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University West, Department of Nursing, Health and Culture has in 2011 established the Center on Salutogenesis. We are today responsible for the a the website We are running a systematic and analytical research synthesis on salutogenic research 1992-up to date. The website is a continuation of a former one located in Helsinki, Finland. The new website is now in Swedish and in English.

We continuously update the sites including the database (only in English). However, to build up and keep it  updated is time consuming. Therefore we invite authors of scientific papers published in peer reviewed journals to join us in this task. Please fill in a review protocol (in English) of your study in line with the presented model. Please send your review protocol to the Responsible Editor of the website, Monica Eriksson. We will thereafter put the information into the Database. This is a possibility for Authors to spread their findings to all of us interested in the field of salutogenesis. Thank you for your cooperation!


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The effect of stress-related factors on mental health status among resident doctors in Japan

First year medical residents at postgraduate education hospitals in Japan

ANOVA, Chi-square-test, Multiple regression analysis, Pearsons product-moment correlation, Tukey's test
To investigate how the interaction between the ability of medical residents (doctors in post-graduate training) to cope with stress and their working conditions might affect their level of job-related stress
SOC Scale
Statistical data

N=568, response rate 61.3 %, N=348. Final N = 257 (replies without missing data), valid response rate 45.2 %. 

SOC mean 134.5 ± 20.5
SOC, weak: ≤ 114, moderate 115-154, strong ≥155

SOC Scale group

Male : female ratio

Age, years, mean ± SD

All (n = 257)
171 : 86
26.0 ± 2.9
Weak (n = 42)
28 : 14
25.5 ± 2.1

Moderate (n = 173)

109 : 64
26.0 ± 3.0

Strong (n = 42)

34 : 8
26.5 ± 3.0
Other measures: Brief Scales for Job Stress (BSJS), General Health Questionnaire (GHQ-12), basic conditions (working hours etc.)
Main result

The mean ± standard deviation (SD) score on the SOC scale was 134.5 ± 20.5. All participants were classified into three groups according to their SOC scale scores. Although the objective working conditions of the three groups were statistically similar, the group with the weakest SOC scale score showed poorer mental health status (p < 0.05) and scored lower for ‘reward from work’ compared with the groups with higher SOC scores ( p< 0.05). The weaker Soc group also scored higher for ‘mental workload’ and ‘problems in personal relationships’ than the other two groups. Moreover, the weaker SOC group scored less for ‘support from colleagues and superiors’ than the stronger SOC group.


A stepwise multiple regression analysis for GHQ-12 score was conducted (R² = 0.45). ‘Sleep time’, ‘workload’, ‘mental workload’ and ‘problems in personal relationships’ were positively correlated with GHQ-12 scores. ‘Reward from work’ was negatively correlated with GHQ-12 scores.


Because the study was conducted at a single time-point the causal relationship between ability to cope with stress and job-related stress factors could not be determined.

38.7 % non-response rate, possible sampling bias.

The subjects do not represent all residents in Japan.

Sampling bias compared with subjects in other countries.

Subjective scale (BSJS).

Self-administered questionnaire, subjective answers.

The effect of stress-related factors on mental health status among resident doctors in Japan. Haoka T, Sasahara S, Tomotsune Y, Yoshino S, Maeno T, Matsuzaki I. Med Educ. 2010 Aug;44(8):826-34
Inserted: 20.01.2011 13:32:06
Updated: 27.06.2013 10:31:59