Syftet med studien var att undersöka om det fanns en relation mellan arbetstrivsel och KASAM (känsla av sammanhang) inom en kommunal förvaltning i Sjuhäradsområdet. Utgångspunkterna var att ta reda på om det fanns skillnader i hur man trivdes på arbetsplatsen samt om det fanns könsskillnader eller åldersskillnader i arbetstrivseln. I studien användes en enkät för att ta reda på hur anställda ser på sitt arbete, och hur det påverkar arbetstrivseln. Mätinstrumenten som användes var Antonovskys livsfrågeformulär och en egen enkät om arbetstrivsel. 71 respondenter deltog i studien, 29 kvinnor och 40 män. Resultatet från studien visade att det inte fanns några signifikanta könsskillnader eller åldersskillnader för KASAM eller arbetstrivsel. Det fanns däremot samband mellan att ha kontroll över arbetet och högt KASAM-värde. / <p>The purpose of this study was to examine if there was a relationship between job satisfaction and SOC (Sense of Coherence) in a communal administration in the area of Sjuhärad. The starting points was to find out if there was any differences in how you feel about your workplace and if there was any differences in gender or age concerning work well-being. The study used survey data where the aim was to find out how employees view their work, and how it affects the job satisfaction present. The apparatus used was Atonovsky’s life questionnaire and a self-made survey on job satisfaction. 71 respondents participated in the study, 29 women and 40 men. Results from the study showed that there were no significant gender differences or age differences for either the SOC or job satisfaction. There was however associations between having job control and high SOC-value.</p><p>Program: Organisations- och personalutvecklare i samhället</p>

En kvalitativ studie som syftar till att analysera vad som kan skapa bra förutsättningar för ett ledarskap på distans, beskriva vilka utmaningar och möjligheter detta kan medföra och uppmärksamma upplevda skillnader mellan att leda på distans och att leda på plats. Åtta semistrukturerade intervjuer genomfördes där tidigare forskning om leader-member exchange theory och arbetsrelaterad känsla av sammanhang låg till grund för intervjuguiden. En tematisk analys genomfördes vilken resulterade i fem teman: tydlighet, kommunikation, tillgänglighet, relationer och stöd samt kompetens och effektivitet. De fyra första temana bidrog till att skapa bra förutsättningar för ett ledarskap på distans, utmaningar som framkom var att skapa förutsättningarna. I dessa teman fanns även skillnader mellan typerna av ledarskap. Det femte temat var övergripande och kom att stå för möjligheter med ett ledarskap på distans och anledningar till att det var nödvändigt. Studien visar en komplex bild av ledarskap på distans där alla teman samverkar.

