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Abstract

Quality of life measurement has suffered from the lack of an accepted definition of the concept. A needs-based model of quality of life is described, in which quality of life is defined as being at its highest when most or all human needs are met. This model forms the basis of a new measure for the assessment of quality of life in depression, the Quality of Life in Depression Scale (QLDS). The measure's development and testing are described and it is shown to have good reliability and validity. The QLDS has a number of positive features: it is based on a coherent theory of quality of life, it is derived directly from relevant patients, it is short and easy to complete, and it is in an appropriate format for inclusion in economic analyses and suitable for translation into other European languages. The measure has been used successfully in a clinical trial in the Netherlands.

Keywords

Quality of life Needs Questionnaire Depression Reliability

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References

Brazier

Harper

Jones

NMB

O'Caithain

Thomas

Usherwood

Westlake

. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305: 160–164.

Hunt

McKenna

. The QLDS: A scale for the measurement of quality of life in depression. Health Policy. 1992;22: 307–319.

McClelland

. Personality. New York: William Sloane; 1951.

Maslow

. Motivation and Personality. (2nd ed). New York: Harper & Row; 1970.

Jahoda

. Employment and Unemployment. Cambridge: Cambridge University Press; 1982.

Brenner

Mooney

. Unemployment and health in the context of economic change. Soc Sci Med. 1983;17: 1125–1138.

Warr

. Economic recession and mental health: A review of research. Tijdschrift Voor Sociale Gezondheidszorg. 1984;62: 298–309.

McKenna

Payne

. Comparison of the General Health Questionnaire and the Nottingham Health Profile in a study of unemployed and re-employed men. Fam Pract. 1989;6: 3–8.

Hunt

McEwen

McKenna

. Measuring Health Status. London: Croom Helm; 1986.

10.

An Assessment of Measures Available for Evaluating the Treatment of Intractable Epilepsy. Galen Research: September, 1990. Research Report.

11.

Hunt

McKenna

. Cross-cultural comparability of quality of life measures. Br J Med Econ. 1992;4: 17–23.

12.

Zigmond

Snaith

. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand. 1983;67: 361–370.

13.

Dupuy

. Self-representations of general psychological well-being of American adults. Presented at American Public Health Association Meeting, Los Angeles, California, October 17, 1978.

14.

Hunt

McKenna

. A British version of the General Well-Being Index: a new tool for clinical research. Br J Med Econ. 1992;2: 49–60.

15.

Tuynman-Qua

De Jonghe

McKenna

Hunt

. Schaal Voor de Meting van de Kwaliteit van het Leven bij Depressie. Houten: Ibero Publikaties; 1992.

A New Theoretical Approach to the Measurement of Quality of Life

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