Associations of Sense of Coherence with Sickness Absence and Reported Symptoms of Illness in Japanese Civil Servants

概要

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Antonovsky proposed a sense of coherence (SOC) as a construct that predicts effective coping measures in confronting stressful conditions^<1-4)>. SOC has been defined as a global orientation that expresses the extent to which one has a pervasive, enduring though dynamic feeling of confidence that (1) the stimuli deriving from one's internal and external environments in the course of living are structured, predictable and explicable ; (2) the resources are available to one to meet the demands posed by these stimuli ; and (3) these demands are challenges, worthy of investment and engagement. On the other hand, sickness absence is a composite outcome, comprising health and social behavior. It is primarily a proxy measure of ill health implying reduced occupational functioning, a form of illness behavior, leading to withdrawal from work, which may be linked to a wide range of life stressors. In this 1-year follow up study, qualitative and quantitative measures of health were obtained at baseline. This paper tries to address a primary question : are higher levels sense of coherence related prospectively to lower rates for symptoms of illness and sickness absence from the job?
社団法人日本産業衛生学会の論文