Adolescent Sense of Coherence over a Four-Year Period and the Pandemic: Junior and Senior High School Students Enrolled Before and After the Pandemic Broke out in Japan
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Ethical Considerations
2.3. Sense of Coherence
2.4. School Membership Scale
2.5. Baseline Measures (2019 for G1 and 2020 for G2)
Subjective Physical Health
2.6. Scale Measured in 2022
Students’ Perceptions of Stressful Experiences
3. Results
3.1. Group Characteristics and Data by Year for Each Group
3.2. Factors Related to SOC After the Pandemic by Group
4. Discussion
4.1. G1 and G2 from the Perspective of Annual Trends in SOC
4.2. Tracking the Changes in the School Membership Scale
4.3. Differences in the Impact of the Pandemic on G1 and G2
4.4. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
SOC | Sense of coherence |
References
- Antonovsky, A. (1987). Unravelling the mystery of health: How people manage stress and stay well. Jossey-Bass Publishers. [Google Scholar]
- Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11(1), 11–18. [Google Scholar] [CrossRef]
- Barendse, M. E. A., Flannery, J., Cavanagh, C., Aristizabal, M., Becker, S. P., Berger, E., Breaux, R., Campione-Barr, N., Church, J. A., Crone, E. A., Dahl, R. E., Dennis-Tiwary, T. A., Dvorsky, M. R., Dziura, S. L., van de Groep, S., Ho, T. C., Killoren, S. E., Langberg, J. M., Larguinho, T. L., … Pfeifer, J. H. (2023). Longitudinal change in adolescent depression and anxiety symptoms from before to during the COVID-19 pandemic. Journal of Research on Adolescence, 33(1), 74–91. [Google Scholar] [CrossRef] [PubMed]
- Ben-Sira, Z. (1982). The scale of psychological distress (SPD): Cross-population invariance and validity. Research Communications in Psychology, Psychiatry and Behavior, 7, 329–346. [Google Scholar]
- DeVylder, J., Yamaguchi, S., Hosozawa, M., Yamasaki, S., Ando, S., Miyashita, M., Endo, K., Stanyon, D., Usami, S., Kanata, S., Tanaka, R., Minami, R., Hiraiwa-Hasegawa, M., Kasai, K., & Nishida, A. (2024). Adolescent psychotic experiences before and during the COVID-19 pandemic: A prospective cohort study. Journal of Child Psychology and Psychiatry, 65(6), 776–784. [Google Scholar] [CrossRef] [PubMed]
- Feldt, T., Kokko, K., Kinnunen, U., & Pulkkinen, L. (2005). The role of family background, school success, and career orientation in the development of a sense of coherence. European Psychologist, 10(4), 298–308. [Google Scholar] [CrossRef]
- García-Moya, I., Rivera, F., Moreno, C., Lindström, B., & Jiménez-Iglesias, A. (2012). Analysis of the importance of the family in the development of sense of coherence during adolescence. Scandinavian Journal of Public Health, 40(4), 333–339. [Google Scholar] [CrossRef]
- Goodenow, C. (1993). The psychological sense of school membership among adolescents: Scale development and educational correlates. Psychology in the School, 30, 79–90. [Google Scholar] [CrossRef]
- Hafstad, G. S., Saetren, S. S., Wentzel-Larsen, T., & Augusti, E. M. (2021). Adolescents’ symptoms of anxiety and depression before and during the COVID-19 outbreak: A prospective population-based study of teenagers in Norway. The Lancet Regional Health-Europe, 5, 100093. [Google Scholar] [CrossRef]
- Hiraga, N., Sasaki, M., Abe, S., & Kusube, S. (1996). Shou-Chugakkou no kyouiku no renkei ni kansuru kenkyu: Shou-Chugakkou kan ni sonzaisuru “dansa”no kaimei wo chushin to shitte (in Japanese, A study on cooperation between elementary and junior high schools: Focusing on clarifying the gap between elementary and junior high schools). Bulletin of Takehaya Junior High School Attached to Tokyo Gakugei University, 34, 197–221. [Google Scholar]
- Hosozawa, M., Ando, S., Yamaguchi, S., Yamasaki, S., DeVylder, J., Miyashita, M., Endo, K., Stanyon, D., Knowles, G., Nakanishi, M., Usami, S., Iso, H., Furukawa, T. A., Hiraiwa-Hasegawa, M., Kasai, K., & Nishida, A. (2024). Sex differences in adolescent depression trajectory before and into the second year of the COVID-19 pandemic. Journal of the American Academy of Child & Adolescent Psychiatry, 63(4), 539–548. [Google Scholar] [CrossRef]
- Ishida, M., Imura, W., & Watanabe, M. (2017). Correlations between student-life related stress and coping behaviors in mental health of high school students. Japanese Journal of School Health, 59, 164–171. [Google Scholar]
- Japan Science and Technology Agency. (2024) August 5. The 11th wave of COVID-19 is clear and may continue to spread. The Ministry of Health, Labor, and Welfare calls for caution as infections among young children also increase; Science Clip. Available online: https://scienceportal.jst.go.jp/gateway/clip/20240805_g01/ (accessed on 10 February 2025).
