{"title":"Sense of coherence, experiential avoidance, and internalising and externalising behaviours among adolescents: a two-wave study.","authors":"Bilal Kaya, Sezen Ateş Yaman","doi":"10.1080/13548506.2026.2737837","DOIUrl":null,"url":null,"abstract":"<p><p>Sense of coherence is regarded as a key psychological resource for adolescents' behavioural adjustment, enabling them to perceive stressors as comprehensible, manageable, and meaningful. However, the role of experiential avoidance in the association between sense of coherence and internalising and externalising behaviours remains underexplored. Drawing on salutogenic theory and acceptance and commitment therapy, this study examines the associations of sense of coherence with experiential avoidance and internalising and externalising behaviours, as well as the indirect associations between sense of coherence and these behavioural outcomes through experiential avoidance. Data were collected across two waves from 377 adolescents aged 14 to 18 years. Structural equation modelling was employed to test the mediation model. The results indicate that sense of coherence predicts lower experiential avoidance and fewer internalising and externalising behaviours, with significant concurrent indirect associations through experiential avoidance. These findings suggest that lower experiential avoidance may represent one pathway through which sense of coherence is associated with fewer internalising and externalising behaviours among adolescents. The results may inform the development of theoretically grounded strategies that integrate salutogenic theory and acceptance and commitment therapy principles to address internalising and externalising behaviours in adolescents.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2000,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2026.2737837","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Sense of coherence is regarded as a key psychological resource for adolescents' behavioural adjustment, enabling them to perceive stressors as comprehensible, manageable, and meaningful. However, the role of experiential avoidance in the association between sense of coherence and internalising and externalising behaviours remains underexplored. Drawing on salutogenic theory and acceptance and commitment therapy, this study examines the associations of sense of coherence with experiential avoidance and internalising and externalising behaviours, as well as the indirect associations between sense of coherence and these behavioural outcomes through experiential avoidance. Data were collected across two waves from 377 adolescents aged 14 to 18 years. Structural equation modelling was employed to test the mediation model. The results indicate that sense of coherence predicts lower experiential avoidance and fewer internalising and externalising behaviours, with significant concurrent indirect associations through experiential avoidance. These findings suggest that lower experiential avoidance may represent one pathway through which sense of coherence is associated with fewer internalising and externalising behaviours among adolescents. The results may inform the development of theoretically grounded strategies that integrate salutogenic theory and acceptance and commitment therapy principles to address internalising and externalising behaviours in adolescents.
期刊介绍:
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.