International Journal of

Environmental Research
and Public Health

Editorial
Salutogenesis and Coping: Ways to Overcome Stress
and Conflict
Orna Braun-Lewensohn 1, * and Claude-Hélène Mayer 2,3
1 Department of Interdisciplinary Studies, Conflict Management & Resolution Program,
Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel
2 Department of Industrial Psychology and People Management, Auckland Park Campus,
University of Johannesburg, Johannesburg 2006, South Africa; [email protected]
3 Institut für Therapeutische Kommunikation und Sprachgebrauch, Europa Universität Viadrina,
Logenstrasse 11, 15230 Frankfurt (Oder), Germany
* Correspondence: [email protected]




Received: 8 September 2020; Accepted: 10 September 2020; Published: 13 September 2020


Abstract: This Special Issue aims to explore the concepts of stress, coping resources, and coping
strategies, which are rooted in several theories, such as the stress and coping theory and the
salutogenesis theory, and to understand how their core constructs are manifested in various
ethnic and cultural groups around the world. This Special Issue includes 13 articles on
salutogenesis and coping from different disciplinary, socio-cultural, historical, political, and economic
perspectives. These articles address salutogenesis on the individual, organizational, and societal
levels. The empirical studies are based in different societal and national contexts and refer to different
ethnic groups within those contexts. Other studies examine international leaders in industry from a
global perspective and present a systemic review of the literature concerning individuals in specific
professions, such as nursing. The studies in the current Special Issue set the ground for continuing
research toward even more comprehensive theoretical grounds; studies that incorporate several
theoretical backgrounds and explore a broad theoretical model that may help us to understand
successful adaptation in various contexts. In summary, results of studies that incorporate these
theories may promote our understanding of the effects of coping resources and strategies, including
acculturation strategies used among minority groups for positive adaptation.

Keywords: salutogenesis; stress; coping; conflict

1. Introduction
The stress appraisal and coping theory [1], views coping as an interactional process between an
individual and his/her environment, which can be defined as the effort exerted by the individual to deal
with demands from the environment, in order to make those demands more tolerable and reduce stress
and conflict. This means that the characteristics of an individual and the way that he or she appraises
a situation are important elements for that individual’s well-being in the aftermath of a stressful or
conflictual encounter. Moreover, in the cognitive process of appraisal, one of the components that the
individual assesses is the resources s/he has to deal with the situation.
To this end, sense of coherence (SOC), which is the central component of the salutogenic model,
can be perceived as a secondary appraisal that facilitates the exploration of resources available to the
individual to deal with the stressful situation. The salutogenic model looks for functions of positive
qualities rather than healing from sickness [2,3]. Its main construct, SOC, is an enduring tendency to
see the world as more or less comprehensible, manageable, and meaningful [4]. In accordance with
salutogenesis, a person with a strong SOC is more likely to evaluate a stimulus as neutral [2]. Therefore,

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an individual with a strong SOC is less likely than one with a weak SOC to perceive stressful situations
as threatening and, therefore, as anxiety-provoking. SOC determines the ability of individuals to
use resources that are available to them to promote their well-being [5]. Moreover, SOC includes
components that consolidate resilience and expand subjective mental health [2].
Coping strategies are the behavioral component of the process and can be defined as the actual
effort made in the attempt to render a perceived stressor or conflict more tolerable and to minimize
the distress induced by the situation. Most models of coping assume that individuals who cope more
effectively with stressful and conflictual life events will exhibit lower levels of anxiety or depression [1].
Studies have shown that emotion-focused strategies of coping tend to be associated with more
psychological problems, whereas, problem-focused strategies or active coping tend to be linked to
more well-being [6].
We thought that looking at the stress appraisal and coping theory of Lazarus and Folkman [1]
and the salutogenesis model of Antonovsky together might provide us with a more comprehensive
understanding of the resources that facilitate certain coping strategies and the behaviors that are more
or less adaptive in different situations of stress and conflict. Through the lens of a more integrative
model, several issues can be highlighted. First, different types of events can be examined to determine
whether different resources, coping, and responses are exhibited. Second, cultural contexts can be taken
into consideration to understand the cognitive, behavioral, and emotional processes of individuals
in the course of these events. Finally, we can consider a more comprehensive set of outcomes that
includes positive (and not only pathological) outcomes.

2. The Aim of this Special Issue

This Special Issue aims to explore the concepts of stress, coping resources, and coping strategies,
which are rooted in several theories, such as the stress and coping theory of Lazarus and Folkman [1],
and the salutogenesis theory of Antonovsky [7], and to understand how their core constructs are
manifested in various ethnic and cultural groups around the world.
These theories suggest that their main concepts, namely, several ways of coping, hope, personal
and collective SOC, and others, are universal and, therefore, predict that, in all cultures, they could be
considered as potential protectors against stress. However, to date, studies involving a non-Western
population have reported ambiguous results.
In this Special Issue, we aim to address these concerns comprehensively by inviting researchers
from around the world to present their studies based on special research methods and mixed research
methods. There studies will enable a fundamental understanding of positive adaptation in stressful
and conflictual situations among various cultural and ethnic groups and in different contexts around
the world.

