Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-25T18:37:11.292Z Has data issue: false hasContentIssue false

Generic quality of life assessment in psychiatry. Potentials and limitations

Published online by Cambridge University Press:  16 April 2020

M Bullinger*
Affiliation:
Department for Medical Psychology, Universitätskrankenhouse Eppendorf, Forschungsgruppen, Kollaustr. 67-69/B, D-22529Hamburg, Germany
Get access

Summary

The term ‘quality of life’ has only recently been introduced to psychiatric outcome assessment. Current approaches to such assessment include the development of disease-specific quality of life instruments for psychiatric patient populations as well as the examination of generic quality of life instruments for use in psychiatric outcome studies. The current paper describes the psychiatric work with one example for a generic instrument: the short-form health survey questionnaire (SF-36). The 36 item patient-based questionnaire was developed within the Medical Outcome Study in the United States, was translated, validated and standardized in several countries and has been used in psychiatric settings. Results of epidemiological studies suggest that the SF-36 is applicable to psychiatric patients, is a psychometrically sound instrument also in this indication and yields relevant information in showing the degree of impairment in quality of life domains as experienced by psychiatric patients. The use of generic instruments in psychiatric population, such as the SF-36, might contribute to a better understanding of patients' quality of life as assessed in epidemiological studies, clinical trials and quality of care evaluations.

