Department of Clinical Neuroscience, Karolinska Institutet, Sweden.
Health Qual Life Outcomes. 2010 Jun 10;8:58. doi: 10.1186/1477-7525-8-58.
The Sense of Coherence (SOC) scale is assumed to measure a distinct salutogenic construct separated from measures of anxiety and depression. Our aim was to challenge this concept.
The SOC-scale, Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI) , the emotional subscale of the Strengths and Difficulties Questionnaire (SDQ-em) and self-assessed health-related and physiological parameters were collected from a sample of non-clinical adolescent females (n = 66, mean age 16.5 years with a range of 15.9-17.7 years) and from female psychiatric patients (n = 73), mean age 16.8 years with a range of 14.5-18.4 years), with diagnoses of major depressive disorders (MDD) and anxiety disorders.
The SOC scores showed high inverse correlations to BDI, BAI and SDQ-em. In the non-clinical sample the correlation coefficient was -0.86 to -0.73 and in the clinical samples -0.74 to -0.53 (p < 0.001). Multiple regression models showed that BDI was the strongest predictor of SOC in the non-clinical (beta coefficient -0.47) and clinical sample (beta coefficient -0.52). The total degree of explanation of self assessed anxiety and depression on the SOC variance estimated by multiple R2 = 0.74, adjusted R2 = 0.73 in the non-clinical sample and multiple R2 = 0.66, adjusted R2 = 0.65 in the clinical sample.Multivariate analyses failed to isolate SOC as a separate construct and the SOC-scale, BDI, BAI and SDQ-em showed similar patterns of correlations to self-reported and physiological health parameters in both samples. The SOC-scale was the most stable measure over six months.
The SOC-scale did not appear to be a measure of a distinct salutogenic construct, but an inverse measure of persistent depressive symptoms and generalized social anxiety similar to the diagnostic criteria for major depressive disorder (MDD), dysthymic disorder, generalized anxiety disorder (GAD) or generalized social anxiety disorder (SAD) according to DSM-IV. These symptoms were better captured with SOC than by the specialized scales for anxiety and depression. Self-assessment scales that adequately identify MDD, dysthymic disorder, GAD and SAD need to be implemented. Comorbidity of these disorders is common in adolescent females and corresponds to a more severe symptomatology and impaired global function.
社会适应感量表（SOC）被认为是一种独立的健康促进结构，与焦虑和抑郁的测量方法分开。我们的目的是挑战这一概念。
从非临床青春期女性样本（n=66，平均年龄 16.5 岁，范围为 15.9-17.7 岁）和女性精神病患者样本（n=73）中收集 SOC 量表、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、困难问卷的情绪分量表（SDQ-em）和自我评估的健康相关和生理参数，诊断为重度抑郁症（MDD）和焦虑症。
SOC 评分与 BDI、BAI 和 SDQ-em 呈高度负相关。在非临床样本中，相关系数为-0.86 至-0.73，在临床样本中为-0.74 至-0.53（p<0.001）。多元回归模型显示，BDI 是非临床样本（β系数-0.47）和临床样本（β系数-0.52）中 SOC 的最强预测因子。自我评估的焦虑和抑郁对 SOC 方差的总解释程度由多元 R2 估计，非临床样本为 0.74，调整 R2 为 0.73，临床样本为 0.66，调整 R2 为 0.65。多变量分析未能分离 SOC 作为一个单独的结构，SOC 量表、BDI、BAI 和 SDQ-em 在两个样本中与自我报告和生理健康参数显示出相似的相关性模式。SOC 量表在六个月内是最稳定的测量方法。
SOC 量表似乎不是一种独特的健康促进结构的测量方法，而是持续抑郁症状和广义社交焦虑的反向测量方法，类似于 DSM-IV 中的重度抑郁症（MDD）、心境恶劣障碍、广泛性焦虑障碍（GAD）或广泛性社交焦虑障碍（SAD）的诊断标准。SOC 比专门的焦虑和抑郁量表更能捕捉这些症状。需要实施能够充分识别 MDD、心境恶劣障碍、GAD 和 SAD 的自我评估量表。这些疾病的共病在青春期女性中很常见，与更严重的症状和受损的整体功能相对应。
