ArticleBMJ open2019
Sense of coherence and physical health-related quality of life in Italian chronic patients: the mediating role of the mental component.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Predictors of psychological resilience among high-risk professionals: a two-year follow-up study in Dutch firefighters.European journal of psychotraumatology · 2026Article
- The Role of Wisdom and Sense of Coherence in Predicting Quality of Life Among Hospitalized Elderly: A Cross-Sectional Study From Eastern Guilan, Northern Iran.Health science reports · 2026Article
- [Glycemic control, psychosocial factors, and quality of life among people with diabetes in primary health care settingsControl de la glucemia, factores psicosociales y calidad de vida en personas con diabetes en entornos de atención primaria de salud].Revista panamericana de salud publica = Pan American journal of public health · 2026Article
- Role of Sense of Coherence in the Outcomes of Acute Myocardial Infarction Survivors: A 2-Year Follow-Up Study.International journal of preventive medicine · 2026Article
- Stress and the Level of Fear of Childbirth Among Pregnant Women in Poland During the Pandemic-The Importance of a Sense of Coherence and Partner Support.Journal of clinical medicine · 2025Article
- Distinctive factors contributing to psychological distress in second-generation offspring of Holocaust survivors: Posttraumatic stress and sense of coherence.Journal of traumatic stress · 2025Article
- The sense of coherence scale and relationships between sense of coherence, sociodemographic variables and chronic disease.Scientific reports · 2025Article
- Article
- The impact of caregiver burden on sense of coherence in Chinese family caregivers of people with dementia: the mediating effect of family resilience.BMC psychology · 2025Article
- Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients.BMC nursing · 2025Article
- A qualitative study of coping strategies and resilience in the aftermath of childhood adversity in first-episode psychosis.Early intervention in psychiatry · 2025Article
- Decoding the "Pain-to-Door" interval using psychological, medical, and demographic factors: A multi-center study.PloS one · 2025Article
- The Effect of Reminiscence Therapy on the Assessment of Depression, Anxiety and Self-Esteem in Community-Dwelling Older Adults: An Intervention Study.International journal of older people nursing · 2025Article
- Evaluating variations in the barriers to colorectal cancer screening associated with telehealth use in rural U.S. Pacific Northwest.Cancer causes & control : CCC · 2024Article
- The role of a mindful movement-based program (Movimento Biologico) in health promotion: results of a pre-post intervention study.Frontiers in public health · 2024Article
- Article
- 6-Fold path to self-forgiveness: an interdisciplinary model for the treatment of moral injury with intervention strategies for clinicians.Frontiers in psychology · 2024Article
- Patient empowerment: a critical evaluation and prescription for a foundational definition.Frontiers in psychology · 2024Article
- Fatigue and the psychological characteristics of medical students.International journal of occupational medicine and environmental health · 2023Article
- Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study.Journal of rehabilitation medicine · 2023Article
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Authors and funding
14 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the relationship between sense of coherence (SOC) and physical health-related quality of life in patients with chronic illnesses by focusing on the mediating role of the mental component of quality of life.
designCross-sectional survey design.
settingSecondary care; three departments of an Italian university hospital.
methodsThe participants (n=209) in the study were adult (≥18 years) outpatients with a chronic pathology (eg, diabetes, thyroid disorders or cancer) at any phase in the care trajectory (eg, pre-treatment, undergoing treatment, follow-up care). They agreed to participate in the study after providing their informed consent. Data were collected using a structured self-reporting questionnaire. Data analysis was carried out using SPSS, and mediation analysis was performed via PROCESS macro.
resultsThe SOC score of the study sample was equivalent to that of the general population (mean difference=-2.50, 95% CI -4.57 to 0.00). Correlation analysis showed that SOC was mainly correlated to the mental component (MCS) (r=0.51, p<0.01) of quality of life and then to the physical component (PCS) (r=0.35, p<0.01). Mediation analysis showed that SOC was directly related to MCS (p<0.001, 95% CI 0.62 to 0.99) but not to PCS (p=0.42, 95% CI -0.27 to 0.12). In turn, MCS was directly related to PCS (p<0.001, 95% CI 0.76 to 1.01). The indirect effect of SOC on PCS through MCS was significant (0.71, p<0.001, bootstrap 95% CI 0.54 to 0.91), thus supporting the mediating role of the mental component of quality of life.
conclusionThe indirect effect suggests that SOC is a marker of quality of life, especially of the mental component. The findings show that SOC is a psychological process that impacts patients' mental health status, which in turn affects physical health. Better knowledge of a person's SOC and how it affects his/her quality of life may help to plan tailoring interventions to strengthen SOC and improve health-related quality of life.
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