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• W2330621855 abstract "Objective There is increasing interest in whether positive and negative psychological constructs are bipolar opposites of the same phenomenon. We examine whether a positive construct—sense of coherence (SOC)—has independent predictive power over and above depressive symptoms for cardiovascular disease (CVD) and all-cause mortality. Methods Participants included 3850 men and 4083 women aged 25 to 74 years who had participated in risk factor surveys conducted in 1992 or 1997. Antonovsky’s 13-item SOC scale was used to measure SOC, and had a correlation of −0.60 with the Beck Depression Inventory. Results During a mean follow-up time of 14.2 years, there were 670 deaths and 487 nonfatal and fatal CVD events. Higher SOC scores were associated with a lower risk of all-cause mortality (relative risk [RR] = 0.90, 95% confidence interval [CI] = 0.84–0.97 per unit), especially among men, but this association became nonsignificant after adjustment for depressive symptoms (RR = 0.99, 95% CI = 0.90–1.08). Among participants without a history of CVD, higher SOC scores were related to a lower risk for CVD (RR = 0.90, 95% CI = 0.83–0.98), but this association disappeared after adjustment for cardiovascular risk factors. Depressive symptoms remained significant predictors of CVD among women in a model including also SOC (RR = 1.24, 95% CI = 1.06–1.46). Conclusions SOC was related to all-cause mortality among men; the association with CVD events was modest. Measures for SOC and depressive symptoms were significantly correlated, which might result in overlap in their associations with adverse disease and mortality outcomes." @default.
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• W2330621855 date "2013-05-01" @default.
• W2330621855 modified "2023-10-17" @default.
• W2330621855 title "Sense of Coherence, Depressive Symptoms, Cardiovascular Diseases, and All-Cause Mortality" @default.
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• W2330621855 doi "https://doi.org/10.1097/psy.0b013e31828c3fa4" @default.
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