Introdução: A escala de Senso de Coerência (SOC), desenvolvida por Antonovsky, vem sendo utilizada no mundo inteiro, inclusive no Brasil. Embora seja crescente o número de publicações brasileiras envolvendo o tema, o processo de adaptação da escala não está claro na literatura. A versão adaptada não foi submetida a uma rigorosa análise fatorial, etapa importante no processo de validação. Objetivo: avaliar o processo de adaptação transcultural e as propriedades psicométricas da versão brasileira da escala de SOC. Dois objetivos teóricos foram propostos: 1) revisar sistematicamente estudos de adaptação transcultural da versão brasileira da escala de Senso de Coerência em português; 2) testar a estrutura dimensional da versão brasileira da escala de SOC com 13 itens. Método: Para a revisão sistemática foram pesquisadas quatro bases de dados eletrônicas para artigos publicados até dezembro de 2016: LILACS, PubMed, Scielo e Scopus com restrição para o Brasil, contendo vocabulário livre e controlado. Um revisor avaliou os critérios de elegibilidade e extraiu os dados. Foram identificadas 60 referências, mas após leitura de títulos e resumos foram selecionados 21 artigos e 2 teses, mas no final 17 publicações foram incluídas. Para a análise da dimensionalidade da escala, foram utilizados quatro bancos de dados de estudos brasileiros independentes usando a escala de SOC com 13. Amostra 1 foi realizado em uma amostra de 1760 mães e 1771 adolescentes em 36 cidades do Sul do Brasil. Amostra 2 compreendeu uma amostra de 1100 adultos de 20 anos de idade ou mais na cidade de São Leopoldo, sul do Brasil. Amostra 3 foi em uma amostra de 720 adultos e idosos em Porto Alegre, Brasil. Amostra 4 compreendeu 664 adolescentes estudantes da cidade de Goiânia, no Centro-Oeste do Brasil. Todos os quatro tinham desenho transversal e foram aprovados por diferentes Comitês de Ética em Pesquisa. Todas as análises psicométricas foram conduzidas com MPlus versão 7.11. Resultados: Resultado 1: Apenas um artigo realizou análise fatorial para escala SOC-29. Verificou-se que até o momento os estudos não consideraram etapas específicas para adaptação para cultura brasileira, apesar de apresentarem etapas metodológicas para validade de conteúdo e confiabilidade, consistência interna, 8 estudos (SOC-13) alfa de Cronbach variaram de 0,61 a 0,81 e 4 estudos (SOC-29) de 0,77 a 0,87 e os resultados foram satisfatórios. Um único estudo mostrou cargas fatoriais baixas para alguns itens para as análises dos componentes principais. Na AFC da amostra 1 os resultados mostraram que o ajuste total do modelo não foi aceitável (RMSEA.....;CFI=0.77; TLI=0.73;e WRMR=3.27) para o modelo de 1 fator e para 3 fatores (RMSEA=0.12; CFI=0.78; TLI=0.72; e WRMR=3.23). Nas amostras 2 e 3, a AFE mostrou dois eigenvalues maiores que 1 (4.39 e 1.67) e (4.72 e 1.60), respectivamente. Os itens SOC1 SOC2 e SOC3 formaram um fator não interpretável. Depois AFC foi realizada com a amostra 4, tirando os itens não interpretáveis, e o ajuste do modelo ficou aceitável. Conclusão: A avaliação das propriedades psicométricas da versão brasileira da escala de SOC mostrou que a escala precisa de ajustes. O modelo de 1 fator com 10 itens mostrou um bom ajuste estatístico, mas precisa ser revisado, por razões teóricas, se a remoção de itens afetou a validade de conteúdo da escala e se é capaz de medir todo o construto. Assim, estudos qualitativos podem ajudar a validade teórica do processo de adaptação transcultural. / Introduction: The Sense of Coherence (SOC) scale, developed by Antonovsky, has been used worldwide, including Brazil. Although the number of Brazilian publications involving the theme is increasing, the adaptation process of the scale is not clear and the adapted version has not been subjected to a rigorous factor analysis, an important step in the validation process. Objective: to evaluate the cross-cultural adaptation process and psychometric properties of the Brazilian version of the SOC scale. Two specific objectives are proposed: 1) systematically review cross-cultural adaptation studies of the Brazilian version of the SOC scale in Portuguese; and 2) to test the dimensional structure of the Brazilian version of the SOC scale with 13 items. Method: For the systematic review, four electronic databases were searched for articles published until December 2016: LILACS, PubMed, Scielo and Scopus with restriction for Brazil, containing free and controlled vocabulary. One reviewer assessed the eligibility criteria and extracted the data. We identified 60 articles, but after reading titles and abstracts, 21 papers and 2 theses were selected and finally 17 publications included. For the dimensional structure of the scale, four datasets of independent Brazilian studies using SOC scale with 13 items were used. Sample 1 was conducted in a sample of 1760 mothers and 1771 adolescents in 36 cities in southern Brazil. Sample 2 comprised 1100 adults aged 20 years or older in the city of São Leopoldo, south Brazil. Sample 3 comprised 720 adults and elders in Porto Alegre, Brazil. Sample 4 comprised 664 adolescent from Goiânia, in Mid-West Brazil. All four samples had cross-sectional design and were approved by the different Ethics Committee. All psychometric analyzes were conducted with MPlus version 7.1. Results: The systematic review showed that included studies have not consider all specific steps for cross-cultural adaptation, despite presenting methodological steps for content validity and reliability. Internal consistency for SOC-13 was reported in 8 studies with a Cronbach's alpha ranging from 0.61 to 0.81 and for SOC-29 in 4 studies ranging from 0.77 to 0.87. A single study showed low factor loads for some items in principal component analysis. In our CFA of sample 1, results showed an unacceptable fit ( CFI = 0.77; TLI = 0.73; and WRMR = 3.27) for 1 factor model and for 3 factors (RMSEA = 0.12; CFI = 0.78; TLI = 0.72; and WRMR = 3.23). The, we run EFA on samples 2 and 3 and they showed, respectively, two eigenvalues greater than 1 (4.39 and 1.67) and (4.72 and 1.60). Items SOC1, SOC2 and SOC3 formed an uninterpretable factor. After, we run another CFA using sample 4, removing the uninterpretable items, and model fit was acceptable. Conclusion: The evaluation of the psychometric properties of the Brazilian version of the SOC scale showed that the scale needs adjustments. The 1 factor model with 10 items showed a good statistical fit but needs to be revised on theoretical grounds if item removal affected the content validity of the scale and whether the new version is capable of measuring the entire construct. Thus, qualitative studies may help in theoretical validation of the cross-cultural adaptation.

