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Validity of an abbreviated Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-18) for schizophrenia, schizoaffective,and mood disorder patients

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Abstract

We sought to identify a core subset of Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) items that maintains the validity and psychometric properties of the basic version. A parsimonious subset of items from the Q-LES-Q that can accurately predict the basic Q-LES-Q domain mean scores was sought and evaluated in 339 inpatients meeting DSM-IV criteria for schizophrenia, schizoaffective, and mood disorders. Three additional data sets were used for validation. Assessments included Q-LES-Q, Quality of Life Scale, Lancashire Quality of Life Profile, rating scales for psychopathology, medication side effects, and self-reported emotional distress, self-esteem, self-efficacy, and social support. We found that 18-items predicted basic Q-LES-Q domains (physical health, subjective feelings, leisure time activities, social relationships) and general index scores with high accuracy. Q-LES-Q-18 showed high reliability, validity, and stability of test-retest ratings. Thus, Q-LES-Q-18, a brief, self-administered questionnaire may aid in monitoring quality of life outcomes of schizophrenia, schizoaffective, and mood disorder patients.

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References

  1. AF. Lehman (1983) ArticleTitleThe well-being of chronic mental patients: Assessing their quality of life Arch Gen Psychiatry 40 369–373 Occurrence Handle6838316

    PubMed  Google Scholar 

  2. A. Lehman (1996) ArticleTitleMeasures of quality of life among persons with severe and persistent mental disorders Soc Psychiat Psychiatr Epidemiol 31 78–88

    Google Scholar 

  3. L Voruganti R Heslegrave AG Awad MV. Seeman (1998) ArticleTitleQuality of life measurement in schizophrenia: Reconciling the quest for subjectivity with the question of reliability Psychol Med 28 165–172 Occurrence Handle9483693

    PubMed  Google Scholar 

  4. M Ritsner R. Kurs (2002) ArticleTitleImpact of antipsychotic agents and their side effects on the quality of life in schizophrenia Expert Rev Pharmacoecon Outcomes Res 2 89–98

    Google Scholar 

  5. M Ritsner R. Kurs (2003) ArticleTitleQuality of life outcomes in mental illness: Schizophrenia, mood and anxiety disorders Expert Rev Pharmacoecon Outcomes Res 3 189–199

    Google Scholar 

  6. C Van Nieuwenhuizen AH Schene WA Boevink JRLM. Wolf (1997) ArticleTitleMeasuring the quality of life of clients with severe mental illness: A review of instruments Psychiatr Rehabil J 20 33–41

    Google Scholar 

  7. AG Awad LN Voruganti RJ. Heslegrave (1997) ArticleTitleMeasuring quality of life in patients with schizophrenia Pharmacoeconomics 11 32–47 Occurrence Handle10172917

    PubMed  Google Scholar 

  8. SL Bishop DP Walling SG Dott CC Folkes J. Bucy (1999) ArticleTitleRefining quality of life: Validating a multidimensional factor measure in the severe mentally ill Qual Life Res 8 151–160 Occurrence Handle10457748

    PubMed  Google Scholar 

  9. M. Dijkers (1999) ArticleTitleMeasuring quality of life: Methodological issues Am J Phys Med Rehabil 78 286–300 Occurrence Handle10340429

    PubMed  Google Scholar 

  10. G Hawthorne J. Richardson (2001) ArticleTitleMeasuring the value of program outcomes: A review of multiattribute utility measures Expert Rev Pharmacoecon Outcomes Res 1 215–228

    Google Scholar 

  11. J Endicott J Nee W Harrison R. Blumenthal (1993) ArticleTitleQuality of Life Enjoyment and Satisfaction Questionnaire: A new measure Psychopharmacol Bull 29 321–326 Occurrence Handle8290681

    PubMed  Google Scholar 

  12. DA Revicki LC Paramore KW. Sommerville et al. (2003) ArticleTitleDepakote Comparator Study Group Divalproex sodium versus olanzapine in the treatment of acute mania in bipolar disorder: Health-related quality of life and medical cost outcomes J Clin Psychiatry 64 288–294 Occurrence Handle12716270

    PubMed  Google Scholar 

  13. SN Seidman JG. Rabkin (1998) ArticleTitleTestosterone replacement therapy for hypogonadal men with SSRI-refractory depression J Affect Disord 48 157–161 Occurrence Handle9543205

    PubMed  Google Scholar 

  14. TB Pearlstein U Halbreich Batzar et al. (2000) ArticleTitlePsychosocial functioning in women with premenstrual dysphoric disorder before and after treatment with sertraline or placebo J Clin Psychiatry 61 101–109 Occurrence Handle10732657

    PubMed  Google Scholar 

  15. JR Swenson CM O’Connor D. Barton et al. (2003) ArticleTitleSertraline Antidepressant Heart Attack Randomized Trial (SADHART) Group Influence of depression and effect of treatment with sertraline on quality of life after hospitalization for acute coronary syndrome Am J Cardiol. 92 1271–1276 Occurrence Handle14636902

