The present study aimed to investigate the relationships between, personal meaning, sense of coherence, organisational commitment and selected biographical variables, specifically age, tenure and occupational level. It was found that mostly significant positive relationships exist between personal meaning and sense of coherence. Personal meaning and sense of coherence exhibit predictive value for organisational commitment. It was established that self-transcendence plays a significant role in the development of affective and normative organisational commitment. Some significant differences were found between management and non-management employees in the manifestation of personal meaning. Management approximate more personal meaning to achievement, self-acceptance, and fair treatment. On sense of coherence and organisational commitment there were no significant differences between management and non-management employees. It was recommended that the relationship between personal meaning and other positive psychology variables be researched in order to determine the significance of such relationships so as to add to this relatively new body of research. / Industrial and Organisational Psychology / M.Comm.

This study investigates whether a relationship exists between two constructs, namely sense of coherence (SOC) and organisational commitment, and their relationship with specific biographical attributes of consultants working in the enterprise resource and planning (ERP) industry. The results of the study indicate that, overall, a relationship at a significant level could not be established between the two constructs. However, some of the correlations in this study showed that a few relationships could be established at a significant level between age and tenure and some of the subscales of the two constructs. On the basis of the results of the study, recommendations could be made that apply in the ERP industry. Suggestions were also made for possible further research in other areas such as recruitment, employee development, employee reward, compensation and recognition, employee retention, succession planning, employee wellbeing and talent management. / Industrial and Organisational Psychology / M. Com. (Industrial and Organisational Psychology)

This research has utilised Antonovsky's SOC construct and explored its role in a group relations training event. A quantitative and qualitative design was used. A sample of eight (N = 8) human resources practitioners was recruited through convenience sampling. The qualitative analysis of the group relations training event was facilitated by split mean procedure analysis of the SOC results. The research demonstrated that the SOC is a pervasive disposition in determining the way in which one appraises and copes with group relations· training. All participants experienced anxiety, stress, defensive behaviour, negative emotions and learning associated with a group relations training event. However, the high-SOC participants were better able to cope, manage and make sense of the group relations training than low-SOC individuals. Recommendations were formulated in doing future research for human resource practitioners on the role of SOC in group relations training. / Industrial and Organizational Psychology / M.Admin. (Industrial Psychology)

Afrikaans text / In hierdie navorsing is die waarde van salutogenese as paradigma in gesondheid­ sielkunde krities beskou en salutogenese as konstruk ondersoek. Antonvosky (1979) se aanspraak dat salutogenese 'n nuwe paradigma verteenwoordig, is krities teen die agtergrond van Kuhn se wetenskapsbeskouing en die metaforiese gebruik van die paradigmabegrip in die geesteswetenskappe geevalueer. Met die navorsing is bevind dat salutogenese wei as paradigma in gesondheidsielkunde funksioneer. Die verskille tussen salutogenese en patogenese in terme van aannames. metodologie, teoretiese onderbou en gedeelde waardes is om voldoende tot die slotsom te kom dat salutogenese in die vorm van 'n mini-revolusie akkumulatief tot navorsingsprestasie bydra. Daar word aanbeveel dat die paradigma eksplisiet gestel word ten einde navorsing volgens die salutogeniese beginsels te rig. Ten einde die konstruk 'salutogenese' te belig en bepalende persoonlikheidskenmerke in die salutogeniese paradigma te identifiseer, is 'n steekproef van 1983 voorgraadse studente aan UNISA geselekteer, in twee groepe verdeel, naamlik Blankes en Ander, en vraelyste wat koherensiebelewing, persoonlikheidsgehardheid, potensie, aangeleerde vindingrykheid, lokus van kontrole en selfdoeltreffendheid meet, is afgeneem. Die onderliggende dimensies van die konstrukte is deur faktorontleding blootgele. Produkmomentkorrelasies is bereken en tweede- ordefaktorontledings en bevestigende faktoranalises is uitgevoer. Die empiriese resultate dui daarop dat vir die Blankes aldie persoonlikheidskenmerke tot die konstruk bygedra het, terwyl aangeleerde vindingrykheid nie by die Ander tot salutogenese bygedra het nie. In terme van bepalende persoonlikheidskenmerke is by die Blankes bevind dat salutogenese uit twee tot drie dimensies bestaan. 