Sense of coherence and psychological well-being in cardiac patients: Is the association mediated by self-efficacy?
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Opole University
Dariusz Krok   

Opole University
Submission date: 2019-02-20
Final revision date: 2019-05-31
Acceptance date: 2019-05-31
Online publication date: 2019-09-07
Publication date: 2019-09-07
Arch Psych Psych 2019;21(3):15–24
Aim of the study:
A large deal of research on cardiac patients concentrates on analyses of mutual relationships between sense of coherence and psychological well-being, sense of coherence and self-efficacy, or psychological well-being and self-efficacy. It has been proven that self-efficacy plays a crucial role as a mediator of the relationships between various psychological constructs.

Subject or material and methods:
A total number of 176 patients (82 women and 94 men), age 45-82 years (M = 58.56, SD = 8.25) participated in the study. All participants were patients admitted to the cardiology department with coronary heart disease and undergoing medical interventions. All participants were asked to fill in the Polish adaptations of Sense of Coherence Scale (SOC-29), General Self-Efficacy (GSE) scale, and The Psychological Well-Being Scale (PWB).

Positive correlations were found between sense of coherence (SOC), self-efficacy (SE), and psychological well-being (PWB), as well as between subscales of SOC and PWB. Positive correlations were revealed between SE and subscales of PWB as well. SE was proved as a mediator between SOC and PWB.

Results obtained in the presented study provide an empirical proof of complexity of the relationship among sense of coherence, psychological well-being, and self-efficacy. The mediation of SE between SOC and PWB appears to be partial which indicates indirect effects among the variables.

The main finding was to demonstrate the mediating role of self-efficacy between sense of coherence and psychological well-being. Some additional personality variables need to be considered in further research.