Skip to main content

Advertisement

Log in

Structure of the sense of coherence scale in a nationally representative sample: the Finnish Health 2000 survey

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective

To examine the structure of the sense of coherence (SOC) scale in a general population.

Methods

This study analysed the responses of 6,217 subjects aged 30 years and over who participated in the Finnish Health 2000 survey (response rate 77.4%). Participants completed an abbreviated 12-item version of the SOC scale. Two alternative structures were tested using confirmatory factor analysis: a one-factor model, with all scale items loaded onto a single latent factor representing the SOC construct, versus a second-order factor model, with scale items loaded onto their corresponding latent factors representing the three SOC components (comprehensibility, manageability and meaningfulness), which are, in turn, dependent on one single higher-order SOC construct.

Results

The one-factor model was fitted to the data after allowing the errors of comprehensibility item 5 and manageability item 6 to correlate, as was done in previous studies among Finnish adults. The comparative fit index (CFI), Tucker–Lewis index (TLI) and root mean square error of approximation (RMSEA) for the one-factor model were, respectively, 0.97–0.98, 0.96–0.97 and 0.05–0.09 across both sexes and three age groups. The second-order factor model had correlations between latent factors higher than 1, even after alternative model modifications, casting doubts on this more complex structure.

Conclusion

These data suggest that the components of comprehensibility, manageability and meaningfulness should be merged when measuring SOC with the 12-item SOC scale in the Finnish general population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. California: Jossey-Bass Inc.

    Google Scholar 

  2. Antonovsky, A. (1984). The sense of coherence as a determinant of health. In J. D. Matarazzo, S. M. Weiss, J. A. Herd, N. E. Miller (Ed.), Behavioral health: A handbook of health enhancement and disease prevention (pp. 114–129). New York: Wiley.

    Google Scholar 

  3. Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science and Medicine, 36, 725–733. doi:10.1016/0277-9536(93)90033-Z.

    Article  PubMed  CAS  Google Scholar 

  4. Eriksson, M., & Lindström, B. (2006). Antonovsky’s sense of coherence scale and the relation with health: A systematic review. Journal of Epidemiology and Community Health, 60, 376–381. doi:10.1136/jech.2005.041616.

    Article  PubMed  Google Scholar 

  5. Wainwright, N. W., Surtees, P. G., Welch, A. A., Luben, R. N., Khaw, K. T., & Bingham, S. A. (2007). Healthy lifestyle choices: Could sense of coherence aid health promotion? Journal of Epidemiology and Community Health, 61, 871–876. doi:10.1136/jech.2006.056275.

    Article  PubMed  Google Scholar 

  6. Eriksson, M., & Lindström, B. (2008). A salutogenic interpretation of the Ottawa Charter. Health Promotion International, 23, 190–199. doi:10.1093/heapro/dan014.

    Article  PubMed  Google Scholar 

  7. Eriksson, M., & Lindström, B. (2005). Validity of Antonovsky’s sense of coherence scale: A systematic review. Journal of Epidemiology and Community Health, 59, 460–466. doi:10.1136/jech.2003.018085.

    Article  PubMed  Google Scholar 

  8. Hittner, J. B. (2007). Factorial invariance of the 13-item sense of coherence scale across gender. Journal of Health Psychology, 12, 273–280. doi:10.1177/1359105307074256.

    Article  PubMed  Google Scholar 

  9. Klepp, O. M., Mastekaasa, A., Sørensen, T., Sandanger, I., & Kleiner, R. (2007). Structure analysis of Antonovsky’s sense of coherence from an epidemiological mental health survey with a brief nine-item sense of coherence scale. International Journal of Methods in Psychiatric Research, 16, 11–22. doi:10.1002/mpr.197.

    Article  PubMed  Google Scholar 

  10. Feldt, T., & Rasku, A. (1998). The structure of Antonovsky’s orientation to life questionnaire. Personality and Individual Differences, 25, 505–516. doi:10.1016/S0191-8869(98)00077-4.

    Article  Google Scholar 

  11. Feldt, T., Leskinen, E., Kinnunen, U., & Mauno, S. (2000). Longitudinal factor analysis models in the assessment of the stability of sense of coherence. Personality and Individual Differences, 28, 239–257. doi:10.1016/S0191-8869(99)00094-X.

    Article  Google Scholar 

  12. Gana, K., & Garnier, S. (2001). Latent structure of the sense of coherence scale in a French sample. Personality and Individual Differences, 31, 1079–1090. doi:10.1016/S0191-8869(00)00205-1.

    Article  Google Scholar 

  13. Feldt, T., Leskinen, E., Kinnunen, U., & Ruoppila, I. (2003). The stability of sense of coherence: Comparing two age groups in a 5-year follow-up study. Personality and Individual Differences, 35, 1151–1165. doi:10.1016/S0191-8869(02)00325-2.

    Article  Google Scholar 

  14. Feldt, T., Lintula, H., Suominen, S., Koskenvuo, M., Vahtera, J., & Kivimäki, M. (2007). Structural validity and temporal stability of the 13-item sense of coherence scale: Prospective evidence from the population-based HeSSup study. Quality of Life Research, 16, 483–493. doi:10.1007/s11136-006-9130-z.

