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Low Sense of Coherence (SOC) is a mirror of general anxiety and persistent depressive symptoms in adolescent girls - a cross-sectional study of a clinical and a non-clinical cohort

Low Sense of Coherence (SOC) is a mirror of general anxiety and persistent depressive symptoms in adolescent girls - a cross-sectional study of a clin

Low Sense of Coherence (SOC) is a mirror of general anxiety and persistent depressive symptoms in adolescent girls - a cross-sectional study of a clinical and a non-clinical cohort   (Citations: 2)
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BACKGROUND: The Sense of Coherence (SOC) scale is assumed to measure a distinct salutogenic construct separated from measures of anxiety and depression. Our aim was to challenge this concept. METHODS: The SOC-scale, Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI) , the emotional subscale of the Strengths and Difficulties Questionnaire (SDQ-em) and self-assessed health-related and physiological parameters were collected from a sample of non-clinical adolescent females (n = 66, mean age 16.5 years with a range of 15.9-17.7 years) and from female psychiatric patients (n = 73), mean age 16.8 years with a range of 14.5-18.4 years), with diagnoses of major depressive disorders (MDD) and anxiety disorders. RESULTS: The SOC scores showed high inverse correlations to BDI, BAI and SDQ-em. In the non-clinical sample the correlation coefficient was -0.86 to -0.73 and in the clinical samples -0.74 to -0.53 (p 2 = 0.74, adjusted R2 = 0.73 in the non-clinical sample and multiple R2 = 0.66, adjusted R2 = 0.65 in the clinical sample. Multivariate analyses failed to isolate SOC as a separate construct and the SOC-scale, BDI, BAI and SDQ-em showed similar patterns of correlations to self-reported and physiological health parameters in both samples. The SOC-scale was the most stable measure over six months. CONCLUSIONS: The SOC-scale did not appear to be a measure of a distinct salutogenic construct, but an inverse measure of persistent depressive symptoms and generalized social anxiety similar to the diagnostic criteria for major depressive disorder (MDD), dysthymic disorder, generalized anxiety disorder (GAD) or generalized social anxiety disorder (SAD) according to DSM-IV. These symptoms were better captured with SOC than by the specialized scales for anxiety and depression. Self-assessment scales that adequately identify MDD, dysthymic disorder, GAD and SAD need to be implemented. Comorbidity of these disorders is common in adolescent females and corresponds to a more severe symptomatology and impaired global function.
Journal: Health and Quality of Life Outcomes - HEALTH QUAL LIFE OUTCOMES , vol. 8, no. 1, pp. 58-13, 2010
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    • ...That this may be an issue was shown in a study on girls aged 14 to 18 years [34]...
    • ...Blom et al [34] concluded that symptoms of anxiety and depression were better captured in the OLQ- 29 than in the specialized scales they considered...

    Jenneken Naaldenberget al. Psychometric properties of the OLQ-13 scale to measure Sense of Cohere...

    • ...Previous cross-sectional studies have reported a significant inverse correlation between SOC and depression[6-9]...
    • ...A cross-sectional study showed that SOC was inversely related to Beck’s Depression Inventory (BDI) and Beck’s Anxiety Inventory (BAI) in adolescent females aged 15.9-17.7 years in Stockholm, Sweden [6]...
    • ...Many cross-sectional studies have reported a significant inverse correlation between SOC and depression [6-9]...
    • ...A cross-sectional study showed that SOC was inversely related to BDI and BAI in adolescent females aged 15.9-17.7 years in Stockholm, Sweden[6]...

    Toshimi Sairenchiet al. Sense of coherence as a predictor of onset of depression among Japanes...

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