{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:45:55Z","timestamp":1785887155201,"version":"3.56.0"},"reference-count":49,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Theoretische Entwicklungen haben das revidierte Koh\u00e4renzgef\u00fchl (Sense of\n                        Coherence, SOC-R) als Resilienzfaktor eingef\u00fchrt, der die Dimensionen\n                        Bew\u00e4ltigungsf\u00e4higkeit, Ausgewogenheit\/ Balance und Reflexion umfasst. Von\n                        diesen Dimensionen wird explorativ angenommen, dass sie im Einklang mit\n                        metakognitiven Prozessen stehen, die f\u00fcr die Anpassung an Widrigkeiten\n                        relevant sind. Trotz des wachsenden Interesses am SOC-R als Resilienzfaktor\n                        ist seine m\u00f6gliche Konzeptualisierung als metakognitive F\u00e4higkeit noch wenig\n                        erforscht. Diese Studie befasst sich mit dieser L\u00fccke, indem sie die\n                        strukturelle Stabilit\u00e4t von SOC-R untersucht und sowohl distale als auch\n                        proximale Pr\u00e4diktoren bewertet.<\/jats:p>\n                  <jats:p>Die Daten stammen aus einer L\u00e4ngsschnittstudie, in der die Zusammenh\u00e4nge\n                        zwischen Traumata in der Kindheit und Zwangsma\u00dfnahmen mit der psychischen\n                        Gesundheit \u00e4lterer \u00dcberlebender und altersgleicher Kontrollpersonen\n                        untersucht wurden, wobei die Leistungsmotivation als Pr\u00e4diktor einbezogen\n                        wurde. Diese Studie untersuchte die strukturelle Stabilit\u00e4t des SOC-R und\n                        psychologische Vorl\u00e4ufer in einer trauma-exponierten Stichprobe unter\n                        Verwendung von Strukturgleichungsmodellen (SEM).<\/jats:p>\n                  <jats:p>Der SOC-R-Gesamtwert zeigte \u00fcber einen Zeitraum von 21 Monaten eine moderate\n                        Stabilit\u00e4t, wobei Bew\u00e4ltigungsf\u00e4higkeit und Reflexion eine gute und\n                        Ausgewogenheit eine grenzwertige Stabilit\u00e4t hatten. Die SEM-Ergebnisse\n                        zeigten, dass Leistungsmotivation die Bew\u00e4ltigungsf\u00e4higkeit (\u03b2=.35) und\n                        Reflexion (\u03b2=.29) \u00fcber die Schwere der traumabedingten PTBS (\u03b2=\u2013.29) hinaus\n                        signifikant vorhersagte. Die Bew\u00e4ltigungsf\u00e4higkeit wurde positiv durch den\n                        Sinn im Leben (\u03b2=0,26) und posttraumatisches Wachstum (\u03b2=0,23) und negativ\n                        durch wahrgenommenen Stress (\u03b2=\u20130,11) vorhergesagt. Ausgewogenheit wurde\n                        durch posttraumatisches Wachstum (\u03b2=0,31) und positives Umdeuten (\u03b2=0,36)\n                        vorhergesagt. Reflexion wurde durch aktives Coping (\u03b2=0,32), positives\n                        Umdeuten (\u03b2=0,29) und dem Sinn im Leben (\u03b2=.20) vorhergesagt.<\/jats:p>\n                  <jats:p>Die SOC-R Dimensionen sind ausreichend stabil. Die Studie zeigte, dass au\u00dfer\n                        bekannten Bedingungsfaktoren des Koh\u00e4renzsinns auch die Leistungsmotivation\n                        eine wichtige Rolle spielt. Dies weist auf eine Relevanz von SOC-R als\n                        m\u00f6gliche metakognitive Eigenschaft und metakognitive Therapieans\u00e4tze bei der\n                        Traumabehandlung hin. Schl\u00fcsselbegriffe: Revidiertes Koh\u00e4renzgef\u00fchl; SOC-R;\n                        Metakognition, Resilienz, Kindheitstraumatisierung<\/jats:p>","DOI":"10.1055\/a-2896-4298","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:58:12Z","timestamp":1785884292000},"source":"Crossref","is-referenced-by-count":0,"title":["Koh\u00e4renzgef\u00fchl \u2013 revidiert als metakognitive F\u00e4higkeit: Evidenz aus\n                    einer Schweizer Studie mit \u00e4lteren Traumatisierten"],"prefix":"10.1055","author":[{"given":"Nathanael","family":"Adank","sequence":"additional","affiliation":[{"name":"Psychopathologie und Klinische Intervention, Universit\u00e4t Z\u00fcrich,\n                    Z\u00fcrich, Schweiz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Maercker","sequence":"additional","affiliation":[{"name":"Psychopathologie und Klinische Intervention, Universit\u00e4t Z\u00fcrich,\n                    Z\u00fcrich, Schweiz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam V.","family":"Thoma","sequence":"additional","affiliation":[{"name":"Psychologisches Institut, Universit\u00e4t Basel, Basel,\n                    Schweiz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shauna L.","family":"Rohner","sequence":"additional","affiliation":[{"name":"Pflegewissenschaft, Fachhochschule Ostschweiz, Rapperswil-Jona,\n                    