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Western Journal of Nursing Research
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Stress, Social Support, and Sense of Coherence

Angela C. Wolff

University College of the Fraser Valley, Chilliwack Campus

Pamela A. Ratner

School of Nursing, Institute of Health Promotion Research, University of British Columbia.

In the Salutogenic Model, Aaron Antonovsky suggested that a sense of coherence (SOC) is the key determinant in the maintenance of health. He theorized that individuals with a strong SOC have the ability to (a) define life events as less stressful (comprehensibility), (b) mobilize resources to deal with encountered stressors (manageability), and (c) possess the motivation, desire, and commitment to cope (meaningfulness). To determine the effects of SOC on health outcomes, a greater understanding of the development and maintenance of SOC is necessary. Data from the 1994 Canadian National Population Health Survey were analyzed to investigate the effects of stress, social support, and recent traumatic life events on SOC. As predicted, stress and recent traumatic events were found to be inversely related to SOC, and social support was positively related. Traumatic events encountered in childhood were stronger predictors of SOC than traumatic life events experienced in adulthood.

Western Journal of Nursing Research, Vol. 21, No. 2, 182-197 (1999)
DOI: 10.1177/01939459922043820
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