Can Sense of Coherence Moderate Traumatic Reactions? A Cross-Sectional Study of Palestinian Helpers Operating in War Contexts

This study explored the moderating effect of sense of coherence on the impact of trauma and psychological health in a group of helpers and social workers operating in war contexts. We hypothesised that a strong ability to construct meaning in uncertain and traumatic conditions would favour psychological well-being and quality, limiting the direct and indirect effects of war-related trauma. Three self-reported measures—Sense of Coherence (SOC-29) Scale, Impact of Events Scale (IES) and General Health Questionnaire (GHQ)—were completed by 140 helpers operating in the West Bank and the Gaza Strip (Occupied Palestinian Territories). Multivariate analysis of variance, partial correlational analysis and mediation (path) analysis were carried out to verify the effects of sense of coherence on psychological stress and trauma. The moderating effect of sense of coherence on mental health and impact of trauma was confirmed. No gender differences emerged in the subgroups. Implications for civilian populations affected by war are discussed