Quality of Life Research

, Volume 16, Issue 6, pp 939–946 | Cite as

Sense of coherence predicts change in life satisfaction among home-living residents in the community with mental health problems: a 1-year follow-up study

  • Eva Langeland
  • Astrid K. Wahl
  • Kjell Kristoffersen
  • Monica W. Nortvedt
  • Berit R. Hanestad
Original Paper


Objectives There is a call for a further investigation of Sense of Coherence (SOC), the central concept in salutogenesis, and its relation to health and life satisfaction. No previous studies have investigated the utility of SOC versus mental symptoms for the prediction of life satisfaction among people with chronic mental health problems (MHP). Methods The present study has a prospective design including a baseline assessment and a 1-year follow up. We recruited 107 adults from the community health care system. SOC was measured by the Sense of Coherence questionnaire, mental symptoms by the Symptom Checklist-90 revised and life satisfaction by The Quality of Life Scale (all Norwegian versions). Results The results show that while SOC predicts change in life satisfaction (standardized beta coefficient for SOC was 0.39, P = 0.014), mental symptoms did not (standardized beta coefficient 0.00, P = 1.0). Conclusions These findings emphasize the importance of assessing factors that may explain differences in life satisfaction over and above mental symptoms among people with MHP. The results indicate that improving SOC among people with MHP might provide important opportunities for improving their life satisfaction.


Life satisfaction Mental symptoms Prediction Prospective design Sense of coherence 

List of abbreviations


Mental health problems


Sense of coherence


Quality of life scale

SCL- 90-R

Symptom Checklist-90 revised


Global Severity Index



We thank people living at home in the community for participating and the Faculty of Health and Social Sciences, Bergen University College, for support.


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Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Eva Langeland
    • 1
  • Astrid K. Wahl
    • 3
  • Kjell Kristoffersen
    • 2
  • Monica W. Nortvedt
    • 1
  • Berit R. Hanestad
    • 2
  1. 1.Faculty of Health and Social SciencesBergen University CollegeBergenNorway
  2. 2.Department of Public Health and Primary Health CareUniversity of BergenBergenNorway
  3. 3.Section of Health SciencesOslo UniversityOsloNorway

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