Introdução: O Senso de Coerência (SOC) é um recurso individual para o enfrentamento de estressores que torna os sujeitos mais competentes para manter e melhorar sua saúde. O SOC está relacionado à qualidade de vida, sendo considerado um importante preditor da saúde. Existe relação entre forte SOC e adoção de comportamentos saudáveis, percepção positiva da qualidade de vida relacionada à saúde bucal, menor ocorrência de cárie dentária, perda dentária e melhor condição periodontal. Objetivo: Investigar a relação entre SOC, impacto da saúde bucal na qualidade de vida (OIDP) e condição bucal clínica, em indivíduos de 50 a 74 anos, em Porto Alegre/RS. Materiais e Métodos: Trata-se de um estudo transversal com uma amostra de 720 sujeitos, selecionados por processo de amostragem aleatória proporcional em múltiplos-estágios. Os instrumentos utilizados foram a escala SOC (SOC-13), o questionário OIDP, uma ficha de exame clínico e um questionário de avaliação socioeconômica e uso dos serviços odontológicos, adaptados do Projeto SB- Brasil 2003. As análises bivariada e multivariada foram realizadas por meio de Regressão de Poisson, com ajuste para variância robusta, utilizando o software Stata 9.0 Resultados: Na análise ajustada, SOC mais alto associou-se à ausência de impacto da saúde bucal na qualidade de vida (RP=1,31; IC95%=1,09-1,56; p=0,003), baixo escore de OIDP (RP=1,42; IC95%=1,18-1,71; p=0,000) e ausência de impacto no desempenho sorrir (RP=1,29; IC95%=1,05-1,59; p=0,014). SOC mais alto também se associou aos desfechos clínicos estudados: ausência de necessidade de prótese (RP=1,34; IC95%=1,04-1,68; p=0,015) e maior número de dentes presentes (RP=1,05; IC95%=1,01-1,11; p=0,033), após ajuste para co-fatores. Conclusão: Os achados deste estudo demonstraram que o constructo SOC associa-se positivamente à qualidade de vida relacionada à saúde bucal, suportando a hipótese de que os indivíduos com SOC mais elevado apresentam menor impacto da saúde bucal no desempenho de atividades diárias do que aqueles com SOC mais baixo. Os resultados também sugerem que indivíduos com SOC mais alto apresentam melhor condição bucal do que aqueles com SOC mais baixo, tendo maior número de dentes presentes e menor necessidade de prótese. / Introduction: Sense of Coherence (SOC) is a resource for coping with stressors that can make individuals more able to maintain and improve their health condition. It is related to quality of life and considered a predictor of health. There is a strong relationship between SOC and adopting healthy behaviors, positive perceptions of quality of life related to oral health, lower incidence of dental caries, tooth loss and improved periodontal condition. Objective: To investigate the relationship between SOC, Oral Impacts on Daily Performances (OIDP) and oral health clinical condition in individuals aged between 50 to 74 years in Porto Alegre/RS. Materials and Methods: This is a cross-sectional population based study with a sample of 720 subjects, who were selected through stratified random sampling process in multiplestages. Data were collected through the SOC scale (SOC -13), the questionnaire OIDP, socioeconomic and use of dental services questionnaire, adapted from the Brazilian Oral Health Survey SB-Brazil 2003, and clinical examinations. Bivariate and multivariate analyses were performed by Poisson regression with robust variance adjustment using Stata 9.0 software. Results: In adjusted analysis, strong SOC was associated with absence of oral impact (PR=1.31; CI95%=1.09-1.56; p=0.003), low score of OIDP (PR=1.42; CI95%=1.18-1.71; p=0.000) and no impact on the performance smile (PR=1.29; CI95%=1.08-1.59; p= 0.014). Strong SOC was also associated with clinical outcomes, no need for prosthesis (PR=1.34; CI95%=1.04- 1.68; p=0.015) and greater number of teeth (PR=1.05; CI95%=1.01-1.11; p=0.033) after adjustment for co-factors. Conclusion: Our findings showed that the SOC construct was positively associated with quality of life related to oral health, supporting the hypothesis that individuals with strong SOC have a lower impact of oral health in the development of daily activities than those with weak SOC. The results also suggest that individuals with strong SOC have better oral health than those with a weak SOC, with higher number of teeth and less need for prosthesis.