3. The Contributions in this Special Issue

This Special Issue includes 13 articles on salutogenesis and coping from different disciplinary,
socio-cultural, historical, political, and economic perspectives. These articles address salutogenesis on
individual, organizational, and societal levels. The empirical studies are based in different societal
and national contexts, including Israel, Spain, Norway, and the Democratic Republic of Congo,
and refer to different ethnic groups within those countries. Other studies examine international leaders
in industry from a global perspective and present a systemic review of the literature concerning
individuals in specific professions, such as nursing.
We decided to organize this Special Issue around several themes: first, the age of the
participants (from youngest to adults); second, special populations such as minority groups, volunteers,
health workers etc.; and third, the settings on which the studies focused, for example, workplaces.
The Special Issue opens with a paper on adolescents, the youngest group examined in this volume,
and moves on to a paper on a minority student population. Other papers focused on minority groups
highlight refugees from the civil war in Syria and educated ultra-orthodox Jews in the workplace.
Int. J. Environ. Res. Public Health 2020, 17, 6667 3 of 6

The last prominent theme of the current Special Issue is the workplace, a focal point of many of the
articles in this volume. Two articles focus on professionals in the special context of political violence,
while some others focus on work in health-care settings. Following these articles, one paper focuses on
SOC and coping among employees in the Democratic Republic of Congo. Finally, the last article in this
volume explores SOC among international leaders and compassionate love as a coping mechanism.
Here is a brief introduction to the articles that make up this Special Issue.
A highly interesting study explores the associations between sex, age, socio-economic status,
stress, SOC, and health among adolescents in Norway. The authors, Unni Karin Moksnes and Geir
Arild Espnes [8], investigate SOC and stress interrelationships and point out that SOC is a major coping
resource in the context of depression and mental well-being.
Sarah Abu-Kaf and Enas Khalaf [9], present a study on experiences of acculturative stress among
Arab students at Israeli institutions of higher learning. The authors combined the theories of coping
and salutogenesis and report gender differences in the use of different coping strategies and in levels
of depressive symptoms. Moreover, they report that SOC differentially mediates the relationships
between acculturative stress and depressive symptoms.
Antony Bernard and Aden Paul Flotman [10], explore the identity work of a group of eight
consulting psychology doctoral students. The students wrote self-reflective essays about becoming a
consulting psychologist and findings describe how students cope with performance.
Orna Braun-Lewensohn, Sarah Abu-Kaf and Khaled Al-Said [11], present findings on the coping
resources and mental health of women in refugee camps. These authors explore personal and the
community SOC and their influence on perceived danger and coping. The authors also demonstrate
that SOC is crucial for good adaptation. These results are discussed in light of salutogenic theory.
In her article on coping strategies of college-educated, ultra-orthodox Jews in the general Israeli
workforce, Tehila Kalagy [12], speaks about societal transitions and the changes in the values of ethnic
groups and in workplaces. This article contributes to minority research, as well as our understanding
of the professional integration and adaptability of members of minority groups in the workplace
and how those individuals cope with the challenges they face.
Tal Litvak-Hirsch and Alon Lazar [13] explore long-term mindfulness training and its contribution
to personal and professional coping among teachers living in a conflict zone. These authors present
their findings from a qualitative study conducted in the Western Negev region of Israel. Interviewees
reported that their coping skills had been heightened as result of being able to put aside intrusive
thoughts and feelings that used to paralyze them and focus on active coping, centered on what they
needed to do promptly. The interviewees also reported increased compassion and self-acceptance of
emotions and behaviors. This article presents an important contribution to stress management in war
zones through mindfulness training.
In their article, Dorit Segal-Engelchin, Netta Achdut, Ephrat Huss and Orly Sarid [14], focus on
CB-ART (cognitive behavioral and art-based) intervention during the 2014 Gaza conflict. The authors
present findings regarding the ability of interventions to decrease stress and trauma among individuals
working in medical professions. Specifically, they describe how arts-based methods supported coping
and built resources to deal with stress and trauma.
The next article sheds light on the situation in South Africa and refers to the experiences of
volunteers in the health-care context and their well-being. Antoni Barnard and Aleksandra Furtak [15],
argue that volunteers in South Africa need psychological resilience from a salutogenic perspective.
What really keeps them healthy is an inner drive and a calling in the context of the work orientation,
which can be increased when organizations invest in developmental interventions.
Natura Colomer Pérez, Elena Chover-Sierra, Vicente Gea-Caballero and Joan J
Paredes-Carbonell [16], address people’s health-assets mapping processes and design-dynamization
strategies for health promotion. The authors present a salutogenic model of health and a health-assets
model and report findings from the nursing context in Spain. Their results show that SOC can be
strengthened through the use of salutogenic and asset-based approaches.
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The article by Giuseppe Michele Masanotti, Silvia Paolucci, Elia Abbafati, Claudio Serratore
and Michaela Caricato [17], provides a systematic review of SOC among nurses. They report that low
SOC is a predictor of depressive state, burnout, and job dissatisfaction among female nurses and that,
therefore, SOC could be a health-promoting resource.
Shir Daphna-Tekoah, Talia Megadasi Brikman, Eric Scheier and Uri Balla [18], close the section
on health professions with a timely manuscript on COVID-19. They used a unique methodology
involving a listening guide and narrative analysis to understand the physical and psychological needs
of heath professional during the pandemic, in order to build and provide suitable support programs
for those professionals.
Jeremy Mitonga-Monga and Claude-Hélène Mayer [19], present empirical research findings on
coping, SOC, burnout, and work engagement in the context of the Democratic Republic of Congo (DRC),
where a void in research on salutogenesis and coping still exists. The authors examined the moderating
effect of coping in the relationships between SOC, burnout, and work engagement and found that
there is a positive relationship between coping and SOC; however, SOC is negatively related to work
engagement and burnout. The authors provide recommendations for future theory and practice to
increase engagement, performance, and productivity based on increased SOC and coping mechanisms.
International leaders need new skills in the rapidly changing world of work, as well as new
resources to cope with and manage stress. In the last article in this issue, Claude-Hélène Mayer
and Rudolph M. Oosthuizen [20], present findings from an international study showing that SOC,
compassionate love, and coping interrelate are important resources for staying healthy.

