Measurement properties of the Sense of Coherence (SOC) scale: a narrative review
Propiedades de medición de la escala de Sentidode Coherencia (SOC): una revisión narrativa
How to Cite
Download Citation

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Show authors biography
Most read articles by the same author(s)
- Consuelo Velez alvarez, José armando vidarte claros, Marcela hormaza, Sandra lucía chia, Social determinants of health and disability; Tunja 2012 , Archivos de Medicina (Manizales): Vol. 14 No. 1
Introduction: There is interest in conducting studies using the Sense of Coherence Scale (SOC), whose validity is characterised by its robustness and high quality, supported by the evaluation of its measurement properties, the result of an exhaustive methodology. In addition to the documentary review, we sought to evaluate the quality of the scientific evidence of the SOC. Methodology: A narrative review was conducted on the measurement properties applied in the validation process of the Sense of Coherence Scale in its different versions, following the guidelines established by the COSMIN methodology for the evaluation of methodological quality and SANRA for the evaluation of quality. Results: In terms of psychometric properties, the following were assessed as sufficient in terms of overall quality: structural validity, internal consistency, cross-cultural validity, criterion validity, construct validity, and responsiveness; measurement error was the property that was assessed as indeterminate in most items. Quality of scientific evidence: as evidence, reliability was moderate, and measurement error was low. The rest of the properties were rated as high in quality. Although the methodological quality assessment of structural and criterion validity was "very good," not all results were sufficient. Conclusion: The Sense of Coherence Scale can be used as a valid and reliable tool in different populations.
Article visits 22 | PDF visits 7
Downloads
- 1. Soriano Rodríguez AM. Design and validation of measurement instruments. Diá-logos Journal. 2014;8(14): 19-40.
- Available at: https://www.revistas.udb.edu.sv/ojs/index.php/dl/article/view/166.
- 2. Eriksson M, Lindström B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol
- Community Health. 2005;59(6):460–6. doi: https://doi.org/10.1136/jech.2003.018085.
- 3. Liu X, Zhao H, Song S, Wen R, Liu B, Luo Y. Effectiveness of a salutogenic intervention on self-perception of
- aging and sense of coherence for community-dwelling older adults: A quasi-experimental study. Geriatr Nurs. 16
- de febrero de 2026;69:103943. doi:10.1016/j.gerinurse.2026.103943 PubMed PMID: 41702334.
- 4. Jasiński AM, Derbis R, Rakoczy J, Wrzesińska M. The sense of coherence scale and relationships between
- sense of coherence, sociodemographic variables and chronic disease. Sci Rep. 2025;15:18289.
- doi:10.1038/s41598-025-02998-6.
- 5. Hernán M, Morgan A, Mena ÁL. Training in salutogenesis and health assets. Andalusian School of Public Health,
- editor. Granada; 2010. Available at: https://www.easp.es/project/formacion-en-salutogenesis-y-activos-para-la-salud/.
- 6. Herrera Torres I, Carreras Salcedo E, Vega Pozuelo SF. Salutogenesis, the new positivist perspective on health.
- Journal of Preventive Medicine and Public Health. 2017.
- Available at: https://www.revista-portalesmedicos.com/revista-medica/salutogenesis/.
- 7. Sánchez-Palacio N, Vélez-Álvarez C, Betancurth-Loaiza DP, Sánchez-Palacio N, Vélez-Álvarez C, BetancurthLoaiza DP. Validación de contenido y adaptación de la escala de sentido de coherencia 29 para la población
- colombiana. Revista Facultad Nacional de Salud Pública. diciembre de 2021;39(3).
- doi: https://doi.org/10.17533/udea.rfnsp.e342827.
- 8. Länsimies H, Pietilä A, Hietasola-Husu S, Kangasniemi M. A systematic review of adolescents’ sense of coherence
- and health. Scand J Caring Sci. 2017;31(4):651–61. doi: https://doi.org/10.1111/scs.12402.
- 9. Rivera F, García-Moya I, Moreno C, Ramos P. Developmental contexts and sense of coherence in adolescence:
- A systematic review. J Health Psychol. 2013;18(6):800–12. doi: https://doi.org/10.1177/1359105312455077.