- Ministry of Education, Culture, Sports, Science and Technology. (2020) February 28. About temporary closure at elementary schools, junior high schools, high schools, special schools, etc. for measures against the new coronavirus infectious diseases. Available online: https://www.mext.go.jp/content/202002228-mxt_kouhou01-000004520_1.pdf (accessed on 10 February 2025).
- Murai, J., Haebara, S., Hashimoto, S., Nozawa, S., Miura, T., Sugiyama, T., Morigami, N., & Koyasu, M. (2022). Chugaku juken no shinri to kadai (in Japanese, Psychological Issues in Junior High School Entrance Examinations). The Annual Report of Educational Psychology in Japan, 61, 267–268. [Google Scholar] [CrossRef]
- Nilsson, K. W., Leppert, J., Simonsson, B., & Starrin, B. (2010). Sense of coherence and psychological well-being: Improvement with age. Journal of Epidemiology & Community Health, 64(4), 347–352. [Google Scholar] [CrossRef]
- Okajima, I., Honda, Y., Semba, O., Kiyota, Y., & Tani, Y. (2022). Effects of COVID-19-related anxiety and sleep problems on loneliness and feelings of school belonging. Frontiers in Psychiatry, 13, 918417. [Google Scholar] [CrossRef] [PubMed]
- Okajima, I., Nakajima, S., Kobayashi, M., & Inoue, Y. (2013). Development and validation of the Japanese version of the Athens Insomnia Scale. Psychiatry and Clinical Neurosciences, 67(5), 420–425. [Google Scholar] [CrossRef]
- Okayasu, T., Shimada, H., Niwa, Y., Mori, T., & Yatomi, N. (1992). The relationship between evaluation of school stressors and stress responses in junior high school students. The Japan Journal of Psychology, 63, 310–318. [Google Scholar] [CrossRef]
- Okuyama, J., Seto, S., Fukuda, Y., Funakoshi, S., Amae, S., Onobe, J., Izumi, S., Ito, K., & Imamura, F. (2021). Mental health and physical activity among children and adolescents during the COVID-19 pandemic. Tohoku Journal of Experimental Medicine, 253(3), 203–215. [Google Scholar] [CrossRef]
- Omiya, T., Deguchi, N., Sakata, Y., Takata, Y., & Yamazaki, Y. (2021). Changes in Japanese junior high school students’ sense of coherence before and after the COVID-19 pandemic: A longitudinal study of children and mothers. Frontiers in Psychiatry, 12, 780443. [Google Scholar] [CrossRef]
- Orben, A., Tomova, L., & Blakemore, S. J. (2020). The effects of social deprivation on adolescent development and mental health. Lancet Child Adolescent Health, 4(8), 634–640. [Google Scholar] [CrossRef]
- Piiroinen, I., Tuomainen, T. P., Tolmunen, T., Kauhanen, J., Kurl, S., Nilsen, C., Suominen, S., Valimaki, T., & Voutilainen, A. (2020). Sense of coherence and mortality: A systematic review and meta-analysis. Psychosomatic Medicine, 82(6), 561–567. [Google Scholar] [CrossRef]
- Piiroinen, I., Tuomainen, T. P., Tolmunen, T., Kauhanen, J., Kurl, S., Nilsen, C., Suominen, S., Valimaki, T., & Voutilainen, A. (2022). Long-term changes in the sense of coherence and mortality among middle-aged men: A population-based follow-up study. Advances in Life Course Research, 53, 100494. [Google Scholar] [CrossRef] [PubMed]