    PubMed  Google Scholar 

  16. JM Russell LM Koran J. Rush et al. (2001) ArticleTitleEffect of concurrent anxiety on response to sertraline and imipramine in patients with chronic depression Depress Anxiety 13 18–27 Occurrence Handle11233456

    PubMed  Google Scholar 

  17. S Ozer A Ulusahin S. Batur et al. (2002) ArticleTitleOutcome measures of interepisode bipolar patients in a Turkish sample Soc Psychiatry Psychiatr Epidemiol 37 31–37 Occurrence Handle11924747

    PubMed  Google Scholar 

  18. M Ritsner I Modai J Endicott et al. (2000) ArticleTitleDifferences in quality of life domains and psychopathologic and psychosocial factors in psychiatric patients J Clin Psychiatr 61 880–889

    Google Scholar 

  19. M Ritsner A Ponizovsky J. Endicott et al. (2002) ArticleTitleThe impact of side-effects of antipsychotic agents on life satisfaction of schizophrenia patients: A naturalistic study Eur Neuropsychopharmacol 12 31–38 Occurrence Handle11788238

    PubMed  Google Scholar 

  20. M Ritsner R Kurs A. Gibel et al. (2003) ArticleTitlePredictors of quality of life in major psychoses: A naturalistic follow-up study J Clin Psychiatr 64 308–315

    Google Scholar 

  21. MH Rapaport J Endicott CM. Clary (2002) ArticleTitlePosttraumatic stress disorder and quality of life: Results across 64 weeks of sertraline treatment J Clin Psychiatr. 63 59–65

    Google Scholar 

  22. P Nardi A Acocella A. Tedesco et al. (2003) ArticleTitlePsychological aspects in orthognathic surgery Body image and quality of life in postsurgical assessment. Minerva Stomatol 52 145–152

    Google Scholar 

  23. M Ritsner G Perelroyzen H Ilan A. Gibel (2004) ArticleTitleSubjective response to antipsychotics of schizophrenia patients treated in routine clinical practice: A naturalistic comparative study J Clin Psychopharmacol 24 245–254 Occurrence Handle15118477

    PubMed  Google Scholar 

  24. M. Ritsner (2003) ArticleTitlePredicting changes in domain-specific quality of life of schizophrenia patients J Nerv Ment Dis 191 287–294 Occurrence Handle12819547

    PubMed  Google Scholar 

  25. DW Heinrichs TE Hanlon WT. Carpenter SuffixJr (1984) ArticleTitleThe Quality of Life Scale: An instrument for rating the schizophrenic deficit syndrome Schizophr Bull 10 388–398 Occurrence Handle6474101

    PubMed  Google Scholar 

  26. J Oliver P Huxley H. BridgesK. Mohammed (1996) Quality of Life and Mental Health Service Routledge London & New York

    Google Scholar 

  27. SR Kay A Fiszbein LA. Opler (1987) ArticleTitleThe positive and negative syndrome scale (PANSS) for schizophrenia Schizophr Bull 13 261–276 Occurrence Handle1:STN:280:BiiB1M7pt10%3D Occurrence Handle3616518

    CAS  PubMed  Google Scholar 

  28. SA Montgomery M. Asberg (1979) ArticleTitleA new depression scale designed to be sensitive to change Br J Psychiatry 134 382–389 Occurrence Handle1:STN:280:CSaC1cfkslQ%3D Occurrence Handle444788

    CAS  PubMed  Google Scholar 

  29. M Ritsner J Rabinowitz M. Slyuzberg (1995) ArticleTitleThe Talbieh Brief Distress Inventory: A brief instrument to measure psychological distress among immigrants Compr Psychiat 36 448–453 Occurrence Handle8565450

    PubMed  Google Scholar 

  30. M Ritsner I Modai A. Ponizovsky (2002) ArticleTitleAssessing psychological distress in psychiatric patients: Validation of the Talbieh Brief Distress Inventory Compr Psychiat 43 229–234 Occurrence Handle11994843

    PubMed  Google Scholar 

  31. M Jerusalem R. Schwarzer (1992) Self-efficacy as a resource factor in stress appraisal processes R. Schwarzer (Eds) Self-efficacy: Thought Control of Action. Hemisphere Washington, DC 195–213

    Google Scholar 

  32. M. Rosenberg (1965) Society and the Adolescent Self-image Princeton University Press Princeton, NJ

    Google Scholar 

  33. GD Zimet SS Powell GK. Farley et al. (1990) ArticleTitlePsychometric characteristics of the multidimensional scale of perceived social support J Pers Assess 55 610–617 Occurrence Handle2280326

    PubMed  Google Scholar 

  34. JL. Hintze (1998) NCSS 6.0. Statistical System for Windows User’s Guide. Number Cruncher Statistical Systems Kaysville, UT

