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Sense of coherence and health of community-dwelling older adults in Spain

Published online by Cambridge University Press:  25 November 2014

Rebecca E. Giglio ,
Carmen Rodriguez-Blazquez ,
Jesús de Pedro-Cuesta  and
Maria João Forjaz
Rebecca E. Giglio
Affiliation:
Department of Psychology, Barnard College, Columbia University, New York, USA
Carmen Rodriguez-Blazquez*
Affiliation:
National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain
Jesús de Pedro-Cuesta
Affiliation:
National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain
Maria João Forjaz
Affiliation:
National School of Public Health and REDISSEC, Carlos III Institute of Health, Madrid, Spain
*
Correspondence should be addressed to: Carmen Rodriguez-Blazquez, National Center of Epidemiology, Carlos III Institute of Health, Av. Monforte de Lemos, 5, 28029 Madrid, Spain. Phone: +34-9-18222657. Email: [email protected].
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Abstract

Background:

In light of the demographic aging trend in Europe, investigation into successful aging is a public health priority. This paper describes the sense of coherence (SOC) of a sample of community-dwelling older adults in Spain and analyzes the relationship between SOC and both health and sociodemographic variables. SOC measures the extent to which an individual conceptualizes the world as comprehensible, manageable, and meaningful. Strong SOC may promote good health.

Methods:

The study followed a cross-sectional design involving a nationally representative sample of 1,106 community-dwelling adults aged 60 years and older in Spain. The sample was collected by geographically based proportional stratified sampling. Results are based on responses to a questionnaire requesting sociodemographic information and including the following validated scales: SOC, Barthel index (BI), functional independence scale (FIS), personal wellbeing index (PWI), EQ-5D dimensions (mobility, personal care, daily activities, pain/discomfort, anxiety/depression), and the depression subscale of the hospital anxiety and depression scale (HADS-D). A multivariate linear regression model analyzed determinants of SOC.

Results:

Personal wellbeing (b = −0.32), depression (b = 0.26), and educational level (b = −0.06) were significant determinants of SOC. Lower SOC was associated with problems in all EQ-5D dimensions and moderate/severe disability as measured by the BI.

Conclusions:

SOC in older adults is related to functional status, mental health status, personal wellbeing, and educational level. Public health initiatives should work to reduce the psychological and physiological impact of aging by focusing on the conditions that facilitate the coping of older adults.

Keywords

sense of coherenceolder adultsdepressionfunctional statuspersonal wellbeing
Type
Research Article
Information
International Psychogeriatrics , Volume 27 , Issue 4 , April 2015 , pp. 621 - 628
Copyright
Copyright © International Psychogeriatric Association 2014 

