Coherence Scale Research Articles

Impact of cancer-related fatigue on quality of life in patients with cancer: multiple mediating roles of psychological coherence and stigma

ObjectiveThe goal of this current research was to explore the impact of cancer-related fatigue on the quality of life among patients with cancer, as well as the multiple mediating roles of psychological coherence and stigma.MethodsThis study utilized a cross-sectional design. A questionnaire was administered between November 2022 and May 2023 to 364 patients with cancer in two tertiary hospitals in Jinzhou City, Liaoning Province, China. The questionnaires included the General Information Questionnaire, Cancer-Related Fatigue Questionnaire, Psychological Coherence Scale, Stigma Scale, and Quality of Life Questionnaire. SPSS 25.0 and PROCESS 3.5 macros were used for descriptive statistics and correlation analysis of the data, as well as multiple mediation effect tests.ResultsCancer-related fatigue directly affects quality of life (β = -0.950, 95% CI = -1.138 to -0.763) and indirectly through three mediators: psychological coherence (β = -0.172, 12.58% of total effect), stigma (β = -0.193, 14.12% of total effect), and both psychological coherence and stigma (β = -0.052, 3.80% of total effect), totaling a 30.50% mediating effect.ConclusionOverall, psychological coherence and stigma may play an important mediating role between cancer-related fatigue and quality of life in patients with cancer. This suggests that alleviating cancer-related fatigue, while enhancing psychological coherence and reducing stigma, could be effective strategies for improving patients’ quality of life. Therefore, healthcare professionals and related professionals should pay attention to and adopt effective interventions to alleviate cancer-related fatigue, enhance psychological coherence, and reduce stigma, thereby contributing to the overall well-being and quality of life of patients with cancer.

The Effect of Reminiscence Therapy on the Assessment of Depression, Anxiety and Self-Esteem in Community-Dwelling Older Adults: An Intervention Study.

Reminiscence therapy (RT) is a widely used approach to promote well-being among older adults and is an effective intervention method for older adults with diverse health conditions, including community-dwelling older adults. The aim of the study was to determine the impact of group RT on assessments of depression, anxiety and self-esteem in older adults living in the community. We implemented sessions of group simple RT. The sample consisted of 24 older adults living in the community who attended a 12-week RT course. The duration of each reminiscence session was 60 min. The average age of the sample was 74.7 years. We used the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Rosenberg self-esteem scale, the Older adults' Quality of Life-Brief version and the Sense of Coherence scale to assess mental health outcomes before and after intervention. After intervention, we observed statistically significant improvements in assessments of depression (p < 0.001), anxiety (p = 0.011), self-esteem (p = 0.007) and the comprehensibility dimension of the sense of coherence scale (p = 0.039). Depression showed the largest effect size (Cohen's d = 0.870; 95% CI: 0.392 to 1.335), indicating a large effect, followed by self-esteem (Cohen's d = 0.612; 95% CI: -1.044 to -0.170) and anxiety (Cohen's d = 0.543; 95% CI: 0.108 to 0.967), both of which demonstrated a moderate effect. We found group RT to be effective for several outcomes among older adults. Reminiscence is a good non-invasive treatment for the promotion of mental health in community-dwelling older adults. As research has now established RT to be an essential component of activities for older adults in senior care facilities, we should also offer it to those living in the community as an effective activity for the promotion of healthy aging among older adults.

Report on a Case Study Process Evaluation of a HeartMath Intervention and Faith Following a Traumatic Experience

An initial study [1] was undertaken on a HeartMath intervention, focusing on coherence, resilience and faith following a traumatic experience. Quantitively, there were significant post-intervention positive improvements in physiological coherence, and improvements in resilience and faith, and, qualitatively, positive integrated thematic changes in experiences of sense of coherence, resilience and faith. Correlations revealed various Sense of Coherence Scale items correlated with Brief Resilience Scale and Santa Clara Strength of Religious Faith Questionnaire items, and there were inter-related and overlapping experiences of sense of coherence, resilience and faith integrated themes and sub-themes. The first study’s recommendations included that a case study process evaluation of a HeartMath intervention and faith following a traumatic experience be undertaken. The aim was to identify causal, correlation and relationship mechanisms of change. For this case study, the sample consisted of five participants purposefully selected from the original cohort. Information from a qualitative questionnaire on before, during and after intervention experience of sense of coherence, resilience, faith and HeartMath, as well as the HeartMath intervention, were collected. Emerging causal, correlation and relationship mechanisms of change in the form of integrated themes and sub-themes are discussed.

