Psychometric Properties of the World Health Organization’s Quality of Life (WHOQOL-BREF) Questionnaire in Medical Students

Ilić, Irena; Šipetić-Grujičić, Sandra; Grujičić, Jovan; Mačužić, Ivana Živanović; Kocić, Sanja; Ilić, Milena

doi:10.3390/medicina55120772

Cited by 56 publications

(47 citation statements)

References 24 publications

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“…The possibility of using the paper version of WHOQOL-BREF in many populations has its established position [8,18]. Few studies have been conducted using the WHOQOL-BREF questionnaire to assess the impact of medical education on the quality of life of students [19][20][21][22]. Although the role of the electronic version of the WHOQOL-BREF questionnaire was confirmed in 2008 [23,24], we have not been able to find a study assessing the electronic form in the medical student population.…”

Section: Discussionmentioning

confidence: 96%

The Reliability and Compatibility of the Paper and Electronic Versions of the POLLEK Cohort Study Questionnaire

et al. 2020

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Background: Chronic fatigue, depression, burnout syndrome, and alcohol addiction have been identified as significant mental health problems in young medical doctors. Given the lack of prospective studies in this area in Poland, the POLski LEKarz (POLLEK) cohort study was created. The goal of the POLLEK study is to assess the quality of life and health status (including mental health) of medical students and young physicians. The aim of the presented paper was to assess the reliability and compatibility of paper and electronic versions of the POLLEK questionnaire. Methods: Between 1 October 2019 and 28 February 2020, all medical students (N = 638) of the first year in the Medical University of Silesia were invited to participate in a cross-sectional study. Three hundred and fifty-three students (55.3%) who accomplished both versions were included in the current analysis. Results: Values of Cronbach’s alpha >0.7 proved both modes of delivery to have good internal consistency, except for the individual Alcohol Use Disorder Identification Test (AUDIT) domains and the Environmental domain of the WHOQOL-BREF (paper version). Similarly, interclass correlation coefficients equal to or greater than 0.9 denoted an excellent reproducibility. Conclusions: We documented very good accordance and reproducibility of POLLEK questionnaire (both paper and electronic versions). These findings legitimize the use of the questionnaire interchangeably.

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Section: Discussionmentioning

confidence: 96%

The Reliability and Compatibility of the Paper and Electronic Versions of the POLLEK Cohort Study Questionnaire

et al. 2020

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“…Domain scores reflect patients’ individual perceptions of their QoL in each aspect. The Cronbach’s alpha coefficient for the original version of the WHOQOL-BREF scale was 0.896, and for the Polish version in the own study, 0.84 (0.79; 0.88) [ 26 , 27 ].…”

Section: Methodsmentioning

confidence: 99%

Association between Malnutrition and Quality of Life in Elderly Patients with Rheumatoid Arthritis

Tański¹,

Wójciga

Jankowska‐Polańska

2021

Nutrients

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Rheumatoid arthritis (RA) is a progressive articular disease. In addition to damaging the joints, it may cause multiple organ complications, and considerably impair the patient’s functioning. Elderly patients with RA report pain, fatigue, mood disorders, sleep disorders and insomnia, accompanied by weakness, poor appetite, and weight loss. All these factors combined have an adverse effect on the patient’s perceived quality of life (QoL). Due to the chronic nature of RA and the high risk of malnutrition in this patient group, the present study investigated QoL, activities of daily living, and frailty syndrome severity in relation to MNA (Mini Nutritional Assessment) questionnaire scores among elderly RA patients. The study included 98 patients (aged over 60) diagnosed with RA per the ARA (American Rheumatism Association) criteria. The following standardized instruments were used: WHOQoL-BREF for QoL, the Edmonton Frail Scale for frailty syndrome severity, MNA for nutritional status assessment, and MMSE (Mini-Mental State Examination) to assess any cognitive impairment. Medical data were obtained from hospital records. Patients with a different nutritional status differed significantly in terms of limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Higher levels of malnutrition were associated with greater limitations in activity. An adverse impact of lower body weight on cognitive function was also observed (dementia was identified in 33.33% of malnourished patients vs. 1.79% in patients with a normal body weight). Likewise, frailty was more common in malnourished patients (mild frailty syndrome in 33.3%, moderate in 16.67%, and severe in 16.67%). Malnourished patients had significantly lower QoL scores in all WHOQoL-BREF questionnaire domains than those with a normal body weight, and multiple-factor analysis for the impact of selected variables on QoL in each domain demonstrated that frailty was a significant independent determinant of poorer QoL in all domains: perceived quality of life (β = −0.069), perceived health (β = −0.172), physical domain (β = −0.425), psychological domain (β = −0.432), social domain (β = −0.415), environmental domain (β = −0.317). Malnutrition was a significant independent determinant of QoL in the “perceived health” domain (β = −0.08). In addition, regression analysis demonstrated the positive impact of male sex on QoL scores in the psychological (β = 1.414) and environmental domains (β = 1.123). Malnourished patients have a lower QoL than those with a normal body weight. Malnutrition adversely affects daily functioning, cognitive function, and the severity of frailty syndrome. Frailty syndrome is a significant independent determinant of poorer QoL in all WHOQoL BREF domains.

