Sense of coherence and lack of control in relation to outcome after orthopaedic injuries

Injury. 2000 Dec;31(10):751-6. doi: 10.1016/s0020-1383(00)00115-7.


This study aimed to investigate whether sense of coherence (SOC) and lack of control are related to outcome after moderate orthopaedic injuries. One hundred and eleven patients with orthopaedic injuries were included. The patients were followed up 1 year after the injury (physical examination, Disability Raring Index (DRI), Visual Analogue Scale, Beck's Depression Inventory and SF-36). At a minimum of 2 years after the injury, the patients filled out a questionnaire, which included three SOC questions and one question about sense of lack of control. The results showed that a low sense of coherence, sense of having less control over one's life, and signs of depression were associated with an increased risk of having a less good clinical and functional outcome 1 year after the injury (odds ratios varied between 2 and 11). We conclude that these factors seem to be predictive of the outcome and should be taken into consideration when designing rehabilitation programs for injured patients.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Attitude to Health
  • Depressive Disorder / complications
  • Female
  • Follow-Up Studies
  • Fractures, Bone / psychology*
  • Fractures, Bone / rehabilitation
  • Health Status Indicators
  • Humans
  • Internal-External Control*
  • Male
  • Middle Aged
  • Psychometrics
  • Risk Factors
  • Treatment Outcome