Multi-scale offshore wind farm site selection decision framework based on GIS, MCDM and meta-heuristic algorithm

Offshore wind energy has emerged as a significant driving force to establish a sustainable energy system. Nevertheless, the field of wind farm site selection faces challenges regarding the lack of coherent scale of site selection and incomplete consideration of methodologies. To address these issues, this study proposes a multi-scale framework and methodology, which combines Geographic Information System (GIS), Multi-Criteria Decision Making (MCDM), and meta-heuristic algorithms. The goal of this study is to determine the optimal scheme, its location and boundary, by integrating large, small, and micro-scale site selection. Within this framework, a combined weighting method based on Group Intuitionistic Fuzzy Analytic Hierarchy Process (GIAHP) and the Method based on the Removal Effects of Criteria (MEREC) is proposed to calculate the criteria weights. Additionally, the improved ORESTE method based on Cumulative Prospect Theory (CPT) is employed to rank the alternatives. Finally, the improved Variable Neighborhood Search (VNS) and Density-Based Spatial Clustering of Applications with Noise (DBSCAN) algorithms are implemented to design the offshore wind farm and determine its location and boundary. The proposed framework is then applied in the Shandong sea area in China. The results, obtained through sensitivity analysis and comparative analysis, can serve as a foundation for decision makers.

Intergalactic Medium Rotation Measure of Primordial Magnetic Fields

The Faraday rotation effect, quantified by the rotation measure (RM), is a powerful probe of the large-scale magnetization of the Universe—tracing magnetic fields not only on galaxy and galaxy cluster scales but also in the intergalactic medium (IGM; referred to as RMIGM). The redshift dependence of the latter has extensively been explored with observations. It has also been shown that this relation can help to distinguish between different large-scale magnetization scenarios. We study the evolution of this RMIGM for different primordial magnetogenesis scenarios to search for the imprints of primordial magnetic fields (PMFs; magnetic fields originating in the early Universe) on the redshift-dependence of RMIGM. We use cosmological magnetohydrodynamic simulations for evolving PMFs during large-scale structure formation, coupled with the light-cone analysis to produce a realistic statistical sample of mock RMIGM images. We study the predicted behavior for the cosmic evolution of RMIGM for different correlation lengths of PMFs, and provide fitting functions for their dependence on redshifts. We compare these mock RM trends with the recent analysis of the the LOw-Frequency ARray RM Grid and find that large-scale-correlated PMFs should have (comoving) strengths ≲0.75 nG, if they originated during inflation with the scale-invariant spectrum and (comoving) correlation length of ∼19 h −1 cMpc or ≲30 nG if they originated during phase-transition epochs with the comoving correlation length of ∼1 h −1 cMpc. Our findings agree with previous observations and confirm the results of semi-analytical studies, showing that upper limits on the PMF strength decrease as their coherence scales increase.

Validation of the Sense of Community Coherence Scale for German and Turkish cultures.

Sense of community coherence refers to how much a person perceives their communal life as comprehensible, manageable and meaningful. The study's purpose was to validate the Sense of Community Coherence Scale using two distinct groups of university students from Germany and Turkey. The scale was adapted to German and Turkish using the translation-back translation method and examined in terms of several indicators of reliability and validity, including cross-cultural measurement invariance with the data collected from 489 individuals from Germany and 533 individuals from Turkey. The findings exhibited satisfactory psychometric properties; specifically, high reliability, good construct and criterion validity, and partial measurement invariance across cultures were observed. As a result, Sense of Community Coherence Scale was concluded to be reliable and partially valid in the samples of Turkish and German university students. Validation of the German and Turkish forms of the scale is expected to contribute to mental health research and practice for allowing the measurement of how individuals feel about their community in the context of manageability, meaningfulness and comprehensibility. This study can help researchers and practitioners design enhancement, prevention and intervention programmes aiming to increase the community sense of coherence.