- Raney, J. H., Testa, A., Jackson, D. B., Ganson, K. T., & Nagata, J. M. (2022). Associations Between Adverse Childhood Experiences, Adolescent Screen Time and Physical Activity During the COVID-19 Pandemic. Academic Pediatrics, 22(8), 1294–1299. [Google Scholar] [CrossRef]
- Rivera, F., García-Moya, I., Moreno, C., & Ramos, P. (2013). Developmental contexts and sense of coherence in adolescence: A systematic review. Journal of Health Psychology, 18(6), 800–812. [Google Scholar] [CrossRef]
- Sasaki, Y., Sasaki, S., Sunakawa, H., Toguchi, Y., Tanese, S., Saito, K., Shinohara, R., Kurokouchi, T., Sugimoto, K., Itagaki, K., & Yoshida, Y. (2022). Evaluating the daily life of child and adolescent psychiatric outpatients during temporary school closure over COVID-19 pandemic: A single-center case-control study. Global Health & Medicine, 4(3), 159–165. [Google Scholar] [CrossRef]
- Soldatos, C. R., Dikeos, D. G., & Paparrigopoulos, T. J. (2000). Athens Insomnia Scale: Validation of an instrument based on ICD-10 criteria. Journal of Psychosomatic Research, 48(6), 555–560. [Google Scholar] [CrossRef]
- Spitzer, M. (2020). Masked education? The benefits and burdens of wearing face masks in schools during the current corona pandemic. Trends in Neuroscience and Education, 20, 100138. [Google Scholar] [CrossRef]
- Tal-Saban, M., & Zaguri-Vittenberg, S. (2022). Adolescents and resilience: Factors contributing to health-related quality of life during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(6), 3157. [Google Scholar] [CrossRef]
- Togari, T., Sato, M., Yamazaki, Y., & Otemori, R. (2011). The development of a Japanese 13-item version of the psychological sense of school membership scale for Japanese urban high school students. School Health, 7, 62–72. [Google Scholar] [CrossRef]
- Togari, T., Yamazaki, Y., Nakayama, K., & Shimizu, J. (2007). Development of a short version of the sense of coherence scale for population survey. Journal of Epidemiology & Community Health, 61(10), 921–922. [Google Scholar]
- Volanen, S. M., Suominen, S., Lahelma, E., Koskenvuo, M., & Silventoinen, K. (2006). Sense of coherence and its determinants: A comparative study of the Finnish-speaking majority and the Swedish-speaking minority in Finland. Scandinavian Journal of Public Health, 34(5), 515–525. [Google Scholar] [CrossRef]
- Yamauchi, K., Kato, T., Saito, T., & Yamaizumi, M. (2020). Relationship between mortality risk and health-related factors and sense of coherence among residents of a rural area in Japan. Journal of Rural Medicine, 15(1), 38–43. [Google Scholar] [CrossRef] [PubMed]
- Yamazaki, Y., & Togari, T. (2011). Adolescent stress-coping ability, a SOC-parent-child follow-up survey, and recommendations. Yushindo. [Google Scholar]
- Yamazaki, Y., Togari, T., & Sakano, T. (2008). Sutoresu-taishnouryoku SOC (in Japanese, sense of coherence). Yushindo. [Google Scholar]
G1: Students Admitted in 2018 (Before COVID-19) | G2: Students Admitted in 2020 (During-COVID-19) | t-Test p-Value | |
---|---|---|---|