Type
Research Article
Copyright
Copyright © Elsevier, Paris 1997

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

Aaronson, NKAcquadro, CAlonso, Jet alInternational Quality of Life Assessment (IQOLA) Project Quality Life Res 1 1992 349351CrossRefGoogle ScholarPubMed
Bergner, MBobbit, RACarter, WBGilson, BSThe Sickness Impact Profile development and final revision of a health status measure Med Care 19 1981 78780510.1097/00005650-198108000-00001CrossRefGoogle ScholarPubMed
Bullinger, MQuality of life — definition, conceptualization and implications — a methodologists view Theor Surg 6 1991 143149Google Scholar
Bullinger, MTrends in international Quality of Life research Praev Rehab 6 1994 136145Google Scholar
Bullinger, MGerman translation and psychometric testing of the SF-36 Health Survey: preliminary results from the IQOLA project Soc Sci Med 41 1995 13591366CrossRefGoogle ScholarPubMed
Bullinger, MAnderson, RAaronson, NCella, DDeveloping and evaluating cross-cultural instruments from minimum requirements to optimal modelsIn: Schumaker, SBeron, Reds. The Internat. Assessment of Health-Related Quality of Life: Theory Translation, Measurement & Analysis 1995 Oxford Rapid Communications Oxford8391Google Scholar
Bullinger, MKirchberger, IWare, JEDer deutsche SF 36 Health Survey. Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität Z Gesundheitswiss 1 1995 2136CrossRefGoogle Scholar
Bullinger, MPower, MCella, DAaronson, NAnderson, RCreating and evaluating cross-cultural instrumentsIn: Spilker, Beds. Quality of Life and Pharmacoeconomics in Clinical Trials 1996 Lippincott-Raven Philadelphia653668Google Scholar
Casey, PRTyres, PJPlatt, SThe relationship between social functioning and psychiatric symptomatology in primary care Soc Psychiatry 20 1985 59CrossRefGoogle ScholarPubMed
Endicott, JSpatzer, RLA diagnostic interview: the schedule for affective disorders and schizophrenia Arch Gen Psychiatry 35 1978 83784410.1001/archpsyc.1978.01770310043002CrossRefGoogle Scholar
Fabian, FWQuality of Life: a review of therapy and practice implications for individuals with long term mental illness Rehab Psychol 35 1990 16117010.1037/h0079059CrossRefGoogle Scholar
Gill, TMAlvin, RFeinstein, MA critical appraisal of Quality of Life measurements JAMA 272 1994 619626CrossRefGoogle ScholarPubMed
Guyatt, GHBomardier, CTugwell, PXMeasuring disease-specific Quality of Life in clinical Trial Can Med Assoc J 134 1986 889895Google Scholar
Heinrichs, DWHamlon, TCarpenter, WQuality of Life-Scale: an instrument for rating the schizophrenic deficit syndrome Schizophr Bull 10 1984 291297CrossRefGoogle ScholarPubMed
Hunt, SMMcKenna, SPMcEwen, JWilliams, JPapp, EThe Nottingham Health Profile: subjective health status and medical consultation Soc Sci Med 15A 1981 221229Google Scholar
Jenkinson, CWright, LThe SF-36 Health Survey Questionnaire Auditorium 2 1993 712Google Scholar
Kaplan, RMBush, JWBerry, CCHealth status: types of validity and the index of well-being Health Serv Res 11 1976 478507Google ScholarPubMed
Katz, JNLarson, MGPhillips, CBet alComparative measurements sensitivity of short and longer health status instruments Med Care 30 1992 917926CrossRefGoogle Scholar
Markowitz, JWeissman, MOuellette, RLish, JKlerman, GQuality of Life in panic Disorder Arch Gen Psychiatry 46 1989 981992CrossRefGoogle ScholarPubMed
Meltzer, HBurnett, SBastani, LRamirez, LFEffects of 6 months of clozapine treatment on the quality of life of chronic schizophrenic patients Hosp Com Psychiatry 41 1990 892897Google Scholar
Naber, DWalther, AKircher, THolzbach, RSubjective effects of neuroleptic treatment predict complianceIn: Gaebel, WAwadi, Reds. Prediction of Neuroleptic Treatment Outcome in Schizophrenia. Concepts and Methods 1994 Springer Heidelberg8594CrossRefGoogle Scholar
Najman, JMLevine, SEvaluating the impact of medical care and technology on the quality of life. A review and critique Soc Sci Med 15A 1981 107115Google Scholar
Orley, JKuikken, WThe WHO-QOL: Why and how it was developed Int J Ment Health Iss 5 1995 8699Google Scholar
Rosser, RSintonen, RThe Euroquol Quality of Life ProjectIn: Walker, SRosser, Reds. Quality of Life Assessment 1990 Kluwer Acad Publishers Boston197199Google Scholar
Schumaker, SAnderson, RAaronson, NGeneric instruments for Quality of Life assessment Quality Life Res 1 1993 6174Google Scholar
Stewart, ALWare, JEMeasuring, Functioning Well-Being: The Medical Outcomes Study 1992 Duke University Press Durham, NC253Google Scholar
Stewart, ALGreenfield, SHays, Ret alFunctional status and well-being of patients with chronic conditions — results from the Medical Outcome Study JAMA 262 1989 907913CrossRefGoogle Scholar
Sullivan, MKarlsson, JWare, JEThe Swedish SF-26 Health Survey. Evaluation of data quality, scaling assumptions, reliability, and construct validity across several populations Soc Sci Med 41 1994 13491358CrossRefGoogle Scholar
Tarlov, AWare, JEGreenfield, Set alThe medical outcomes study — an application of methods for monitoring the results of medical care JAMA 262 1989 925930CrossRefGoogle ScholarPubMed
Thurstone, LLChave, EJThe Measurement of Attitude 1928 University of Chicago Press Chicago378Google Scholar
Veit, CWare, JEThe structure of psychological distress and well-being in general populations J Consult Clin Psychol 51 1983 730742CrossRefGoogle ScholarPubMed
Ware, JEMeasuring patients' views: the optimum outcome measure Br Med J 306 1993 14291430CrossRefGoogle ScholarPubMed
Ware, JESherbourne, CDThe MOS 36-Item Short-Form Health Status Survey (SF-36). I. Conceptual framework and item selection Med Care 30 1992 473483CrossRefGoogle ScholarPubMed
Ware, JESnow, KKKosinski, MGandek, BSF-36 Health Survey Manual and Interpretation Guide 1993 New England Medical Center, The Health Institute Boston178Google Scholar
Ware, JEGandek, BThe IQOLA Project Group The SF-36 Health Survey: development and use in mental health research and the IQOLA project Int J Ment Health 2 1994 4973CrossRefGoogle Scholar
Ware, JEKeller, SGandek, BThe IQOLA Project Group Evaluating translations of health status questionnaires — methods from the IQOLA Project Int J Technol Assess in Health Care 11 1995 52555110.1017/S0266462300008710CrossRefGoogle ScholarPubMed
Wells, KBStewart, ALHays, Ret alThe function and wellbeing of depressed patients — results from the Medical Outcome Study JAMA 262 1989 914919CrossRefGoogle Scholar
Wells, KBBurnam, MARogers, Wet alThe course of depression in adult outpatients: results from the Medical Outcome Study Arch Gen Psychiatry 49 1992 788794CrossRefGoogle Scholar
Wortis, JQuality of Life — editorial Biol Psychiatry 23 1988 541542CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.