Structural equation model study on the correlation between sense of coherence, job stressors and mental health of nurses practitioners

Objective: To investigate the sense of coherence, job stressors and mental health status of nurses practitioners, and analyze the correlation among them. Methods: In September 2020, nurses practitioners in Chengdu City, Sichuan Province were selected as the research objects by convenience sampling method. The Sense of Coherence Scale, Nurses' Job Stressors Scale and SCL-90 were used to investigate their sense of coherence, job stressors and mental health status, respectively. Pearson correlation test was used to analyze the correlation among them, and the structural equation model was constructed to explore the mechanism of them. Results: A total of 1693 nurse practitioners were included. The total scores of sense of coherence, job stressors and SCL-90 were (65.00±14.01) points, (69.08±18.38) points and (129.68±52.99) points, respectively. The mean scores of all dimensions of sense of coherence of nurse practitioners were negatively correlated with the mean scores of all dimensions of job stressors and SCL-90 (P<0.001). And there were positive correlations between the mean scores of all dimensions of job stressors and the mean scores of all dimensions of SCL-90 (P<0.001). The structural equation model fitted well. The path coefficient between job stressors and sense of coherence was -0.372 (P<0.001), and the path coefficient between sense of coherence and SCL-90 score was -0.647 (P<0.001) . Conclusion: The sense of coherence plays a significant buffering role in job stressors and mental health of nurses practitioners. Nursing managers should be committed to improving the level of sense of coherence of nurses, enhance the happiness of nurses at work, and improve their mental health level.

Validity and reliability of the Polish adaptation of the work-related sense of coherence scale

BackgroundWork-related sense of coherence (Work-SoC) is defined as the perceived comprehensibility, manageability and meaningfulness of an individual’s work situation. The purpose of this study was to investigate the factor structure, invariance, reliability, and validity of the Polish version of the Work-SoC Scale.MethodThe research was carried out between September and November 2023 in a diverse sample of employees. Factor structure, internal consistency, and measurement equivalence analysis were performed on sample N1 = 622. Criterion validity was checked on sample N2 = 255. Temporal stability was checked on sample N3 = 60 using the test-retest method.ResultsA three-factor solution was the best fit for the data, and invariant across sex, age, occupational group, and education. The Work-SoC was strongest in white-collar workers. Strength of Work-SoC was positively related to seniority (r = 0.23, p < 0.001). The reliability of the Work-SoC Scale was high (α = 0.84, ω = 0.84). Work-SoC was positively correlated with general SoC (r = 0.36, p < 0.001) and job satisfaction (r = 0.50, p < 0.001), and negatively correlated with job burnout (r = -0.32, p < 0.001). The temporal stability of the measurement for the overall scale was high (r = 0.80, p < 0.001).ConclusionThe Polish adaptation of the Work-SoC Scale has an identical structure and is as reliable as the original version. The high criterion validity, measurement stability, and the invariant structure of the scale by sex, age, occupational group, and education suggest that the Work-SoC Scale is a valuable tool for future research on employee health.

Health promoting resources and lifestyle factors among higher education students in healthcare and social work programmes: a survey with a longitudinal multicentre design

BackgroundIt has been suggested that the university environment, to improve students’ health status and educational outcomes, should be based on a health promoting approach. More knowledge is needed about health promoting resources and lifestyle factors that may be of value for students in higher education and their future work-life balance. The aim of this study was to explore health-promoting resources, general health and wellbeing, and health promoting lifestyle factors among fourth and final semester students in higher education in healthcare and social work.MethodsThis longitudinal study is based on self-reported data collected through a web-based questionnaire that included questions about general health, wellbeing, and healthy lifestyle factors and made use of instruments: the Sense of Coherence (SOC) scale, the Salutogenic Health Indicator Scale (SHIS), and five questions from the General Nordic Questionnaire (QPS Nordic). The questionnaire was distributed among students enrolled in seven different healthcare and social work programmes at six universities in Sweden. Data was collected when students were in their fourth (2019/2020) and final (2020/2021) semesters analysed with multiple linear and logistic regressions.ResultsThe survey included responses from students during the fourth (n = 498) and the final (n = 343) semester of higher education programmes in health and social work. Total SOC scores decreased between the fourth semester and the final semester. The prevalence of the health promoting lifestyle factor of physical exercise decreased between the fourth and final semesters. Students in their final semester reported valuing group work more highly than did students in their fourth semester. Despite this, students in both the fourth and the final semester reported high SOC, low levels of good general health and perceived wellbeing, and sleeping problems.ConclusionsStudents’ report of good general health were associated with wellbeing, high-intensity physical training, and no sleeping problems A high SOC level was associated with good general health, perceived wellbeing, and no sleeping problems. A higher SHIS level was also associated with wellbeing and no sleeping problems. Therefore, we suggest further research focusing on how to prepare students in healthcare and social work during higher education for a future work-life in balance targeting effects on sleep quality.