Enhancing Quality of Life: The Effects of Positive Cognitions by Claudine Antoniette Gerald M.S., Walden University, 2009 B.S., Florida Atlantic University, 2002 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy General Psychology Walden University August 2015 The purpose of this study was to test the nature of the relationship among cognitive factors to determine quality of life in a sample of 180 adult internet users. Theories of the positive psychology paradigm, salutogenesis, dynamic equilibrium model, family systems, and family resilience theories were the bases for examining the relative significance of the cognitive factors, positive illusions, optimism, perception of control, meaning in life, resilience, and sense of coherence to the development of quality of life. Factor analysis revealed the order of significance of these variables from the most influential to least influential: sense of coherence, meaning in life, positive illusions, perception of control, resilience, and optimism. Stepwise multiple regression analysis indicated that positive illusions have a negative influence on quality of life β = -0.198, t = -2.36, F = 5.58, p = 0.02. Standard multiple regression analysis indicated that these cognitive factors do not significantly contribute to quality of life when grouped together. These findings corroborate current research that cognitive factors do not work alone in enhancing quality of life and there must be a balance along factors on other levels, such as psychological, physiological, behavioral, and sociocultural to enhance quality of life. Social change may be influenced by this study's unique and exclusive emphasis on the effects of cognitive factors, demonstrating the relative significance of these cognitive factors, individually and combined, for the promotion of quality of life. This study has filled two research gaps because positive cognitions had not been studied together and the association between positive illusions and the known quality of life promoting cognitive factors needed clarification.

Those with chronic illnesses or disabilities face numerous obstacles and issues as they come to terms with and manage the realities of their situation. How well health care providers and funders understand this can determine the types and quality of services offered. Antonovsky (1993) has developed the Sense of Coherence (SOC) concept, which introduces a salutogenic (health promotion) model of health. This challenges the pathogenic model (origins of disease) that dominates health care. A relationship between the SOC and coping has been established in the literature. Currently, the SOC is widely viewed as a stable personality trait, but emerging evidence suggests that the SOC may be amenable to change. The purpose of the study was essentially to investigate the stability of the SOC in relation to an intervention over time. The study was conducted using a time series design (Pre-admission (T1), admission(T2), discharge (T3), 6-month follow up(T4)). A convenience sample of 120 participants (93 women, 27 men) was recruited for the study. The instruments used as dependant measures were the SOC-29, the Acceptance of Disability Scale ADM (modified) and the SF-36. Analysis of the SOC-29 revealed a significant change over time (p= .05), with the follow up analysis indicating that this change occurred following the intervention. This same finding was also true of the ADM scores (p=0.0005). This was not sustained at 6-month follow up for either the SOC or the ADM. Analyses of the SF-36 scores showed a significant improvement from admission to the 6-month follow up on all scores except general health. Only 72 participants completed at the 6-month follow up and this reduced the power of the study to yield a statistically significant result. Furthermore, a post-hoc analysis revealed that over 93% of the participants had medium to high SOC scores at the beginning of the study and this may have impacted on the outcome. There were significant correlations between the scores on the SOC-29 and the ADM and all scales of the SF-36 except physical function. As the significant change in SOC-29 scores was not sustained at the six-month follow up it could suggest that the SOC is indeed a stable trait. However, there were other factors identified, related to the characteristics of the sample and to wider factors that could have had an impact on the outcome of this study. In particular it is possible that a 3-week programme is not long enough to effect a lasting change in the SOC and this raises questions about health care delivery for those who have chronic illness or disability.

