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Sense of coherence as an independent predictor of health-related quality of life among coronary heart disease patients

Silarova, Barbora, Nagyova, Iveta, Rosenberger, Jaroslav, Studencan, Martin, Ondusova, Daniela, Reijneveld, Sijmen A., van Dijk, Jitse P. (2012) Sense of coherence as an independent predictor of health-related quality of life among coronary heart disease patients. Quality of Life Research, 21 . pp. 1863-1871. ISSN 0962-9343. E-ISSN 1573-2649. (doi:10.1007/s11136-011-0106-2) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:98071)

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Purpose The aim of this study was to determine whether sense of coherence (SOC) at baseline predicts health-related quality of life (HRQoL) at 12-28-month follow-up among patients with coronary heart disease when controlled for sociodemographic and medical variables. Methods A total of 179 consecutive patients (58.28 ± 6.52 years, 16.8 women) scheduled for coronary angiography (CAG) were interviewed before CAG and 12-28 months after. SOC was measured with the 13-item Orientation to Life Questionnaire. HRQoL was measured using the Short Form Health Survey 36 (SF-36), from which the mental and physical component summaries (MCS, PCS) were calculated. The relationship between SOC and HRQoL was examined using regression analyses. Results SOC proved to be a significant predictor of the MCS-score (B = 0.29; 95 CI = 0.17-0.41) and PCSscore (B = 0.18; 95 CI = 0.06-0.31) when not adjusted for possible confounding sociodemographic and medical variables. After adjustment for sociodemographic and medical variables, SOC remained a predictor of the MCSscore (B = 0.26; 95 CI = 0.14-0.39). SOC also remained a predictor of the PCS-score when controlled for gender, age and family income; however, the association disappeared after adjustment for functional status (B = 0.07; 95 CI = -0.05 to 0.19). Conclusions SOC is a predictor of mental and physical HRQoL at 12-28-month follow-up, crude and also after adjustment. Patients undergoing CAG with low SOC thus deserve particular attention in regard to the maintenance and improvement of their HRQoL. © Springer Science+Business Media B.V. 2012.

Item Type: Article
DOI/Identification number: 10.1007/s11136-011-0106-2
Additional information: cited By 29
Uncontrolled keywords: Quality of life, Health promotion, Coronary heart disease, longitudinal study.
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Funders: Slovak Research and Development Agency (
Depositing User: George Austin-Coskry
Date Deposited: 17 Nov 2022 10:19 UTC
Last Modified: 22 Nov 2022 10:33 UTC
Resource URI: (The current URI for this page, for reference purposes)

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