Analysis of the Characteristics and Influencing Factors of Perinatal Obsessive-Compulsive Symptoms in Elderly Parturients.

Aims/Background Perinatal obsessive-compulsive symptoms are significant predictors of increased postpartum anxiety, depression, and bipolar disorder. These symptoms have persistent adverse effects on both mothers and children. Currently, there are few reports in the literature on obsessive-compulsive disorder in elderly parturient women in China. This study primarily discusses the clinical characteristics of perinatal obsessive-compulsive symptoms in elderly parturient women and analyzes their influencing factors, aiming to provide references for clinical prevention and treatment. Methods This research employed a cross-sectional design, utilizing a convenience sampling method to select elderly parturients who delivered at Panjin Central Hospital from September 2022 to August 2023. The assessment instruments included a general data questionnaire, the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the self-rating anxiety scale (SAS), the edinburgh postpartum depression scale (EPDS), and the sense of coherence scale (SOC-13). The relationship between the severity of obsessive-compulsive symptoms and negative emotions and psychological burden was examined through Pearson correlation analysis. Additionally, the influencing factors of perinatal obsessive-compulsive symptoms were analyzed using multivariate logistic regression. Results In this study, a total of 124 questionnaires were distributed, and 122 valid questionnaires were recovered, yielding an effective recovery rate of 98.39%. Among the 122 elderly parturients, 37 were positive for perinatal obsessive-compulsive disorder, accounting for 30.33% (37/122). Among the 37 elderly parturients with perinatal obsessive-compulsive symptoms, 64.86% had both obsessive-compulsive thoughts and behaviors, 21.62% had obsessive-compulsive thoughts as the main symptom (8/37), and 13.51% had obsessive-compulsive behaviors (5/37). Multivariate logistic regression analysis showed that pregnancy history, pregnancy complications, fetal health, SOC-13 score, SAS score, and EPDS score were independent risk factors for positive perinatal obsessive-compulsive symptoms (p < 0.05). Conclusion The incidence of perinatal obsessive-compulsive symptoms in elderly parturient women is high. Obsessive-compulsive thoughts primarily involve fears of injury and contamination, while obsessive-compulsive behaviors mainly consist of compulsive checking and cleaning. The occurrence of perinatal obsessive-compulsive disorder is associated with factors such as pregnancy and childbirth history, pregnancy complications, fetal health, negative emotions, and stress resistance.

The relationship between sense of coherence and self-efficacy with well-being and mental health-the situation of students at a typical German university during the COVID-19 pandemic and 1 year after the lifting of social restrictions.

The present study aims to evaluate the role of sense of coherence and self-efficacy in relation to mental health and well-being, with and without social restrictions due to the COVID-19 pandemic. Additionally, this study seeks to investigate the differences in sense of coherence, self-efficacy, mental health and well-being depending on the manner in which the pandemic is being handled. A total of 27,162 students at Heidelberg University were surveyed via email at two measurement points, once with and once without social restrictions. The survey assessed sense of coherence, self-efficacy, mental health and well-being. To this end, the questionnaires Sense of Coherence Scale, Patient Health Questionnaire, WHO-Well-being-Index and the General Self-Efficacy Scale were employed. A total of 2,398 individuals participated in the initial measurement, while 701 individuals participated in the subsequent measurement. The lifting of social restrictions has been associated with a notable improvement in well-being and mental health, particularly in the context of depressive syndromes. Further analysis demonstrated a positive correlation between the sense of coherence and self-efficacy at both measurement points, as well as between these two constructs and mental health and well-being. Furthermore, the sense of coherence and self-efficacy were found to account for a notable proportion of the observed variability in mental health and well-being values. Self-efficacy exhibited a significantly higher mean value at the initial measurement time point compared to the subsequent time point. In contrast, no significant difference was observed in the sense of coherence between the two measurement points. The findings presented here illustrate the significance of social interaction, sense of coherence and self-efficacy for mental health and well-being.

