Journal article

Sense of coherence in adults with congenital heart disease in 15 countries: Patient characteristics, cultural dimensions and quality of life

Philip Moons, Silke Apers, Adrienne H Kovacs, Corina Thomet, Werner Budts, Junko Enomoto, Maayke A Sluman, Jou-Kou Wang, Jamie L Jackson, Paul Khairy, Stephen C Cook, Shanthi Chidambarathanu, Luis Alday, Erwin Oechslin, Katrine Eriksen, Mikael Dellborg, Malin Berghammer, Bengt Johansson, Andrew S Mackie, Samuel Menahem Show all



BACKGROUND: Previous studies have found that sense of coherence (SOC) is positively related to quality of life (QoL) in persons with chronic conditions. In congenital heart disease (CHD), the evidence is scant. AIMS: We investigated (i) intercountry variation in SOC in a large international sample of adults with CHD; (ii) the relationship between demographic and clinical characteristics and SOC; (iii) the relationship between cultural dimensions of countries and SOC; and (iv) variation in relative importance of SOC in explaining QoL across the countries. METHODS: APPROACH-IS was a cross-sectional, observational study, with 4028 patients from 15 countries enrolled. SOC was measured using the ..

View full abstract


Awarded by Research Fund - KU Leuven (Leuven, Belgium)

Awarded by Swedish Heart-Lung Foundation (Sweden)

Awarded by Cardiac Children's Foundation (Taiwan)

Funding Acknowledgements

This work was supported by the Research Fund - KU Leuven (Leuven, Belgium) through grant OT/11/033 to K. L. and P.M.; by the Swedish Heart-Lung Foundation (Sweden) through grant number 20130607 to M.D.; by the University of Gothenburg Centre for Person-centred Care (Gothenburg, Sweden) to M.D. and P.M.; and by the Cardiac Children's Foundation (Taiwan) through grant CCF2013_02 to H.L.Y. Furthermore, this work was endorsed by and conducted in collaboration with the International Society for Adult Congenital Heart Disease.