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Can the sense of coherence be strengthened?

A meta-analysis of 27 randomised trials found that non-drug interventions can strengthen the sense of coherence in older adults and people with chronic illnesses, up to three months after the intervention. People with burnout were not examined.

The meta-analysis in the Journal of Advanced Nursing (2025) with 2,178 participants found significant effects compared with usual care directly after the interventions and at three months, especially for salutogenic interventions. For self-management programmes, the pooled sample size was still insufficient according to the authors. At six months or later, no significant difference was found.

For the world of work, the Handbook of Salutogenesis (2017) describes workplaces in which people experience meaningfulness, manageability and comprehensibility, and approaches to promote such health-enhancing job characteristics.

If exhaustion has already set in, a medical assessment comes first. Questions of meaning and of how to manage work and life can follow once an illness has been ruled out or treatment is agreed with the doctor.

What can be raised at a medical check-up about strengthening the sense of coherence, meaning salutogenic interventions?

  • whether there are medical reasons against more activity
  • which forms of support are available locally

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 the sense of coherence be strengthened? This question Can the sense of coherence bestrengthened? Follow-up question Can social support protect againstburnout? To the answer → Follow-up question What helps with burnout? To the answer → Related question When can coaching fit afterburnout? To the answer →

The content on exburnout.com is for information and orientation. It is no substitute for a medical examination, diagnosis or treatment. In an emergency: 112 (EU), 999 (UK).

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