Exploring Sense of Coherence and Death Anxiety among patients with Chronic Illness in Greece

Abstract Introduction Chronic illness often brings about existential concerns, including fear of death, which can significantly impact individuals’ well-being. The concept of sense of coherence provides a framework for understanding how individuals perceive and cope with stressors, including those associated with chronic illness. Purpose This study investigated the correlation between Sense of Coherence, death anxiety, and chronic illness among Greek patients, aiming to understand how these factors interplay. Methods An electronic survey was distributed to chronic illness patients in Greece. Sense of Coherence was measured using the Sense of Coherence scale, while death anxiety was assessed using the Collett-Leste Fear of Death scale. Various chronic conditions were considered, and demographic data were collected. Results The final sample consisted of 118 participants (female 79.7%; death anxiety score=mean109.2, Sd = 19.2; sense of coherence score=mean55.12, Sd = 13.61). Women and the age group of 58-65 years presented higher death anxiety score followed by the group of 34-41 years. No differences were found between genders in terms of sense of coherence. The highest coherence was manifested in the age group of 50-57 years and the lowest in the age group of 42-49 years. A significant negative correlation was observed between sense of coherence and fear of death (rs(118)= -.299, p &amp;lt; .01). Further correlation tests were performed between axes of coherence, which indicated a stronger negative correlation in two of the three axes of the sense of coherence (Manageability and Meaningfulness) and among all the axes of fear of death, beyond the first, which concerns the loss of one’s own life. Conclusions The study suggests that individuals with a stronger sense of coherence experience lower death anxiety. Understanding these dynamics is crucial for tailored patient interventions and support strategies. Key messages • Gender and age-specific variations exist in how people approach and experience disease and mortality. • Understanding patients’ coping mechanisms and perceptions of illness is important in disease management.

Coherence of Multidimensional Pair Production Discharges in Polar Caps of Pulsars

We report on the first self-consistent multidimensional particle-in-cell numerical simulations of nonhomogeneous pair discharges in polar caps of rotation-powered pulsars. By introducing strong inhomogeneities in the initial plasma distribution in our simulations, we analyze the degree of self-consistently emerging coherence of discharges across magnetic field lines. In 2D, we study discharge evolution for a wide range of physical parameters and boundary conditions corresponding to both the absent and free escape of charged particles from the surface of a neutron star. We also present the results of the first 3D simulations of discharges in a polar cap with a distribution of the global magnetospheric current appropriate for a pulsar with 60° inclination angle. For all parameters, we find the coherence scale of pair discharges across magnetic field lines to be of the order of the gap height. We also demonstrate that the popular “spark” model of pair discharges is incompatible with the universally adopted force-free magnetosphere model: intermittent discharges fill the entire zone of the polar cap that allows pair cascades, leaving no space for discharge-free regions. Our findings disprove the key assumption of the spark model about the existence of isolated distinct discharge columns.

Scaling of vertical coherence and logarithmic energy profile for wall-attached eddies during sand and dust storms

High-frequency observation data, including all three components of instantaneous fluctuating velocity, temperature, as well as particulate matter 10 ( $PM_{10}$ ), collected from the unstable atmospheric surface layer at $z/L = -0.11$ and $-$ 0.12, $L$ being the Obukhov length, during sand and dust storms (SDS), were used to explore the scaling of vertical coherence and the logarithmic energy profile for wall-attached eddies. The present results demonstrate good agreement with the self-similar range of the wall-attached features for velocity and temperature components, as well as for $PM_{10}$ at lower heights ( $z&lt;15$ m) during SDS. Following the idea depicted by Davenport (Q. J. R. Meteorol., vol. 372, 1961, pp. 194–211), an empirically derived transfer kernel comprises implicit filtering via a scale-dependent gain and phase, parametrically defined as $|H_L^2(f)|=\exp (c_1-c_2\delta /\lambda _x)$ , where $c_1$ and $c_2$ are parameters, $\delta$ is the boundary layer thickness and $\lambda _x$ is the streamwise wavelength. Linear coherence spectrum analysis is applied as a filter to separate the coherent and incoherent portions. After this separation procedure, the turbulence intensity decay for wall-attached eddies is described in a log–linear manner, which also identifies how the scaling parameter differs between the measured components. These findings present abundant features of wall-attached eddies during SDS which further are used to improve/enrich existing near-wall models.

Work-Related Strain, Sense of Coherence and Intercultural Sensitivity Among Mental Health Nurses in Qatar: ACross-Sectional Study.