<p>The aim of my study was to investigate a few young peoples experience of their treatment. The study was qualitative based on interviews with three young persons at the end of their treatment there. The subject was chosen because this kind of youth housing is an interesting alternative to institutional care for young people, despite there is not much known about the results of the treatment. The results were analyzed from earlier research and central concepts from the theory of empowerment and Anton Antonovskys theory about Sense of coherence. The results of this study show that these young peoples are satisfied with their treatment at the youth housing. They felt that a positive change and an improvement of their self-esteem had occurred. Another interesting result of the study shows is that these young people have developed from being a hostile teenager at the edge of a life where they could see no future to living as responsible grown-ups with a much brighter perspective of the future full of hopes and dreams.</p>

<p>Forskning har visat att self-efficacy, självkänsla, KASAM och locus of control alla har en effekt på graden av upplevd stress. Dock inte alla tillsammans, vilket denna studie avsåg att undersöka samt deras inbördes relationer och vilken variabel som predicerar stress bäst. Högskolestudenter (<em>n </em>= 65) svarade på varsin enkät. Resultatet visade att alla variablerna hade signifikant negativ korrelation med upplevd stress. Ju högre nivå på variablerna desto mindre stressade var studenterna. De kvinnliga studenterna var mer stressade än de manliga. Resultatet visade även genom multiple regression att self-efficacy var den variabel som var viktigast för att hantera stress inför en examination, näst viktigast var KASAM. Slutsatsen blev att dessa variabler hade en avgörande inbördes relation när det gäller graden av upplevd stress inför en examination.</p>

<p><strong>Syftet</strong> med litteraturstudien var att beskriva vad starkt respektive svagt KASAM betyder för livskvalitet, välbefinnande och hälsa bland äldre (60 år och äldre). Studien designades med en deskriptiv ansats. <strong>Metoden</strong> var att systematiskt söka litteratur i databaserna; Medline, CINAHL samt Vård i Norden, detta kompletterades även med manuella sökningar. Femton artiklar som motsvarade syftet och inklusionskriterierna granskades och analyserades. <strong>Resultatet</strong> visade att KASAM hade signifikanta samband med de äldres upplevda livskvalitet, välbefinnande och hälsa. Antalet sjukdomar och fysiska begränsningar hade en liten inverkan på de äldre om de hade ett starkt KASAM, då KASAM hade ett svagt samband med den objektiva hälsan och ett starkt samband med den subjektiva hälsan. KASAM var den faktor som bäst förutsåg hur de äldre upplevde sin livssituation. De äldre som hade ett starkt KASAM upplevde även tillfredställande socialt stöd, som hade en stor inverkan på deras välbefinnande. De äldre med svagt KASAM hade även låg livskvalitet och försämrat allmäntillstånd. <strong>Slutsatsen</strong> var att om vårdpersonal kan stärka de äldres KASAM kommer även de äldres livskvalitet, välbefinnande och hälsa förbättras.</p>

<p>Purpose: Our aim is to get an insight on how home care workers experience, handle and looks upon their work. We also want to form an opinion of how home care workers experience the relationship to the clients they meet.</p><p>Questions: How does home care workers experience their daily work with their clients? Home care workers daily meet many different sorts of clients with different needs, how do they handle this? What kind of support does home care workers get in their work?</p><p>Method: A qualitative design with semistructured interviews.</p><p>Conclusion: The most central conclusion from all of our interviews were: that home care service workers has a very stressful and demanding occupation, that the work has a low status, that the personnel has a big responsibility for the wellbeing of other people and that they often find their work satisfying and fun. To have someone to talk to and exchange ideas with was also mentioned by the informants as a vital part of feeling support in their work. From the Antonovskys theory, a sense of coherence, and Goffmans views of the society, we also find that the larger part of our informants feel a high sense of coherence and that when they have to adjust to their different caretakers they play different roles.</p>