Validation of the Slovenian version of short sense of coherence questionnaire (SOC-13) in multiple sclerosis patients

Stern, Biljana; Socan, Gregor; Rener-Sitar, Ksenija; Kukec, Andreja; Zaletel-Kragelj, Lijana

doi:10.2478/sjph-2019-0004

Abstract

Aim

To validate the Slovenian version (SOC-13-SVN) of Sense of Coherence 13-item instrument (SOC-13) in Slovenian multiple sclerosis (MS) patients.

Methods

A consecutive 134 Slovenian MS patients were enrolled in a cross-sectional study in 2013. The reliability of the SOC-13-SVN was assessed for internal consistency by Cronbach’s alpha coefficient (α), dimensionality by the confirmatory factor analysis (CFA), and criterion validity by Pearson correlation coefficient (r) between SOC-13-SVN global score and MSQOL-54 composite scores – Mental Health Composite score (MHC) and Physical Health Composite score (PHC).

Results

For the SOC-13-SVN instrument as a whole, internal consistency was high (α_total=0.88) while it was low for three subscales (α_{comprehensibility}=0.79; α_{manageability}=0.66; α_{meaningfulness}=0.69). The results of the CFA confirmed a three-factor structure with good fit (RMSEA=0.059, CFI=0.953, SRMR=0.065), however, the correlations between the factors were very high (r_{comprehensibility/manageability}=0.938; r_{comprehensibility/meaningfulness}=0.811; r_{manageability/meaningfulness}=0.930). The criterion validity analysis showed a moderate positive strength of relationship between SOC-13-SVN global score and both MSQOL-54 composite scores (MHC: r=0.597, p<0.001; PHC: r=0.437, p<0.001).

Conclusion

Analysis of some psychometric properties confirmed that this instrument is a reliable and valid tool for use in Slovenian MS patients. Despite the three-dimensional structure of the instrument, the use of the global summary score is encouraged due to the low reliability of the subscale scores and high correlations between them.

