Szymona Kinga
Klinika Psychiatrii AM w Lublinie.
Psychiatr Pol. 2005 Jul-Aug;39(4):659-68.
Sense of coherence (SOC) is the central construct of the salutary model of health. Sense of coherence comprises comprehensibility, manageability and meaningfulness.
The aim of the study was to check if the sense of coherence can change after psychotherapy in neurotic patients, if the value of the changes depends on the level of sense of coherence and if the obtained changes are stable.
101 patients (32 males, 69 females, aged between 17 and 48 years) with neurotic disorders defined according to ICD-10 criteria were the subject of the study. This group of patients were hospitalized in the Neurotic Ward of the Psychiatry Department in Lublin. They took part in a 10-week psychotherapeutic programme. In the study, the authorized Polish adaptation of the Orientation to Life Questionnaire (SOC-29) by Antonovsky was used to measure the sense of coherence. Patients were examined prior to and on completion of the treatment programme. In the next stage of the study patients filled in the SOC-29 Questionnaire after six months. Dependent sample t-test was used in data analysis.
Significant favourable changes were found in patients with a low SOC level. The increase of SOC was observed after a 10-week treatment. The increase was stable in examination after six months. Changes in sense of coherence in the group with high SOC level were not observed. The results suggest that the therapy can be more effective in patients with a low SOC level.
连贯感（SOC）是健康有益模型的核心概念。连贯感包括可理解性、可管理性和意义性。
本研究的目的是检验神经症患者在心理治疗后连贯感是否会发生变化，变化的程度是否取决于连贯感水平，以及所获得的变化是否稳定。
根据ICD - 10标准定义的101例神经症患者（32例男性，69例女性，年龄在17至48岁之间）为研究对象。这组患者在卢布林精神病学系神经症病房住院。他们参加了为期10周的心理治疗项目。在研究中，采用了经授权的由安东诺夫斯基编制的波兰语版生活取向问卷（SOC - 29）来测量连贯感。在治疗项目开始前和结束时对患者进行检查。在研究的下一阶段，患者在六个月后填写SOC - 29问卷。数据分析采用配对样本t检验。
在低SOC水平的患者中发现了显著的有利变化。经过10周的治疗，观察到SOC有所增加。六个月后的检查中，这种增加是稳定的。在高SOC水平组中未观察到连贯感的变化。结果表明，该治疗对低SOC水平的患者可能更有效。
