M. Sack et al., SENSE OF COHERENCE AND PSYCHOSOMATIC OUTC OME - AN EMPIRICAL-INVESTIGATION ON SALUTOGENESIS, PPmP. Psychotherapie, Psychosomatik, medizinische Psychologie, 47(5), 1997, pp. 149-155
According to Aaron Antonovsky's model of salutogenesis health protecti
ve resources by him conceptualisised as ''sense of coherence'' (SOC) d
etermine decisively the ability to recuperate. We investigate the rela
tionsship between treatment outcome and the sense of coherence measure
d by the SOC questionnaire at the beginning (n = 81), during the inpat
ient treatment phase and 6 month later (n = 70). For testing the psych
ometric qualities we obtained additional data from the outpatient depa
rtement (n = 461). SOC-Score increased significantly during inpatient
treatment. Outcome of treatment could not be predicted by the initial
SOC, but we found a highly significant relation between an increase in
the SOC value and a decrease in complaints (SCL-90-R, r = .81). In ou
r opinion, the application of the SOC in psychosomatic patients is res
tricted, because there is a high overlap with psychic complaints (i.e.
anxiety, depression).