Schnyder U, Büchi S, Sensky T, Klaghofer R
Psychiatric Department, University Hospital, Zurich, Switzerland.
Psychother Psychosom. 2000 Nov-Dec;69(6):296-302. doi: 10.1159/000012411.
The aim of this study was first to analyze the stability of Antonovsky's Sense of Coherence (SOC) as a measure of a person's world view over time; secondly, to investigate its relationship with depression and anxiety.
Data from two longitudinal studies were used: a study of severely injured accident victims (n = 96), and a study of patients suffering from rheumatoid arthritis (RA, n = 60). The 13 items short version of the SOC scale and measures of depression and anxiety (Symptom Checklist, Hospital Anxiety and Depression Scale) were administered repeatedly over 6-12 months in both studies.
In the sample of accident victims, a significant decrease in the SOC mean score was observed during the first half year after the accident. During the same time period, symptoms of anxiety and depression decreased significantly. In the second half year after the accident, SOC as well as measures of psychopathology remained stable. RA patients showed high stability of SOC and measures of anxiety and depression over time. In both samples, between-time correlations of SOC scores were high (r > or = 0. 70, p<0.01), indicating a high test-retest stability of SOC. Furthermore, in both samples, significant negative correlations of a moderate to high degree (r = -0.28 to -0.73, p<0.01) were found between SOC and measures of anxiety and depression.
SOC can be seen as a relatively stable (trait) measure. However, traumatic events such as life-threatening accidents may change a person's world view and thus their SOC, even if psychiatric symptoms abate. This suggests that SOC is not merely a proxy measure of psychopathology, but rather a partially independent, general measure of a person's world view.
本研究的目的首先是分析安托诺夫斯基的连贯感（SOC）作为一种衡量个人世界观随时间变化的指标的稳定性；其次，研究其与抑郁和焦虑的关系。
使用了两项纵向研究的数据：一项对重伤事故受害者的研究（n = 96），以及一项对类风湿性关节炎（RA，n = 60）患者的研究。在两项研究中，均在6至12个月内多次施测SOC量表的13项简短版本以及抑郁和焦虑测量工具（症状清单、医院焦虑抑郁量表）。
在事故受害者样本中，事故发生后的前半年，SOC平均得分显著下降。在同一时期，焦虑和抑郁症状显著减轻。事故发生后的后半年，SOC以及精神病理学测量指标保持稳定。RA患者的SOC以及焦虑和抑郁测量指标随时间显示出高度稳定性。在两个样本中，SOC得分的时间间隔相关性都很高（r≥0.70，p<0.01），表明SOC具有较高的重测稳定性。此外，在两个样本中，SOC与焦虑和抑郁测量指标之间均发现了中度至高度的显著负相关（r = -0.28至-0.73，p<0.01）。
SOC可被视为一种相对稳定的（特质）测量指标。然而，诸如危及生命的事故等创伤性事件可能会改变一个人的世界观，从而改变其SOC，即使精神症状减轻。这表明SOC不仅仅是精神病理学的替代指标，而是一个部分独立的、衡量个人世界观的一般指标。
