• Christiani Natasya Miru Universitas Kristen Satya Wacana
  • Krismi Diah Ambarwati
Keywords: Illness Perception; Sense of Coherence


This study aims to determine whether or not there is a relationship between illness perception and Sense of Coherence (SOC) in patients with type 2 diabetes mellitus. Sense of Coherence (SOC) is a global orientation that states the extent to which a person has feelings of confidence that are persuasive, lasting, and dynamic that stimulus that comes from a person's internal and external environment in his life is something that is structured, predictable, and can be explained; resources available to someone to meet demands arising from the stimulus;claims are challenges and attachment to life, with one of the factors which affect SOC, namely illness perception. Participants in the study were 58 type 2 DM patients at the Kedungmundu Health Center, Semarang City. Data was collected using quantitative methods with a purposive sampling model. Based on the research results obtained correlation coefficient 〖(r〗_xy) = 0.536 with a significance value of 0.000 (p <0.05) which means there is a significant positive relationship between illness perception and Sense of Coherence in patients with type 2 Diabetes Mellitus in Kedungmundu Health Center Semarang City.


Abdelgadir, M., Shebeika, W., Eltom, M., Berne, C., & Wikblad, K. (2009). Health related quality of life and sense of coherence in Sudanese diabetic subjects with lower limb amputation. The Tohoku Journal of Experimental Medicine, 217(1), 45-50.
Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. Jossey-bass.
Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science & Medicine, 36(6), 725-733.
Arikunto, S. (2002). Prosedur penelitian suatu pendekatan dan praktek. Jakarta: Rineka Cipta.
Azwar, S. (2012). Reliabilitas dan validitas. (4th ed). Yogyakarta: Pustaka Pelajar.
Bernell, S., & Howard, S. W. (2016). Use your words carefully: what is a chronic disease?. Frontiers in public health, 4, 159.
Broadbent, E., Petrie, K.J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire (BIPQ). Journal of Psychosomatic Research, 60, 631-637.
Cohen, M., & Kanter, Y. (2004). Relation between sense of coherence and glycemic control in type 1 and type 2 diabetes. Behavioral Medicine, 29(4), 175-185.
Delgado, C. (2007). Sense of coherence, spirituality, stress and quality of life in chronic illness. Journal of Nursing Scholarship, 39(3), 229-234.
Delgado, C. (2007). Sense of coherence, spirituality, stress and quality of life in chronic illness. Journal of Nursing Scholarship, 39(3), 229-234.
Funnell, M. M., & Anderson, R. M. (2004). Empowerment and self-management of diabetes. Clinical Diabetes, 22(3), 123-127.
Gallagher, R., Donoghue, J., Chenoweth, L., & Stein-Parbury, J. (2008). Self-management in older patients with chronic illness. International Journal of Nursing Practice, 14(5), 373-382.
Graham, C., Ballard, C., & Sham, P. (1997). Carers' knowledge of dementia, their coping strategies and morbidity. International Journal of Geriatric Psychiatry, 12(9), 931-936.
Hakanen, J. J., Feldt, T., & Leskinen, E. (2007). Change and stability of sense of coherence in adulthood: Longitudinal evidence from the healthy child study. Journal of Research in Personality, 41(3), 602-617.
IDF. (2017). IDF diabetes atlas: Eight edition. Retrieved from
Irawan, Dedi. 2010. Prevalensi dan faktor risiko kejadian diabetes melitus tipe 2 di Daerah Urban Indonesia: Analisa Data Sekunder Riskesdas 2007 (Thesis tidak dipublikasikan). Universitas Indonesia.
Karlsson, I., Berglin, E., & Larsson, P. A. (2000). Sense of coherence: Quality of life before and after coronary artery bypass surgery - a longitudinal study. Journal of Advanced Nursing, 31(6), 1383-1392.
Kuuppelomäki, M., & Utriainen, P. (2003). A 3 year follow-up study of health care students’ sense of coherence and related smoking, drinking and physical exercise factors. International Journal of Nursing Studies, 40(4), 383-388.
Langius A. & Bjo¨rvell H. (1996) Salutogenic model and the use of the sense of coherence in nursing research – a methodological report. Nursing Science and Research in The Nordic Countries, 16(1), 28–32
Leksell, J. K., Wikblad, K. F., & Sandberg, G. E. (2005). Sense of coherence and power among people with blindness caused by diabetes. Diabetes Research and Clinical Practice, 67(2), 124-129.