Variables | n = 96 | n = 144 | |
N (%), Average Score, ±SD | |||
Gender Boye | 49 (51.0) | 73 (50.7) | 0.273 |
Girl | 47 (49.0) | 71 (49.3) | (χ2-test) |
Baseline (G1 = Year 2019, G2 = Year 2020) | |||
Subjective physical health (range 8–32) | 24.10 ± 5.0 | 26.08 ± 4.1 | 0.001 |
Athens insomnia score (the higher the score, the more insomnia | 3.27 ± 2.5 | 2.99 ± 2.5 | 0.398 |
Sense of coherence (range 13–65) total score | 39.40 ± 6.3 | 44.20 ± 7.7 | <0.001 |
Comprehensibility | 14.44 ± 3.2 | 16.00 ± 3.5 | <0.001 |
Manageability | 11.82 ± 2.7 | 13.33 ± 3.0 | <0.001 |
Meaningfulness | 13.16 ± 2.7 | 14.89 ± 2.8 | <0.001 |
School membership scale | |||
Accepted by students | 16.54 ± 2.7 | 17.16 ± 2.6 | 0.075 |
Accepted by teachers | 18.47 ± 3.5 | 19.29 ± 3.5 | 0.074 |
Belonging to school | 16.63 ± 3.0 | 17.38 ± 2.5 | 0.038 |
Year 2022 | |||
Sense of coherence (range 13–65) total score | 41.10 ± 7.4 | 41.72 ± 6.9 | 0.992 |
Comprehensibility | 15.14 ± 3.2 | 15.40 ± 3.4 | 0.652 |
Manageability | 13.00 ± 2.7 | 13.02 ± 2.9 | 0.957 |
Meaningfulness | 13.00 ± 2.8 | 13.21 ± 2.8 | 0.570 |
School membership scale | |||
Accepted by students | 16.13 ± 3.0 | 16.86 ± 2.9 | 0.065 |
Accepted by teachers | 19.07 ± 4.1 | 19.07 ± 4.4 | 1.000 |
Belonging to school | 15.75 ± 3.4 | 16.22 ± 2.8 | 0.247 |
Stress experience scale | |||
Stress for teachers | 6.17 ± 2.1 | 6.04 ± 1.8 | 0.640 |
Stress from club activities | 6.86 ± 2.6 | 7.02 ± 2.6 | 0.686 |
Stress related to schoolwork | 8.97 ± 3.3 | 9.06 ± 3.4 | 0.858 |
Stress related to friends | 5.36 ± 1.1 | 5.11 ± 0.4 | 0.211 |
Family-related stress | 5.9 ± 3.0 | 6.52 ± 3.4 | 0.207 |
G1: Students Admitted in 2018 (Before COVID-19) | G2: Students Admitted in 2020 (During-COVID-19) n = 85 | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Boy n = 49 | Girl n = 47 | Boy n = 73 | Girl n = 71 | ||||||||||||
Variables | Average Score ± SD | Year Bonferroni Test p-Value | Average Score ± SD | Year Bonferroni Test p-Value | Male/Female t-Test p-Value | Average Score ± SD | Year Bonferroni Test p-Value | Average Score ± SD | Year Bonferroni Test p-Value | Male/Female t-Test p-Value | |||||
Sense of coherence (SOC) total score (range 13–65) | |||||||||||||||
Year 2019 | 39.59 ± 6.0 | 39.25 ± 6.8 | <0.001 | 0.802 | - | - | - | ||||||||
2020 | 40.57 ± 7.2 | 43.80 ± 8.1 | 0.043 | 46.05 ± 6.9 | 42.40 ± 8.0 | 0.008 | 0.010 | ||||||||
2021 | 40.77 ± 7.4 | 42.72 ± 8.0 | 0.023 | 0.260 | 44.30 ± 7.8 | 40.20 ± 8.1 | 0.002 | ||||||||
2022 | 41.31 ± 8.1 | 42.05 ± 6.9 | 0.409 | 44.05 ± 7.5 | 39.24 ± 7.0 | <0.001 | <0.001 | ||||||||
SOC subcomponents | |||||||||||||||
Comprehensibility | |||||||||||||||
Year 2019 | 14.92 ± 3.3 | 13.95 ± 3.0 | 0.001 | 0.075 | - | - | - | ||||||||
2020 | 15.02 ± 3.7 | 16.07 ± 3.5 | 0.599 | 16.95 ± 3.5 | 15.03 ± 3.4 | 0.043 | 0.005 | ||||||||
2021 | 15.16 ± 3.4 | 15.75 ± 3.4 | 0.013 | 0.484 | 17.12 ± 3.7 | 14.24 ± 3.5 | <0.001 | ||||||||
2022 | 14.93 ± 3.6 | ± 3.0 | 0.547 | 16.70 ± 3.4 | 14.13 ± 3.0 | 0.029 | <0.001 | ||||||||
Manageability | |||||||||||||||
