{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:57:10Z","timestamp":1780379830955,"version":"3.54.1"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,9,12]],"date-time":"2011-09-12T00:00:00Z","timestamp":1315785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To test the hypothesis that Antonovsky's concept of sense of coherence (SOC) predicts stressful events, coping strategies, health status, and quality of life (QoL) in a cohort of postmenopausal women (<jats:italic>n<\/jats:italic>\u2009=\u2009131) with newly diagnosed primary or recurrent breast cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Regression analyses of longitudinal data at baseline through 6\u2009months following breast cancer diagnosis examined the relationships between SOC (13\u2010item version), daily assessment of coping with stressful events, health status, and QoL (EORTC QLQ\u201030).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The findings support Antonovsky's concept of SOC. Women with strong SOC reported fewer stressful events and more days without stressful events. They used more coping strategies and more frequently used distraction, situation redefinition, direct action, and relaxation, but seldom religion, to cope with stressful events, and reported better health status and QoL. Women with weak SOC experienced more distress and used fewer coping strategies, and they more frequently used coping strategies such as catharsis and seeking social and spiritual support, but seldom acceptance of the situation. They reported worse health status and QoL, regardless of disease stage or treatment. The relationships between SOC and health status and QoL were linear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sense of coherence significantly predicts distress, number and type of coping strategies such as direct action and relaxation, health status, and QoL in women with breast cancer. Our data suggest that the SOC scale may be a useful screening tool to identify individuals particularly vulnerable to distress and unable to cope adequately. Assessing SOC strength may assist health care providers to provide individualized patient interventions. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.2053","type":"journal-article","created":{"date-parts":[[2011,9,12]],"date-time":"2011-09-12T11:35:58Z","timestamp":1315827358000},"page":"20-27","source":"Crossref","is-referenced-by-count":104,"title":["Relationship of sense of coherence to stressful events, coping strategies, health status, and quality of life in women with breast cancer"],"prefix":"10.1002","volume":"22","author":[{"given":"Elisabeth Kenne","family":"Sarenmalm","sequence":"first","affiliation":[{"name":"Research and Development Centre Skaraborg Hospital  Sk\u00f6vde Sweden"},{"name":"Institute of Health and Caring Sciences Sahlgrenska Academy at Gothenburg University  Gothenburg Sweden"},{"name":"Johns Hopkins School of Nursing  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Browall","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing  Baltimore MD USA"},{"name":"Department of Oncology Sahlgrenska University Hospital  Gothenburg Sweden"},{"name":"School of Life Sciences University of Sk\u00f6vde  Sk\u00f6vde Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.\u2010O.","family":"Persson","sequence":"additional","affiliation":[{"name":"Institute of Health and Caring Sciences Sahlgrenska Academy at Gothenburg University  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Fall\u2010Dickson","sequence":"additional","affiliation":[{"name":"National Institute of Nursing Research National Institutes of Health  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanny","family":"Gaston\u2010Johansson","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,9,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.49.5.389"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23969"},{"issue":"1","key":"e_1_2_8_4_1","first-page":"S1\u201036","article-title":"Psychosocial aspects of breast cancer treatment","volume":"24","author":"Spiegel D","year":"1997","journal-title":"Semin Oncol"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38343.670868.D3"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-200601000-00006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2008.01.005"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732309341728"},{"key":"e_1_2_8_9_1","volume-title":"Health, stress and coping","author":"Antonovsky A.","year":"1979"},{"key":"e_1_2_8_10_1","volume-title":"Unraveling the mysteries of health: how people manage stress and stay well","author":"Antonovsky A.","year":"1987"},{"key":"e_1_2_8_11_1","doi-asserted-by":"crossref","unstructured":"AntonovskyA.The salutogenic model as a theory to guide health promotion.Health Promotion International. 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