title: Sense of coherence as a predictor of health-related behaviours among patients with coronary heart disease.
abstract: OBJECTIVE
  A high sense of coherence (SOC) has been found to be associated with favourable health-related behaviours. However, evidence is for the most part lacking on the influence of SOC on health-related behaviours among coronary heart disease patients. The aim of this study was to explore the association between SOC at baseline and smoking status, nutrition behaviour, physical exercise and alcohol consumption of coronary heart disease patients 12-28 months after they had undergone different cardiac treatments.
  
  
  METHODS
  A total of 179 coronary heart disease patients (mean age 58.32±6.54 years, 19% female) were interviewed before coronary angiography and 12-28 months after. Self-report data about health-related behaviours were obtained via a structured interview. SOC was measured using the 13-item Orientation to Life Questionnaire. The relationship between SOC and health-related behaviours was examined using regression and cross-lagged path analyses.
  
  
  RESULTS
  SOC at baseline predicted non-smoking and quitting smoking: odds ratio (OR) (95% confidence interval (CI)) per unit increase (over range 38-91) was 1.11 (1.03-1.19) and 1.09 (1.01-1.17), respectively. Moreover, baseline SOC predicted healthy nutrition behaviour among percutaneous coronary intervention patients: the OR per unit increase was 1.08 (95% CI: 1.01-1.15). Lastly, SOC at baseline predicted improvement in alcohol consumption at follow-up among coronary artery bypass grafting patients (standard score result: -0.15, p<0.05).
  
  
  CONCLUSIONS
  Coronary heart disease patients with a low SOC before treatment are less likely to improve health behaviours after cardiac treatment and should thus get additional attention in health promotion.
authors.affiliation: Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic silarova.barbora@gmail.com.
authors.forename: Barbora
authors.initials: B
authors.lastname: Silarova
authors.affiliation: Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic Institute of Public Health - Department of Social Medicine, Safarik University, Slovak Republic.
authors.forename: Iveta
authors.initials: I
authors.lastname: Nagyova
authors.affiliation: Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic.
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Rosenberger
authors.affiliation: Cardiology Clinic, East Slovakian Institute for Cardiac and Vascular Diseases, Slovak Republic.
authors.forename: Martin
authors.initials: M
authors.lastname: Studencan
authors.affiliation: Cardiology Clinic, East Slovakian Institute for Cardiac and Vascular Diseases, Slovak Republic.
authors.forename: Daniela
authors.initials: D
authors.lastname: Ondusova
authors.affiliation: Department of Community & Occupational Health, University of Groningen, The Netherlands.
authors.forename: Sijmen A
authors.initials: SA
authors.lastname: Reijneveld
authors.affiliation: Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic Department of Community & Occupational Health, University of Groningen, The Netherlands.
authors.forename: Jitse P
authors.initials: JP
authors.lastname: van Dijk
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D003327:Coronary Disease / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D060685:Sense of Coherence; D012907:Smoking / Q000453:epidemiology
keywords: Coronary disease; health behaviour; health promotion; longitudinal studies; sense of coherence