Quality of Life: Expanding the Scope of Clinical Significance

Department of Psychiatry, University of Pennsylvania, Philadelphia 19104, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 07/1999; 67(3):320-31. DOI: 10.1037/0022-006X.67.3.320
Source: PubMed


Clinical researchers have turned their attention to quality of life assessment as a means of broadening the evaluation of treatment outcomes. This article examines conceptual and methodological issues related to the use of quality of life measures in mental health. These include the lack of a good operational definition of the construct, the use of subjective versus objective quality of life indicators, and the nature of the relationship between symptoms and quality of life judgments. Of special concern is the ability of quality of life measures to detect treatment-related changes. The authors review the application of quality of life assessment across diverse patient groups and therapies and provide recommendations for developing comprehensive, psychometrically sophisticated quality of life measures.

Download full-text


Available from: Paul Crits-Christoph
  • Source
    • "While enhancing happiness, well-being, and lifesatisfaction (i.e., Quality of Life) has historically been placed to the periphery of clinical attention, it is increasingly being recognized as important target in clinical investigation and patient care, particularly in terms of person-centered care [1] [2]. This broader outlook follows from the notion that one derives health and wellness not solely through the amelioration of symptoms or disease, but through participation in valued and meaningful activities and relationships that make life worth living [1] [3] [4] [5] [6]. A number of definitions of QOL exist, but for the most part QOL represents a broad range of culturally-valued experiences and life circumstances that comprise work, love, and play and the individual's sense of satisfaction with those experiences and current position in life [2] [7]. "

    Full-text · Article · Jun 2015
  • Source
    • "One hypothesis is that the link between real life circumstances and life satisfaction may depend on how one appraises those circumstances (Eng et al., 2005; Frisch, 1998; Michalos, 1991). Subjective life satisfaction is the accumulation of cognitive judgments comparing one's actual life with one's ideal life (Frisch, 1994; Gladis et al., 1999; McAlinden and Oei, 2006). Using CBT to reduce negative thinking, challenge catastrophic future predictions , and increase positive modes of thinking may have a positive impact on patients' subjective satisfaction with life. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background This study aimed to explain how quality of life changes during psychotherapy, using a cognitive-behavioural theoretical framework, and examined whether changes in symptoms or changes in cognitions were more influential with regard to quality of life change. Three different hypotheses were tested that might explain the mechanisms by which quality of life changes during group cognitive-behaviour therapy (CBT) for anxiety and depression. Methods 127 outpatients with anxiety and/or depression enrolled in a four-week group CBT programme participated. Measures of anxiety and depression symptoms, cognitive change, and quality of life were administered at baseline and post-treatment. Baseline to post-treatment change scores were calculated and entered into multiple regression analyses. Results Reductions in anxiety and depression symptoms were related to increases in quality of life, whereas cognitive changes were not consistently related to changes in quality of life. Limitations The main limitation was that the study׳s design was not able to assess whether changes in cognitions or symptoms preceded changes in quality of life, as all variables were measured at the same two points in time. Conclusions These results provided evidence that quality of life changes as a result of or, simultaneously with, symptom change. It appears that group CBT does not improve quality of life through strategies designed to change patients׳ cognitions.
    Full-text · Article · Oct 2014 · Journal of Affective Disorders
    • "not integral to conventional medicine (Kemper et al. 2008). These approaches have clinical relevance with an overarching objective to improve the quality of life in evaluating treatment outcomes (Gladis et al. 1999). Therefore, hospital-based strategies and policies should aim to increase the overall quality of life of youth with chronic illnesses (Table 1). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Youth with chronic illnesses are at risk for decreased overall quality of life. A key component to enhancing quality of life is recognizing that comprehensive care addressing psychosocial factors is critical. Therefore, health professionals, parents/guardians, teachers, and other supportive adults should aim to incorporate strategies presented in this review in existing treatment plans. This review addresses specific strategies health professionals can use to improve the quality of life of youth with chronic illnesses. Specifically the following questions were explored: 1) What are hospital-based strategies that can enhance the overall quality of life of youth with chronic illnesses? 2) What are school-based strategies that can enhance the overall quality of life of youth with chronic illnesses? 3) What are community-based strategies that can enhance the overall quality of life of youth with chronic illnesses? This review outlines effective strategies for ensuring youth with chronic illnesses receive the proper care they need in hospital, school, and community settings.
    No preview · Article · Jun 2014 · Applied Research in Quality of Life
Show more