Can the Big Five explain the criterion validity of Sense of Coherence for mental health, life satisfaction, and personal distress?

Objective: Several studies have demonstrated a strong overlap in variance between the salutogenic construct Sense of Coherence (SOC) and the Big Five personality traits, yet the unique contributions of these overlapping constructs remain debated. Specifically, the statistical association between SOC and neuroticism has been taken as evidence for SOC representing a fundamental personality trait in disguise. The present research explored the incremental validity when predicting crucial psychological outcomes: mental health, satisfaction with life, and psychological distress. Method: Participants (N = 1842; 1574 female, 268 male, age 15–77 years), who completed an online survey, answered health-relevant questionnaires (SCL-K-9, SWLS, IRI-PD). Results: Multiple regression analysis showed that the Big Five can explain 40% of the observed variance in SOC. However, when using all variables as predictors of mental health, satisfaction with life, and personal distress, SOC showed substantial incremental validity over the Big Five traits. Conclusion: Despite overlapping variance, the importance of salutogenesis beyond the Five Factor Model can be demonstrated specifically for health outcomes. Differences in criterion validity and incremental validity of SOC imply that SOC cannot be equated with reversed neuroticism

Longitudinal Factor Analysis and Measurement Invariance of Sense of Coherence and General Self-Efficacy in Adolescence

Sense of coherence (SOC) and General Self-efficacy (GSE) are trait-like self-regulatory attributes, supposedly benefitting health. Previous data on their factorial validity and longitudinal stability in adolescent samples have been inconclusive. The present study examined the factor structure, measurement invariance (MI), and stability coefficients of SOC and GSE among German adolescents in a longitudinal design over the course of nine years from age 15 to age 24. Results supported the factorial validity of both scales. GSE parameters were invariant up to the level of strict invariance, whereas for SOC partial scalar and strict invariance were attainable after modifications. Here we document reliability, validity, and factor mean changes of the SOC and GSE scales from adolescence to young adulthood. Interindividual differences in SOC were moderately stable. Though this implies limited sensitivity to intraindividual developmental changes, it qualifies SOC for long-term predictions. GSE was conspicuously less stable, raising questions about its long-term criterion validity

Development of salutogenetic factors in mental health - Antonovsky’s sense of coherence and Bandura’s self-efficacy related to Derogatis’ symptom check list (SCL-90-R)

Background: The paper analyses how resilience factors and mental health problems interrelate in a 3-year-longitudinal study with 16–19 year olds. Methods: Resilience was measured with a 13-item short version of the Life-Orientation-Scale by Antonovsky (sense-of-coherence, SOC) and a 10-item self-efficacy-scale (SWE) by Jerusalem and Schwarzer. Mental health problems were measured with Derogatis Symptom Check list (SCL-90-R). The data set included 155 participants and was analyzed using Structural Equation Modeling (SEM) designed to examine mutual influence in longitudinal data with Mplus software. Results: The descriptive data analysis indicates (1) negative correlations between SOC and SCL-90-R at both age 16 and 19 in all subscales but somatization and likewise (2) between self-efficacy and SCL-90-R. (3) SOC correlates positively with SWE at age 16 and 19. Results of SEM analysis were based on the assumption of two latent variables at two points in time: resilience as measured with mean SOC and mean self-efficacy scores and health problems measured with sub scale scores of SCL-90-R – both at ages 16 and 19. The first SEM model included all possible paths between the two latent variables across time. We found (4) that resilience influences mental health problems cross-sectionally at age 16 and at age 19 but not across time. (5) Both resilience and mental health problems influenced their own development over time. A respecified SEM model included only significant paths. (6) Resilience at age 16 significantly influences health problems at age 16 as well as resilience at age 19. Health problems at age 16 influence those at age 19 and resilience at age 19 influences health problems at age 19. Conclusion: (a) SOC and self-efficacy instruments measure similar phenomena. (b) Since an influence of resilience on mental health problems and vice versa over time could not be shown there must be additional factors important to development. (c) SOC and self-efficacy are both very stable at 16 and 19 years. This refutes Antonovsky’s assumption that SOC achieves stability first around the age of 30. SOC and self-efficacy are protective factors but they seem to form in (early) childhood