Year 2019 | 11.77 ± 2.6 | 0.027 | 11.87 ± 2.9 | 0.014 | 0.858 | - | - | - | |||||||
2020 | 12.96 ± 2.4 | 13.24 ± 2.9 | 0.345 | 14.07 ± 3.0 | 12.58 ± 2.8 | 0.002 | |||||||||
2021 | 13.02 ± 2.7 | 13.08 ± 2.9 | 0.928 | 13.94 ± 3.3 | 12.73 ± 3.0 | 0.019 | |||||||||
2022 | 12.93 ± 3.0 | 13.08 ± 2.5 | 0.297 | 13.83 ± 2.8 | 12.19 ± 2.8 | <0.001 | |||||||||
Meaningfulness | |||||||||||||||
Year 2019 | 12.90 ± 2.8 | 13.43 ± 2.6 | 0.343 | - | - | - | |||||||||
2020 | 12.59 ± 2.5 | 14.50 ± 2.9 | 0.001 | 15.03 ± 2.6 | <0.001 | 14.75 ± 3.1 | <0.001 | 0.675 | |||||||
2021 | 12.59 ± 3.4 | 13.89 ± 3.1 | 0.061 | 13.26 ± 3.3 | 13.19 ± 3.0 | 0.894 | |||||||||
2022 | 12.42 ± 2.5 | 13.60 ± 2.8 | 0.089 | 13.52 ± 2.8 | 0.001 | 12.90 ± 2.8 | 0.001 | <0.001 |
G1: Students Admitted in 2018 (Before COVID-19) | G2: Students Admitted in 2020 (During COVID-19) n = 85 | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Male n = 49 | Female n = 47 | Male n = 73 | Female n = 71 | |||||||||||
Variables | Average Score ± SD | Year Bonferroni Test p-Value | Average Score ± SD | Year Bonferroni Test p-Value | Male/Female T-Test p-Value | Average Score ± SD | Year Bonferroni Test p-Value | Average Score ± SD | Year Bonferroni Test p-Value | Male/Female T-Test p-Value | ||||
School membership scale | ||||||||||||||
Accepted by students | ||||||||||||||
Year 2019 | 15.76 ± 2.6 | 17.35 ± 2.5 | 0.004 | - | - | - | ||||||||
2020 | 15.41 ± 3.1 | 16.98 ± 2.7 | 0.013 | 16.77 ± 2.7 | 17.56 ± 2.4 | 0.067 | ||||||||
2021 | 15.64 ± 2.9 | 16.75 ± 2.7 | 0.066 | 16.33 ± 3.3 | 17.04 ± 3.1 | 0.180 | ||||||||
2022 | 15.41 ± 3.4 | 16.88 ± 2.6 | 0.060 | 16.72 ± 3.1 | 17.00 ± 2.7 | 0.574 | ||||||||
Accepted by teachers | ||||||||||||||
Year 2019 | 17.80 ± 3.4 | 19.17 ± 3.3 | 0.052 | - | - | - | ||||||||
2020 | 18.08 ± 4.3 | 20.12 ± 3.5 | 0.016 | 19.18 ± 3.4 | 19.40 ± 3.5 | 0.702 | ||||||||
2021 | 18.02 ± 4.5 | 19.62 ± 3.8 | 0.082 | 18.75 ± 4.1 | 18.61 ± 4.5 | 0.840 | ||||||||
2022 | 17.89 ± 4.5 | 20.29 ± 3.5 | 0.023 | 19.16 ± 4.4 | 18.97 ± 4.4 | 0.801 | ||||||||
Belonging to school | ||||||||||||||
Year 2019 | 16.20 ± 3.1 | 17.09 ± 2.9 | 0.153 | - | - | - | ||||||||
2020 | 15.73 ± 3.1 | 16.64 ± 3.1 | 0.162 | 17.45 ± 2.5 | 0.010 | 17.30 ± 2.5 | 0.001 | 0.710 | ||||||
2021 | 15.77 ± 2.7 | 16.91 ± 2.9 | 0.059 | 16.53 ± 2.9 | 16.35 ± 3.2 | 0.637 | ||||||||
2022 | 14.89 ± 3.4 | 16.65 ± 3.3 | 0.047 | 16.43 ± 2.8 | 0.002 | 15.99 ± 2.8 | <0.001 | 0.308 |
Variables | G1: Students Admitted in 2018 (Before COVID-19) n = 65 | G2: Students Admitted in 2020 (During-COVID-19) n = 144 | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Correlation Analysis | Multivariate | Correlation Analysis | Multivariate | ||||||||||||||
Spearman ρ | p-Value | Coefficient β | p-Value | Standard Error | 95%CI | Spearman ρ | p-Value | Coefficient β | p-Value | Standard Error | 95%CI | ||||||
Gender (male = 0, female = 1) | 0.174 | 0.096 | 0.139 | 0.286 | 1.950 | −1.822 | - | 6.032 | −0.391 | <0.001 | −0.212 | 0.009 | 1.255 | −5.849 | - | −0.844 | |
[Baseline] | |||||||||||||||||
(G1 = year 2018, G2 = year 2020) | |||||||||||||||||
