Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-28T02:13:28.308Z Has data issue: false hasContentIssue false

Do Missing Domain Scores Compromise the Validity of the Quality of Life Inventory?

Published online by Cambridge University Press:  19 September 2016

M. D. Thomas*
Affiliation:
School of Psychology, Charles Sturt University, Bathurst, NSW, Australia
A. McGrath
Affiliation:
School of Psychology, Charles Sturt University, Bathurst, NSW, Australia
C. E. Skilbeck
Affiliation:
School of Psychology, University of Tasmania, Hobart, TAS, Australia
*
Address for correspondence: Dr Matt Thomas, School of Psychology, Charles Sturt University, Panorama Avenue, Bathurst, Australia. E-mail: mathomas@csu.edu.au.
Get access

Abstract

Background and aims: The Quality of Life Inventory (QOLI, Frisch, 1994) manual states that in most cases QOLI total scores are invalid when two or more of the 16-domain scores are missing. The current study aimed to investigate this guideline.

Methods: Two samples were utilised consisting of 259 community-dwelling adults and 144 adults surveyed 12 months following traumatic brain injury (TBI). First, the domains of the QOLI were regressed against Quality of Life Index (QLI) total scores. Second, a series of Receiver Operator Curve analyses systematically investigated the sensitivity of QOLI scores in detecting depression, as identified by the HADS and DASS.

Results: The final model predicting QLI scores comprised seven of the 16-QOLI domains, R2 = .57, and accounted for equivalent variance to the full 16-domain model, R2 = .59. With as few as seven domains, the sensitivity of QOLI scores in identifying participants with depression was very good and equivalent to the complete 16-QOLI domain total score (>76%). Similar results were observed when these analyses were replicated within the sample with TBI.

Conclusions: These findings showed the QOLI was more robust to missing domain scores than the current validity guidelines stated in the scale's manual suggest. Future research could determine the core domains of the QOLI in a range of samples including adolescents and specific clinical groups.