'n Optimistiese lewensuitkyk, aktiewe betrokkenheid by die omgewing, spesifieke gedragsvaardighede wat streshantering vergemaklik en 'n persepsie van hulpbron­ beskikbaarheid is die ge'ldentifiseerde bepalende salutogeniese kenmerke. Vir die Ander het resultate aangetoon dat salutogenese 'n eendimensionele konstruk is wat verteenwoordigend is van 'n individu wat oor 'n optimistiese lewensuitkyk beskik, stimuli as verstaanbaar en betekenisvol waarneem en op grond daarvan aktief by die leefwereld betrokke is. Salutogenese manifesteer dus verskillend by die onderskeie kultuurgroepe en die onderliggende meganismes en dinamika wat tot salutogenese lei, toon oak kulturele verskille. Bevestigende faktorontledingsresultate toon aan dat al die dimensies van salutogenese nog nie gei"dentifiseer is nie en daar word aanbeveel dat salutogenese verder binne 'n oorkoepelende persoonlikheidsteorie ondersoek meet word. In bedryfsielkundige praktyk kan salutogenese gebruik word om stres­ weerbaarheid te verhoog. / In this research salutogenesis as new paradigm in health psychology was critically evaluated and salutogenesis as construct was clarified. Antonovsky's claim that salutogenesis is a new paradigm was evaluated against the background of Kuhn's view of science and the metaphorical use of the term 'paradigm' in the social sciences. This research concludes that salutogenesis is indeed a new paradigm in health psychology. Salutogenesis and pathogenesis differ sufficiently in terms of assumptions, methodology, specific theories and shared values that salutogenesis, as a mini revolution, contributes to accumulative scientific performance. The paradigm should however be stated explicitly in order to govern research according to salutogenic values. In order to clarify salutogenesis as construct and to identify determining personality characteristics in the salutogenic paradigm, a sample of 1983 undergraduate students from Unisa was selected, divided into two groups, namely Whites and Other, and questionnaires measuring sense of coherence, hardiness, potency, learned resourcefulness, locus of control and self-efficacy were administered. Factor analysis clarified the constructs' underlying dimensions. Product moment correlations were calculated, second-order and confirmatory factor analysis performed in order to clarify the structure of salutogenesis. The results identified that for the Whites all the personality characteristics contributed while learned resourcefulness did not contribute to salutogenesis for the other group. In terms of determining personality characteristics it was found for the White group that salutogenesis is a two or three dimensional construct consisting of an optimistic outlook and active participation in life's demands, specific behavioral skills that aid stress management and a perception of resource availability. For the other group, results indicated that salutogenesis is a unidimensional construct which is respresentative of an individual that has an optimistic outlook on life, evaluates stimuli as comprehensible and is actively involved in his/her own life. Salutogenesis thus manifest differently in different cultures and the underlying mechanisms and dynamics, leading to a salutogenic orientation, show cultural differences. Confirmatory factor analysis indicate that all dimensions of salutogenesis have not been identified and it is recommended that salutogenesis be studied within a broad personality theory. Salutogenesis can be used in industrial psychology to enhance individual stress resistance. / Industrial and Organisational Psychology / D. Litt. et Phil. (Bedryfsielkunde)