SOC total score (range: 13–65) | 0.090 | 0.252 | −0.065 | 0.664 | 0.157 | −0.385 | - | 0.248 | 0.673 | <0.001 | 0.370 | 0.001 | 0.110 | 0.154 | - | 0.593 | |
Subjective physical health | 0.208 | 0.059 | 0.280 | 0.066 | 0.212 | −0.027 | - | 0.826 | 0.361 | <0.001 | 0.072 | 0.490 | 0.200 | −0.260 | - | 0.538 | |
Athens insomnia score | −0.077 | 0.282 | 0.105 | 0.510 | 0.419 | −0.566 | 1.123 | 0.492 | <0.001 | 0.009 | 0.928 | 0.305 | −0.580 | - | 0.635 | ||
[Measurement score in 2020] | |||||||||||||||||
School membership scale | |||||||||||||||||
Accepted by students | 0.261 | 0.024 | −0.418 | 0.056 | 0.528 | −2.100 | - | 0.027 | 0.361 | <0.001 | −0.104 | 0.413 | 0.326 | −0.917 | - | 0.381 | |
Accepted by teachers | 0.303 | 0.010 | 0.140 | 0.468 | 0.354 | −0.454 | 0.972 | 0.492 | <0.001 | 0.066 | 0.639 | 0.239 | −0.364 | 0.589 | |||
Belonging to school | 0.466 | 0.000 | 0.517 | 0.009 | 0.411 | 0.293 | - | 1.950 | 0.481 | 0.001 | 0.204 | 0.096 | 0.326 | −0.100 | - | 1.199 | |
Stress experience scale | |||||||||||||||||
Stress for teachers | −0.231 | 0.041 | 0.030 | 0.849 | 0.536 | −0.978 | - | 1.183 | −0.213 | 0.025 | 0.041 | 0.619 | 0.461 | −0.689 | - | 1.150 | |
Stress from club activities | −0.228 | 0.043 | −0.152 | 0.287 | 0.426 | −1.318 | - | 0.399 | −0.350 | 0.001 | 0.044 | 0.637 | 0.332 | −0.505 | - | 0.819 | |
Stress related to schoolwork | −0.461 | 0.000 | −0.393 | 0.010 | 0.337 | −1.582 | - | −0.226 | −0.528 | <0.001 | −0.128 | 0.213 | 0.247 | −0.803 | - | 0.182 | |
Stress related to friends | −0.360 | 0.003 | −0.072 | 0.669 | 1.102 | −2.694 | 1.745 | −0.118 | 0.142 | −0.077 | 0.350 | 1.704 | −4.999 | 1.793 | |||
Family-related stress | −0.210 | 0.057 | 0.058 | 0.672 | 0.359 | −0.571 | - | 0.877 | −0.441 | <0.001 | −0.230 | 0.015 | 0.231 | −1.033 | - | −0.114 | |
Adjusted R2 | 0.323 | 0.543 | |||||||||||||||
p = 0.002 | p < 0.001 |
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Omiya, T.; Deguchi, N.K. Adolescent Sense of Coherence over a Four-Year Period and the Pandemic: Junior and Senior High School Students Enrolled Before and After the Pandemic Broke out in Japan. Behav. Sci. 2025, 15, 504. https://doi.org/10.3390/bs15040504
Omiya T, Deguchi NK. Adolescent Sense of Coherence over a Four-Year Period and the Pandemic: Junior and Senior High School Students Enrolled Before and After the Pandemic Broke out in Japan. Behavioral Sciences. 2025; 15(4):504. https://doi.org/10.3390/bs15040504
Chicago/Turabian StyleOmiya, Tomoko, and Naoko Kumada Deguchi. 2025. "Adolescent Sense of Coherence over a Four-Year Period and the Pandemic: Junior and Senior High School Students Enrolled Before and After the Pandemic Broke out in Japan" Behavioral Sciences 15, no. 4: 504. https://doi.org/10.3390/bs15040504
APA StyleOmiya, T., & Deguchi, N. K. (2025). Adolescent Sense of Coherence over a Four-Year Period and the Pandemic: Junior and Senior High School Students Enrolled Before and After the Pandemic Broke out in Japan. Behavioral Sciences, 15(4), 504. https://doi.org/10.3390/bs15040504