Department of Integrated Medicine, Division of Internal Medicine, Osaka University Graduate School of Medicine, Suita, Japan; Osaka University Health Care Center, Toyonaka, Japan.
Asian J Psychiatr. 2013 Oct;6(5):369-72. doi: 10.1016/j.ajp.2013.03.008. Epub 2013 May 4.
Sense of coherence (SOC) is thought to be a major determinant in maintaining health. SOC gained attention recently in the fields of psychiatry after it was reported to be associated with a lowered risk of various health problems. However, the effect of SOC as a buffer against performance impairment caused by health problems is not well known. Thus, we aimed to examine the relationships among health problem, the degree of presenteeism (performance loss due to health problems), and SOC in adolescents.
Participants were 2824 university students (1855 males, mean age; 18.35±0.84 years). SOC and self-reported health problems were assessed using an SOC scale (29 items) and the presenteeism scale for students, respectively.
SOC scores differed between students with and without health problems (t(2822)=5.75, P<0.001). The effect size (Cohen's d) was 0.22 for this difference. In a multiple logistic regression analysis, male gender (odds ratio [OR]=0.62; 95% confidence interval [CI]=0.53-0.73), moderate SOC (within ±1 SD; OR=0.59; 95% CI=0.47-0.72), and high SOC (>1 SD; OR=0.43; 95% CI=0.33-0.58) were independently associated with a lower frequently of health problems. In addition, SOC showed a significant inverse correlation with presenteeism (r=-0.27, P<0.001).
These results suggest that application of the concept of SOC might aid in the prevention of health problems among university students. Students with a strong SOC might be less prone to a decline in performance when health problems arise.
社会适应能力被认为是保持健康的主要决定因素。在精神病学领域，社会适应能力最近受到关注，因为它与各种健康问题的风险降低有关。然而，社会适应能力作为缓冲健康问题导致的表现受损的作用尚不清楚。因此，我们旨在研究健康问题、出勤状况（因健康问题导致的表现下降）与社会适应能力之间的关系。
参与者为 2824 名大学生（男性 1855 名，平均年龄 18.35±0.84 岁）。使用社会适应能力量表（29 项）和学生出勤状况量表分别评估社会适应能力和自我报告的健康问题。
有健康问题的学生和没有健康问题的学生的社会适应能力评分存在差异（t(2822)=5.75，P<0.001）。差异的效应量（Cohen's d）为 0.22。在多因素逻辑回归分析中，男性（比值比 [OR]=0.62；95%置信区间 [CI]=0.53-0.73）、中等社会适应能力（±1 标准差内；OR=0.59；95% CI=0.47-0.72）和高社会适应能力（>1 标准差；OR=0.43；95% CI=0.33-0.58）与健康问题的发生频率较低独立相关。此外，社会适应能力与出勤状况呈显著负相关（r=-0.27，P<0.001）。
这些结果表明，应用社会适应能力的概念可能有助于预防大学生的健康问题。社会适应能力强的学生在出现健康问题时，其表现下降的可能性可能较小。