Li, S. M., & Shiu, A. T. Y. (2008). Sense of coherence and diabetes psychosocial self-efficacy of members of a peer-led organization in Hong Kong. Journal of Clinical Nursing, 17, 1526–1528.
Lin, F., Gleason, C. E., & Heidrich, S. M. (2012). Illness representations in older adults with mild cognitive impairment. Research in Gerontological Nursing, 5(3), 195-206.
Lindmark, U., Stegmayr, B., Nilsson, B., Lindahl, B., & Johansson, I. (2005). Food selection associated with sense of coherence in adults. Nutrition Journal, 4(1), 9.
Lo Sterzo, E., & Orgeta, V. (2015). Illness representation and sense of coherence in dementia caregiving. Journal of Health Psychology, 22(6), 722-732.
Lundman, B., & Norberg, A. (1993). The significance of a sense of coherence for subjective health in persons with insulin‐dependent diabetes. Journal of Advanced Nursing, 18(3), 381-386.
Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and Health, 17(1), 1-16.
Neuner, B., Miller, P., Maulhardt, A., Weiss-Gerlach, E., Neumann, T., Lau, A., Brähler, E., Helmert, U., Haas, N., Müller, J.M., Spies, C., & Wernecke, K. D. (2006). Hazardous alcohol consumption and sense of coherence in emergency department patients with minor trauma. Drug and Alcohol Dependence, 82(2), 143-150.
Odajima, Y., & Sumi, N. (2017). Factors related to sense of coherence in adult patients with type 2 diabetes. Nagoya Journal of Medical Science, 80(1), 61.
Pallant, J. F., & Lae, L. (2002). Sense of coherence, well-being, coping and personality factors: further evaluation of the sense of coherence scale. Personality and individual differences, 33(1), 39-48.
Proctor, R., Martin, C., & Hewison, J. (2002). When a little knowledge is a dangerous thing…: a study of carers' knowledge about dementia, preferred coping style and psychological distress. International Journal of Geriatric Psychiatry, 17(12), 1133-1139.
Rahmawati, F., Setiawati, E. P., & Solehati, T. (2014). Pengaruh dukungan keluarga terhadap kualitas hidup pasien diabetes mellitus tipe 2. Bandung: Universitas Padjadjaran.
Robiyanto., Prayuda, O. A., & Nansy, E. (2016). Uji validitas instrumen B-IPQ versi Indonesia pada pasien hipertensi di RSUD Sultan Syarif Mohamad Alkadrie Pontianak. Social Clinical Pharmacy Indonesia Journal, 1(1), 41-49.
Sandén‐Eriksson, B. (2000). Coping with type‐2 diabetes: the role of sense of coherence compared with active management. Journal of Advanced Nursing, 31(6), 1393-1397.
Semarang, D. K. K. (2015). Profil kesehatan kota Semarang tahun 2015. Semarang: ET AL Semarang.
Semarang, D. K. K. (2017). Profil kesehatan kota Semarang tahun 2017. Semarang: ET AL Semarang.
Sugiyono, D. R. (2006). Statistika untuk penelitian. Bandung: CV. Alfabeta
Sujaya, I Nyoman. (2009). Pola konsumsi makanan tradisional Bali sebagai faktor risiko diabetes melitus tipe 2 di Tabanan. Jurnal Skala Husada, 6(1), 75-81.
Surtees, P., Wainwright, N., Luben, R., Khaw, K. T., & Day, N. (2003). Sense of coherence and mortality in men and women in the EPIC-Norfolk United Kingdom prospective cohort study. American Journal of Epidemiology, 158(12), 1202-1209.
Sutton, S., Baum, A., & Johnston, M. (2004). The SAGE handbook of health psychology. London: Sage Publication.
Taylor, S. E. (2009). Health psychology seventh edition. USA: McGraw-Hill.
Volanen, S. M., Suominen, S., Lahelma, E., Koskenvuo, M., & Silventoinen, K. (2007). Negative life events and stability of sense of coherence: A five‐year follow‐up study of Finnish women and men. Scandinavian Journal of Psychology, 48(5), 433-441.
Weinman, J., Petrie, K. J., Moss-Morris, R., & Horne, R. (1996). The illness perception questionnaire: A new method for assessing the cognitive representation of illness. Psychology and Health, 11(3), 431-445.
WHO. (2016). Global report on diabetes. Retrieved from;jsessionid=730CB5639BD88849C3EA51C36EC25A81?sequence=1.
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