Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients

Abstract Background Despite advancements in therapies, the severity of depressive symptoms continues to challenge psychiatric nurses. However, research has indicated that a higher sense of coherence (SOC) can act as a protective factor against the development of diseases and promote faster recovery....

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Main Authors: Samah Mohamed Taha, Mona Metwally El-Sayed, Mahmoud Abdelwahab Khedr, Ayman Mohamed El-Ashry, Azza Ibrahim Abdelraof, Hassan Mohammed Sonbol, Manal Mohammed Hawash, Eman Sameh Abd Elhay
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Language:English
Published: BMC 2025-01-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-024-02587-4
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author Samah Mohamed Taha
Mona Metwally El-Sayed
Mahmoud Abdelwahab Khedr
Ayman Mohamed El-Ashry
Azza Ibrahim Abdelraof
Hassan Mohammed Sonbol
Manal Mohammed Hawash
Eman Sameh Abd Elhay
author_facet Samah Mohamed Taha
Mona Metwally El-Sayed
Mahmoud Abdelwahab Khedr
Ayman Mohamed El-Ashry
Azza Ibrahim Abdelraof
Hassan Mohammed Sonbol
Manal Mohammed Hawash
Eman Sameh Abd Elhay
author_sort Samah Mohamed Taha
collection DOAJ
description Abstract Background Despite advancements in therapies, the severity of depressive symptoms continues to challenge psychiatric nurses. However, research has indicated that a higher sense of coherence (SOC) can act as a protective factor against the development of diseases and promote faster recovery. Aim This study aimed to investigate whether SOC could serve as an indicator of depressive symptom severity among clients with depression. Design The study employed a cross-sectional design and followed the STROBE checklist for reporting observational studies. Methods A convenient sample of 169 clients with depression participated in the study. The researchers utilized the Antonovsky Sense of Coherence Scale-29 and the Beck Depression Inventory-II to assess SOC and depressive symptoms, respectively. Results The study findings indicated that a substantial proportion of the participants (35.5%) had low Sense of Coherence (SOC) levels, associated with higher depressive symptoms. The severity of depression showed a significant negative correlation with difficulties in understanding and finding meaning in life and challenges in effectively coping with life’s demands (r = -0.626, p < 0.001). The regression analysis revealed that for every one-unit increase in SOC, there was a corresponding decrease of 0.5 units in depressive symptoms. The SOC variable accounted for 39.1% of the variance in depressive symptoms severity. Conclusion Psychiatric nurses should consider implementing interventions to enhance SOC, such as Life Skills Training (LST), psychoeducation, cognitive-behavioral therapy, and mindfulness practices, particularly for depressive disorder clients with a poor sense of coherence.
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spelling doaj-art-c3eab0ab689c428b8c006cfba064c7932025-01-12T12:13:48ZengBMCBMC Nursing1472-69552025-01-0124111110.1186/s12912-024-02587-4Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clientsSamah Mohamed Taha0Mona Metwally El-Sayed1Mahmoud Abdelwahab Khedr2Ayman Mohamed El-Ashry3Azza Ibrahim Abdelraof4Hassan Mohammed Sonbol5Manal Mohammed Hawash6Eman Sameh Abd Elhay7Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura UniversityPsychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria UniversityPsychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria UniversityPsychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria UniversityPsychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura UniversityPsychiatry, Faculty of Medicine, Mansoura UniversityGerontological Nursing, Faculty of Nursing, Alexandria UniversityPsychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura UniversityAbstract Background Despite advancements in therapies, the severity of depressive symptoms continues to challenge psychiatric nurses. However, research has indicated that a higher sense of coherence (SOC) can act as a protective factor against the development of diseases and promote faster recovery. Aim This study aimed to investigate whether SOC could serve as an indicator of depressive symptom severity among clients with depression. Design The study employed a cross-sectional design and followed the STROBE checklist for reporting observational studies. Methods A convenient sample of 169 clients with depression participated in the study. The researchers utilized the Antonovsky Sense of Coherence Scale-29 and the Beck Depression Inventory-II to assess SOC and depressive symptoms, respectively. Results The study findings indicated that a substantial proportion of the participants (35.5%) had low Sense of Coherence (SOC) levels, associated with higher depressive symptoms. The severity of depression showed a significant negative correlation with difficulties in understanding and finding meaning in life and challenges in effectively coping with life’s demands (r = -0.626, p < 0.001). The regression analysis revealed that for every one-unit increase in SOC, there was a corresponding decrease of 0.5 units in depressive symptoms. The SOC variable accounted for 39.1% of the variance in depressive symptoms severity. Conclusion Psychiatric nurses should consider implementing interventions to enhance SOC, such as Life Skills Training (LST), psychoeducation, cognitive-behavioral therapy, and mindfulness practices, particularly for depressive disorder clients with a poor sense of coherence.https://doi.org/10.1186/s12912-024-02587-4Sense of coherencePredictorSymptom severityDepressive disorders
spellingShingle Samah Mohamed Taha
Mona Metwally El-Sayed
Mahmoud Abdelwahab Khedr
Ayman Mohamed El-Ashry
Azza Ibrahim Abdelraof
Hassan Mohammed Sonbol
Manal Mohammed Hawash
Eman Sameh Abd Elhay
Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients
BMC Nursing
Sense of coherence
Predictor
Symptom severity
Depressive disorders
title Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients
title_full Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients
title_fullStr Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients
title_full_unstemmed Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients
title_short Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients
title_sort unraveling the power of sense of coherence a key predictor of symptom severity among depressive disorders clients
topic Sense of coherence
Predictor
Symptom severity
Depressive disorders
url https://doi.org/10.1186/s12912-024-02587-4
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