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Relationship of sense of coherence to stressful events, coping strategies, health status, and quality of life in women with breast cancer
Research and Development Centre, Skaraborg Hospital, Skövde, Sweden / Institute of Health and Caring Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden / Johns Hopkins School of Nursing, Baltimore, MD, USA.ORCID iD: 0000-0001-9559-0952
University of Skövde, School of Life Sciences. Johns Hopkins School of Nursing, Baltimore, MD, USA / Department of Oncology, Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID iD: 0000-0003-0976-531X
Institute of Health and Caring Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, USA.
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2013 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 22, no 1, 20-27 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To test the hypothesis that Antonovsky's concept of sense of coherence (SOC) predicts stressful events, coping strategies, health status, and quality of life (QoL) in a cohort of postmenopausal women (n = 131) with newly diagnosed primary or recurrent breast cancer.

Methods: Regression analyses of longitudinal data at baseline through 6 months following breast cancer diagnosis examined the relationships between SOC (13-item version), daily assessment of coping with stressful events, health status, and QoL (EORTC QLQ-30).

Results: The findings support Antonovsky's concept of SOC. Women with strong SOC reported fewer stressful events and more days without stressful events. They used more coping strategies and more frequently used distraction, situation redefinition, direct action, and relaxation, but seldom religion, to cope with stressful events, and reported better health status and QoL. Women with weak SOC experienced more distress and used fewer coping strategies, and they more frequently used coping strategies such as catharsis and seeking social and spiritual support, but seldom acceptance of the situation. They reported worse health status and QoL, regardless of disease stage or treatment. The relationships between SOC and health status and QoL were linear.

Conclusions: Sense of coherence significantly predicts distress, number and type of coping strategies such as direct action and relaxation, health status, and QoL in women with breast cancer. Our data suggest that the SOC scale may be a useful screening tool to identify individuals particularly vulnerable to distress and unable to cope adequately. Assessing SOC strength may assist health care providers to provide individualized patient interventions.

Place, publisher, year, edition, pages
John Wiley & Sons, 2013. Vol. 22, no 1, 20-27 p.
Keyword [en]
sense of coherence, stressful events, coping strategies, health status, quality of life, distress, breast cancer
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-5805DOI: 10.1002/pon.2053ISI: 000313132100004PubMedID: 21910162Scopus ID: 2-s2.0-84872076301OAI: oai:DiVA.org:his-5805DiVA: diva2:524245
Available from: 2012-04-30 Created: 2012-04-30 Last updated: 2015-05-25Bibliographically approved

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Kenne Sarenmalm, ElisabethBrowall, Maria
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