Social support and sense of coherence: independent, shared and interaction relationships with life stress and mental health
- Authors:
- SORENSEN Tom, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 13(1), February 2011, pp.27-44.
- Publisher:
- Taylor and Francis
Perceived social support and sense of coherence are both used extensively as variables to predict and explain the impact of external factors on individuals' mental health. This study investigated whether the current operational definitions of these two concepts measure the same or different dimensions of the intervening process and/or have a distinct interaction effect on mental health. A survey was carried out in Lofoten, a series of islands in Northern Norway. Self completion questionnaires were delivered to all households (people 18 years and above) in the selected communities; 67% responded (n = 1062). Factor analysis was used to subdivide the items for perceived social support and sense of coherence. The two concepts made both significant independent and shared contributions to explained variance on the mental health index. All second-order terms (any combination of two of the indexes, sense of coherence, perceived social support or negative life events) show modification effects with regard to mental health. The combination of sense of coherence, perceived social support and negative life events showed a third order effect modification with regard to mental health. The interaction between social support and sense of coherence increased with the number of experienced negative life events. Thus, it is concluded that all three factors need to be considered to maximise the efficiency of health promotion projects.
- Subject terms:
- life events, mental health problems, self-concept, social networks, stress;
- Content type:
- research
- Location(s):
- Norway
- Link:
- Journal home page
- ISSN print:
- 1462-3730