4. Conclusions

The Way Forward

This Special Issue presents the latest studies on salutogenesis and coping in specific cultural
and transcultural contexts. These studies present particular insights into specific socio-cultural contexts
from qualitative and quantitative empirical, theoretical, and conceptual stances. The articles will lead
to deeper discourse, new critical thinking, and expanded contextual knowledge, and will build a
foundation for future research and applied interventions with regard to salutogenesis and coping.
The studies in the current Special Issue set the ground for continuing research toward even
more comprehensive theoretical grounds: studies which incorporate several theoretical backgrounds
and explore a broad theoretical model that may help us to understand successful adaptation in
various contexts. We suggest that future studies in the field should incorporate several theories into
one model: theories of stress appraisal and coping [1], salutogenesis [4,7], and acculturation [21,22],
which are fundamental to the understanding of successful adaptation in various situations. Each of
these theoretical foundations will contribute its own driven variables to a model that will encompass
the socio-ecological surroundings of the participants. Such studies will enable examination of how
different demographic and contextual variables, cognitive appraisals, coping resources, and coping
and acculturation strategies relate to each other and to psychological adaptation, on one hand,
and various psychological problems, on the other. A comprehensive and coherent model of relations
among the variables that relies on the above-mentioned three well-established theories could advance
our theoretical and practical knowledge of how people cope and adapt in various contexts and cultures.
In summary, the results of studies that incorporate these theories may promote the understanding of
the effect of coping resources, and strategies, in addition to acculturation strategies (among minority
groups) for positive adaptation. Practically, such research has the potential to help parents, educators,
leaders, and policymakers to become better aware of the difficulties experienced by individuals who
are confronted with meaningful challenges and stressors. This awareness can assist the establishment
of research-based, theory-driven prevention and intervention programs to promote adjustment
and adaptation in numerous contexts and cultures.
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Author Contributions: All authors have read and agreed to the published version of the manuscript.
Funding: This research received no external funding.
Conflicts of Interest: The authors declare no conflict of interest.

