS, SOC, and SWLS at T0 were less likely to acquire secondary SVD at T1. Lifetime mental disorders correlated with a reduced subjective well-being at T0. Patients with mental comorbidity at T0 were generally more at risk for developing secondary SVD at T1. Patients' dispositional psychopathology and subjective well-being play a major predictive role for the long-term prognosis of dizziness and vertigo. To prevent secondary SVD, patients should be screened for risk and preventive factors, and offered psychotherapeutic treatment in case of insufficient coping capacity.

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Section: Discussionmentioning

confidence: 99%

“…They showed that high SOC scores were significantly correlated with lower handicap scores, psychosocial dysfunction, and mental comorbidity. SOC was postulated as an important predictor for dizziness-specific quality of life [29]. In a representative German study, patients without lifetime mental disorders reached higher scores on SOC [24].…”

Section: Discussionmentioning

confidence: 99%

Patients’ psychological well-being and resilient coping protect from secondary somatoform vertigo and dizziness (SVD) 1 year after vestibular disease

et al. 2010

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“…614 cessful coping with stressful situations and characterizes good adaptation to the disease and its treatment. 34,35 A patient who understands the necessity of strict adherence manages to take the medication successfully and finds meaning in doing so is more likely to have a high SOC, in other words to deal effectively with the situation.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies indicate that patients with HIV infection have lower SOC than samples from the general population and lower than patients suffering from less chronic diseases. [33][34][35] The diagnosis of HIV and the circumstances that are required regarding treatment with antiretroviral therapy is a complex and probably stressful situation to live with. 33 Adherence to antiretroviral treatment in connection with how well HIV-infected patients cope and adapt to the disease has not, as far as we know, been studied before.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Adherence to Antiretroviral Treatment and Degree of Sense of Coherence in a Group of HIV-Infected Patients

Cederfjäll

Langius‐Eklöf

Lidman

et al. 2002

AIDS Patient Care and STDs

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The goal of this study was to explore the relation between self-reported adherence to antiretroviral treatment and degree of sense of coherence in a group of human immunodeficiency virus (HIV)-infected patients. Ninety-nine patients from an outpatient clinic, all undergoing antiretroviral therapy, participated. Questionnaires were answered twice at a 12-month interval. The 29-item Sense of Coherence (SOC) Scale was used for measuring the ability to cope with stressful life situations. Medication adherence was assessed with self-reported measurements. Clinical characteristics and background variables were collected from the medical records. Results from variables measured with the 12-month interval show a significant concordance with disease stage (p < or = 0.0001), and in HIV-RNA copies per milliliter (p < or = 0.0001) and an increase in CD4 cell count/mm3 (p = < 0.0001). Univariate analysis showed significant differences between nonadherent patients (n = 19) and adherent patients (n = 80) at the last measurement (i.e., the nonadherent group had lower CD4 cell count/mm3 [p = 0.004], higher HIV-1 RNA levels [p 50.029], and lower SOC [p = 0.04] than the adherent group). Finally, multiple regression analyses showed that at measurement 2 the SOC predicted nonadherence, the lower SOC the more missed doses (p < or = 0.01). Because SOC seems to play an important role in this group of patients managing their disease, a caring patient-provider relationship should be developed to minimize nonadherent behaviour. For this reason SOC scale might be of great clinical value to identify patients needing the most support for successful treatment.

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“…Regardless of the method by which the positive experience is gained, the results indicate that meaningfulness of the behaviour has a curative effect on Menière's disorder. In patients with peripheral vestibular lesions, the higher scores in the SOC correlated very significantly with lower scores in the Vertigo Handicap Questionnaire (24). Yardley et al (22) also pointed out that attitudes of health professionals and society towards providing help was important.…”

Section: Duration Of Symptomsmentioning

confidence: 98%

Positive experiences associated with tinnitus and balance problems

Kentala

Wilson

Pyykkö

et al. 2008

Audiological Medicine

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Positive experiences have been investigated in a variety of conditions including hearing impairment. In the present investigation we have studied positive experience associated with tinnitus and with balance disorders using an open-ended questionnaire. The first was investigated in consecutive patients attending a tertiary level tinnitus clinic in Wales and the second as part of a study on members of the Finnish Meniere Federation. Forty-one per cent of the respondents with tinnitus listed one or more positive experiences as did 26% of the respondents with balance problems. Using a qualitative analysis, the most common theme to emerge in both groups was 'Treatment-related'. 'Personal development' and 'Diseasespecific' were also themes common to both groups and the tinnitus patients also reported effects on 'Other people', either that they had been helpful or that they themselves had developed empathy with other sufferers. We argue that discussion of such positive experiences would be valuable in the therapeutic counselling of both groups.

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The sense of coherence: a tool for evaluating patients with peripheral vestibular disorders

Cited by 26 publications

References 24 publications

Patients’ psychological well-being and resilient coping protect from secondary somatoform vertigo and dizziness (SVD) 1 year after vestibular disease

Patients’ psychological well-being and resilient coping protect from secondary somatoform vertigo and dizziness (SVD) 1 year after vestibular disease

Self-Reported Adherence to Antiretroviral Treatment and Degree of Sense of Coherence in a Group of HIV-Infected Patients

Positive experiences associated with tinnitus and balance problems

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