Response bias influences mental health symptom reporting in patients with obstructive sleep apnea

Annals of Behavioral Medicine (Impact Factor: 4.2). 01/2001; 23(4):313-317. DOI: 10.1207/S15324796ABM2304_11

ABSTRACT The Medical Outcomes Study (MOS) inventory is widely used to assess quality of life in chronically ill patients. Although
response bias was addressed during its initial validation, we are unaware of subsequent studies examining how personality
characteristics influence responses on this instrument. We examined the impact of response bias on MOS data reported by 44
obstructive sleep apnea (OSA) outpatients who completed the MOS and Marlowe—Crowne Social Desirability Scale (MC). Social
desirability implies responding in a way that the participant believes will be viewed favorably; MC is often used to statistically
control for this form of response bias on self-report measures. The MOS yielded 2 summary scales (Mental and Physical Health)
and 8 dimensions (based on Short Form-36 [SF-36]). Data were analyzed using multiple regression analyses. Results show that
there is a significant relation between MC and the Mental and Physical Health factors (R2 = .194, F = 5.069, p = .011) and the eight SF-36 dimensions (R2= .359, F =2.448, p = .032). Post hoc analyses did not reveal that any one independent variable was a superior predictor of
the MC. Participants scoring high on the MC reported 31% greater health than participants scoring low on the MC. Findings
suggest that response bias has a significant influence on MOS data from OSA patients, with the greatest impact on mental health
indexes. Controlling for response bias on the MOS and other self-report measures is important in both research and clinical
situations with OSA and potentially other chronically ill patients.