Type
Articles
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbey, A., & Andrews, F. M. (1985). Modelling the psychological determinants of life quality. Social indicators research, 16 (1), 134.CrossRefGoogle Scholar
Almlov, J., Carlbring, P., Källqvist, K., Paxling, B., Cuijpers, P., & Andersson, G. (2011). Therapist effects in guided Internet-delivered CBT for anxiety disorders. Behavioural and Cognitive Psychotherapy, 39 (03), 311322.CrossRefGoogle ScholarPubMed
Angstman, S., Schuldberg, D., Harris, K.J.O., Cochran, B., & Peterson, P. (2009). Use of the quality of life inventory for measuring quality of life changes in an inpatient psychiatric population. Psychological Reports, 104 (3), 10071014.CrossRefGoogle Scholar
Antony, M.M., Bieling, P.J., Cox, B.J., Enns, M.W., & Swinson, R.P. (1998). Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10 (2), 176.CrossRefGoogle Scholar
Berger, E., Leven, F., Pirente, N., Bouillon, B., & Neugebauer, E. (1999). Quality of life after traumatic brain injury: A systematic review of the literature. Restorative Neurology and Neuroscience, 14 (2–3), 93102.Google ScholarPubMed
Bjelland, I., Dahl, A.A., Haug, T.T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale: An updated literature review. Journal of Psychosomatic Research, 52 (2), 6977.CrossRefGoogle ScholarPubMed
Brown, M., & Gordon, W.A. (1999). Quality of life as a construct in health and disability research. The Mount Sinai Journal of Medicine, New York, 66 (3), 160169.Google ScholarPubMed
Brown, M., & Vandergoot, D. (1998). Quality of life for individuals with traumatic brain injury: Comparison with others living in the community. Journal of Head Trauma Rehabilitation, 13 (6), 3956.CrossRefGoogle ScholarPubMed
Can, G., Durna, Z., & Aydiner, A. (2010). The validity and reliability of the Turkish version of the Quality of Life Index [QLI](Cancer version). European Journal of Oncology Nursing, 14 (4), 316321.CrossRefGoogle ScholarPubMed
Corrigan, J.D., Bogner, J.A., Mysiw, W.J., Clinchot, D., & Fugate, L. (2001). Life satisfaction after traumatic brain injury. Journal of Head Trauma Rehabilitation, 16 (6), 543555.CrossRefGoogle ScholarPubMed
Crawford, J.R., Henry, J.D., Crombie, C., & Taylor, E.P. (2001). Normative data for the HADS from a large nonclinical sample. British Journal of Clinical Psychology, 40 (4), 429434.CrossRefGoogle Scholar
Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American psychologist, 55 (1), 34.CrossRefGoogle Scholar
Diener, E., Emmons, R.A., Larsen, R.J., & Griffith, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49 (1), 7175.CrossRefGoogle ScholarPubMed
Diener, E., Suh, E.M., Lucas, R.E., & Smith, H.L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125 (2), 276.CrossRefGoogle Scholar
Dijkers, M.P. (2004). Quality of life after traumatic brain injury: A review of research approaches and findings. Archives of Physical and Medical Rehabilitation, 85 (Suppl 2), S21S35.CrossRefGoogle ScholarPubMed
Fayers, P., & Machin, D. (2013). Quality of life: The assessment, analysis and interpretation of patient-reported outcomes. Chichester: John Wiley & Sons.Google Scholar
Ferrans, C.E. (2010). Advances in measuring quality-of-life outcomes in cancer care. Seminars in Oncology Nursing, 26 (1), 211.CrossRefGoogle ScholarPubMed
Ferrans, C.E., & Powers, M.J. (1985). Quality of life index: Development and psychometric properties. Advances in Nursing Science, 8 (1), 1524.CrossRefGoogle ScholarPubMed
Ferrans, C.E., & Powers, M.J. (1992). Psychometric assessment of the quality of life index. Research in Nursing & Health, 15 (1), 2938.CrossRefGoogle ScholarPubMed
Forman, E.M., Herbert, J.D., Moitra, E., Yeomans, P.D., & Geller, P.A. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31 (6), 772.CrossRefGoogle ScholarPubMed
Frisch, M.B. (1994). Quality of life inventory: Manual and treatment guide. Minneapolis, MN: National Computer Systems.Google Scholar
Frisch, M.B. (1998). Quality of life therapy and assessment in health care. Clinical Psychology: Science and Practice, 5 (1), 1940.Google Scholar
Frisch, M.B. (2004). Use of the QOLI or quality of life inventory in quality of life therapy and assessment. In Maruish, M. E. (Ed.), The use of psychological testing for treatment planning and outcomes assessment (3rd ed., Vol. 3, pp. 749798). London: Lawrence Erlbaum Associates.Google Scholar
Frisch, M.B. (2005). Quality of life therapy: Applying a life satisfaction approach to positive psychology and cognitive therapy. Hoboken: John Wiley & Sons.Google Scholar
Frisch, M.B., Clark, M.P., Rouse, S.V., Rudd, M.D., Paweleck, J.K., Greenstone, A., & Kopplin, D.A. (2005). Predictive and treatment validity of life satisfaction and the quality of life inventory. Assessment, 12 (1), 6678.CrossRefGoogle ScholarPubMed
Grant, M.G., Salcedo, V., Linda, S.H., Michael, B.F., & Puster, K. (1995). Effectiveness of quality of life therapy for depression. Psychological Reports, 76 (3c), 12031208.CrossRefGoogle ScholarPubMed
Gullberg, M.T., Hollman-Frisman, G., & Ek, A.C. (2010). Reference values for the quality of life index in the general Swedish population 18 to 80 years of age. Quality of Life Research, 19 (5), 751760.CrossRefGoogle Scholar
Halabi, J.O. (2006). Psychometric properties of the Arabic version of quality of life index. Journal of Advanced Nursing, 55 (5), 604610.CrossRefGoogle ScholarPubMed