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References

Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11, 11–18. doi:10.1093/heapro/11.1.11.Google Scholar
Badia, X., Monserrat, S., Roset, M. and Herdman, M. (1999). Feasibility, validity and test–retest reliability of scaling methods for health states: the visual analogue scale and the time trade-off. Quality of Life Research, 8, 303–310. doi:10.1023/A:1008952423122.CrossRefGoogle ScholarPubMed
Badia, X., Roset, M., Herdman, M. and Kind, P. (2001). A comparison of United Kingdom and Spanish general population time trade-off values for EQ-5D health states. Medical Decision Making, 21, 7–16. doi:10.1177/0272989×0102100102.CrossRefGoogle ScholarPubMed
Borglin, G., Jakobsson, U., Edberg, A.-K. and Hallberg, I. R. (2006). Older people in Sweden with various degrees of present quality of life: their health, social support, everyday activities and sense of coherence. Health and Social Care in the Community, 14, 136–146. doi:10.1111/j.1365-2524.2006.00603.x.CrossRefGoogle ScholarPubMed
Eriksson, M. and Lindstrom, B. (2005). Validity of Antonovsky's sense of coherence scale: a systematic review. Journal of Epidemiology and Community Health, 59, 460–466. doi:10.1136/jech.2003.018085.Google Scholar
Eriksson, M. and Lindström, B. (2006). Antonovsky's sense of coherence scale and the relation with health: a systematic review. Journal of Epidemiology and Community Health, 60, 376–381. doi:10.1136/jech.2005.041616.CrossRefGoogle ScholarPubMed
Eriksson, M. and Lindström, B. (2007). Antonovsky's sense of coherence scale and its relation with quality of life: a systematic review. Journal of Epidemiology and Community Health, 61, 938–944. doi:10.1136/jech.2006.056028.Google Scholar
Fernandez-Mayoralas, G., Giraldez-Garcia, C., Forjaz, M. J., Rojo-Perez, F., Martínez-Martín, P. and Prieto-Flores, M.-E. (2012). Design, measures and sample characteristics of the CadeViMa-Spain survey on quality of life in community-dwelling older adults. International Psychogeriatrics, 24, 425–438. doi:10.1017/S1041610211002018.CrossRefGoogle ScholarPubMed
Geyer, S. (1997). Some conceptual considerations on the sense of coherence. Social Science and Medicine, 44, 1771–1779.Google Scholar
International Wellbeing Group (2006). Personal Wellbeing Index – Adult, 4th edn, Australian Centre on Quality of Life, Deakin University, Melbourne.Google Scholar
Kahana, E., Kelley-Moore, J. and Kahana, B. (2012). Proactive aging: a longitudinal study of stress, resources, agency, and well-being in late life. Aging & Mental Health, 16, 438–451. doi:10.1080/13607863.2011.644519.Google Scholar
Lindström, B. and Eriksson, M. (2005a). Professor Aaron Antonovsky (1923–1994): the father of the salutogenesis. Journal of Epidemiology and Community Health, 59, 511.Google Scholar
Lindström, B. and Eriksson, M. (2005b). Salutogenesis. Journal of Epidemiology and Community Health, 59, 440–442. doi:10.1136/jech.2005.034777.Google Scholar
Lindström, B. and Eriksson, M. (2006). Contextualizing salutogenesis and Antonovsky in public health development. Health Promotion International, 21, 238–244. doi:10.1093/heapro/dal016.CrossRefGoogle ScholarPubMed
Lundberg, O. and Peck, M. N. (1995). A simplified way of measuring sense of coherence experiences from a population survey in Sweden. European Journal of Public Health, 5, 56–59. doi:10.1093/eurpub/5.1.56.Google Scholar
Lutgendorf, S. K., Vitaliano, P. P., Tripp-Reimer, T., Harvey, J. H. and Lubaroff, D. M. (1999). Sense of coherence moderates the relationship between life stress and natural killer cell activity in healthy older adults. Psychology and Aging, 14, 552–563. doi:10.1037/0882-7974.14.4.552.CrossRefGoogle ScholarPubMed
Mahoney, F. I. and Barthel, D. W. (1965). Functional evaluation: the barthel index. Maryland State Medical Journal, 14, 61–65.Google ScholarPubMed
Martínez de la Iglesia, J., Dueñas Herrero, R., Onís Vilches, M. C., Aguado Taberné, C., Albert Colomer, C. and Luque Luque, R. (2001). Spanish language adaptation and validation of the Pfeiffer's questionnaire (SPMSQ) to detect cognitive deterioration in people over 65 years of age. Medicina Clínica (Barcelona), 117, 129–134.Google Scholar
Martínez-Martín, P. et al. (2009). Validation of the functional independence scale. Gaceta Sanitaria, 23, 49–54. doi:10.1590/S0213-91112009000100010.Google Scholar
Martínez-Martín, P. et al. (2012). Components and determinants of quality of life in community-dwelling older adults. European Journal of Ageing, 9, 255–263. doi:10.1007/s10433-012-0232-x.Google Scholar
Mellqvist, M., Wiktorsson, S., Joas, E., Ostling, S., Skoog, I. and Waern, M. (2011). Sense of coherence in elderly suicide attempters: the impact of social and health-related factors. International Psychogeriatrics, 23, 986–993. doi:10.1017/S1041610211000196.Google Scholar
Nesbitt, B. J. and Heidrich, S. M. (2000). Sense of coherence and illness appraisal in older women's quality of life. Research in Nursing and Health, 23, 25–34.3.0.CO;2-M>CrossRefGoogle ScholarPubMed
Nilsson, B., Holmgren, L., Stegmayr, B. and Westman, G. (2003). Sense of coherence–stability over time and relation to health, disease, and psychosocial changes in a general population: a longitudinal study. Scandinavian Journal of Public Health, 31, 297–304.CrossRefGoogle Scholar
Olsson, M., Hansson, K., Lundblad, A.-M. and Cederblad, M. (2006). Sense of coherence: definition and explanation. International Journal of Social Welfare, 15, 219–229. doi:10.1111/j.1468-2397.2006.00410.x.Google Scholar
Rodriguez-Blazquez, C. et al. (2011). Psychometric properties of the international wellbeing Index in community-dwelling older adults. International Psychogeriatrics, 23, 161–169. doi:10.1017/S104161021000092X.Google Scholar
Sarvimäki, A. and Stenbock-Hult, B. (2000). Quality of life in old age described as a sense of well-being, meaning and value. Journal of Advanced Nursing, 32, 1025–1033.Google Scholar
Söderhamn, O. and Holmgren, L. (2004). Testing Antonovsky's sense of coherence (SOC) scale among Swedish physically active older people. Scandinavian Journal of Psychology, 45, 215–221. doi:10.1111/j.1467-9450.2004.00397.x.CrossRefGoogle ScholarPubMed
Soderhamn, U., Dale, B. and Soderhamn, O. (2013). The meaning of actualization of self-care resources among a group of older home-dwelling people—A hermeneutic study. International Journal of Qualitative Studies on Health and Well-being, 8, 1–9. doi:10.3402/qhw.v8i0.20592.Google Scholar
Suominen, S., Helenius, H., Blomberg, H., Uutela, A. and Koskenvuo, M. (2001). Sense of coherence as a predictor of subjective state of health: results of 4 years of follow-up of adults. Journal of Psychosomatic Research, 50, 77–86.Google Scholar
Tan, K. K., Vehviläinen-Julkunen, K. and Chan, S. W. (2013). Integrative review: salutogenesis and health in older people over 65 years old. Journal of Advanced Nursing, 3, 497–510. doi:10.1111/jan.12221.Google Scholar
The EuroQol Group (1990). EuroQol- a new facility for the measurement of health-related quality of life. Health Policy, 16, 199–208.CrossRefGoogle Scholar
Virués-Ortega, J., Martínez-Martín, P., Del Barrio, J. L., Lozano, L. M. and Grupo Español de Estudios Epidemiológicos sobre Envejecimiento (2007). Cross-cultural validation of Antonovsky's sense of coherence scale (OLQ-13) in Spanish elders aged 70 years or more. Medicina Clínica (Barcelona), 128, 486–492.Google Scholar
World Health Organization (2001). International classification of functioning, disability and health ICF. Genève: World Health Organization.Google Scholar
Zigmond, A. S. and Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370. doi:10.1111/j.1600-0447.1983.tb09716.x.Google Scholar