- 10. Loaiza DPB, Palacio NS, Álvarez CV. Sentido de coherencia en universitarios: recurso para el cuidado en tiempos
- de pandemia. Revista Cuidarte [Internet]. 2022 [citado 6 de abril de 2026];13(3).
- Disponible en: https://www.redalyc.org/journal/3595/359575082012/html/.
- 11. Elyasi M, Guimarães Abreu L, Badri P, Saltaji H, Flores-Mir C, Amin M. Impact of Sense of Coherence on Oral
- Health Behaviours: A Systematic Review . PLoS One. 2015;10(8):e0133918.
- doi: https://doi.org/10.1371/journal.pone.0133918.
- 12. Cesarino Gomes M, Costa Dutra L, Melo Brito Costa EM, Martins Paiva S, Granville-Garcia AF, Castro Martins
- C. Influence of sense of coherence on oral health-related quality of life: a systematic review. Qual Life Res.
- 2018;27(8):1973–83. doi: https://doi.org/10.1007/s11136-018-1832-5.
- 13. (11) Pino-Casado R, Espinosa-Medina A, López-Martínez C, Orgeta V. Sense of coherence, burden and mental
- health in caregiving: A systematic review and meta-analysis. J Affect Disord. 2019;242:14–21.
- doi: https://doi.org/10.1016/j.jad.2018.08.002.
- 14. Perdigão Torres TA, Corradi-Dias L, Drummond Oliveira P, Castro Martins C, Martins Paiva S, Almeida Pordeus
- I, et al. Association between sense of coherence and dental caries: systematic review and meta-analysis. Health
- Promot Int. 2020;35(3):586–97. doi: https://doi.org/10.1093/heapro/daz038.
- 15. Baethge C, Goldbeck-Wood S, Mertens S. SANRA—a scale for the quality assessment of narrative review articles.
- Res Integr Peer Rev. 2019;4:5. doi: https://doi.org/10.1186/s41073-019-0064-8. PMID: 30962953.
- 16. Colombia. Ministry of Health and Social Protection. Resolution 8430 of 1993. 1993. Available at:
- https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF.
- 17. World Medical Association. World Medical Association. 2022. WMA Declaration of Helsinki – Ethical principles for
- medical research involving human subjects. Available at: https://www.wma.net/policies-post/wma-declaration-ofhelsinki-ethical-principles-for-medical-research-involving-human-subjects/.
- 18. Vega Martínez M del C, Frías Osuna A, Del Pino Casado R. Validity and reliability of the sense of coherence
- scale in nursing students at a Spanish university. Gac Sanit. 2019;33(4):310–6.
- doi: https://doi.org/10.1016/j.gaceta.2018.02.009.
- 19. Nicolalde Cifuentes TM, Guevara Castillo MS, Heredia Aguirre SI. Dimensionality , and psychometric properties
- of the SOC scale in ESPOCH students. Revista mktDescubre. 2017;1(10):84–93. Available at:
- https://dspace.espoch.edu.ec:8080/server/api/core/bitstreams/286ff9c8-84fe-4276-afb4-3470915b3b0d/content.
- 20. Velázquez Jurado H, Cárdenas Rivera V, Chávez Franco A, Montes de Oca VO, Hernández Salazar P, Pulido
- Rull MA. Comparison of two forms of a sense of coherence scale. Intercontinental Journal of Psychology and
- Education. 2014;16(2):51–70. Available at: https://www.redalyc.org/articulo.oa?id=80231541004.
- 21. Lizarbe Chocarro M, Guillén-Grima F, Aguinaga-Ontoso I, Canga Armayor N. Validation of Antonovsky’s Life Orientation Questionnaire (OLQ-13) in a sample of university students in Navarre. An Sist Sanit Navar. 2016;39(2):237–48.
- doi: https://doi.org/10.23938/assn.0270.
- 22. Virués-Ortega J, Martínez-Martín P, del Barrio JL, Lozano LM. Cross-cultural validation of Antonovsky’s Sense of
- Coherence Scale (OLQ-13) in elderly people over 70 years of age. Med Clin (Barc). 2007;128(13):486–92.
- doi: https://doi.org/10.1157/13100935.
