Article2002

Subjective quality of life: validity issues with depressed patients

60 citations0/0 files storedActa Psychiatrica Scandinavica

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Health Systems, Economic Evaluations, Quality of Life Health and Well-being Studies

Abstract

OBJECTIVE: To compare depressed patients at different stages of illness and healthy controls on objective and subjective quality of life (QOL) measures and to determine the responsiveness of subjective QOL ratings to change in depression. METHOD: A cohort of 56 depressed in-patients was followed-up for up to 16 months after discharge and compared with 56 age-/sex-matched community controls. Assessment included the SCAN-PSE-10 and the Lancashire Quality of Life Profile. RESULTS: Marked between-group differences were found on self-esteem and global and illness-related QOL ratings. In the patient sample, these measures were also strongly responsive to changes in depression status over time. In contrast, group differences and responsiveness to change for ratings from illness-farer domains were missing. CONCLUSION: This study revealed no evidence for a globally biased negative evaluation of subjective QOL by depressed patients. It is suggested that in depressed samples subjective QOL scores should be interpreted on individual rather than on aggregated life domain levels.

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References

1992The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.1965Society and the Adolescent Self-Image 1992The MOS 36-ltem Short-Form Health Survey (SF-36)1998The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties 1988A quality of life interview for the chronically mentally ill 1995Functioning and Well-being Outcomes of Patients With Depression Compared With Chronic General Medical Illnesses 1983The Well-being of Chronic Mental Patients 1984Symptoms, hassles, social supports, and life events: Problem of confounded measures.

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