Text in Afrikaans / Salutogenese is 'n nuwe denkrigting wat die ouer patogeniese paradigma vervang. Daarvolgens word stres nie noodwendig in werkverband of in die mens se lewe as negatief gesien nie, maar as optimaliseringsmoontlikheid ten einde positiewe stres- en coping-uitkomstes te bewerkstellig. Hierdie navorsing het ten doel die ondersoek na die verband tussen Salutogenese en Werkorientasie as optimaliseringskonstrukte. Salutogenese is ondersoek deur onder andere te fokus op o Sin vir Koherensie o Persoonlikheidsgehardheid o Aangeleerde Vindingrykheid. Werkorientasie is ondersoek deur onder andere te fokus op o Organisasieverbintenis o Werkbetrokkenheid o Werkbevrediging. In die merra~uurron~dlerrsoelk is 'n persoonlikheidsprofiel van die optimaal-funksionerende mens saamgestel uit die eienskappe van die Salutogeniese mens en die optimaalfunksionerende werknemer, volgens intrapersoonlike (kognitiewe, affektiewe, konatiewe en fisiese) en interpersoonlike eienskappe. In die empirriese cmdlerrsoelk is 'n battery bestaande uit meetinstrumente van die konsepte, na studente uitgestuur. Die steekproef (N = 934) is in twee groepe verdeel, te wete Blankes en Ander, ten einde betekenisvolle resultate te verkry. Die battery is gefaktoranaliseer, alfa-koeffisiente is bepaal en items is geselekteer waarop die resultate gebaseer is: Produkmomentkorrelasies tussen die konsepte is vir elke groep bepaal, asook beduidende verskille tussen groepe. LISREL-ontledings is gedoen ten einde die konseptualisering van die twee konstrukte te bepaal. Uit die empiriese bevindings blyk dit dat die verskillende konsepte onderling verband hou en die konstrukte verteenwoordig. Hieruit kon 'n profiel van die Salutogeniese mens en die optimaal-funksionerende werknemer volgens intra- en interpersoonlike eienskappe opgestel word. Die verband wat die LISREL-ontledings tussen die twee konstrukte bevind het, het die integrering daarvan tot persoonlikheidsprofiel van die optimaal-funksionerende mens, bevestig. Laastens is die empiriese bevindings met die literatuurprofiel ge"integreer en daar is bevind dat daar grootliks ooreenstemming tussen die literatuur en die empiriese bevindings bestaan. Met die navorsing is bevind dat Salutogenese en Werkorientasie as twee afsonderlike konstrukte bestaansreg het, maar dat dit wei oak beduidend verband met mekaar hou. Met die integrering van die literatuur en die empiriese bevindings, is daar tot die gevolgtrekking gekom dat die verband tussen die twee konstrukte optimalisering simboliseer. Dit figureer as intra- en interpersoonlike eienskappe by die optimaal-funksionerende mens. / Salutogenesis is a new approach which replaces the old pathogenic paradigm. In terms of this approach, stress need not necessarily be viewed negatively in the workplace or in the private lives of man, but as an opportunity for optimisation which can lead to positive outcomes regarding stress and coping. The purpose of this research was to investigate the relationship between Salutogenesis and Work Orientation as two constructs of optimisation. Salutogenesis was investigated by focusing on: o Sense of Coherence o Hardiness o Learned Resourcefulness. Work Orientation was investigated by focusing on: o Organisational Commitment o Job Involvement o Job Satisfaction. In the literature survey, the personality profile of the optimally functioning person was compiled, using the integration of the personality profile of the Salutogenic person with the personality orientation profile of the optimally functioning worker. This was done according to intrapersonal {cognitive, affective, conative and physical) and interpersonal characteristics. In the empirical investigation a battery of questionnaires dealing with the various concepts was mailed to students. The sample {N=934) was divided into two groups, namely Whites and Others, in order to obtain meaningful results. The battery was subjected to factor-analysis and coefficient alpha was calculated in order to select items on which the results could be based. Product-moment correlations for each group were calculated for the various concepts and significant differences were determined. LISREL-analyses were performed to conceptualise the two constructs. The empirical findings indicate that the different concepts which constitute the two different constructs are interrelated. The relationship between the two constructs was confirmed by a LISREL-analysis, thus validating the integration of the two constructs into a personality profile of the optimally functioning person according to intra- and interpersonal characteristics. The empirical constructs could finally be integrated with the literature profile. The research established that Salutogenesis and Work Orientation should be regarded as independent, yet related constructs. The integration of the literature and the empirical findings suggests that both constructs symbolise optimisation and manifest as intra- and interpersonal characteristics of the optimally functioning person. / Industrial and Organisational Psychology / D. Com. (Industrial Psychology)

