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A reformulation of quality of life for medical science

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Abstract

Current quality of life measuring tools are suited for economic decision making, not to investigate causal processes which lead to patients making evaluations of their lives. An alternative approach is presented based on research into positive versus negative life-satisfaction. Quality of life is a causal sequence of psychological states where perceived symptoms cause problems and the problems and symptoms cause evaluations, and where the causal sequence is a complex interaction between morbidity and psychological factors. Different types of medical intervention affect different stages in the causal sequence and so different types of quality of life instrument are needed for different kinds of medical research.

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References

  1. Editorial. Quality of life. Lancet 1991; 338: 350–351.

  2. SpilkerB. Introduction. In BSpilker, ed. Quality of Life Assessment in Clinical Trials. New York: Raven Press, 1990; 3–9.

    Google Scholar 

  3. HylandME. Quality of life assessment in respiratory disease: an examination of the content and validity of four questionnaires. PharmacoEconomics 1992; 2: 43–53.

    Google Scholar 

  4. BergnerM, BobbittRA, CarterWB, GilsonBS. The sickness impact profile: development and final revision of a health status measure. Med Care 1981; 19: 787–805.

    Google Scholar 

  5. KaplanRM, BushJW. Health-related quality of life measurement for evaluation research and policy analysis. Health Psychol 1982; 1: 61–80.

    Google Scholar 

  6. JuniperEF, GuyattGH, EpsteinRS, FerriePJ, JaeschkeR, HillerTK. Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax 1992; 47: 76–83.

    Google Scholar 

  7. SpilkerB. Standardisation of quality of life trials: an industry perspective. PharmacoEconomics 1992; 1: 73–75.

    Google Scholar 

  8. HylandME. Selection of items and avoidance of bias in quality of life scales. PharmacoEconomics 1992; 1: 182–190.

    Google Scholar 

  9. JonesPW, BaveystockCM, LittlejohnsP. Relationship between general health measured with Sickness Impact Profile and respiratory symptoms, physiological measures, and mood in patients with chronic airflow limitation. Am Rev Respir Dis 1989; 140: 1538–1543.

    Google Scholar 

  10. WatsonD. Intraindividual and interindividual analysis of positive and negative affect: their relation to health complaints, perceived stress, and daily activities. J Pers Soc Psychol 1988; 54: 1020–1030.

    Google Scholar 

  11. LarsenRJ. Neuroticism and selective encoding and recall of symptoms: evidence from a combined concurrent-retrospective study. J Pers Soc Psychol 1992; 62: 480–488.

    Google Scholar 

  12. CarverCS, ScheierMF, WeintraubJK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 1989; 56: 267–283.

    Google Scholar 

  13. TurnquistDC, HarveyJH, AndersonBL, Attributions and adjustment to life-threating illness. Br J Clin Psychol 1988; 27: 55–65.

    Google Scholar 

  14. EvansRW. Quality of life. Lancet 1991; 338: 363.

    Google Scholar 

  15. CostaPT, McCraeRR. Influence of extraversion and neuroticism on subjective well-being: happy and unhappy people. J. Pers Soc Psychol 1980; 38: 668–678.

    Google Scholar 

  16. HeadyB, WearingA. Personality, life events, and subjective well-being: toward a dynamic equilibrium model. J Pers Soc Psychol 1989, 57: 731–739.

    Google Scholar 

  17. DeLongisA, CoyneJC, DakofG, FolkmanS, LazarusRS. Relationship of daily hassles, uplifts, and major life events to health status. Health Psychol 1982; 1: 119–136.

    Google Scholar 

  18. DeLongisA, FolkmanS, LazarusRS. The impact of daily stress on health and mood: Psychological and social resources as mediators. J Pers Soc Psychol 1988; 54: 486–495.

    Google Scholar 

  19. WatsonD, PennebakerJW. Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychol Rev 1989; 96: 234–254.

    Google Scholar 

  20. RothS, CohenLJ: Approach, avoidance, and coping with stress. Am Psychol 1986; 41: 813–819.

    Google Scholar 

  21. RaynorJO, EntinE. Motivation, Career Stringing and Aging. New York: Hemisphere, 1982.

    Google Scholar 

  22. Guyatt GH, Kirshner B, Jaeschke R. Measuring health status: What are the necessary properties? J Clin Epid (in press).

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Hyland, M.E. A reformulation of quality of life for medical science. Qual Life Res 1, 267–272 (1992). https://doi.org/10.1007/BF00435636

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