Incremental validity of sense of coherence, neuroticism, extraversion, and general self-efficacy: longitudinal prediction of substance use frequency and mental health

Background: Several studies have demonstrated the importance of sense of coherence (SOC), neuroticism (N), extraversion (E), and general self-efficacy (GSE) for health, yet the unique utility of these overlapping constructs remains uncertain. The present research aims at exploring incremental validity when predicting (1) substance use specifically and (2) mental health generally among adolescents. Methods: A prospective and longitudinal design was used to predict (1) initial substance use nine years into the future and (2) mental health one year and four years into the future. Participants were 318 adolescents (age 14 to 15 at the beginning of the study). Results: Structural equation modeling revealed (1) that SOC had long-term incremental validity over N, E, and GSE for tobacco use and alcohol use, whereas cannabis use was predicted by E and GSE; and (2) that long-term mental health after four years was only predicted by SOC. Conclusions: Two studies provide further evidence for the importance of considering salutogenic factors when forecasting mental health and health-related behavior beyond classical constructs such as N, E, and GSE. Differences in criterion validity reveal that SOC cannot be equated with reversed neuroticism

Mindful and Resilient? Incremental Validity of Sense of Coherence Over Mindfulness and Big Five Personality Factors for Quality of Life Outcomes

Though conceptually distinct, mindfulness and sense of coherence (SOC) are empirically related aspects that promote health and wellbeing. The present research explored uniqueness by investigating criterion validity and incremental validity beyond the Big Five personality traits when predicting psychological distress, life satisfaction, and burnout. N = 1033 participated in a cross-sectional study. We used multiple regression analysis to examine the incremental validity of mindfulness (CHIME) and SOC (SOC-13) for psychological distress (SCL-K-9), life satisfaction (SWLS), and burnout (MBI-GS scales: emotional exhaustion, cynicism, personal accomplishment). Mindfulness and SOC had incremental validity over the Big Five traits. Despite a strong overlap (45% shared variance) between mindfulness and SOC, SOC was always the stronger predictor: psychological distress (β = −.52), life satisfaction (β = .57), emotional exhaustion (β = −.23), cynicism (β = −.40), and personal accomplishment (β = −.30). For psychological distress, life satisfaction, and cynicism, SOC statistically explained almost all the criterion validity of mindfulness. The clinical utility of mindfulness for predicting psychological health appears to be of minor importance relative to SOC, regardless whether meditators or non-meditators, who differed in mindfulness, were analyzed. Western approaches to assessing mindfulness may lack crucial social and existential dimensions

Through the tunnel, to the light: Why sense of coherence covers and exceeds resilience, optimism, and self-compassion

Sense of coherence (SOC), resilience, dispositional optimism, and self-compassion are highly related aspects of personality that promote health and well-being. We systematically compared these constructs and explored their criterion validity when predicting psychological distress. With the help of structural equation modeling, we examined SOC's factor structure and incremental validity over resilience (N1 = 208) as well as over optimism and self-compassion (N2 = 308) in two studies. Despite strong overlap (shared variance) SOC clearly outperformed its competitors. Neither resilience, nor optimism, nor self-compassion had significant incremental validity over SOC on a latent level. A two-factor model for SOC explained most variance in psychological distress. Results highlight the importance of salutogenic factors even in a neck-to-neck comparison with other potentially health-benefitting personality variables. Meaningfulness appears to contribute to SOC's uniqueness

Better family relationships - higher well-being: The connection between relationship quality and health related resources

