{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:40:42Z","timestamp":1760060442504,"version":"build-2065373602"},"reference-count":27,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institute of Public Health NIH\u2014National Research Institute","award":["ZO-1\/2024"],"award-info":[{"award-number":["ZO-1\/2024"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Alcohol use disorder (AUD) is a chronic relapsing brain disorder characterized by compulsive alcohol seeking, loss of control over drinking, and negative emotional states when not using. It has significant psychological, physiological, and social consequences, often co-occurring with mental health disorders such as depression and anxiety. Psychological resilience is gaining more recognition. Sense of coherence (SOC) could be treated as a health factor, and individual predispositions play a crucial role in fighting disease and addiction. Our study examines whether SOC and its components\u2014comprehensibility, manageability, and meaningfulness\u2014predict life satisfaction in patients with AUD and whether perceived stress and health behaviors mediate these relationships. Methods: The study was conducted on a sample of 100 adult patients diagnosed with alcohol use disorder. Results: We found that the higher the manageability and meaningfulness, the lower the level of perceived stress and the higher the level of preventive behavior. Notably, perceived stress emerged as a significant mediator between SOC and satisfaction with life, while health behaviors did not show a mediating effect. Conclusions: The findings emphasize the protective role of SOC in enhancing psychological well-being among individuals with AUD and suggest that interventions aimed at strengthening SOC may reduce stress and improve overall life satisfaction in this population.<\/jats:p>","DOI":"10.3390\/jcm14176183","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T13:01:13Z","timestamp":1756818073000},"page":"6183","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Use Disorder\u2014Stress, Sense of Coherence, and Its Impact on Satisfaction with Life"],"prefix":"10.3390","volume":"14","author":[{"given":"Monika","family":"Pajewska","sequence":"first","affiliation":[{"name":"Department of Health Economics and Insurance, Center for the Humanities and Social Sciences of Medicine, Medical University of Warsaw, 00-581 Warsaw, Poland"},{"name":"Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6359-2902","authenticated-orcid":false,"given":"Olga","family":"Partyka","sequence":"additional","affiliation":[{"name":"Department of Health Economics and Insurance, Center for the Humanities and Social Sciences of Medicine, Medical University of Warsaw, 00-581 Warsaw, Poland"},{"name":"Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6189-6678","authenticated-orcid":false,"given":"Aleksandra","family":"Czerw","sequence":"additional","affiliation":[{"name":"Department of Health Economics and Insurance, Center for the Humanities and Social Sciences of Medicine, Medical University of Warsaw, 00-581 Warsaw, Poland"},{"name":"Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7173-2266","authenticated-orcid":false,"given":"Katarzyna","family":"Sygit","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, University of Kalisz, 62-800 Kalisz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulina","family":"Wojty\u0142a-Buciora","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, University of Kalisz, 62-800 Kalisz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2439-5652","authenticated-orcid":false,"given":"S\u0142awomir","family":"Porada","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Psychology, Collegium Medicum, University of Rzesz\u00f3w, 35-310 Rzeszow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izabela","family":"G\u0105ska","sequence":"additional","affiliation":[{"name":"Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Konieczny","sequence":"additional","affiliation":[{"name":"Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3679-7002","authenticated-orcid":false,"given":"El\u017cbieta","family":"Grochans","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6912-287X","authenticated-orcid":false,"given":"Anna Maria","family":"Cybulska","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daria","family":"Schneider-Matyka","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Bandurska","sequence":"additional","affiliation":[{"name":"Center for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1496-1924","authenticated-orcid":false,"given":"Weronika","family":"Cie\u0107ko","sequence":"additional","affiliation":[{"name":"Center