- 23. Rivera F, López A, Ramos P, Moreno C. Psychometric properties of the scale sense of coherence (SOC-29) in
- Spanish adolescents. Journal of Child and Adolescent Psychology. 2011;(4):11–39.
- Available at: https://idus.us.es/items/dd97d6b1-ead7-4ea9-8b13-277c19ce8519.
- 24. Schmidt DRC, Dantas RAS. Analysis of validity and reliability of the adapted Portuguese version of Antonovsky’s
- Sense of Coherence Questionnaire among nursing professionals. Rev Lat Am Enfermagem. 2011;19(1):42–9.
- doi: https://doi.org/10.1590/S0104-11692011000100007.
- 25. Grødal K, Innstrand ST, Bauer GF, Haugan G, Rannestad T, André B. Validation of the Norwegian version of the
- work-related sense of coherence scale. Scand J Public Health. 2018;46(7):711–7.
- doi: https://doi.org/10.1177/1403494817725466.
- 26. von Humboldt S, Leal I. The Orientation to Life Questionnaire: Validation of a Measure to Assess Older Adults’
- Sense of Coherence. Educ Gerontol. 2015;41(6):451–65. doi: https://doi.org/10.1080/03601277.2014.983373.
- 27. Spadoti Dantas RA, Silva FS e, Ciol MA. Psychometric properties of the Brazilian Portuguese versions of the
- 29- and 13-item scales of the Antonovsky’s Sense of Coherence (SOC-29 and SOC-13) evaluated in Brazilian
- cardiac patients. J Clin Nurs. 2014;23(1–2):156–65. doi: https://doi.org/10.1111/jocn.12157.
- 28. Saravia JC, Iberico C, Yearwood K. Validation of sense of coherence (SOC) 13-item scale in a Peruvian sample.
- Journal of Behaviour, Health & Social Issues. 2015;6(2):35–44.
- Available at: https://www.sciencedirect.com/science/article/pii/S2007078015300031.
- 29. Albino J, Shapiro ALB, Henderson WG, Tiwari T, Brega AG, Thomas JF, et al. Validation of the Sense of Coherence Scale in an American Indian population. Psychol Assess. 2016;28(4):386–93.
- doi: https://doi.org/10.1037/pas0000193.
- 30. Stern B, Socan G, Rener-Sitar K, Kukec A, Zaletel-Kragelj L. Validation of the Slovenian version of short sense of coherence questionnaire (SOC-13) in multiple sclerosis patients. Slovenian Journal of Public Health.
- 2019;58(1):31–9. doi: https://doi.org/10.2478/sjph-2019-0004.
- 31. Sardu C, Mereu A, Sotgiu A, Andrissi L, Jacobson MK, Contu P. Antonovsky’s Sense of Coherence Scale: Cultural Validation of Soc Questionnaire and Socio-Demographic Patterns in an Italian Population. Clinical Practice &
- Epidemiology in Mental Health. 2012;8(1):1–6. doi: http://dx.doi.org/10.2174/1745017901208010001.
- 32. Ngai FW, Ngu SF. Translation and Validation of a Chinese Version of the Family Sense of Coherence Scale in Chinese Childbearing Families. Nurs Res. 2011;60(5):295–301. doi: https://doi.org/10.1097/NNR.0b013e3182269b00.
- 33. Lajunen T. Cross-Cultural Evaluation of Antonovsky’s Orientation to Life Questionnaire: Comparison Between
- Australian, Finnish, and Turkish Young Adults. Psychol Rep. 2019;122(2):731–47.
- doi: https://doi.org/10.1177/0033294118765420.
- 34. Mahammadzadeh A, Poursharifi H, Alipour A. Validation of Sense of Coherence (SOC) 13-item scale in Iranian
- sample. Procedia Soc Behav Sci. 2010;5:1451–5. doi: https://doi.org/10.1016/j.sbspro.2010.07.306.
- 35. Paika V, Ntountoulaki E, Papaioannou D, Hyphantis T. The Greek Version of the Sense of Coherence Scale (SOC29): Psychometric Properties and Associations with Mental Illness, Suicidal Risk and Quality of Life. Journal of
- Psychology & Clinical Psychiatry. 2017;7(4). doi: https://doi.org/10.15406/jpcpy.2017.07.00449.