Migrant nurses face many challenges as they adapt and assimilate into their new working environments. The aim of this cross-sectional study was to investigate the perceptions of work-related strain, sense of coherenceand intercultural sensitivity among nurses who were employed at a public mental health facility in Qatar. We used three self-report questionnaires: the work-related strain inventory, sense of coherence scale and an intercultural sensitivity scale. A cohort of 136 nurses voluntarily engaged in the study. The majority of participants were male, migrated from South Asia and were in their mid-30s. The study found that both sense of coherence and intercultural sensitivity were inversely proportional to work-related strain. Work-related strain was found to be lower than expected; the factors that appear to protect against work-related strain include longer clinical experience, a high sense of coherence, and intercultural sensitivity. Additionally, greater age and extended clinical experience, combined with a history of work in three or more countries, associated with higher scores on the sense of coherence scale. Lastly, being female, having a postgraduate degree and holding a senior-level position were associated with increased intercultural sensitivity. As nurses' migration across national and international borders increases in response to global demand, this study has important implications for nursing administrators, educators and policymakers in relation to the development and implementation of strategies to enhance nurses' sense of coherence and intercultural sensitivity and prevent work-related strain. Trial Registration number: NCT04196751.

Oral health-related quality of life and its association with sense of coherence and social support among Yemeni immigrants in Malaysia

Oral health problems prove to be a significant public health issue due to their high prevalence and their impacts on people’s self-confidence and basic physical functions such as talking, chewing and smiling, all of which affect an individual’s social role. For that, this study aims to determine oral health-related quality of life (OHRQoL) and its association with a sense of coherence (SOC) and perceived social support among Yemeni adults residing in Malaysia. Data was collected from 223 Yemeni adults residing in Malaysia for over a year. The data collection instruments used were: a short version of the sense of coherence Scale (SOC-13), a new short version of the oral health impact profile (OHIP-5) questionnaire, the multidimensional scale of perceived social support (MSPSS), and a questionnaire containing socio-demographic and oral health behaviours information. Simple and adjusted binary logistic regression analyses with the level of significance p < 0.05 were used to determine the association between the independent factors and OHRQoL. Negative impacts on quality of life due to oral health issues were reported by (57.8%) of the participants, and a statistically significant association between SOC and OHRQoL was found; participants with weak SOC were more likely to have a negative impact on their OHRQol than individuals with strong SOC (AOR = 2.8, 95% CI 1.4–5.5). Additionally, self-assessment of oral health as poor (AOR = 4.6, 95% CI 1.5–14.1) were also associated with a negative impact OHRQoL. On the other hand, this study found that a longer period since the last dentist visit was a protective factor against negative impacts on quality of life (p < 0.05). In terms of perceived social support, no association was found between any categories of perceived social support and OHRQoL. In Conclusion, sense of coherence showed a statistically significant association with OHRQoL, emphasizing psychological factors’ potential role in oral health. The findings support the hypothesis that SOC is a psychosocial determinant that could act as a protective factor against negative impact on OHRQoL.

Self-management Behaviours among Nurses and Midwives during Pregnancy and Associated Factors: A Cross-sectional Study

The high rate of perinatal abnormality among pregnant nurses and midwives attributable to their working environment is a serious international occupational health concern. Self-management behaviours can prevent abnormalities, but nurses and midwives have difficulty carrying out these behaviours during pregnancy. This cross-sectional study aimed to examine self-management behaviours and associated factors during pregnancy among nurses and midwives. The partic­ipants were 232 pregnant or postpartum registered nurses and midwives from four Japanese general hospitals. Participant recruitment and questionnaire distribution were undertaken through hospital management. Data were collected from July to November 2022. Instruments included the Personal Demographic and Obstetric Conditions Questionnaire, the Self-Management Behaviours Questionnaire, the Working Conditions during Pregnancy Questionnaire, the Social and Workplace Support Scale, the Sense of Coherence Scale, and Self-Management Difficulties Scale. Data analysis used univariate and multiple classification analysis. Results indicated that participants demonstrated good compliance with contraindications among self-management behaviours but scored lower in knowledge and self-monitoring, abnormalities prevention, and avoiding burden movements. Multiple classification analyses revealed that parity, profession, overtime, acquisition of maternity protection provisions, managers support, family support, and prioritising the foetus were significantly associated with self-management behaviors. Nursing administrators must provide adequate information and adjust the work of pregnant staff. Policymakers need to propose measures to reinforce maternity protection provisions for pregnant nurses and midwives. Pregnant nurses and midwives need to be proactively educated on occupational health and safety. Learning the importance of acquiring maternity protection provisions, receiving support and prioritising the foetus will contribute to effective self-management practices in them. Further research is needed to promote self-management behaviours among pregnant nurses and midwives.