for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5472-1485","authenticated-orcid":false,"given":"Jaros\u0142aw","family":"Drobnik","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Pobrotyn","sequence":"additional","affiliation":[{"name":"Pulsantis Specialist and Rehabilitation Clinic Ltd., 53-238 Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6648-6830","authenticated-orcid":false,"given":"Dorota","family":"Wa\u015bko-Czopnik","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology with Inflammatory Bowel Disease Subunit, Provincial Specialist Hospital J. Gromkowskiego, 51-149 Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Pobrotyn","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Wroclaw Medical University, 50-345 Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4641-0488","authenticated-orcid":false,"given":"Adam","family":"Wiatkowski","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Wroclaw Medical University, 50-345 Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0141ukasz","family":"Strz\u0119pek","sequence":"additional","affiliation":[{"name":"Clinical Department of General and Oncological Surgery, Saint Raphael Hospital, 30-693 Cracow, Poland"},{"name":"Department of Surgery, Andrzej Frycz Modrzewski Cracow University, 30-705 Cracow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6262-0529","authenticated-orcid":false,"given":"Micha\u0142","family":"Marczak","sequence":"additional","affiliation":[{"name":"Department of Innovation of Merito University in Poznan, 61-895 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8402-2236","authenticated-orcid":false,"given":"Tomasz","family":"Czapla","sequence":"additional","affiliation":[{"name":"Department of Management, Faculty of Management, University of Lodz, 90-237 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2781-5341","authenticated-orcid":false,"given":"Remigiusz","family":"Kozlowski","sequence":"additional","affiliation":[{"name":"Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.paid.2014.02.017","article-title":"Sense of coherence and substance use: Examining mutual influences","volume":"64","author":"Grevenstein","year":"2014","journal-title":"Pers. Individ. Differ."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1146\/annurev-psych-020122-041854","article-title":"Psychological Resilience: An Affect-Regulation Framework","volume":"74","author":"Troy","year":"2023","journal-title":"Annu. Rev. Psychol."},{"key":"ref_3","unstructured":"Antonovsky, A. (1983). The Sense of Coherence: Development of a Research Instrument, Schwartz Research Center for Behavioral Medicine, Tel Aviv University. Newsletter Research Report."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1136\/jech.2006.056275","article-title":"Healthy lifestyle choices: Could sense of coherence aid health promotion?","volume":"61","author":"Wainwright","year":"2007","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"13","DOI":"10.12740\/APP\/137061","article-title":"Sense of coherence, general self-efficacy and health behaviors in women after mastectomy","volume":"23","author":"Bogucka","year":"2021","journal-title":"Arch. Psychiatry Psychother."},{"key":"ref_6","first-page":"1","article-title":"Impact of Sense of Coherence on Oral Health Behaviour and Perceived Stress among a Rural Population in South India- An Exploratory Study","volume":"14","author":"Sarit","year":"2020","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Cury\u0142o, M., Rynkiewicz-Andry\u015bkiewicz, M., Andry\u015bkiewicz, P., Mikos, M., Lusina, D., Raczkowski, J.W., Partyka, O., Pajewska, M., Sygit, K., and Sygit, M. (2023). Acceptance of Illness and Coping with Stress among Patients Undergoing Alcohol Addiction Therapy. J. Clin. Med., 12.","DOI":"10.3390\/jcm12144767"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Cury\u0142o, M., Czerw, A., Rynkiewicz-Andry\u015bkiewicz, M., Andry\u015bkiewicz, P., Mikos, M., Partyka, O., Pajewska, M., \u015awitalski, J., Sygit, K., and Sygit, M. (2024). Measuring the Intensity of Stress Experienced and Its Impact on Life in Patients with Diagnosed Alcohol Use Disorder. J. Clin. Med., 13.","DOI":"10.3390\/jcm13020572"},{"key":"ref_9","first-page":"227","article-title":"Stress, satisfaction with life and general health in a relationship to health behaviors: The moderating role of temperament structures","volume":"52","year":"2021","journal-title":"Pol. Psychol. Bull."