Mroziak B, Czabała J, Wójtowicz S
Zakład Psychologii Klinicznej IPiN w Warszawie.
Psychiatr Pol. 1997 May-Jun;31(3):257-68.
Sense of coherence, a health-promoting life orientation, i.e. perceiving the world as comprehensible, manageable and meaningful, was compared in three groups: of healthy controls (37 males and 45 females), neurotic patients (31 males and 54 females), and hospitalized patients with depressive syndrome defined according to DSM-IV criteria (13 females). Two self-report questionnaires were used in the study: Antonovsky's SOC-29 scale measuring the sense of coherence, and SCL-90-R by Derogatis, measuring psychopathological symptoms intensity. As hypothesized, psychopathology level in the groups under study was significantly differentiated, being most marked in patients with depression. Sense of coherence and all its constituents turned out to be significantly lower in both clinical groups as compared to controls; the lowest SOC level was noted in depressive patients. Moreover, in the latter group, in contradistinction to the other two, significant correlations between sense of coherence (SOC) and general self-rated health (positive correlations), and between SOC and symptoms intensity (negative correlations) have disappeared. Due to the small size of the depressive group it was possible only to suggest a hypothesis explaining the findings, namely, that the SOC protective function disappears in persons situated far away from the "health" pole of the health-disease continuum.
连贯感是一种促进健康的生活取向，即把世界看作是可理解的、可掌控的和有意义的。研究比较了三组人群的连贯感：健康对照组（37名男性和45名女性）、神经症患者（31名男性和54名女性）以及根据《精神疾病诊断与统计手册》第四版标准定义的患有抑郁综合征的住院患者（13名女性）。本研究使用了两份自我报告问卷：测量连贯感的安东诺夫斯基的SOC - 29量表，以及德罗加蒂斯编制的测量心理病理症状强度的SCL - 90 - R量表。正如所假设的那样，研究中的几组人群的精神病理学水平存在显著差异，在抑郁症患者中最为明显。与对照组相比，两个临床组的连贯感及其所有组成部分均显著降低；抑郁患者的SOC水平最低。此外，在后者这组中，与其他两组不同的是，连贯感（SOC）与总体自评健康状况（正相关）以及SOC与症状强度（负相关）之间的显著相关性消失了。由于抑郁组样本量较小，只能提出一个假说来解释这些发现，即连贯感的保护功能在远离健康 - 疾病连续统“健康”极点的人群中消失。
