Key result
Higher baseline sense of coherence is linked to better 10-year mental health, especially in women.
Why the study?
Sense of coherence is associated with quality of life, but its long-term effects were unknown in patients with myocardial infarction.
Does sense of coherence at baseline predict long-term quality of life in patients with myocardial infarction?
Observational (n=61)
No
Does sense of coherence at baseline predict long-term quality of life in patients with myocardial infarction?
p-value: p=<0.001
Sense of coherence is a stable trait that predicts long-term quality of life after myocardial infarction, especially in women, and can help identify patients needing additional support.
Baseline SOC may flag post-MI women for support; leaves open whether SOC-targeted interventions improve long-term QoL.
AIMS: Sense of coherence (SOC) allows individuals to be more resilient to adverse life events, and it is associated with quality of life (QoL), but its long-term effects are unknown in patients with myocardial infarction. This study aimed to examine longitudinal variations of SOC and associations between SOC at baseline and QoL at a 10-year follow-up in relation to gender. METHODS AND RESULTS: This longitudinal study included 61 patients, 16 women and 45 men with a mean age of 57.1 ± 6.5 years, who completed a questionnaire package in relation to hospital discharge, 2 years, 5 years, and 10 years later. The questionnaire package included the Sense of Coherence Scale (SOC-13), 12-item Short Form Health Survey, and Seattle Angina Questionnaire. Data were analysed with repeated measure ANOVA and linear regression. Overall, SOC was stable over the 10-year follow-up, but comprehensibility improved significantly (P = 0.003). A significant main effect for gender was shown regarding SOC total (P = 0.032) and comprehensibility (P = 0.034); women reported lower SOC compared with men. An interaction effect between gender and time was shown in comprehensibility (P = 0.007), as the differences between genders decreased over time. The SOC-13 was significantly associated with all dimensions of QoL; three significant interaction effects showed that the associations were true for women but not for men. CONCLUSION: The SOC is an important aspect to consider in the care of patients with myocardial infarction, as it is associated with long-term QoL, particularly for women. This means that SOC can also be used to identify patients who are at risk for poor QoL after a myocardial infarction.
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Malm et al. (2025) conducted an observational in Myocardial infarction (n=61). Sense of coherence (SOC) was evaluated on Mental health (MCS-12) at 10-year follow-up (p=<0.001). Higher sense of coherence at baseline was significantly associated with better long-term mental health and quality of life at 10 years, particularly for women.
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