References

World Health Organisation. Neurological disorders: public health challenges. Geneva: WHO, 2006.
Search in Google Scholar Back to article
Benito-Leon J, Manuel Morales J, Rivera-Navarro J, Mitchell A. A review about the impact of multiple sclerosis on health-related quality of life. Disabil Rehabil. 2003;25:1291-303. doi: 10.1080/09638280310001608591
Open DOI Search in Google Scholar Back to article
Hermann BP, Vickrey B, Hays RD, Cramer J, Devinsky O, Meador K, et al. A comparison of health-related quality of life in patients with epilepsy, diabetes and multiple sclerosis. Epilepsy Res. 1996;25:113-8.
Search in Google Scholar Back to article
Murphy N, Confavreux C, Haas J, Konig N, Roullet E, Sailer M, et al. Quality of life in multiple sclerosis in France, Germany, and the United Kingdom. Cost of Multiple Sclerosis Study Group. J Neurol Neurosurg Psychiatry. 1998;65:460-6.
Search in Google Scholar Back to article
Pugliatti M, Rosati G, Carton H, Riise T, Drulovic J, Vecsei L, et al. The epidemiology of multiple sclerosis in Europe. Eur J Neurol. 2006;13:700-22. doi: 10.1111/j.1468-1331.2006.01342.x
Open DOI Search in Google Scholar Back to article
Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Jossey-Bass, 1987.
Search in Google Scholar Back to article
Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindstrom B, et al, editors. The handbook of salutogenesis. Heidelberg: Springer, 2017.
Search in Google Scholar Back to article
Calandri E, Graziano F, Borghi M, Bonino S. Coping strategies and adjustment to multiple sclerosis among recently diagnosed patients: the mediating role of sense of coherence. Clin Rehabil. 2017;31:1386-95. doi: 10.1177/0269215517695374
Open DOI Search in Google Scholar Back to article
Eriksson M, Lindstrom B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Community Health. 2005;59:460-6. doi: 10.1136/jech.2003.018085
Open DOI Search in Google Scholar Back to article
Jakobsson U. Testing construct validity of the 13-item Sense of Coherence Scale in a sample of older adults. Open Geriatr Med J. 2011;4:6-13. doi: 10.2174/1874827901104010006
Open DOI Search in Google Scholar Back to article
Naaldenberg J, Tobi H, van den Esker F, Vaandrager L. Psychometric properties of the OLQ-13 scale to measure sense of coherence in a community-dwelling older population. Health Qual Life Outcomes. 2011;9:37. doi: 10.1186/1477-7525-9-37
Open DOI Search in Google Scholar Back to article
Sardu C, Mereu A, Sotgiu A, Andrissi L, Jacobson MK, Contu P. Antonovsky’s Sense of Coherence scale: cultural validation of SOC questionnaire and sociodemographic patterns in an Italian population. Clin Pract Epidemiol Ment Health. 2012;8:1-6. doi: 10.2174/1745017901208010001
Open DOI Search in Google Scholar Back to article
Soderhamn O, Holmgren L. Testing Antonovsky’s sense of coherence (SOC) scale among Swedish physically active older people. Scand J Psychol. 2004;45:215-21. doi: 10.1111/j.1467-9450.2004.00397.x
Open DOI Search in Google Scholar Back to article
Bonacchi A, Miccinesi G, Galli S, Chiesi F, Martire M, Guazzini M, et al. The dimensionality of Antonovsky’s sense of coherence scales: an investigation with Italian samples. TPM. 2012;19:115-34. doi: 10.4473/TPM19.2.4
Open DOI Search in Google Scholar Back to article
Ferguson S, Davis D, Browne J, Taylor J. Examining the validity and reliability of Antonovsky’s sense of coherence scale in a population of pregnant Australian women. Eval Health Prof. 2015;38:280-9. doi: 10.1177/0163278715578558
Open DOI Search in Google Scholar Back to article
Saravia JC, Iberico C, Yearwood K. Validation of sense of coherence (SOC) 13-item scale in a Peruvian sample. J Behav Health Soc Issues. 2014;6:35-44. doi: 10.5460/jbhsi.v6.2.43847
Open DOI Search in Google Scholar Back to article
Zaletel-Kragelj L, Pahor M, Mihelic-Zajec A, Farkas-Lainscak J, Cvirn C, Vrhunec B. Translation of the questionnaire “Sense of Coherence - Orientation to Life Questionnaire” in the Slovenian language (in Slovenian). Ljubljana: University of Ljubljana, Faculty of Medicine, Chair of Public Health, 2015.
Search in Google Scholar Back to article
Multiple Sclerosis International Federation. Atlas of MS 2013: mapping multiple sclerosis around the world. London: Multiple Sclerosis International Federation, 2013.
Search in Google Scholar Back to article
Vidmar G, Burger H, Marincek C. Time trends in ability level and functional outcome of stroke and multiple sclerosis patients undergoing comprehensive rehabilitation in Slovenia. Zdr Varst. 2011;50:24-33. doi: 10.2478/v10152-010-0025-6
Open DOI Search in Google Scholar Back to article
Stern B, Hojs Fabjan T, Rener-Sitar K, Zaletel-Kragelj L. Validation of the Slovenian version of Multiple Sclerosis Quality of Life (MSQOL-54) instrument. Zdr Varst. 2017;56:260-7. doi: 10.1515/sjph-2017-0035
Open DOI Search in Google Scholar Back to article
Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, et al. Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol. 2011;69:292-302. doi: 10.1002/ana.22366
