title: Sense of coherence as a mediator between hostility and health: seven-year prospective study on female employees.
abstract: OBJECTIVE
  We proposed and tested a model in which low sense of coherence (SOC) was hypothesized to underlie the association between hostility and health problems.
  
  
  METHODS
  Structural equation modeling was based on cross-lagged 7-year follow-up data, relating to five measurement points in 433 female municipal employees.
  
  
  RESULTS
  The mediated model fitted well with the data. After adjustment for baseline characteristics, hostility was associated with increased risk of health problems, as indicated by records of sickness absences and poor self-rated health. Incorporating SOC into the model attenuated this association by 33-50%, depending on the indicator of health. The mediated effect of SOC was stronger than that of an alternative mediator, depressive symptoms.
  
  
  CONCLUSIONS
  Low SOC may be a psychological background factor partially underlying the adverse effect of hostility on ill health.
authors.affiliation: Department of Psychology, University of Helsinki, PO Box 13, 00014, Finland. mika.kivimaki@occuphealth.fi
authors.forename: Mika
authors.initials: M
authors.lastname: Kivimäki
authors.forename: Marko
authors.initials: M
authors.lastname: Elovainio
authors.forename: Jussi
authors.initials: J
authors.lastname: Vahtera
authors.forename: Jari-Erik
authors.initials: JE
authors.lastname: Nurmi
authors.forename: Taru
authors.initials: T
authors.lastname: Feldt
authors.forename: Liisa
authors.initials: L
authors.lastname: Keltikangas-Järvinen
authors.forename: Jaana
authors.initials: J
authors.lastname: Pentti
mesh_terms: D000328:Adult; D003863:Depression; D005260:Female; D006262:Health; D006791:Hostility; D006801:Humans; D008960:Models, Psychological; D017008:Negotiating / Q000523:psychology*; D011446:Prospective Studies; D012647:Self-Assessment; D018582:Sick Leave