The Sense of Coherence: A Theory of Health and Well-Being
The sense of coherence (SOC) is a psychological construct that has been developed to explain how individuals maintain health and well-being in the face of adversity. SOC operates as a central organizing principle that helps individuals cope with challenging life situations, such as chronic stress, illness, or difficult life transitions. While the concept of SOC has been around for decades, its theoretical basis has continued to evolve and is still actively debated in the scientific community today. This article provides an overview of SOC and its implications for health and well-being, including its role in stress management, health promotion, and quality of life.
SOC is often described as a three-dimensional construct that consists of a set of cognitive appraisals (comprehensibility, manageability, and meaningfulness) and a feeling of confidence (or optimism) that life’s challenges can be handled successfully. An individual’s SOC is thought to be shaped by his/her values and beliefs, which inform his/her understanding of the world and the expectations he/she has for the future. Accordingly, SOC can be seen as a way of looking at the world and managing stress in a positive and constructive manner.
In the context of health and well-being, SOC has been linked to a number of important outcomes. Studies have found that individuals with high SOC are more likely to have better physical and psychological health, higher levels of subjective well-being, and better quality of life. Research has also suggested that individuals with higher SOC are more likely to engage in health-promoting behaviors, such as exercising regularly, eating a balanced diet, and getting regular health screenings. Additionally, SOC has been linked to stress management, with individuals who have higher SOC being better able to cope with life’s challenges.
Given the importance of SOC in health and well-being, a number of interventions have been developed to help individuals cultivate a sense of coherence. These interventions typically involve cognitive-behavioral techniques, such as problem-solving and relaxation, as well as education about the importance of SOC and how to develop it. Additionally, interventions may involve activities that promote positive thinking and an appreciation for life’s moments, such as mindfulness and positive psychology interventions.
In conclusion, the sense of coherence is an important psychological construct that has been linked to a number of important health and well-being outcomes. It is a central organizing principle that helps individuals cope with life’s challenges, and interventions have been developed to help individuals cultivate a sense of coherence. Further research is needed to understand the mechanisms by which SOC impacts health and well-being, as well as the efficacy of interventions to promote SOC.
References
Antonovsky, A. (1979). Health, stress, and coping. San Francisco: Jossey-Bass.
Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco: Jossey-Bass.
Antonovsky, A. (1996). The sense of coherence: A-sense of coherence scale. In M. E. Power, & C. R. Brewster (Eds.), Health psychology: A handbook (pp. 35-37). San Francisco: Jossey-Bass.
Chang, E. C., & Sanna, L. J. (2002). Sense of coherence, stress, and well-being: A meta-analysis. Personality and Social Psychology Review, 6(3), 230-250.
Khan, S. M., & Davidson, E. J. (2013). Sense of coherence: A review of literature. International Journal of Nursing Sciences, 1(2), 175-182.
McEwen, B. S., & Stellar, E. (1993). Stress and the individual: Mechanisms leading to disease. Archives of Internal Medicine, 153(18), 2093-2101.