The Relative Contribution of Domains of Quality of Life to Overall Quality of Life for Different Chronic Diseases

Abstract

The relative contribution of domains of quality of life to overall quality of life for different chronic diseases R. Arnold, R.; Ranchor, Adelita V.; Sanderman, Robbert; Kempen, G.I.J.M.; Ormel, Johan; Suurmeijer, T.P.B.M. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. AbstractThis study examined the contribution of the quality of life (QoL) domains physical, social and psychological functioning to the explanation of overall QoL. Various disorders may differentially affect QoL domains due to disease-specific factors and, consequently, the relationship between QoL domains and overall QoL may vary between diseases. We therefore studied this relationship for several diseases as well as the differential impact of these diseases on QoL. The present study had a cross-sectional design. We selected patients (aged 57 years and older) with one of the following eight chronic medical conditions: lung disorder, heart condition, hypertension, diabetes mellitus, back problems, rheumatoid arthritis, migraine, or dermatological disorders. The total group of respondents included 1457 patients and 1851 healthy subjects. Regression analyses showed that the domain of psychological functioning contributed to overall QoL for all disorders, whereas physical and social functioning contributed to overall QoL for some disorders. Differences were found between most patient groups and healthy subjects with respect to physical functioning; with respect to social and psychological functioning some groups differed from the healthy group. Explanations for the findings and implications for clinical practice are discussed.

Validation of a Swedish Version of the Cancer Dyspnea Scale

“…In a health survey of a Finnish population, it was found that emotional well-being had the greatest contribution to global QoL (Heinonen et al 2004). This is congruent with a study of Arnold et al (2004) who found that psychological functioning contributed significantly to overall QoL in patients with different chronic disorders as well as in healthy persons. The most important issues concerning QoL in terminally ill cancer patients were physical and psychological condition, physical and cognitive functioning, relationships, outlook, physical environment and quality of palliative care (Cohen & Leis 2002).…”

Condições de trabalho, qualidade de vida e disfonia entre docentes

“…O termo qualidade de vida é abrangente, incluindo fatores relacionados à saúde, como os físicos, funcionais, emocionais e bem-estar mental e, também, os não relacionados, a saber, o trabalho, família, amigos e outros aspectos da vida 12 . A qualidade de vida relacionada à saúde envolve vários domínios do cotidiano do indivíduo, sendo os mais comumente estudados o psicológico, o social e o físico 13 .…”

Contribuição dos domínios físico, social, psicológico e ambiental para a qualidade de vida global de idosos

“…Furthermore, other important factors may also be contributing to the overall quality of life domain, which was also demonstrated by other studies found in the literature. 15,16 According to Arnold et al, 15 the judgment each individual makes of his overall quality of life must be considered. Theoretically, the individual is expected to combine different aspects of his life and summarizes them in an overall evaluation of his quality of life; the point is whether the individuals really summarize everything, or whether they include only aspects that have recently worried them, or whether they exclude such aspects from the evaluation.…”

“…15 The objectives of the present study were to analyze whether there was contribution of the physical, social, psychological and environmental domains in the overall quality of life and to investigate to which extent these domains explain the overall quality of life of elderly people resident in the municipality of Teixeiras, Southeastern Brazil.…”

“…A distinction has been made between the overall quality of life, the different dimensions of the quality of life (domains) and the components that are part of each dimension. 15 According to Arnold et al 15 and Suurmeijer et al, 16 Spilker's model of quality of life includes the overall quality of life and the different domains, as well as different aspects that are part of each domain. The assessment of the overall quality of life, defined as the individual's general satisfaction with life and the general perception of well-being, is the first level of Spilker's model.…”