Schweiz"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s10943-024-02240-z","article-title":"The relationship of religious coping with psychological well-being,\n                    psychological resilience, and grief severity in women who had experienced\n                    perinatal loss in T\u00fcrkiye","volume":"64","author":"K Altuner","year":"2025","journal-title":"J Relig Health"},{"key":"ref2","volume-title":"Health, stress, and coping","author":"A Antonovsky","year":"1979"},{"key":"ref3","volume-title":"Unraveling the mystery of health: How people manage stress and stay well","author":"A Antonovsky","year":"1987"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1016\/j.jad.2022.12.106","article-title":"The relationship between sense of coherence and mental health problems from\n                    childhood to young adulthood: A meta-analysis","volume":"325","author":"S K Schaefer","year":"2023","journal-title":"J Aff Dis"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1876","DOI":"10.1177\/1359105319884597","article-title":"The complexity of psychological resilience: A review of the literature and\n                    theoretical considerations","volume":"19","author":"U Baranczuk","year":"2021","journal-title":"Int J Ment Health Addict"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1080\/17439760.2015.1137623","article-title":"The three meanings of meaning in life: Distinguishing coherence, purpose, and\n                    significance","volume":"11","author":"F Martela","journal-title":"J Posit Psychol"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-04357-5","article-title":"The predictive role of coping styles and sense of coherence in the\n                    post-traumatic growth of mothers with disabled children: a cross-sectional\n                    study","volume":"708","author":"A Farhadi","year":"2022","journal-title":"BMC Psychiat"},{"key":"ref8","first-page":"201","volume-title":"Effectiveness of interventions to enhance the sense of coherence in the life\n                    course","author":"E Langeland","year":"2022"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s40359-017-0187-y","article-title":"Psychometric limitations of the 13-item Sense of Coherence Scale assessed by\n                    Rasch analysis","volume":"5","author":"A Lerdal","year":"2017","journal-title":"BMC Psychol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/j.1471-6712.2004.00248.x","article-title":"Sense of coherence is a sensitive measure for changes in subjects with\n                    Parkinson's disease during 1 year","volume":"8","author":"M Caap-Ahlgren","year":"2004","journal-title":"Scand J Caring Sci"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1111\/j.1467-9450.2007.00598.x","article-title":"Negative life events and stability of sense of coherence: a five-year follow-up\n                    study of Finnish women and men","volume":"48","author":"S M Volanen","year":"2007","journal-title":"Scand J Psychol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1007\/s11136-006-9130-z","article-title":"Structural validity and temporal stability of the 13-item sense of coherence\n                    scale: Prospective evidence from the population-based HeSSup study","volume":"16","author":"T Feldt","year":"2007","journal-title":"Qual Life Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1027\/1015-5759.22.4.280","article-title":"Measurement invariance of the abridged sense of coherence scale in\n                    adolescents","volume":"22","author":"D Zimprich","year":"2006","journal-title":"Eur J Psychol Assess"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1136\/jech.2005.041616","article-title":"Antonovsky\u2019s sense of coherence scale and the relation with health: a systematic\n                    review","volume":"60","author":"M Eriksson","year":"2006","journal-title":"J Epidem Comm Health"},{"key":"ref15","first-page":"74","article-title":"What is measured by the Orientation to Life Questionnaire? Construct validity of\n                    the instrument for the Sense of Coherence measurement","volume":"37","author":"E Gruszczynska","year":"2006","journal-title":"Polish Psychol Bull"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1027\/1015-5759\/a000323","article-title":"Development and psychometric evaluation of a revised Sense of Coherence\n                    scale","volume":"34","author":"R Bachem","year":"2018","journal-title":"Eur Jour Psychol Assessm"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1438","DOI":"10.1080\/13607863.2017.1364348","article-title":"Evaluation of the revised Sense of Coherence scale in a sample of older adults:\n                    A means to assess resilience aspects","volume":"22","author":"S L Mc Gee","year":"2018","journal-title":"Aging & Mental