Text in Afrikaans / Summaries in Afrikaans and English / Die doel van hierdie studie was om die verwantskap tussen persoonlikheidstipes en 'n salutogeniese konstruk naamlik sin vir koherensie te ondersoek. Persoonlikheid is vanuit 'n behavioristiese sowel as humanistiese paradigma ondersoek en sin vir koherensie vanuit 'n salutogeniese paradigma. Die studie is uitgevoer onder middelvlak bestuurders in 'n finansiele instelling waarvan die totale populasie in 'n gegewe geografiese gebied betrek is. Twee meetinstrumente, naamlik die lewensorientasievraelys (OLQ) en die Myers-Briggs tipe indikator (MBTI) is gebruik op die populasie van 57 bestuurders. Pearson produkmoment-korrel asiekoeffisiente is bereken en 'n variansie-ontleding is gedoen. Die resultate van hierdie studie toon dat daar nie 'n beduidende verband is tussen persoonlikheidstipes en sin vir koherensie nie. Die aanname word gemaak dat 'n verwantskap tussen die twee konstrukte moontlik gevind kan word indien 'n meer geografies verspreide en heterogene proefgroep gebruik word waarin al die persoonlikheidstipes verteenwoordig is. / The purpose of this study was to investigate the relationship between personality types a11d a salutogenic construct, namely sense of coherence. Personality has been investigated from a behaviouristic as well as a humanistic paradigm and sense of coherence from a salutogenic paradigm. This study has been done on persons on middle management level in a financial institution of which the total population has been approached in a given geographical area. Two measuring instruments, namely the Orientation To Life Questionnaire (OLQ) and the Myers-Briggs Type Indicator (MBTI) have been used on the population of 57 managers. Pearson product moment correlation coefficient has been calculated and a variation analysis has been done. The results of this study show that there is no significant relation between personality types and sense of coherence. It is supposed that a relationship between the two constructs might be found if a more heterogenic and geographically spread experimental group is used in such a way that all the personality types are represented. / Psychology / M.A. (Bedryfsielkunde)

The aim of this dissertation is to establish the factor structure of six salutogenic constructs. The six constructs are conceptualised form the salutogenic paradigm - namely sense of coherence, hardiness, self-efficacy, learned resourcefulness, locus of control and potency. A personality profile of the salutogenic functioning person as well as relevant international and South African research are presented. Measurements for the six constructs and biographical data are administered to a representative sample of 100 administrative officers. The instruments were found to be reliable in this study. Pearson product moment correlations indicated that salutogenesis does not differentiate between gender, race or qualification, and that coping ability increases with age. Factor analysis indicated a distinct three factor structure consisting of sense of coherence, hardiness and a combination of self-efficacy and potency (self-control). Confirmatory factor analysis indicated a good fit confirming the literature on and personality profile of the salutogenic functioning individual. / Industrial and Organisational Psychology / M. Admin. (Industrial Psychology)

Text in Afrikaans / Die doel van die navorsing is om die individu se aanpassing tydens integrasie te ondersoek. 'n Gedragsprofiel vir aanpassing word in die literatuuroorsig voorgestel volgens sin van koherensie as konstruk van die salutogenese paradigma. Empiries word die lewensorientasievraelys as psigometriese instrument gebruik om sterkte van sin van koherensie te bepaal. K walitatiewe onderhoude, gegrond op fenomenologiese beginsels, word gebruik om aanpassing kwalitatief te evalueer. In die navorsingsontwerp is daar sprake van verkennende, beskrywende en verklarende navorsing en nie-waarskynlikheidsteekproeftrekking word gebruik. Kwantitatiewe en kwalitatiewe resultate word gekoppel ten einde inteme geldigheid op kontekstuele vlak te verseker. Bevindinge toon dat betekenisvolheid van die integrasieproses die vemaamste verskil maak tussen aanpassing en nie-aanpassing. Verstaanbaarheid binne grense van die onmiddellike omgewing en hantering van instrumentele eise sonder om die fokus op emosionele parameters te plaas, fasiliteer verdere aanpassing. Relevante sleutelwoorde is aanpassing, stres, patogenese, salutogenese, sin van koherensie, verstaanbaarheid, hanteerbaarheid, betekenisvolheid, fenomenologie en triangulasie. / The aim of this research is to study individual coping during integration. A behavioural profile for