J Epidemiol Community Health 61:938-944 doi:10.1136/jech.2006.056028
  • Review
    • Continuing professional education

Antonovsky’s sense of coherence scale and its relation with quality of life: a systematic review

  1. Monica Eriksson,
  2. Bengt Lindström
  1. Health Promotion Research Program, Folkhälsan Research Centre, Helsinki, Finland
  1. Dr M Eriksson, Health Promotion Research Program, Folkhälsan Research Centre, Paasikivigatan 4, FIN-00250 Helsinki, Finland; monica.eriksson{at}
  • Accepted 23 January 2007


The aim of this paper is to synthesise findings on the salutogenic concept, sense of coherence (SOC), and its correlation with quality of life (QoL). This study is descriptive and analytic, with a systematic integration of the contemporary knowledge base on the salutogenic research published in 1992–2003. This review includes 458 scientific publications and 13 doctoral theses on salutogenesis. In all, 32 papers had the main objective of investigating the relationship between SOC and QoL. This study is based on scientific publications in eight authorised databases, doctoral theses and available books. The SOC seems to have an impact on the QoL; the stronger the SOC, the better the QoL. Furthermore, longitudinal studies confirm the predictive validity of the SOC for a good QoL. The findings correspond to the core of the Ottawa Charter—that is, the process of enabling people to live a good life. Therefore, a certain possibility to modify and extend the health construct is becoming discernible, implicating a construct including salutogenesis and QoL. The SOC concept is a health resource, influencing QoL.


  • Funding: This study was supported by grants from Folkhälsan Research Centre, The Health Promotion Research Programme and the European Commission (European Masters in Health Promotion (EUMAHP).

  • Competing interests: None declared.

  • Abbreviations:
    general resistance resource
    quality of life
    sense of coherence