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“…Symptoms of anxiety and depression were assessed using the Hospital Anxiety and Depression Scale [HADS ( 18 )] and the World Health Organization Quality of Life [WHO-QoL-BREF ( 19 )] questionnaire for the assessment of quality of life. All three questionnaires have a high internal consistency [Cronbach's alpha: HADS-A = 0.83; HADS-D = 0.82 ( 20 ); WHO-QoL-BREF =0.87 ( 21 )]. Participants completed a demographic survey that included educational, marital and employment status, smoking habits (expressed as pack-years) and alcohol drinking behavior (expressed as drinks consumed per week).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function

et al. 2021

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Background: The prevalence of child maltreatment in adults with congenital heart disease (ACHD) has not been assessed so far. Child maltreatment is a major risk factor for unfavorable behavioral, mental, and physical health outcomes and has been associated with decreased quality of life. Given the increased survival time of ACHD, it is essential to assess factors that may worsen the quality of life and interact with classical cardiovascular risk factors and mental well-being.Methods: In a cross-sectional study, 196 ACHD (mean age 35.21 ± 11.24 y, 44,4% female, 55.6% male) completed a thorough psychiatric and cardiac evaluation. Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ) and rates were compared to already existing data from the German general population. Further psychological measurements included the WHO Quality of Life Questionnaire, Hospital Anxiety and Depression Scale (HADS) and assessment of lifestyle factors (exercise, smoking, alcohol consumption, body mass index). To identify a relationship between current cardiac function and child maltreatment, we used logistic regression.Results: ACHD reported significantly higher rates of emotional neglect and emotional abuse and sexual abuse and lower rates of physical neglect when compared to the general German population. In addition, total CTQ-scores, emotional abuse, emotional neglect, physical abuse, and sexual abuse correlated with symptoms of depression, anxiety, and negatively correlated with QoL. Furthermore, CTQ scores contributed significantly in predicting higher New York Heart Association (NYHA) scores (p = 0.009).Conclusion: Child maltreatment is more common in ACHD and associated with decreased quality of life and depression and anxiety. Furthermore, we found evidence that self-reported child maltreatment is associated with decreased cardiac function. Given the longer survival time of patients with ACHD, identifying factors that may negatively influence the disease course is essential. The negative consequences of child maltreatment may be the subject of psychosocial interventions that have demonstrated efficacy in treating posttraumatic stress disorders.

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Psychometric Properties of the World Health Organization’s Quality of Life (WHOQOL-BREF) Questionnaire in Medical Students

Cited by 56 publications

References 24 publications

The Reliability and Compatibility of the Paper and Electronic Versions of the POLLEK Cohort Study Questionnaire

The Reliability and Compatibility of the Paper and Electronic Versions of the POLLEK Cohort Study Questionnaire

Association between Malnutrition and Quality of Life in Elderly Patients with Rheumatoid Arthritis

Prevalence of Child Maltreatment in Adults With Congenital Heart Disease and Its Relationship With Psychological Well-Being, Health Behavior, and Current Cardiac Function

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