Open DOI Search in Google Scholar Back to article
Song Q, Shepperd M. Missing data imputation techniques. Int J Bus Int Data Min. 2007;2:249-60. doi: 10.1504/IJBIDM.2007.015485
Open DOI Search in Google Scholar Back to article
Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill, 1994.
Search in Google Scholar Back to article
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6:1-55. doi: 10.1080/10705519909540118
Open DOI Search in Google Scholar Back to article
Vickrey BG, Hays RD, Harooni R, Myers LW, Ellison GW. A health-related quality of life measure for multiple sclerosis. Qual Life Res. 1995;4:187-206.
Search in Google Scholar Back to article
Rosseel Y. lavaan: an R package for structural equation modeling. J Stat Softw. 2012;48:1-36. doi: 10.18637/jss.v048.i02
Open DOI Search in Google Scholar Back to article
R Foundation. The R project for statistical computing. Accessed November 27th, 2018 at: http://www.R-project.org/
Search in Google Scholar Back to article
Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med. 1993;36:725-33.
Search in Google Scholar Back to article
Mahammadzadeh A, Poursharifib H, Alipoura A. Validation of Sense of Coherence (SOC) 13-item scale in Iranian sample. Proc Soc Behav. 2010;5:1451-5. doi: 10.1016/j.sbspro.2010.07.306
Open DOI Search in Google Scholar Back to article
Rohani C, Khanjari S, Abedi HA, Oskouie F, Langius-Eklof A. Health index, sense of coherence scale, brief religious coping scale and spiritual perspective scale: psychometric properties. J Adv Nurs. 2010;66:2796-806. doi: 10.1111/j.1365-2648.2010.05409.x
Open DOI Search in Google Scholar Back to article
Tyagi A, Kumar S, Sethi AK, Dhaliwal U. Factors influencing career choice in anaesthesiology. Indian J Anaesth. 2012;56:342-7. doi: 10.4103/0019-5049.100814
Open DOI Search in Google Scholar Back to article
Moksnes UK, Haugan G. Validation of the Orientation to Life Questionnaire in Norwegian adolescents, construct validity across samples. Soc Indic Res. 2014;119:1105-20. doi: 10.1007/s11205-013-0536-z
Open DOI Search in Google Scholar Back to article
Spadoti Dantas RA, Silva FS, Ciol MA. Psychometric properties of the Brazilian Portuguese versions of the 29- and 13-item scales of the Antonovsky’s Sense of Coherence (SOC-29 and SOC-13) evaluated in Brazilian cardiac patients. J Clin Nurs. 2014;23:156-65. doi: 10.1111/jocn.12157
Open DOI Search in Google Scholar Back to article
Rajesh G, Eriksson M, Pai K, Seemanthini S, Naik DG, Rao A. The validity and reliability of the sense of coherence scale among Indian university students. Glob Health Promot. 2016;23:16-26. doi: 10.1177/1757975915572691
Open DOI Search in Google Scholar Back to article
Broersma F, Oeseburg B, Dijkstra J, Wynia K. The impact of self-perceived limitations, stigma and sense of coherence on quality of life in multiple sclerosis patients: results of a cross-sectional study. Clin Rehabil. 2018;32:536-45. doi: 10.1177/0269215517730670
Open DOI Search in Google Scholar Back to article
Ferligoj A, Leskošek K, Kogovšek T. Methodological notes 10. Reliability and validity of measurement (in Slovenian). Ljubljana: University of Ljubljana, FDV, 1995.
Search in Google Scholar Back to article
Karlsson I, Berglin E, Larsson PA. Sense of coherence: quality of life before and after coronary artery bypass surgery - a longitudinal study. J Adv Nurs. 2000;31:1383-92.
Search in Google Scholar Back to article
Forsberg A, Backman L, Svensson E. Liver transplant recipients’ability to cope during the first 12 months after transplantation - a prospective study. Scand J Caring Sci. 2002;16:345-52.
Search in Google Scholar Back to article
Snekkevik H, Anke AG, Stanghelle JK, Fugl-Meyer AR. Is sense of coherence stable after multiple trauma? Clin Rehabil. 2003;17:443-53. doi: 10.1191/0269215503cr630oa
Open DOI Search in Google Scholar Back to article
Kahonen K, Naatanen P, Tolvanen A, Salmela-Aro K. Development of sense of coherence during two group interventions. Scand J Psychol. 2012;53:523-7. doi: 10.1111/sjop.12020
Open DOI Search in Google Scholar Back to article
Super S, Wagemakers MA, Picavet HS, Verkooijen KT, Koelen MA. Strengthening sense of coherence: opportunities for theory building in health promotion. Health Promot Int. 2016;31:869-78. doi: 10.1093/heapro/dav071
Open DOI Search in Google Scholar Back to article
Gottberg K, Einarsson U, Fredrikson S, von Koch L, Holmqvist LW. A population-based study of depressive symptoms in multiple sclerosis in Stockholm county: association with functioning and sense of coherence. J Neurol Neurosurg Psychiatry. 2007;78:60-5. doi: 10.1136/jnnp.2006.090654
Open DOI Search in Google Scholar Back to article

Validation of the Slovenian version of short sense of coherence questionnaire (SOC-13) in multiple sclerosis patients

Abstract

Aim

Methods

Results

Conclusion

Paradigm

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