- 36. Chiesi F, Marunic G, Lau C. Validation study of an Italian version of the revised Sense of Coherence Scale (SOCR). Current Psychology. 2022;41(2):705–12. doi: https://doi.org/10.1007/s12144-020-00606-6.
- 37. Möllerberg ML, Årestedt K, Sandgren A, Benzein E, Swahnberg K. Adaptation and psychometric evaluation of the
- short version of Family Sense of Coherence Scale in a sample of persons with cancer in the palliative stage and
- their family members. Palliat Support Care. 2020;18(1):24–32. doi: https://doi.org/10.1017/S1478951519000592.
- 38. Söderhamn U, Sundsli K, Cliffordson C, Dale B. Psychometric properties of Antonovsky’s 29-item Sense of Coherence scale in research on older home-dwelling Norwegians. Scand J Public Health. 2015;43(8):867–74.
- doi: https://doi.org/10.1177/1403494815598863.
- 39. Naaldenberg J, Tobi H, van den Esker F, Vaandrager L. Psychometric properties of the OLQ-13 scale to measure
- Sense of Coherence in a community-dwelling older population. Health Qual Life Outcomes. 2011;9:37.
- doi: https://doi.org/10.1186/1477-7525-9-37.
- 40. Ørts Hansen A, Kaae Kristensen H, Cederlund R, Tromborg H. Test–retest reliability of Antonovsky’s 13-item
- sense of coherence scale in patients with hand-related disorders. Disabil Rehabil. 2017;39(20):2105–11.
- doi: https://doi.org/10.1080/09638288.2016.1215555.
- 41. Luyckx K, Goossens E, Apers S, Rassart J, Klimstra T, Dezutter J, et al. The 13-Item Sense of Coherence Scale
- in Dutch-Speaking Adolescents and Young Adults: Structural Validity, Age Trends, and Chronic Disease. Psychol
- Belg. 2012;52(4):351–68. doi: https://doi.org/10.5334/pb-52-4-368.
- 42. Baladrón J, Curbelo J, Sánchez-Lasheras F, Romeo-Ladrero JM, Villacampa T, Fernández-Somoano A. The 2015
- MIR exam. An approach to structural validity through classical test theory. FEM. 2016;19(4):217–26. Available at:
- https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2014-98322016000400008&lng=en&tlng=en.
- 43. Hernandez-Armenta I, Dominguez A. Evaluation of Perceptions of Interdisciplinarity: Validation of Instrument for
- Higher Education Students. Form Univ. 2019;12(3):27–38. doi: https://doi.org/10.4067/S0718-50062019000300027.
- 44. Super S, Wagemakers M a. E, Picavet HSJ, Verkooijen KT, Koelen MA. Strengthening sense of coherence: opportunities for theory building in health promotion. Health Promot Int. diciembre de 2016;31(4):869-78.
- doi: 10.1093/heapro/dav071 PubMed PMID: 26208654.
- 45. Tušl M, Šípová I, Máčel M, Cetkovská K, Bauer GF. The sense of coherence scale: psychometric properties in
- a representative sample of the Czech adult population. BMC Psychol. 26 de mayo de 2024;12(1):293.
- doi: 10.1186/s40359-024-01805-7 PubMed PMID: 38796516; PubMed Central PMCID: PMC11128106.
- 46. Eriksson M, Lindström B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol
- Community Health. junio de 2005;59(6):460-6. doi: 10.1136/jech.2003.018085 PubMed PMID: 15911640; PubMed
- Central PMCID: PMC1757043.
- 47. [42] Frías-Navarro D. Notes on estimating the internal consistency reliability of items in a measurement instrument.
- University of Valencia. Spain. 2022. Available at: https://www.uv.es/friasnav/AlfaCronbach.pdf
- 48. Domínguez-Salas S, Andrés-Villas M, Riera-Sampol A, Tauler P, Bennasar-Veny M, Aguilo A, et al. Analysis of the
- psychometric properties of the Sense of Coherence scale (SOC-13) in patients with cardiovascular risk factors: a
- study of the method effects associated with negatively worded items. Health Qual Life Outcomes. 10 de enero de
- 2022;20(1):8. doi: 10.1186/s12955-021-01914-6 PubMed PMID: 35012547; PubMed Central PMCID: PMC8751372.
