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Can a strong sense of coherence protect against burnout?

Studies point in the same direction: a stronger sense of coherence goes along with less burnout, depression and stress. Most studies are cross-sectional, so they show associations. Longitudinal studies point to a possible protective effect.

A systematic review of 458 publications in the Journal of Epidemiology and Community Health (2006) found the sense of coherence strongly related to perceived health, especially mental health, and seemingly able to predict health. According to the authors, it does not alone explain overall health.

For health and care professions, a systematic review of 41 articles in Healthcare (2022) found that stress, depression, burnout and post-traumatic stress disorder correlate negatively with the sense of coherence. A systematic review on nurses (2020) describes the sense of coherence as a predictor of depressive states, burnout and job dissatisfaction among female nurses. Among Bulgarian healthcare professionals during the COVID-19 pandemic, emotional exhaustion and mental distance from patients (depersonalisation) correlated negatively with the sense of coherence. Meaningfulness had the highest predictive value for burnout there (Frontiers in Psychiatry, 2021).

A longitudinal study of 159 professional caregivers in youth residential care found over three years that a higher sense of coherence and self-care were associated with less burnout (2020). In an international study with two surveys of 612 hospital staff during the COVID-19 pandemic (2023), the sense of coherence was associated with burnout. Meta-analyses, mostly of cross-sectional studies, find similar associations with mental health problems in young people (57 studies, 41,013 participants, 2023) and in family carers (35 studies, 2019).

What can be raised at a medical check-up about the sense of coherence and burnout, meaning a health resource under strain?

  • current stress at work and at home
  • mood, sleep and exhaustion
  • which resources still help

Exhaustion can have many causes, including illnesses that need treatment. For this reason a medical assessment comes before coaching, usually starting at the GP practice.

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Can a strong sense of coherence protect against burnout? This question Can a strong sense of coherenceprotect against burnout? Follow-up question Can the sense of coherence bestrengthened? To the answer → Follow-up question Can social support protect againstburnout? To the answer → Related question How can I tell burnout fromdepression? To the answer →

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By Johannes Faupel · Certified by IGST and SG, network partner in the sysTelios network · Created on