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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Editorial. Quality of life. Lancet 1991; 338: 350–351.
SpilkerB. Introduction. In BSpilker, ed. Quality of Life Assessment in Clinical Trials. New York: Raven Press, 1990; 3–9.
HylandME. Quality of life assessment in respiratory disease: an examination of the content and validity of four questionnaires. PharmacoEconomics 1992; 2: 43–53.
BergnerM, BobbittRA, CarterWB, GilsonBS. The sickness impact profile: development and final revision of a health status measure. Med Care 1981; 19: 787–805.
KaplanRM, BushJW. Health-related quality of life measurement for evaluation research and policy analysis. Health Psychol 1982; 1: 61–80.
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.
SpilkerB. Standardisation of quality of life trials: an industry perspective. PharmacoEconomics 1992; 1: 73–75.
HylandME. Selection of items and avoidance of bias in quality of life scales. PharmacoEconomics 1992; 1: 182–190.
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.
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.
LarsenRJ. Neuroticism and selective encoding and recall of symptoms: evidence from a combined concurrent-retrospective study. J Pers Soc Psychol 1992; 62: 480–488.
CarverCS, ScheierMF, WeintraubJK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 1989; 56: 267–283.
TurnquistDC, HarveyJH, AndersonBL, Attributions and adjustment to life-threating illness. Br J Clin Psychol 1988; 27: 55–65.
EvansRW. Quality of life. Lancet 1991; 338: 363.
CostaPT, McCraeRR. Influence of extraversion and neuroticism on subjective well-being: happy and unhappy people. J. Pers Soc Psychol 1980; 38: 668–678.
HeadyB, WearingA. Personality, life events, and subjective well-being: toward a dynamic equilibrium model. J Pers Soc Psychol 1989, 57: 731–739.
DeLongisA, CoyneJC, DakofG, FolkmanS, LazarusRS. Relationship of daily hassles, uplifts, and major life events to health status. Health Psychol 1982; 1: 119–136.
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.
WatsonD, PennebakerJW. Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychol Rev 1989; 96: 234–254.
RothS, CohenLJ: Approach, avoidance, and coping with stress. Am Psychol 1986; 41: 813–819.
RaynorJO, EntinE. Motivation, Career Stringing and Aging. New York: Hemisphere, 1982.
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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DOI: https://doi.org/10.1007/BF00435636