Family relationships form very important social relationships. They provide the social context enabling the development for a healthy personality and fostering social competencies and the capacity for social adjustment. Several constructs constitute a complex sample of health beneficial attributes, such as resilience, sense of coherence, self-compassion and others, that haven't been investigated in connection with perceived quality of family relationships and collective family efficacy. In three studies we investigated, if perceived quality of family relationships – assessed with a relatively new measure: the Evaluation of Social Systems Scale – was associated with these advantageous health-related qualities, additionally confirming EVOS’ construct validity. In study 1 (N = 207) and 2 (N = 305) university students filled out several paper-pencil-questionnaire whereas in study 3 (N = 528) a heterogeneous sample took part in an online-survey. Controlling for participants’ age and sex, better family relationships were associated with reduced psychological distress (r = −.30 to −.37), more satisfaction with life (r = 0.40), stronger resilience (r = 0.37), sense of coherence (r = 0.37), self-compassion (r = 0.33), optimism (r = 0.32), general self-efficacy (r = 0.27), and self-esteem (r = 0.34). Results highlight the importance of the family environment not only for psychological health and quality of life, but also for individual adaptation and well-being. In future research, this should be especially addressed in designing and providing preventative interventions for families. Supplementary material associated with this article can be found, in the online version, at doi:10.1016/j.mph.2019.200160

Measuring Cross-Cultural Supernatural Beliefs with Self- and Peer-Reports

Despite claims about the universality of religious belief, whether religiosity scales have the same meaning when administered inter-subjectively-or translated and applied cross-culturally-is currently unknown. Using the recent "Supernatural Belief Scale" (SBS), we present a primer on how to verify the strong assumptions of measurement invariance required in research on religion. A comparison of two independent samples, Croatians and New Zealanders, showed that, despite a sophisticated psychometric model, measurement invariance could be demonstrated for the SBS except for two noninvariant intercepts. We present a new approach for inspecting measurement invariance across self- and peer-reports as two dependent samples. Although supernatural beliefs may be hard to observe in others, the measurement model was fully invariant for Croatians and their nominated peers. The results not only establish, for the first time, a valid measure of religious supernatural belief across two groups of different language and culture, but also demonstrate a general invariance test for distinguishable dyad members nested within the same targets. More effort needs to be made to design and validate cross-culturally applicable measures of religiosity

Surgery and Peritoneal Tumor Recurrence: pathways studies 'in vitro'

De incidentie van colon carcinomen (kwaadaardige tumoren van de dikke darm) neemt toe in de westerse wereld. In Europa wordt jaarlijks bij 400 000 patiënten dikke darm kanker vastgesteld en overlijden er jaarlijks 200 000 patiënten met deze vorm van kanker. Van alle vormen van kanker staan colon carcinomen met een incidentie van 14% op de derde plaats na long- en prostaatkanker. De overall 5-jaarsoverleving is ongeveer 60-70%, indien er sprake is van lokale uitzaaiing (lokaal recidief) daalt de 5-jaarsoverleving naar 35% en bij uitzaaiingen in andere organen (metastasen) naar 25%. Kwaadaardige tumoren van de alvleesklier (pancreas) hebben een zeer slechte prognose. Na chirurgische resectie zal meer dan 50% van de patiënten een metastase ontwikkelen. Minder dan 15% van de patiënten met een pancreas carcinoom overleeft het eerste jaar en de 5-jaarsoverleving is kleiner dan 5%. De behandeling van keuze bij colon of pancreas carcinomen is chirurgische resectie. Het nadeel van deze chirurgische behandeling is dat tijdens de operatie tumorcellen kunnen los raken door manipulatie van de primaire tumor (‘spilled tumour cells’). Deze tumorcellen kunnen aanhechten op het resetievlak of op een andere plaats in de buik en op deze manier uitgroeien tot een recidief tumor. Bij zowel colon als pancreas carcinomen komt lokaal tumor recidief vaak voor. Daarom is kennis van het ontstaan van lokaal tumor recidief zeer belangrijk. Dit proces kan uitgesplitst worden in tumorcel aanhechting en tumor groei. Het proces van aanhechting van een tumorcel is afhankelijk van een groot aantal factoren. De experimenten beschreven in dit proefschrift bestuderen het proces van aanhechting van de tumorcel en de invloed van factoren, die postoperatief intra-abdominaal (in de buik) worden geproduceerd op deze aanhechting.The general introduction gives an overview of our previous studies, the incidence of gastro-intestinal malignancies and the pathophysiology of local tumour recurrence. This chapter outlines the basics of the peritoneum, infl ammatory reaction, cytokines, adhesion molecules, an