Sense of coherence and its context with demographics, psychological aspects, lifestyle, complementary and alternative medicine and lay aetiology

The mean sense of coherence score was 47.30, described in the discussion as a moderate value within population reference range. Significant associations were observed between sense of coherence and financial situation (r=0.230, p<0.001), education (r=0.187, p<0.001), marital status (η=0.177, p=0.026), and time since diagnosis (r=-0.109, p=0.045). Acknowledged limitations include absence of data on current cancer treatment, comorbidities, longitudinal change, subjective reporting, cancer-type heterogeneity, religious/spiritual community involvement, and data collection during the COVID-19 pandemic. The authors suggest physicians consider strengthening sense of coherence, resilience, and self-efficacy alongside patients' educational, financial, and social support contexts.