coping is proposed in the literature study based on sense of coherence, a construct of the salutogenesis paradigm. Empirically the psychometric instrument, orientation to life questionnaire, is used to determine the strength of sense of coherence. Qualitative interviewing, based on phenomenological principles, is used to evaluate coping qualitatively. In the research design there are signs of exploratory, descriptive and explanatory research and nonprobability sampling is used. Quantitative and qualitative results are combined to ensure internal validity on a contextual level. Findings showed that meaningfulness of the integration process is the major difference between coping and not coping. Comprehensibility within the boundaries of the immediate environment and the management of instrumental demands without focusing on the emotional parameters, facilitate further coping. / Industrial Psychology / M.A. (Industrial Psychology)

Knä- och höftplastik är bland de vanligaste kirurgiska ingreppen och har en stor positiv inverkan för den enskilda individens livskvalitet. Det har utarbetats flera vårdmodeller för patientkategorin som genomgår en knä- eller höftplastik, dels för att minska vårdkostnader men även för att förbättra vården. Det behövs emellertid mera kunskap om patientens upplevelse eftersom vården är i ständig utveckling. Studiens syfte var att beskriva patientens upplevelse av hemgång från en specialiserad elektiv enhet, den första postoperativa dagen efter knä- eller höftplastik, och första tiden efteråt. Telefonintervjuer utfördes med 12 patienter, och analyserades enligt kvalitativ innehållsanalys, med en induktiv ansats. Resultatet utmynnade i fem huvudkategorier med respektive underkategorier. Huvudkategorierna som framkom var; Den betydelsefulla hemmiljön, Information från sjukhuset, Oundvikligt hjälpbehov, Återhämtningens utmaningar och Hälsofrämjande kontakt. Informanterna delade en positiv upplevelse av hemgång den första postoperativa dagen och kunde hantera eventuella svårigheter på ett adekvat sätt, på egen hand eller med stöd av medskickad dokumentation, anhöriga eller kontakt med sjukhuset. Hemgång dagen efter knä- eller höftplastik upplevs som tryggt. / Knee and hip arthroplasty are among the most common surgeries available today and have a great impact on the quality of life of the individual. Several care models have been developed for patients having had knee or hip arthroplasty, not only to address the cost of healthcare, but also to improve the quality of the care itself. However, more knowledge about a patients experience following surgery is required as the care is continually progressing. The purpose of this study was to document the experience of a patient following a knee or hip arthroplasty. We aim to document their experiences returning home from a specialized elective unit, their first day post operation, as well as the initial period of recovery. Phone call interviews were carried out with 12 patients, and analyzed according to qualitative content analysis with inductive approach. The results were divided into five main categories, each with their own sub-categories. The main categories were; the importance of the home environment, information from the hospital, the necessity of help, challenges of recovery and health promotion contact. The participants reported a positive experience returning home after the first postoperative day and were able to handle potential issues in an adequate manner; on their own, with support from informative documentation, with help from relatives or through contact with the hospital. The experience of returning home the first day post operation, after a knee or hip arthroplasty is considered comfortable.

Abstract According to the literature, postpartum depression affects 10–15% of all mothers giving birth. The purpose of this study is to examine the time after a child is born in the everyday life of a family from the salutogenic perspective. The target group of the 'Lapsiperhe 1992' survey were the married and cohabiting couples living in the region of the city of Oulu who were expecting their first child and had the due date between 1 February 1992 and 31 January 1993. The study evaluated the mood of the mothers quantitatively using the Edinburgh Postnatal Depression Scale (EPDS) during pregnancy and after childbirth. The relationships of the couples were studied using parts of Spaniers's (1976) Dyadic Adjustment Scale (DAS) and part of Bienvenu's Marital Communication Inventory that were combined to form a relationship questionnaire. Altogether 85% of the mothers (n = 558) participated in the study before