    Article  PubMed  Google Scholar 

  15. Larsson, G., & Kallenberg, K. (1999). Dimensional analysis of sense of coherence using structural equation modelling. European Journal of Personality, 13, 51–61. doi:10.1002/(SICI)1099-0984(199901/02)13:1<51::AID-PER321>3.0.CO;2-P.

    Article  Google Scholar 

  16. Richardson, C. G., Ratner, P. A., & Zumbo, B. D. (2007). A test of the age-based measurement invariance and temporal stability of Antonovsky’s sense of coherence scale. Educational and Psychological Measurement, 67, 679–696. doi:10.1177/0013164406292089.

    Article  Google Scholar 

  17. Aromaa, A., & Koskinen, S. (Eds.). (2004). Health and functional capacity in Finland. Baseline results of the Health 2000 health examination survey. Helsinki: National Public Health Institute. http://www.terveys2000.fi/julkaisut/baseline.pdf

  18. Savolainen, J., Knuuttila, M., Suominen-Taipale, L., Martelin, T., Nordblad, A., Niskanen, M., et al. (2004). A strong sense of coherence promotes regular dental attendance in adults. Community Dental Health, 21, 271–276.

    PubMed  Google Scholar 

  19. Savolainen, J., Suominen-Taipale, A. L., Hausen, H., Harju, P., Uutela, A., Martelin, T., et al. (2005). Sense of coherence as a determinant of the oral health-related quality of life: A national study in Finnish adults. European Journal of Oral Sciences, 113, 121–127. doi:10.1111/j.1600-0722.2005.00201.x.

    Article  PubMed  Google Scholar 

  20. Savolainen, J., Suominen-Taipale, A. L., Uutela, A. K., Martelin, T. P., Niskanen, M. C., & Knuuttila, M. L. (2005). Sense of coherence as a determinant of toothbrushing frequency and level of oral hygiene. Journal of Periodontology, 76, 1006–1012. doi:10.1902/jop.2005.76.6.1006.

    Article  PubMed  Google Scholar 

  21. Savolainen, J., Suominen-Taipale, A. L., Uutela, A. U., Aromaa, A., Härkänen, T. & Knuuttila, M. (2008). Sense of coherence associates with oral and general health behaviours. Community Dental Health (in press).

  22. Muthén, L. K., & Muthén, B. O. (2007). Mplus. Statistical analysis with latent variables. User’s guide. Los Angeles: Muthén & Muthén.

    Google Scholar 

  23. Kline, R. B. (2005). Principles and practice of structural equation modeling. London: The Guilford Press.

    Google Scholar 

  24. Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. doi:10.1037/0033-2909.107.2.238.

    Article  PubMed  CAS  Google Scholar 

  25. Hu, L.-T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.

    Article  Google Scholar 

  26. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural models (pp. 131–162). Newbury Park: Sage Publications Inc.

    Google Scholar 

  27. Byrne, B. M. (2005). Factor analytic models: Viewing the structure of an assessment instrument from three perspectives. Journal of Personality Assessment, 85, 17–32. doi:10.1207/s15327752jpa8501_02.

    Article  PubMed  Google Scholar 

  28. Ullman, J. B. (2006). Structural equation modeling: Reviewing the basics and moving forward. Journal of Personality Assessment, 87, 35–50. doi:10.1207/s15327752jpa8701_03.

    Article  PubMed  Google Scholar 

  29. Bowling, A. (2005). Mode of questionnaire administration can have serious effects on data quality. Journal of Public Health (Oxford, England), 27, 281–291. doi:10.1093/pubmed/fdi031.

    Article  Google Scholar 

  30. Streiner, D. L., & Norman, G. R. (2003). Health measurement scales. A practical guide to their development and use. New York: Oxford University Press.

    Google Scholar 

  31. Söderhamn, O., & Holmgren, L. (2004). Testing Antonovsky’s sense of coherence (SOC) scale among Swedish physically active older people. Scandinavian Journal of Psychology, 45, 215–221. doi:10.1111/j.1467-9450.2004.00397.x.

    Article  PubMed  Google Scholar 

  32. Kivimäki, M., Feldt, T., Vahtera, J., & Nurmi, J. E. (2000). Sense of coherence and health: Evidence from two cross-lagged longitudinal samples. Social Science and Medicine, 50, 583–597. doi:10.1016/S0277-9536(99)00326-3.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Eduardo Bernabé was supported by the Programme Alβan, the European Union Programme of High Level Scholarships for Latin America, Scholarship No. E06D1000352PE. Mika Kivimäki and Jussi Vahtera are supported by the Academy of Finland (projects 117604, 124327 and 124332).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eduardo Bernabé.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bernabé, E., Tsakos, G., Watt, R.G. et al. Structure of the sense of coherence scale in a nationally representative sample: the Finnish Health 2000 survey. Qual Life Res 18, 629–636 (2009). https://doi.org/10.1007/s11136-009-9469-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-009-9469-z

Keywords

Navigation