References
1. Lazarus, R.S.; Folkman, S. Stress, Appraisal, and Coping; Springer: New York, NY, USA, 1984.
2. Mayer, C.H. The Meaning of Sense of Coherence in Transcultural Management; Waxmann Verlag: Münster,
Germany, 2011; Volume 563.
3. Mittelmark, M.B.; Bauer, G.F. The meanings of salutogenesis. In The Handbook of Salutogenesis; Springer:
New York, NY, USA, 2017; pp. 7–13.
4. Antonovsky, A. Unraveling the Mystery of Health; Jossey-Bass: San Francisco, CA, USA, 1987.
5. Eriksson, M. The sense of coherence in the salutogenic model of health. In The Handbook of Salutogenesis;
Mittelmark, M.B., Sagy, S., Eriksson, M., Bauer, G., Pelikan, J.M., Lindström, B., Espnes, G.A., Eds.; Springer:
New York, NY, USA, 2017; pp. 91–96.
6. Braun-Lewensohn, O. Coping and social support in children exposed to mass trauma. Curr. Psychiatr. Rep.
2015, 17, 46–56. [CrossRef] [PubMed]
7. Antonovsky, A. Health, Stress, and Coping: New Perspectives on Mental and Physical Well-Being; Jossey-Bass:
San Francisco, CA, USA, 1979.
8. Moksnes, U.K.; Espnes, G.A. Sense of Coherence in Association with Stress Experience and Health in
Adolescents. Int. J. Environ. Res. Public Health 2020, 17, 3003. [CrossRef] [PubMed]
9. Abu-Kaf, S.; Khalaf, E. Acculturative Stress among Arab Students in Israel: The Roles of Sense of Coherence
and Coping Strategies. Int. J. Environ. Res. Public Health 2020, 17, 5106. [CrossRef] [PubMed]
10. Bernard, A.; Flotman, A.P. Coping Dynamic of Consulting Psychology Doctoral Students Transitioning a
Professional Role Identity: A Systems Psychodynamic Perspective. Int. J. Environ. Res. Public Health 2020, 17,
5492. [CrossRef] [PubMed]
11. Braun-Lewensohn, O.; Abu-Kaf, S.; Al-Said, K. Women in Refugee Camps: Which Coping Resources Help
them to Adapt? Int. J. Environ. Res. Public Health 2019, 16, 3990. [CrossRef] [PubMed]
12. Kalagy, T. Enclave in Transition: Ways of Coping of Academics from Ultra-Orthodox (Haredim) Minority
Group with Challenges of Integration into the Workforce. Int. J. Environ. Res. Public Health 2020, 17, 2373.
[CrossRef] [PubMed]
13. Litvak-Hirsch, T.; Lazar, A. The Contribution of Long-Term Mindfulness Training on Personal and Professional
Coping for Teachers Living in a Conflict Zone: A Qualitative Perspective. Int. J. Environ. Res. Public Health
2020, 17, 4096. [CrossRef] [PubMed]
14. Segal-Engelchin, D.; Achdut, N.; Huss, E.; Sarid, O. CB-Art Interventions Implemented with Mental Health
Professionals Working in a Shared War Reality: Transforming Negative Images and Enhancing Coping
Resources. Int. J. Environ. Res. Public Health 2020, 17, 2287. [CrossRef] [PubMed]
15. Barnard, A.; Furtak, A. Psychological Resilience of Volunteers in a South African Health Care Context:
A Salutogenic Approach and Hermeneutic Phenomenological Inquiry. Int. J. Environ. Res. Public Health 2020,
17, 2922. [CrossRef] [PubMed]
16. Pérez, N.C.; Chover-Sierra, E.; Gea-Caballero, V.; Paredes-Carbonell, J.J. Health Assets, Vocation and Zest for
Healthcare Work. A Salutogenic Approach to Active Coping among Certified Nursing Assistant Students.
Int. J. Environ. Res. Public Health 2020, 17, 3586. [CrossRef] [PubMed]
17. Masanotti, G.M.; Paolucci, S.; Abbafati, E.; Serratore, C.; Caricato, M. Sense of Coherence in Nurses:
A Systematic Review. Int. J. Environ. Res. Public Health 2020, 17, 1861. [CrossRef] [PubMed]
18. Daphna-Tekoah, S.; Brikman, T.M.; Scheier, E.; Balla, U. Listening to Hospital Personnel’s Narratives during
the COVID-19 Outbreak. Int. J. Environ. Res. Public Health 2020, 17, 6413. [CrossRef] [PubMed]
19. Mitonga-Monga, J.; Mayer, C.-H. Sense of Coherence, Burnout, and Work Engagement: The Moderating
Effect of Coping in the Democratic Republic of Congo. Int. J. Environ. Res. Public Health 2020, 17, 4127.
[CrossRef] [PubMed]
20. Mayer, C.-H.; Oosthuizen, R.M. Sense of Coherence, Compassionate Love and Coping in International
Leaders during the Transition into the Fourth Industrial Revolution. Int. J. Environ. Res. Public Health 2020,
17, 2829. [CrossRef] [PubMed]
Int. J. Environ. Res. Public Health 2020, 17, 6667 6 of 6

21. Berry, J.W. Immigration, acculturation, and adaptation. Appl. Psychol. 1997, 46, 5–34. [CrossRef]
22. Berry, J.W. Mobility and Acculturation. In The Psychology of Global Mobility; Carr, S.C., Ed.; Springer:
New York, NY, USA, 2010; pp. 193–210.

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