Interpreting the WHOQOL-Bref: Preliminary population norms and effect sizes

Interpreting the WHOQOL-Bref: Preliminary population norms and effect sizes
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DOI:
10.1007/s11205-005-5552-1
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发表时间:
2006-05-01
影响因子:
3.1
通讯作者:
Murphy, Barbara
Murphy, Barbara
中科院分区:
法学2区
文献类型:
--
作者:
Hawthorne, Graeme;Herrman, Helen;Murphy, Barbara

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自发表以来,whoqol - brief的使用率迅速上升。然而,到目前为止,还没有公布人口标准作为参考点,研究人员可以据此解释他们的发现。本研究为此目的提供了初步的人口标准。从两项研究中随机抽取社区居民,按年龄、性别和健康状况检查whoqol - brief的性质。结果表明,WHOQOL-Bref域的一般规范值分别为:生理健康域73.5 (SD=18.1),心理健康域70.6 (SD= 14.0),社会关系域71.5 (SD= 18.2),环境域75.1 (SD= 13.0)。总体而言,各年龄组的得分略有下降。女性的得分在整个生命周期中保持稳定,在60岁之后加速下降。男性在整个生命周期中表现出更一致甚至是下降的趋势。按健康状况报告的WHOQOL-Bref得分存在显著差异,健康状况较差的人获得的分数比健康状况良好的人低50%。报告了不同健康状态水平之间的效应大小。这些初步规范和效应量可作为解释whoqol - brief评分的参考点。它们为已经报告《世界卫生标准指南》有效性的众多国家研究提供了额外信息。
Since publication use of the WHOQOL-Bref has rapidly risen. However, as yet no population norms have been published as a reference point against which researchers can interpret their findings. This study provides preliminary population norms for this purpose. Randomly sampled community residents from two studies were pooled and used to examine the properties of the WHOQOL-Bref by age group, gender and health status. The results showed that general norms for the WHOQOL-Bref domains were 73.5 (SD=18.1) for the Physical health domain, 70.6 (14.0) for Psychological wellbeing, 71.5 (18.2) for Social relationships and 75.1 (13.0) for the Environment domain. In general scores declined slightly by age group. For females scores were stable across the lifespan with an accelerated decline after the age of 60 years. Males exhibited a more consistent and even decline across the lifespan. There were significant differences in WHOQOL-Bref scores when reported by health status, with those in poor health obtaining scores that were up to 50% lower than those in excellent health. Effect sizes between different health status levels are reported. These preliminary norms and effect sizes may be used as reference points for interpreting WHOQOL-Bref scores. They provide additional information to the numerous national studies already reporting on the validity of the WHOQOL-Bref.