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Measuring quality of life in mental health: Are we asking the right questions?

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  • Connell, Janice
  • O'Cathain, Alicia
  • Brazier, John

Abstract

Measuring quality-adjusted-life years using generic preference-based quality of life measures is common practice when evaluating health interventions. However, there are concerns that measures in common use, such as the EQ-5D and SF-6D, focus overly on physical health and therefore may not be appropriate for measuring quality of life for people with mental health problems. The aim of this research was to identify the domains of quality of life that are important to people with mental health problems in order to assess the content validity of these generic measures. Qualitative semi-structured interviews were conducted with 19 people, recruited from UK mental health services, with a broad range of mental health problems at varying levels of severity. This complemented a previous systematic review and thematic synthesis of qualitative studies on the same topic. Seven domains important to quality of life for people with mental health problems were identified: well-being and ill-being; relationships and a sense of belonging; activity; self-perception; autonomy, hope and hopelessness; and physical health. These were consistent with the systematic review, with the addition of physical health as a domain, and revealed a differing emphasis on the positive and negative aspects of quality of life according to the severity of the mental health problems. We conclude that the content of existing generic preference-based measures of health do not cover this domain space well. Additionally, because people may experience substantial improvements in their quality of life without registering on the positive end of a quality of life scale, it is important that the full spectrum of negative through to positive aspects of each domain are included in any quality of life measure.

Suggested Citation

  • Connell, Janice & O'Cathain, Alicia & Brazier, John, 2014. "Measuring quality of life in mental health: Are we asking the right questions?," Social Science & Medicine, Elsevier, vol. 120(C), pages 12-20.
  • Handle: RePEc:eee:socmed:v:120:y:2014:i:c:p:12-20
    DOI: 10.1016/j.socscimed.2014.08.026
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    1. Dolan, Paul & Peasgood, Tessa & White, Mathew, 2008. "Do we really know what makes us happy A review of the economic literature on the factors associated with subjective well-being," Journal of Economic Psychology, Elsevier, vol. 29(1), pages 94-122, February.
    2. Brazier, John & Roberts, Jennifer & Deverill, Mark, 2002. "The estimation of a preference-based measure of health from the SF-36," Journal of Health Economics, Elsevier, vol. 21(2), pages 271-292, March.
    3. Sprangers, Mirjam A. G. & Schwartz, Carolyn E., 1999. "Integrating response shift into health-related quality of life research: a theoretical model," Social Science & Medicine, Elsevier, vol. 48(11), pages 1507-1515, June.
    4. Jason T. Newsom & Karen S. Rook & Masami Nishishiba & Dara H. Sorkin & Tyrae L. Mahan, 2005. "Understanding the Relative Importance of Positive and Negative Social Exchanges: Examining Specific Domains and Appraisals," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 60(6), pages 304-312.
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