Socioeconomic status and mental health during the COVID-19 crisis: Are sense of coherence, sense of community coherence and sense of national coherence predictors for mental health?


  • Roald Pijpker Wageningen University
  • Dani van der Kamp Wageningen University
  • Sarah Vader National Institute for Public Health and the Environment, Bilthoven
  • Lea den Broeder National Institute for Public Health and the Environment, Amsterdam University of Applied Sciences
  • Annemarie Wagemakers Wageningen University

Słowa kluczowe:

mental health, COVID-19, sense of coherence, socioeconomic differences, salutogenesis



Evidence about the impact of the COVID-19 pandemic on existing health inequalities is emerging. This study explored differences in mental health, sense of coherence (SOC), sense of community coherence (SOCC), sense of national coherence (SONC), and social support between low and high socioeconomic (SES) groups, and the predictive value of these predictors for mental health.

Participants and procedure

A cross-sectional study was conducted using an online survey in the Netherlands in October 2021, comprising a total of 91 respondents (n = 41, low SES; n = 50, high SES).


There were no differences in mental health, SOC, SOCC, SONC, and social support between the groups. SOC was a predictor for mental health in both groups and SOCC for the low SES group.


We found that both SOC and SOCC predict mental health during the pandemic. In the article we reflect on possible pathways for strengthening these resources for mental health.


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Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. Jossey-Bass.

Braun-Lewensohn, O., & Sagy, S. (2011). Salutogenesis and culture: Personal and community sense of coherence among adolescents belonging to three different cultural groups. International Review of Psychiatry, 23, 533–541. 540261.2011.637905.

Centraal Bureau voor de Statistiek (CBS) (2020). Sociaaleconomische status van huishoudens in Nederland [Socio-economic status of households in the Netherlands]. Retrieved from nl-nl/maatwerk/2020/49/sociaaleconomische-status-van-huishoudens-in-nederland [accessed November 3, 2021].

Centraal Bureau voor de Statistiek (CBS) (2021). Sociaal-demografische verschillen in COVID-19-sterfte tijdens de eerste golf van de corona-epidemie [Socio-demographic differences in COVID-19 mortality during the first wave of the corona epidemic]. Retrieved from statistische-trends/2021/sociaal-demografischeverschillen-in-covid-19-sterfte-tijdens-de-eerstegolf-van-de-corona-epidemie [accessed November 3, 2021].

Crielaard, L., Nicolaou, M., Sawyer, A., Quax, R., & Stronks, K. (2021). Understanding the impact of exposure to adverse socioeconomic conditions on chronic stress from a complexity science perspective. BMC Medicine, 19, 1–20. https://doi. org/10.1186/s12916-021-02106-1.

Elfassi, Y., Braun‐Lewensohn, O., Krumer‐Nevo, M., & Sagy, S. (2016). Community sense of coherence among adolescents as related to their involvement in risk behaviors. Journal of Community Psychology, 44, 22–37.

Eriksson, M., & Lindström, B. (2005). Validity of Antonovsky’s sense of coherence scale: a systematic review. Journal of Epidemiology & Community Health, 59, 460–466. jech.2003.018085.

Eriksson, M., & Lindström, B. (2006). Antonovsky’s sense of coherence scale and the relation with health: a systematic review. Journal of Epidemiology & Community Health, 60, 376–381. https://doi. org/10.1136/jech.2005.041616.

Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43, 207–222. https://

Lamers, S. M., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. (2011). Evaluating the psychometric properties of the Mental Health Continuum‐Short Form (MHC‐SF). Journal of Clinical Psychology, 67, 99–110. https://doi. org/10.1002/jclp.20741.

Mana, A., Bauer, G. F., Magistretti, C. M., Sardu, C., Juvinyà-Canal, D., Hardy, L. J., Catz, O., Tušl, M., & Sagy, S. (2021a). Order out of chaos: Sense of coherence and the mediating role of coping resources in explaining mental health during COVID-19 in 7 countries. SSM – Mental Health, 1, 100001.

Mana, A., Super, S., Sardu, C., Juvinyà-Canal, D., Moran, N., & Sagy, S. (2021b). Individual, social and national coping resources and their relationships with mental health and anxiety: a comparative study in Israel, Italy, Spain, and the Netherlands during the coronavirus pandemic. Global Health Promotion, 28, 17–26. https://doi. org/10.1177/1757975921992957.

Mana, A., Srour, A., & Sagy, S. (2019). A sense of national coherence and openness to the “other’s” collective narrative: The case of the Israeli-Palestinian conflict. Peace and Conflict: Journal of Peace Psychology, 25, 226–233. pac0000391.

Mana, A., Sagy, S., & Srour, A. (2016). Sense of community coherence and inter-religious relations. The Journal of Social Psychology, 156, 469–482.

Schou-Bredal, I., Grimholt, T. K., Bonsaksen, T., Skogstad, L., Heir, T., & Ekeberg, Ø. (2021). Optimists’ and pessimists’ self-reported mental and global health during the COVID-19 pandemic in Norway. Health Psychology Report, 9, 160–168. https://doi. org/10.5114/hpr.2021.102394.

Super, S., Pijpker, R., & Polhuis, K. (2021). The relationship between individual, social and national coping resources and mental health during the COVID-19 pandemic in the Netherlands. Health Psychology Report, 9, 186–192. https://doi. org/10.5114/hpr.2020.99028.

Super, S., Wagemakers, M. A. E., Picavet, H. S. J., Verkooijen, K. T., & Koelen, M. A. (2016). Strengthening sense of coherence: Opportunities for theory building in health promotion. Health Promotion International, 31, 869–878. heapro/dav071.

Veronese, G., Mahamid, F., Bdier, D., & Pancake, R. (2021). Stress of COVID-19 and mental health outcomes in Palestine: The mediating role of well-being and resilience. Health Psychology Report, 9, 398–410.

Wilson, J. M., Lee, J., Fitzgerald, H. N., Oosterhoff, B., Sevi, B., & Shook, N. J. (2020). Job insecurity and financial concern during the COVID-19 pandemic are associated with worse mental health. Journal of Occupational and Environmental Medicine, 62, 686– 691.

WHO (2020). Extent, scope and impacts of COVID-19 on health inequities: The evidence. Retrieved from covid-19-impacts-(nicole-valentine).pdf [accessed November 3, 2021].



Jak cytować

Pijpker, R., van der Kamp, D., Vader, S., den Broeder, L., & Wagemakers, A. (2022). Socioeconomic status and mental health during the COVID-19 crisis: Are sense of coherence, sense of community coherence and sense of national coherence predictors for mental health?. Health Psychology Report, 10(2), 149–155. Pobrano z