Health"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e0209550","DOI":"10.1371\/journal.pone.0209550","article-title":"Evaluation of the revised sense of coherence scale in a\n                    representative German sample","volume":"13","author":"M V Thoma","year":"2018","journal-title":"PLOSone"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1177\/1089268019883821","article-title":"Metacognition in psychology","volume":"23","author":"E Norman","year":"2019","journal-title":"Review of General Psychology"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"576210","DOI":"10.3389\/fpsyg.2020.576210","article-title":"Metacognitive therapy: Science and practice of a paradigm","volume":"11","author":"A Wells","year":"2020","journal-title":"Frontiers in Psychology"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"378","DOI":"10.3389\/fpsyt.2018.00378","article-title":"Sense of coherence and stress-related resilience: Investigating the mediating\n                    and moderating mechanisms in the development of resilience following stress or\n                    adversity","volume":"9","author":"S L Mc Gee","year":"2018","journal-title":"Front Psychiat"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1002\/smi.3093","article-title":"Salutary mechanisms in the relationship between stress and health: The mediating\n                    and moderating roles of Sense of Coherence \u2013 Revised","volume":"38","author":"S L Rohner","year":"2022","journal-title":"Stress & Health"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.3389\/frcha.2023.1213142","article-title":"Early-life adversity and later-life mental health: A conditional process\n                    analysis of sense of coherence and resilience-related resources","volume":"2","author":"S L Rohner","year":"2023","journal-title":"Front Child Adolesc Psychiat"},{"key":"ref24","volume-title":"The self-aware brain: Why your thoughts don\u2019t define you","author":"S M Fleming","year":"2024"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1146\/annurev-devpsych-050720-103500","article-title":"Achievement motivation: What we know and where we are going","volume":"3","author":"A Wigfield","year":"2021","journal-title":"Ann Rev Develop Psy"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1177\/1403494812467713","article-title":"Personal predictors of educational attainment after compulsory school: influence\n                    of measures of vulnerability, health, and school performance","volume":"41","author":"T N Winding","year":"2013","journal-title":"Scand J Pub Health"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1002\/jts.22756","article-title":"A cascade model of complex posttraumatic stress disorder centered on childhood\n                    trauma and maltreatment, attachment, and socio-interpersonal factors","volume":"35","author":"A Maercker","year":"2022","journal-title":"J Trauma Stress"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"104769","DOI":"10.1016\/j.chiabu.2020.104769","article-title":"Health, stress, and well-being in Swiss adult survivors of child welfare\n                    practices and child labor: Investigating the mediating role of socio-economic\n                    factors","volume":"111","author":"M V Thoma","year":"2021","journal-title":"Child Abuse & Neglect"},{"key":"ref29","first-page":"11","volume-title":"ACE-D. Deutsche Version des Adverse Childhood Experiences Questionnaire","author":"I Sch\u00e4fer","year":"2014"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1111\/acps.12956","article-title":"The International Trauma Questionnaire: Development of a self-report measure of\n                    ICD-11 PTSD and complex PTSD","volume":"138","author":"M Cloitre","year":"2018","journal-title":"Acta Psychiat Scand"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1027\/1015-5759.22.3.216","article-title":"A revised 10-item version of the Achievement Motives Scale: Psychometric\n                    properties in German-speaking samples","volume":"22","author":"JW B Lang","year":"2006","journal-title":"Eur J Psychol Assessm"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"105","DOI":"10.15761\/PD.1000124","article-title":"Three studies supporting the initial validation of the stress numerical rating\n                    scale-11: A single item measure of momentary stress for adolescents and\n                    adults","volume":"1","author":"D Karvounides","year":"2016","journal-title":"Pediatr Dimens"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1002\/per.546","article-title":"Coping as a mediator between personality and stress outcomes: A longitudinal\n                    study with cataract surgery patients","volume":"19","author":"N Knoll","year":"2005","journal-title":"Eur J Personal"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1007\/BF02103658","article-title":"The Posttraumatic Growth Inventory: measuring the positive legacy of