giving birth and 74% (n = 487) after childbirth. As many as 472 of those who answered both questionnaires (n = 475) also filled in the EPDS questionnaire. Altogether 10.4% (n = 58) exceeded the cut-off point of 13 points, according to the EPDS, during pregnancy and 8.3% (n = 39) after childbirth. The questionnaire on moods during pregnancy and perception of the relationship were analysed by means of cross-tabulation for those subjects who answered both the questionnaire on moods and the relationship questionnaire (n = 461). In this study, the questionnaire on moods was divided into two categories, EPDS ≤ 12 and EPDS ≥13, similar to the relationship questionnaire < 70 (n = 43, 9.3%) and relationship questionnaire ≥ 70 (n = 418, 90.7%). If the relationship was considered bad (< 70) the risk of developing depression during pregnancy was 4.7 times higher (RR = 4.7, 95% confidence interval 2.8–8), and after childbirth 5.5 times higher (RR = 5.5, 95% confidence interval 3.1–9.6). The qualitative section of the study identifies the resources for recovery used by the subjects. A focused interview was carried out with 29 mothers during their maternity leave, 3–10 months after childbirth. The subjects for the interview were selected on the basis of the EPDS questionnaire and they formed three groups: EPDS ≤ 5 (n = 13), EPDS ≥ 13 (n = 13) and others (n = 3). The method of analysis used was the grounded theory method. Many of those who had exceeded the cut-off point felt they had suffered from passing melancholy or they had problems in their marital relationship. Those who suffered from severe depression also had coping methods. The most important coping methods were seeking social support, taking distance, physical exercise, relaxation by reading, cognitive methods, religion and humour. The support given by one's husband or significant other played an essential role in recovery. It is important to make a difference between depression diagnosed using the EPDS and clinically diagnosed depression, in order to avoid medicalisation. / Tiivistelmä Aikaisemman tutkimuksen mukaan synnytyksen jälkeinen masennus koskettaa 10–15 % kaikista synnyttäjistä. Tämän tutkimuksen tavoitteena oli tutkia salutogeenisestä näkökulmasta lapsen syntymän jälkeistä aikaa perheen arkielämässä. Kohdeväestönä Lapsiperhe 1992 -tutkimuksessa olivat ne avio- ja avoparit Oulun kaupungin alueella, jotka odottivat ensimmäistä lastaan ja joiden laskettu aika oli 1.2.1992–31.1.1993. Tutkimuksessa arvioitiin kvantitatiivisesti äitien mielialaa käyttäen EPDS-kyselyä (Edinburgh Postnatal Depression Scale) odotusaikana ja synnytyksen jälkeen. Parisuhdetta tutkittiin käyttäen osaa Spanierin (1976) kehittämästä kyselystä (Dyadic Adjustment Scale, DAS) sekä osaa Bienvenun aviopuolisoitten vuorovaikutuskyselystä, joista muodostettiin parisuhdekysely. Tutkimukseen osallistui 85 % äideistä (n = 558 ) ennen synnytystä ja 74 % (n = 487) synnytyksen jälkeen. Molempiin kyselyihin vastanneista (n = 475) EPDS-kysely oli täytetty 472:lla. 10,4 % (n = 58) ylitti katkaisupistemäärän 13 pistettä EPDS-mittarin mukaan raskausaikana, ja 8,3 % (n = 39) synnytyksen jälkeen. Mielialakyselyä odotusaikana ja koettua parisuhdetta on analysoitu ristiintaulukoinnin avulla niiltä vastaajilta, jotka olivat vastanneet sekä mielialakyselyyn että parisuhdekyselyyn (n = 461). Tässä tarkastelussa mielialakysely on jaettu kahteen luokkaan, EPDS ≤ 12 ja EPDS ≥ 13, samoin kuin parisuhdekysely < 70 (n = 43, 9,3 %) ja parisuhdekysely ≥ 70. (n = 418, 90,7 %). Koetun parisuhteen ollessa huono (<  70) riski masentuneisuuden kehittymiselle odotusaikana on 4,7-kertainen (RR = 4,7, 95 %:n luottamusväli 2,8–8), ja synnytyksen jälkeen 5,5-kertainen (RR = 5,5, 95 %:n luottamusväli 3,1–9,6). Laadullisessa osassa kartoitettiin tutkittavien toipumisen resursseja. 29 äidille tehtiin teemahaastattelu äitiysloman aikana 3–10 kuukautta synnytyksen jälkeen. Haastateltavat valittiin EPDS-kyselyn perusteella muodostaen kolme ryhmää: EPDS ≤ 5 (n = 13), EPDS ≥ 13 (n = 13) ja muut (n = 3). Analyysimenetelmänä oli grounded teoria -menetelmä. Monet kynnyspisteen ylittäneet kokivat itse kärsineensä ohimenevästä alakuloisuudesta tai heillä oli parisuhdeongelmia. Myös niillä, jotka kärsivät vakavasta masennustilasta, oli käytössään coping-keinoja. Tärkeimmät coping- keinot olivat sosiaalisen tuen hakeminen, etäisyydenotto, liikuntaharrastus, rentoutuminen lukemalla, kognitiiviset keinot, uskonnollisuus ja huumori. Puolison tuki oli oleellinen tekijä toipumisessa. Medikalisaation välttämiseksi on tärkeää tehdä ero EPDS-mittarilla todetun masentuneisuuden ja kliinisesti todetun depression välillä.