Sense of coherence and school-related stress as predictors of subjective health complaints in early adolescence: interactive, indirect or direct relationships?
Sense of coherence and school-related stress as predictors of subjective health complaints in early adolescence: interactive, indirect or direct relationships?
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DOI：
10.1016/s0277-9536(00)00370-1
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发表时间：
2001-09-01
影响因子：
5.4
通讯作者：
Wold, B
中科院分区：
文献类型：
--
作者：
Torsheim, T;Aaroe, LE;Wold, B
采用结构方程模型研究了心理一致感（SOC）在青少年学校压力与主观健康问题之间的作用。作为世界卫生组织跨国调查“1997/98年学龄儿童健康行为”的一部分，挪威对1 592名六年级、1 534名八年级和1 605名十年级学生的代表性抽样完成了关于SOC、与学校有关的压力和主观健康投诉的测量。嵌套结构模型的检验显示，SOC的压力预防（Delta chi（2）814.86，p < 0.001）、压力调节（Delta chi（2）11.74，p < 0.02）和主要健康促进（Delta chi（2）1289.1，p < 0.001）效应与数据一致。包括所有这些关系的模型拟合数据良好（CFI = 0.91，RMSEA = 0.04）。两组比较显示，SOC与压力之间的关联随着年龄的增长而减弱（p < 0.05），而SOC与健康投诉之间的直接关联则越来越强（p < 0.001）。SOC的主效应占主观健康投诉方差的39%（11奥尔兹）至54%（15奥尔兹）。研究结果表明，SOC可能是一个潜在的健康因素，在青少年的适应学校相关的压力，SOC和健康的适应之间的关系，可能是明显的，在年轻的年龄组比以前预期的。(C)2001爱思唯尔科技有限公司版权所有。
The role of sense of coherence (SOC) on the relationship between adolescent school-related stress and subjective health complaints was tested with structural equation modelling. As part of the crossnational WHO-survey 'Health behaviour in school-aged children 1997/98' Norwegian representative samples of 1592 grade 6, 1534 grade 8, and 1605 grade 10 students completed measures on SOC, school-related stress and subjective health complaints. A test of nested structural models revealed that both stress-preventive (Delta chi (2) 814.86, p < 0.001), stress-moderating (Delta chi (2) 11.74, p < 0.02) and main health-enhancing (Delta chi (2) 1289.1, p < 0.001) effects of SOC were consistent with the data. A model including all these relationships fitted the data well (CFI = 0.91, RMSEA = 0.04). Age-group comparisons revealed that the association between SOC and stress grew weaker with age (p < 0.05), whereas the direct association between SOC and health complaints grew stronger (p < 0.001). The main effect of SOC accounted for between 39% (11 year olds) and 54% (15 year olds) of the variance in subjective health complaints. Findings indicate that SOC may potentially be a salutogenic factor in adolescents' adaptation to school-related stress, and that relationships between SOC and healthy adaptation, may be evident in younger age-groups than previously anticipated. (C) 2001 Elsevier Science Ltd. All rights reserved.