trauma","volume":"9","author":"R G Tedeschi","year":"1996","journal-title":"J Trauma Stress"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1037\/0022-0167.53.1.80","article-title":"The Meaning in Life Questionnaire: Assessing the presence of and search for\n                    meaning in life","volume":"53","author":"M F Steger","year":"2006","journal-title":"J Couns Psychol"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1007\/BF02296192","article-title":"A scaled difference chi-square test statistic for moment structure analysis","volume":"66","author":"A Satorra","year":"2001","journal-title":"Psychometrika"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional\n                    criteria versus new alternatives","volume":"6","author":"L T Hu","year":"1999","journal-title":"Structural Equation Modeling"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1177\/0049124192021002005","article-title":"Alternative ways of assessing model fit","volume":"21","author":"M W Browne","year":"1992","journal-title":"Sociol Meth Res"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1016\/j.jbtep.2004.07.001","article-title":"Metacognitive therapy for PTSD: A preliminary investigation of a new brief\n                    treatment","volume":"35","author":"A Wells","year":"2004","journal-title":"J Behav Ther Exper Psychiat"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1371\/journal.pone.0289203","article-title":"Sense of coherence, spirituality, and psychological well-being among patients in\n                    palliative care","volume":"21","author":"G Jeserich","year":"2023","journal-title":"Palliat Support Care"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/1047840X.2014.940781","article-title":"Emotion regulation: Current status and future prospects","volume":"26","author":"J J Gross","year":"2015","journal-title":"Psychol Inquiry"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"150","DOI":"10.3390\/bs15020150","article-title":"Personal Narratives in Trauma-Related Disorders: Contributions from a\n                    Metacognitive Approach and Treatment Considerations","volume":"15","author":"C N Wiesepape","year":"2025","journal-title":"Behavl Sci"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1111\/j.1467-6494.2006.00403.x","article-title":"Narrative identity processing of difficult life experiences: Pathways of\n                    personality development and positive self-transformation in adulthood","volume":"74","author":"J L Pals","year":"2006","journal-title":"J Personal"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1037\/0022-3514.82.5.804","article-title":"Approach-avoidance motivation in personality: approach and avoidance\n                    temperaments and goals","volume":"82","author":"A J Elliot","year":"2002","journal-title":"J Personal Soc Psychol"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/j.jagp.2018.02.002","article-title":"Childhood adversities and thriving skills: Sample case of older Swiss former\n                    indentured child laborers. Am","volume":"26","author":"J H\u00f6ltge","year":"2018","journal-title":"J Geriat Psychiat"},{"key":"ref49","volume-title":"Principles and practice of structural equation modeling","author":"R B Kline","year":"2023"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1207\/s15328007sem1103_2","article-title":"In search of golden rules: Comment on hypothesis-testing approaches to setting\n                    cutoff values for fit indexes and dangers in overgeneralizing Hu and\n                    Bentler's (1999) findings","volume":"11","author":"H W Marsh","year":"2004","journal-title":"Struct equat model"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.jbtep.2006.12.001","article-title":"Metacognitive therapy for obsessive\u2013compulsive disorder: A case series","volume":"39","author":"P L Fisher","year":"2008","journal-title":"J Behav Ther Experim Psych"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1176\/appi.psychotherapy.20180031","article-title":"Metacognitive Reflection and Insight Therapy (MERIT) for people with\n                    schizophrenia spectrum disorders and interpersonal trauma","volume":"71","author":"J D Hillis","year":"2018","journal-title":"Am J Psychother"}],"container-title":["PPmP - Psychotherapie \u00b7 Psychosomatik \u00b7 Medizinische Psychologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2896-4298.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:58:15Z","timestamp":1785884295000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2896-4298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,4]]},"references-count":49,"URL":"https:\/\/doi.org\/10.1055\/a-2896-4298","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0937-2032","1439-1058"],"issn-type":[{"value":"0937-2032","type":"print"},{"value":"1439-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,4]]}}}