Unraveling the role of sense of coherence in coronary heart disease patients
(2014) Barbora Silarova
Promotor: Prof. Dr. Sijmen A. Reijneveld, MD
Copromotor: Assoc. Prof. Dr. J.P. van Dijk, Dr. I. Nagyova
The study of Barbora Silarova focuses on sense of coherence in coronary hearth disease. Coronary heart disease (CHD) remains the leading cause of death in the European Union, especially in several Eastern European countries. At present, CHD is seen as a “man-made” disease influenced by the choices humans make, especially regarding lifestyle factors. Therefore, both primary and secondary prevention of CHD remain among the top public health priorities. Regarding clinical care, the main goal is to improve patients’ functioning and well-being. Thus health-related quality of life (HRQoL) has become an important outcome in CHD patients. At present, increasing attention is paid to sense of coherence (SOC) as an important predictor of CHD outcomes in cardiovascular research. The aim of this study was to explore the role of SOC in CHD patients. The study provides evidence on the potential utility of SOC in cardiovascular care, prevention, rehabilitation and research. In additional, it examines whether SOC and other psychological factors are part of the pathways that explain ethnic differences in the recurrence of CHD. Possible explanatory factors and confounding variables, such as sex, age, socioeconomic status (SES) and the severity of disease, were taken into account.