    Google Scholar 

  35. D. Andrich (2004) ArticleTitleControversy and the Rasch model: A characteristic of incompatible paradigms? Med Care 42 IssueIDSuppl 1 I7–16 Occurrence Handle14707751

    PubMed  Google Scholar 

  36. F Rijmen F Tuerlinckx P De Boeck P. Kuppens (2003) ArticleTitleA nonlinear mixed model framework for item response theory Psychol Meth. 8 185–205

    Google Scholar 

  37. WB Bilker C Brensinger MM. Kurtz et al. (2003) ArticleTitleDevelopment of an abbreviated schizophrenia quality of life scale using a new method Neuropsychopharmacology 28 773–777 Occurrence Handle12655324

    PubMed  Google Scholar 

  38. SG Dott DP Walling SL. Bishop et al. (1996) ArticleTitleThe efficacy of short-term treatment for improving quality of life: A pilot study J Nerv Ment Dis 184 507–509 Occurrence Handle8752082

    PubMed  Google Scholar 

  39. A Lobana SK Mattoo D Basu N. Gupta (2001) ArticleTitleQuality of life in schizophrenia in India: Comparison of three approaches Acta Psychiatr Scand 104 51–55 Occurrence Handle11437750

    PubMed  Google Scholar 

  40. MC Angermeyer A Holzinger R Kilian H. Matschinger (2001) ArticleTitleQuality of life – as defined by schizophrenic patients and psychiatrists Int J Soc Psychiatr 47 34–42

    Google Scholar 

  41. PB Fitzgerald CL Williams N. Corteling et al. (2001) ArticleTitleSubject and observer-rated quality of life in schizophrenia Acta Psychiatr Scand 103 387–392 Occurrence Handle11380309

    PubMed  Google Scholar 

  42. M Ruggeri R Gater G. Bisoffi et al. (2002) ArticleTitleDeterminants of subjective quality of life in patients attending community-based mental health services The South-Verona Outcome Project 5 Acta Psychiatr Scand 105 131–140 Occurrence Handle11939963

    PubMed  Google Scholar 

  43. M Ritsner R Kurs H. Kostizky et al. (2002) ArticleTitleSubjective quality of life in severely mentally ill patients: A comparison of two instruments Qual Life Res 11 553–561 Occurrence Handle12206576

    PubMed  Google Scholar 

  44. S Browne M Clarke M. Gervin et al. (2000) ArticleTitleDeterminants of quality of life at first presentation with schizophrenia Br J Psychiatr 176 173–176

    Google Scholar 

  45. G Kemmler B Holzner M. Kopp et al. (1999) ArticleTitleComparison of two quality-of-life instruments for cancer patients: The functional assessment of cancer therapy – general and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 J Clin Oncol 17 2932–2940 Occurrence Handle10561373

    PubMed  Google Scholar 

  46. L Gaite JL Vazquez-Barquero C. Borra et al. (2002) ArticleTitlethe EPSILON Study Group. Quality of life in patients with schizophrenia in five European countries: The EPSILON study Acta Psychiatr Scand 105 283–229 Occurrence Handle11942933

    PubMed  Google Scholar 

  47. A Lasalvia M Ruggeri N. Santolini (2002) ArticleTitleSubjective quality of life: Its relationship with clinician-rated and patient-rated psychopathology. The South-Verona Outcome Project 6 Psychother Psychosom 71 275–284 Occurrence Handle12207108

    PubMed  Google Scholar 

  48. RJ Heslegrave AG Awad LN. Boruganti (1997) ArticleTitleThe influence of neurocognitive deficits and symptoms on the quality of life in schizophrenia J Psychiatr Neurosci 22 235–243

    Google Scholar 

  49. S Browne M Roe A. Lane et al. (1996) ArticleTitleQuality of life in schizophrenia: Relationship to sociodemographic factors, symptomatology and tardive dyskinesia Acta Psychiatr Scand 94 118–124 Occurrence Handle8883573

    PubMed  Google Scholar 

  50. A Bechdolf J Klosterkotter M. Hambrecht et al. (2003) ArticleTitleDeterminants of subjective quality of life in post acute patients with schizophrenia Eur Arch Psychiatr Clin Neurosci 253 228–235

    Google Scholar 

  51. M Eklund M Backstrom L. Hansson (2003) ArticleTitlePersonality and self-variables: Important determinants of subjective quality of life in schizophrenia out-patients Acta Psychiatr Scand 108 134–143 Occurrence Handle12823170

    PubMed  Google Scholar 

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Ritsner, M., Kurs, R., Gibel, A. et al. Validity of an abbreviated Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-18) for schizophrenia, schizoaffective,and mood disorder patients. Qual Life Res 14, 1693–1703 (2005). https://doi.org/10.1007/s11136-005-2816-9

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