Henry, J.D., & Crawford, J.R. (2005). The short form version of the Depression Anxiety Stress Scales (DASS21): Construct validity and normative data in a large nonclinical sample. British Journal of Clinical Psychology, 44 (2), 227239.CrossRefGoogle Scholar
Hillier, S.L., Hiller, J.E., & Metzer, J. (1997). Epidemiology of traumatic brain injury in South Australia. Brain Injury, 11 (9), 649659. doi: 10.1080/026990597123205.Google ScholarPubMed
Horwath, E., & Weissman, M.M. (1995). Epidemiology of depression and anxiety disorders. In Kessler, R.C., Tsuang, M.T., Tohen, M., & Zahner, G.E. (Eds), Textbook in psychiatric epidemiology (pp. 317344). New York: Wiley-Liss.Google Scholar
Hosmer, D.W., & Lemeshow, S. (2000). Applied logistic regression. New York: John Wiley & Sons.CrossRefGoogle Scholar
Johnson, M.V., & Miklos, C.S. (2002). Activity-related quality of life in rehabilitation and traumatic brain injury. Archives of Physical and Medical Rehabilitation, 83 (Suppl 2), S26S38.CrossRefGoogle Scholar
Kalpakjian, C.Z., Lam, C.S., Toussaint, L.L., & Hansen Merbitz, N. K. (2004). Describing quality of life and psychosocial outcomes after traumatic brain injury. American Journal of Physical and Medical Rehabilitation, 83 (4), 255265.CrossRefGoogle ScholarPubMed
Kreuter, M., Sullivan, M., Dahloff, A.G., & Siosteen, A. (1998). Partner relationships, functioning, mood and global quality of life in persons with spinal cord injury and traumatic brain injury. Spinal Cord, 36 (4), 252261.CrossRefGoogle ScholarPubMed
Langley, J., Johnson, S., Slatyer, M., Skilbeck, C.E., & Thomas, M.D. (2010). Issues of loss to follow-up in a population study of traumatic brain injury (TBI) followed to 3 years post-trauma. Brain Injury, 24 (7–8), 939947.CrossRefGoogle Scholar
Lazarus, R.S. (1991). Cognition and motivation in emotion. American Psychologist, 46 (4), 352.CrossRefGoogle ScholarPubMed
Lovibond, S.H., & Lovibond, P.F. (1993). Manual for the depression anxiety stress scales (DASS). Sydney: Psychology Foundation Monograph.Google Scholar
Rice, M.E., & Harris, G.T. (1995). Violent recidivism: Assessing predictive validity. Journal of Consulting and Clinical Psychology, 63 (5), 737748.CrossRefGoogle ScholarPubMed
Rubin, D.B. (1976). Inference and missing data. Biometrika, 63 (3), 581592. doi: 10.2307/2335739.CrossRefGoogle Scholar
Skevington, S.M., & McCrate, F.M. (2011). Expecting a good quality of life in health: assessing people with diverse diseases and conditions using the WHOQOL-BREF. Health Expectations, 15 (1), 4962.CrossRefGoogle ScholarPubMed
Skilbeck, C., Holm, K., Slatyer, M., Thomas, M., & Bell, T. (2011). The factor structure of the Hospital Anxiety and Depression Scale (HADS) in a traumatic brain injury (TBI) population. Brain Impairment, 12 (01), 2232.CrossRefGoogle Scholar
Slatyer, M., Skilbeck, C., Langley, J., Johnson, S., & Bell, T. (2008). Development of Tools for the Prediction of Return to Work and the Recovery of Post-Concussion Symptoms After Mild Tramatic Brain Injury (mTBI) Using Initial Clinical & Demographic Variables. Paper presented at the Health Outcomes 2008: Facilitating Knowledge Exchange and Transfer for a Dynamic Future, Canberra, ACT, Australia.Google Scholar
Snaith, R.P., & Zigmond, A.S. (1994). The Hospital Anxiey and Depression Scale with the Irritability-depression-anxiety Scale and the Leeds Situational Anxiety Scale: Manual: NFER-Nelson.Google Scholar
Tate, R.L., McDonald, S., & Lulham, J.M. (1998). Incidence of hospital-treated traumatic brain injury in an Australian community. Australian and New Zealand Journal of Public Health, 22 (4), 419423. doi: 10.1111/j.1467-842X.1998.tb01406.x CrossRefGoogle Scholar
The WHOQOL Group. (1995). The world health organization quality of life assessment (WHOQOL): position paper from the world health organisation. Social Science and Medicine, 41 (10), 14031409.CrossRefGoogle Scholar
Thomas, M.D. (2004). The potential unlimited programme: An outdoor education and group work programme that facilitates adjustment to brain injury. Brain Injury, 18 (12), 12711286.CrossRefGoogle ScholarPubMed
Thomas, M.D., McGrath, A., & Skilbeck, C.E. (2012). The psychometric properties of the quality of life inventory in an Australian community sample. Australian Journal of Psychology, 64 (4), 225234.CrossRefGoogle Scholar
Thomas, M.D., Skilbeck, C.E., & Slatyer, M. (2009). Pre-injury estimates of subjective quality of life following traumatic brain injury. Brain Injury, 23 (6), 516527.CrossRefGoogle ScholarPubMed
Vickery, Chad D., Gontkovsky, S.T., & Caroselli, J.S. (2005). Self-concept and quality of life following acquired brain injury: A pilot investigation. Brain Injury, 19 (9), 657665.CrossRefGoogle ScholarPubMed
Vickery, C.D., Gontkovsky, S.T., Wallace, J.J., & Caroselli, J.S. (2006). Group psychotherapy focusing on self-concept change following acquired brain injury: A pilot investigation. Rehabilitation Psychology, 51 (1), 3035.CrossRefGoogle Scholar
von Steinbüchel, N. et al. (2010). Quality of Life after Brain Injury (QOLIBRI): Scale development and metric properties. Journal of Neurotrauma, 27 (7), 11671185.CrossRefGoogle ScholarPubMed
Woody, S.R., & Adessky, R.S. (2003). Therapeutic alliance, group cohesion, and homework compliance during cognitive-behavioral group treatment of social phobia. Behavior Therapy, 33 (1), 527.CrossRefGoogle Scholar
Zigmond, A.S., & Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67 (6), 361370.CrossRefGoogle ScholarPubMed