Department of Neurology, Medical University of Vienna, Vienna, Austria.
Int Psychogeriatr. 2012 Dec;24(12):1972-9. doi: 10.1017/S1041610212001330. Epub 2012 Aug 10.
Antonovsky's salutogenic model of the "Sense of Coherence" (SOC) is an important resource in dealing with chronic diseases. The aim of this study was to investigate SOC as a psychological factor and its correlation with illness, subjective well-being, and health-related quality of life (QoL) in patients with Parkinson disease (PD) compared to patients with other chronic diseases.
Fifty-one patients suffering from PD and 59 participants with other chronic non-neurological diseases took part in this study. The PD patients were assessed through medical routine examinations and all participants were asked to complete several questionnaires for psychological assessment. In order to compare controls with the PD group, t-tests, U-tests, and multivariate analysis were conducted. Multiple regression analysis was calculated to identify predictor variables.
Patients with PD were characterized by lower SOC and higher scores concerning depression compared to the control group (CG). Furthermore, the PD group showed fewer active coping strategies and lower scores concerning well-being. There were correlations between depression, coping, well-being and QoL, and SOC. The SOC had a particular predictive value with regards to the outcome "quality of life" and coping strategies.
There are a number of differences regarding psychological characteristics of coping mechanisms in neurological and non-neurological patients. The SOC correlated with several psychological factors; however, there was no correlation with medical data. The SOC predicts scores pertaining coping mechanism and health-related QoL.
Antonovsky 的健康本源模型（SOC）是应对慢性疾病的重要资源。本研究旨在调查 SOC 作为一种心理因素，及其与帕金森病（PD）患者疾病、主观幸福感和健康相关生活质量（QoL）的相关性，并与其他慢性疾病患者进行比较。
本研究纳入 51 名 PD 患者和 59 名患有其他非神经慢性疾病的参与者。PD 患者通过医学常规检查进行评估，所有参与者均完成了多项心理评估问卷。为了将对照组与 PD 组进行比较，进行了 t 检验、U 检验和多元分析。计算了多元回归分析以确定预测变量。
与对照组相比，PD 患者的 SOC 较低，抑郁评分较高。此外，PD 组的积极应对策略较少，幸福感评分较低。抑郁、应对、幸福感和 QoL 与 SOC 之间存在相关性。SOC 对“生活质量”和应对策略的结果具有特殊的预测价值。
神经和非神经患者的应对机制的心理特征存在一些差异。SOC 与多个心理因素相关，但与医学数据无关。SOC 预测应对机制和健康相关 QoL 的评分。