Gerotranscendence, Hope, and Coherence in the Face of Life Adversity.

Background and Purpose: Older adults are living longer and becoming more diverse. The current study examined the relationship between traumatic life events, hope, coherence, and successful aging in Black and White older adults with at least one chronic health condition, and the influence of life events on gerotranscendence. Methods: Fifty older adults from two senior centers participated. Participants completed the Successful Aging Inventory, Life Events Checklist, Herth Hope Index, and Sense of Coherence Scale. Results: Significant correlations were found between successful aging and gerotranscendence (r = .290; p = .048) and hope (r = .585; p = <.001). Simple linear regression found that Successful Aging Index (SAI) scores significantly predicted gerotranscendence (R2 = .10, F(1, 46) = 5.157, p = .028) and Herth Hope Index scores (R2 = .36, F(1, 46) = 25.850, p <.001). Higher Sense of Coherence (SoC) and Gerotranscendence Scale scores among those with no firsthand trauma experience suggest that experiencing traumatic events firsthand may adversely affect the aging process. Implications: Therefore, exploration of trauma experiences, with mental health referrals as appropriate are clinical implications to consider.

Functional Network Connectivity for Components of Depression-Related Psychological Fragility.

Psychological resilience (PR) is known to be inversely associated with depression. While there is a growing body of research examining how depression alters activity across multiple functional neural networks, how differences in PR affect these networks is largely unexplored. This study examines the relationship between PR and functional connectivity in the alpha and beta bands within (and between) eighteen established cortical nodes in the default mode network, the central executive network, and the salience network. Resting-state EEG data from 99 adult participants (32 depressed, 67 non-depressed) were used to measure the correlation between the five factors of PR sourced from the Connor-Davidson Resilience Scale and eLORETA-based measures of coherence and phase synchronisation. Distinct functional connectivity patterns were seen across each resilience factor, with a notable absence of overlapping positive results across the depressed and non-depressed samples. These results indicate that depression may modulate how resilience is expressed in terms of fundamental neural activity.

Assessing the dimensionality of the sense of coherence scale (SOC-L9) using Ghanaian university students: Guarding against the method effect

BackgroundThe dimensionality of the sense of coherence (SOC-L9) scale has been in contention due to the varied factor structure revealed in the literature. In this study, we assessed the dimensionality of the SOC-L9 scale using Ghanaian university students while guarding against the method effect. The study also examined the gender measurement invariance of the scale. MethodsThis research conveniently sampled 1062 students who responded to the SOC-L9 scale with negative items reversed to positive items. A larger proportion of the participants were male students (n = 769, 72.4 %), with 293(27.6 %) being female students. The youngest participant was 18 years old, whereas the oldest was 42 years old. Following all validation studies protocols, four distinct confirmatory factor analysis models were fitted and compared (i.e., unidimensional, three-factor first-order, three-factor second-order and bifactor models). ResultsThe initial model comparison revealed that the bifactor CFA model [CFI = 0.958, SRMR = 0.036, AIC = 21231.35, BIC = 21370.45] was superior to the unidimensional [CFI = 0.914, SRMR = 0.046, AIC = 26280.67, BIC = 26414.8] and 3-factor models [CFI = 0.932, SRMR = 0.040, AIC = 26221.67, BIC = 26370.71]. Upon further probing, it was discovered that SOC-L9 functions best as a unidimensional scale for the university student population. Gender measurement invariance was established for configural invariance [CFI = 0.986, SRMR = 0.044], metric invariance [CFI = 0.894, SRMR = 0.051] and scalar invariance [CFI = 0.983, SRMR = 0.047]. ConclusionThe SOC-L9 scale has a nested structure with the various sub-scales interacting to produce a summary total observed score. The structure of the SOC-L9 requires scholars to treat the scale as a unidimensional scale rather than a multidimensional one. This latent structure was found to be consistent with male and female university students.