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1146\/annurev.psych.093008.100352","article-title":"Personality and coping","volume":"61","author":"Carver","year":"2010","journal-title":"Annu. Rev. Psychol."},{"key":"ref_11","unstructured":"Haugan, G., and Eriksson, M. (2025, May 15). Sense of Coherence, Health Promotion in Health Care\u2014Vital Theories and Research [Internet], Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK585678\/."},{"key":"ref_12","unstructured":"(2025, May 15). Available online: https:\/\/www.who.int\/europe\/health-topics\/alcohol#tab=tab_1."},{"key":"ref_13","unstructured":"(2025, May 16). Available online: https:\/\/ec.europa.eu\/eurostat\/web\/products-eurostat-news\/w\/ddn-20230201-1."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"295","DOI":"10.12740\/PP\/27538","article-title":"The concept of alcohol craving","volume":"49","author":"Iwanicka","year":"2015","journal-title":"Psychiatr. Polska"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"138","DOI":"10.5114\/jhi.2024.145099","article-title":"Exposure of the Polish population to alcohol. Alcohol-related health harm, its causes and possible solutions","volume":"10","year":"2024","journal-title":"J. Health Inequal."},{"key":"ref_16","first-page":"65","article-title":"Alcohol craving in relation to coping with stress and satisfaction with life in the addicted","volume":"4","author":"Biedrzycka","year":"2016","journal-title":"Health Psychol. Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"578","DOI":"10.15288\/jsad.2015.76.578","article-title":"Drinking to Cope Motivation as a Prospective Predictor of Negative Affect","volume":"76","author":"Armeli","year":"2015","journal-title":"J. Stud. Alcohol Drugs"},{"key":"ref_18","first-page":"381","article-title":"Effects of stress on alcohol consumption","volume":"34","author":"Anthenelli","year":"2012","journal-title":"Alcohol Res."},{"key":"ref_19","unstructured":"Mittelmark, M.B., Sagy, S., Eriksson, M., Bauer, G.F., Pelikan, J.N., Lindstr\u00f6m, B., and Espnes, G.A. (2025, May 30). The Sense of Coherence in the Salutogenic Model of Health, The Handbook of Salutogenesis [Internet], Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK435812\/."},{"key":"ref_20","unstructured":"Juczynski, Z., and Oginska-Bulik, N. (2009). Tools for Measuring Stress and Coping with Stress, Pracownia Test\u00f3w Psychologicznych."},{"key":"ref_21","unstructured":"Juczynski, Z. (2012). NPPPZ\u2014Narz \u0119dzia Pomiaru w Promocji i Psychologii Zdrowia, Pracownia Test\u00f3w Psychologicznych, Polskiego Towarzystwa Psychologicznego."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1037\/0022-3514.56.2.267","article-title":"Assessing coping strategies: A theoretically based approach","volume":"56","author":"Carver","year":"1989","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1136\/jech.2005.041616","article-title":"Antonovsky\u2019s sense of coherence scale and the relation with health: A systematic review","volume":"60","author":"Eriksson","year":"2006","journal-title":"J. Epidemiol. Comm. Health"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Mittelmark, M.B., Bauer, G.F., Vaandrager, L., Pelikan, J.M., Sagy, S., Eriksson, M., Lindstr\u00f6m, B., and Magistretti, C.M. (2022). The Sense of Coherence: The Concept and Its Relationship to Health. The Handbook of Salutogenesis, Springer.","DOI":"10.1007\/978-3-030-79515-3"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1016\/j.jad.2022.12.106","article-title":"The relationship between sense of coherence and mental health problems from childhood to young adulthood: A meta-analysis","volume":"325","author":"Sopp","year":"2023","journal-title":"J. Affect. Disord."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1007\/s00213-016-4205-1","article-title":"Acute stress increases ad-libitum alcohol consumption in heavy drinkers, but not through impaired inhibitory control","volume":"233","author":"McGrath","year":"2016","journal-title":"Psychopharmacology"},{"key":"ref_27","first-page":"448","article-title":"Effects of alcohol dependence and withdrawal on stress responsiveness and alcohol consumption","volume":"34","author":"Becker","year":"2012","journal-title":"Alcohol Res."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/17\/6183\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:37:33Z","timestamp":1760035053000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/17\/6183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":27,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2025,9]]}},"alternative-id":["jcm14176183"],"URL":"https:\/\/doi.org\/10.3390\/jcm14176183","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2025,9,1]]}}}