THE STRUCTURE AND PROPERTIES OF THE SENSE OF COHERENCE SCALE

THE STRUCTURE AND PROPERTIES OF THE SENSE OF COHERENCE SCALE
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DOI:
10.1016/0277-9536(93)90033-z
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发表时间:
1993-03-01
影响因子:
5.4
通讯作者:
ANTONOVSKY, A
ANTONOVSKY, A
中科院分区:
医学2区
文献类型:
--
作者:
ANTONOVSKY, A

文献摘要

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作者以前的工作提出了一个有益健康的理论模型,旨在解释健康缓解/疾病连续体上位置的维护或改进。该模型的核心结构--连贯感(SOC),是有意识地用被认为适用于跨文化的术语来表述的。操作结构的SOC量表是一个由29个项目组成的语义差异问卷,其设计是以古特曼的小平面理论为指导的。该量表还使用了13个项目的版本。本研究的目的是展示该量表在20个国家和地区的可行性、信度和效度的现有证据,以及标准化数据。在使用SOC-29的26项研究中,内部一致性的Cronbachα测量在0.82到0.95之间。使用SOC-13的16项研究的α系数从0.74到0.91不等。相对较少的重测相关性显示出相当大的稳定性,例如,退休人员在两年时间里的重测相关性为0.54。许多同事在编制量表和审查最终产品时使用的系统程序表明,内容、表面和共识效度水平很高。标准的效度是通过呈现SOC和四个领域的测量之间的相关数据来检验的:对自己和环境的全球定位(19r‘s);应激源(11r’s);健康、疾病和幸福(32r‘s);态度和行为(5r’s)。绝大多数的相关性在统计学上是显著的。提供了关于SOC-29和SOC-13的所有可获得的已出版规范数据,这些数据与使用已知分组技术的有效性有关。最后,对量表的因素结构进行了分析,指出了一个明确的主导因素。
Previous work of the author presents a salutogenic theoretical model designed to explain maintenance or improvement of location on a health ease/dis-ease continuum. The model's core construct, the Sense of Coherence (SOC), was consciously formulated in terms which are thought to be applicable crossculturally. The SOC scale which operationalizes the construct is a 29-item semantic differential questionnaire, its design guided by Guttman's facet theory. A 13-item version of the scale has also been used. The purpose of the present paper is to present the extant evidence from studies conducted in 20 countries for the feasibility, reliability and validity of the scale, as well as normative data.In 26 studies using SOC-29 the Cronbach alpha measure of internal consistency has ranged from 0.82 to 0.95. The alphas of 16 studies using SOC-13 range from 0.74 to 0.91. The relatively few test-retest correlations show considerable stability, e.g. 0.54 over a 2-year period among retirees.The systematic procedure used in scale construction and examination of the final product by many colleagues points to a high level of content, face and consensual validity. The few data sets available point to a high level of construct validity.Criterion validity is examined by presenting correlational data between the SOC and measures in four domains: a global orientation to oneself and one's environment (19 r's); stressors (11 r's); health, illness and wellbeing (32 r's); attitudes and behavior (5 r's). The great majority of correlations are statistically significant. All available published normative data on SOC-29 and SOC-13 are presented, data which bear upon validity using the known groups technique. Finally, the factor structure of the scale is considered, pointing to one clear dominant factor.