{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:04:49Z","timestamp":1791821089288,"version":"4.3.4"},"reference-count":31,"publisher":"BMJ","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Epidemiol Community Health"],"published-print":{"date-parts":[[2005,11]]},"abstract":"<jats:p>\n                  <jats:bold>Study objective:<\/jats:bold> To test the hypothesis that Antonovsky\u2019s concept of sense of coherence (SOC) moderates (that is, buffers) the health impacts of stressful life events in a population based sample.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Design:<\/jats:bold> Multiple linear and Poisson regression analyses of longitudinal data from a national survey of population health were used to examine the relations among SOC, the experience of recent stressful life events (for example, family breakdown, financial crisis, physical abuse), and two outcomes, self reported health status (SRH) and self reported number of physician visits during the previous year.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Setting:<\/jats:bold> General population of Canada.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Participants:<\/jats:bold> Nationally representative sample of household residents aged 30 years of age or greater surveyed in 1998 and 2000 (n\u200a=\u200a6505).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Main results:<\/jats:bold> After controlling for age, sex, and previous health status, a significant moderating effect (<jats:italic>t<\/jats:italic>\u200a=\u200a2.24, p\u200a=\u200a0.025) in the expected direction was found on respondents\u2019 SRH. The mean difference in SRH between those who did and did not experience a recent stressful life event was 0.24 (95% CI: 0.16, 0.32) in people with a below average SOC and 0.04 (95% CI: \u22120.04, 0.11) in people with a higher than average SOC score. The postulated moderating effect of SOC was not significant (<jats:italic>t<\/jats:italic>\u200a=\u200a1.1, p&gt;0.05) in predicting the number of visits to a physician.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusions:<\/jats:bold> SOC seems to buffer the impact of recent stressful life events on SRH.<\/jats:p>","DOI":"10.1136\/jech.2005.036756","type":"journal-article","created":{"date-parts":[[2005,10,18]],"date-time":"2005-10-18T13:52:48Z","timestamp":1129643568000},"page":"979-984","source":"Crossref","is-referenced-by-count":106,"title":["Sense of coherence as a moderator of the effects of stressful life events on health"],"prefix":"10.1136","volume":"59","author":[{"given":"Chris G","family":"Richardson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela A","family":"Ratner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2005,10,18]]},"reference":[{"key":"2025100306052654000_59.11.979.1","doi-asserted-by":"publisher","DOI":"10.2307\/2136432"},{"key":"2025100306052654000_59.11.979.2","unstructured":"Antonovsky A. Health, stress and coping: new perspectives on mental and physical well-being. San Francisco, CA: Jossey-Bass, 1979."},{"key":"2025100306052654000_59.11.979.3","unstructured":"Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco, CA: Jossey-Bass, 1987."},{"key":"2025100306052654000_59.11.979.4","first-page":"170","volume":"32","year":"1996","journal-title":"Isr J Med Sci"},{"key":"2025100306052654000_59.11.979.5","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/0277-9536(93)90033-Z","volume":"36","year":"1993","journal-title":"Soc Sci Med"},{"key":"2025100306052654000_59.11.979.6","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.14.4.552"},{"key":"2025100306052654000_59.11.979.7","doi-asserted-by":"publisher","DOI":"10.1080\/02678370110066562"},{"key":"2025100306052654000_59.11.979.8","doi-asserted-by":"publisher","DOI":"10.1080\/02678379708256830"},{"key":"2025100306052654000_59.11.979.9","unstructured":"Statistics Canada. National population health survey, 1994-1995 documentation. Ottawa: Statistics Canada, Health Statistics Division, 1995."},{"key":"2025100306052654000_59.11.979.10","unstructured":"Statistics Canada. Population health surveys program: national population health survey cycle 4 (2000\u20132001), household component longitudinal documentation. Ottawa: Statistics Canada, Health Statistics Division, 2002."},{"key":"2025100306052654000_59.11.979.11","unstructured":"Statistics Canada. National population health survey, 2000\u20132001 documentation. Ottawa: Statistics Canada, Health Statistics Division, 2000."},{"key":"2025100306052654000_59.11.979.12","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-197601000-00006"},{"key":"2025100306052654000_59.11.979.13","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1136\/bmj.305.6846.160","volume":"305","year":"1992","journal-title":"BMJ"},{"key":"2025100306052654000_59.11.979.14","first-page":"392","volume":"3","year":"1999","journal-title":"Res Aging"},{"key":"2025100306052654000_59.11.979.15","doi-asserted-by":"publisher","DOI":"10.1177\/0164027599213001"},{"key":"2025100306052654000_59.11.979.16","doi-asserted-by":"publisher","DOI":"10.2307\/2955359"},{"key":"2025100306052654000_59.11.979.17","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.72.8.800"},{"key":"2025100306052654000_59.11.979.18","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/27.2.208"},{"key":"2025100306052654000_59.11.979.19","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/23.6.1273"},{"key":"2025100306052654000_59.11.979.20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6494.1996.tb00813.x"},{"key":"2025100306052654000_59.11.979.21","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/70.1.269"},{"key":"2025100306052654000_59.11.979.22","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.118.3.392"},{"key":"2025100306052654000_59.11.979.23","doi-asserted-by":"crossref","unstructured":"McCullagh P, Nelder J. Generalized linear models. 2nd ed. London: Chapman and Hall, 1989.","DOI":"10.1007\/978-1-4899-3242-6"},{"key":"2025100306052654000_59.11.979.24","unstructured":"Pedan A. Analysis of count data using the SAS system. SAS Users Group International (SUGI) Convention, Center Long Beach, CA, 22\u201325 Apr, 2001. http:\/\/www2.sas.com\/proceedings\/sugi26\/p247-26.pdf."},{"key":"2025100306052654000_59.11.979.25","unstructured":"Netter J, Wasserman W, Kutner MH. Applied linear statistical models. 3rd ed. Boston, MA: Irwin, 1990."},{"key":"2025100306052654000_59.11.979.26","unstructured":"Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Earlbaum, 1988."},{"key":"2025100306052654000_59.11.979.27","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-003-0654-z"},{"key":"2025100306052654000_59.11.979.28","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.114.2.376"},{"key":"2025100306052654000_59.11.979.29","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(96)00143-6"},{"key":"2025100306052654000_59.11.979.30","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00261-4"},{"key":"2025100306052654000_59.11.979.31","unstructured":"Coe CL. Psychosocial factors and psychoneuroimmunology within a lifespan perspective. In: Keating DP, Hertzman C, eds. Developmental health and the wealth of nations: social, biological and educational dynamics. London: Guildford Press, 1999:201\u201319."}],"container-title":["Journal of Epidemiology and Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jech.2005.036756","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T13:05:35Z","timestamp":1759496735000},"score":1,"resource":{"primary":{"URL":"https:\/\/jech.bmj.com\/lookup\/doi\/10.1136\/jech.2005.036756"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,10,18]]},"references-count":31,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2005,10,18]]},"published-print":{"date-parts":[[2005,11]]}},"alternative-id":["10.1136\/jech.2005.036756"],"URL":"https:\/\/doi.org\/10.1136\/jech.2005.036756","relation":{},"ISSN":["0143-005X","1470-2738"],"issn-type":[{"value":"0143-005X","type":"print"},{"value":"1470-2738","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,10,18]]}}}