- 49. Mafla AC, Herrera-López M, España-Fuelagan K, Ramírez-Solarte I, Gallardo Pino C, Schwendicke F. Psychometric Properties of the SOC-13 Scale in Colombian Adults. Int J Environ Res Public Health. 10 de diciembre
- de 2021;18(24):13017. doi: 10.3390/ijerph182413017 PubMed PMID: 34948627; PubMed Central PMCID:
- PMC8700993.
- 50. Chu JJ, Khan MH, Jahn HJ, Kraemer A. Sense of coherence and associated factors among university students in
- China: cross-sectional evidence. BMC Public Health. 16 de abril de 2016;16:336. doi: 10.1186/s12889-016-3003-3
- PubMed PMID: 27083414; PubMed Central PMCID: PMC4833908.
- 51. Lee J, Lee EH, Hei Moon S. Systematic review of the measurement properties of the Depression Anxiety Stress
- Scales–21 by applying updated COSMIN methodology. Qual Life Res. 2019;28:2325–39.
- doi: https://doi.org/10.1007/s11136-019-02177-x
- 52. Hong Le MT, Duc Tran T, Holton S, Thanh Nguyen H, Wolfe R, Fisher J. Reliability, convergent validity and factor
- structure of the DASS-21 in a sample of Vietnamese adolescents. PLoS One. 2017;12(7):e0180557.
- doi: https://doi.org/10.1371/journal.pone.0180557
- 53. Domínguez-Lara S. Confidence interval in reliability reports: a necessary analysis. An Sist Sanit Navar. 2016;39(1).
- doi: http://dx.doi.org/10.4321/S1137-6627/2016000100024
- 54. Dominguez- -Lara SA. Correlation attenuation and low reliability: does it really matter? Nutr Hosp. 2017;34(5):1261–
- 2. Available at: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112017000500032
- 55. Mokkink LB, Elsman EBM, Terwee CB. COSMIN guideline for systematic reviews of patient-reported outcome
- measures version 2.0. Qual Life Res. noviembre de 2024;33(11):2929-39. doi:10.1007/s11136-024-03761-6 PubMed PMID: 39198348; PubMed Central PMCID: PMC11541334.
- 56. Nóblega M, Conde G, Nuñez del Prado J, Bárrig P, Marinelli F, Alcántara N, et al. Evidence of construct and criterion
- validity of the Massie-Campbell Attachment During Stress Scale (ADS). Acta Colomb Psicol. 2019;22(1):129–51.
- doi: https://doi.org/10.14718/ACP.2019.22.1.7
- 57. Argibay JC. Psychometric techniques. Issues of validity and reliability. Subjectivity and Cognitive Processes.
- 2006;(8):15–33. Available at: https://www.redalyc.org/pdf/3396/339630247002.pdf
- 58. Schäfer SK, Sopp MR, Fuchs A, Kotzur M, Maahs L, Michael T. The relationship between sense of coherence
- and mental health problems from childhood to young adulthood: A meta-analysis. J Affect Disord. 15 de marzo
- de 2023;325:804-16. doi:10.1016/j.jad.2022.12.106 PubMed PMID: 36638967.
- 59. Di-Luciano A, Montero M, Chewerk H. Construct validity of the use of virtual reality in cataract surgery: systematic
- review. Latin American Journal of Clinical Simulation. 2020;2(2):71–80. doi: https://doi.org/10.35366/95231
- 60. García González LA, Aguilar Sierra FJ, Moreno Serrano C, Enciso M. Translation, cultural adaptation and validation
- of an upper limb function scale: DASH. Colombian Journal of Orthopaedics and Traumatology. 2020;34(3):231–40.
- doi: https://doi.org/10.1016/j.rccot.2017.06.011
- 61. Pardal-Refoyo JL, Batuecas-Caletrío Á. Review of assessment tools for disability in vestibular pathology. ENT.
- 2018;9(2):145–64. doi: https://doi.org/10.14201/orl.17700
- 62. Sierra García L, Orta Pérez M, Moreno García FJ. Development and validation of an instrument for measuring the
- quality of audit services. Accounting Journal. 2017;20(2):167–75. doi: https://doi.org/10.1016/j.rcsar.2016.10.001