SOC refers to the extent to which a person believes that they can handle the situations they face in different circumstances and moments of their life. This model shifts the focus from disease to health, well-being, and the resources needed to maintain these. The Sense of Coherence (SOC) is a central concept of the salutogenic model proposed by Antonovsky in the 1970s. International Standard Randomized Controlled Trial Number: ISRCTN76069254, retrospectively registered. As a future direction, it is recommended to conduct new studies in this and other samples and using different versions of the SOC. Control of the method effect improves the fit of the instrument’s structure. The SOC-13 is a suitable instrument for patients with cardiovascular risk in Spain, and it is also an indicator of health perception, quality of life, and perceived quality of sleep. Moreover, positive correlations were found with health perception, perceived quality of life, and perceived sleep quality. The three structure models showed an improved fit when adding a latent factor resulting from the method effect (.6 to. The fit of the structures was not adequate in any of the cases (.26 to. The results showed adequate reliability for the SOC-13, with a Cronbach's alpha of. All analyses were carried out with SPSS 26.0 and EQS 6.1 statistical software. In addition, the participant's self-perceived health and quality of life were also evaluated. The SOC-13, the Patient Health Questionnaire (PHQ-9), and the Medical Outcomes Study-Sleep Scale (MOS-Sleep) were administered. The final sample consisted of 293 patients at cardiovascular risk, with a mean age of 61.9 years (SD = 8.8), 49.8% of whom were women. The objectives of this study were to analyze the psychometric properties of the Sense of Coherence scale (SOC-13), determine the role of the method effect in the performance of the instrument, and identify the relationship with health perception, quality of life, and sleep quality in patients at cardiovascular risk.
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