Questions on Life Satisfaction (FLZM) - A Short Questionnaire for Assessing Subjective Quality of Life
Abstract
Summary: A short questionnaire for assessing general and health-related quality of life is presented. Test construction and psychometric evaluation are described and recent findings obtained with the instrument reported and plans for developing additional modules outlined. Questions on Life SatisfactionModules (in the original German: FLZM, Fragen zur LebenszufriedenheitModule) combines three features: economy, modular structure, and individual weighting of items. The questionnaire consists of two 8-item modules, “General Life Satisfaction” and “Satisfaction with Health.” The respondent rates each items twice, once for the subjective importance of the aspects of life or health addressed, and once for the degree of satisfaction in that area. The two ratings are combined into a “weighted satisfaction” score. The total score is the sum of these eight scores. Norms for Germany and Spain have been established. Data for patients from different diagnostic groups in Germany are also available. The work in progress on international versions (UK English, US English, Dutch, Spanish, and Italian) and on additional modules is discussed.
References
References
Aaronson, N.K. Ahmedzai, S. Bergman, B. Bullinger, M. Cull, A. Duez, N.J. Filiberti, A. Flechtner, H. Fleishman, S.B. de Haes, J.C.J.M. Kaasa, S. Klee, M. Osoba, D. Razavi, D. Rofe, P.B. Schraub, S. Sneeuw, K. Sullivan, M. Takeda, F. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85, 5 365– 376Beck, A.T. Ward, C.H. Mendelsohn, M. Mock, J. Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561– 571Bowling, A. (1991). Measuring health - A review of quality of life measurement scales . Philadelphia: Open University PressBrickman, P. Coates, D. Janoff-Bulman, R. (1978). Lottery winners and accident victims: Is happiness relative?. Journal of Personality and Social Psychology, 36, 8 917– 927Bullinger, M. Anderson, R. Cella, D. Aaronson, N. (1993). Developing and evaluating cross-cultural instruments from minimum requirements to optimal models. Quality of Life Research, 2, 451– 459Calman, K.C. (1984). Quality of life in cancer patients - an hypothesis. Journal of Medical Ethics, 10, 124– 127Cassileth, B.R. Lusk, E.J. Tenaglia, A.N.A. (1982). Psychological comparison of patients with malignant melanomas and other dermatological diseases. American Academy of Dermatology, 7, 742– 746Cella, D. (1998). Quality of life. In J.C. Holland (Ed.), Psychooncology (pp. 1135-1146). New York, Oxford: Oxford University PressCella, D.F. Tulsky, D.S. Gray, G. Sarafian, B. Linn, E. Bonomi, A. Silberman, M. Yellen, S.B. Winicour, P. Brannon, J. et al. (1993). The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 3 570– 579Derogatis, L.R. (1977). SCL-90-R, administration, scoring, and procedures manual for the R(evised) version . Baltimore: John Hopkins University School of MedicineDuPuy, H.J. (1984). PGWB - The psychological well-being index. In N.K. Wenger, M.E. Mattson, C.D. Furberg, & J. Ellison (Eds.), Assessment of quality of life in clinical trials of cardiovascular therapies (pp. 170-183). New York: LeJacq PublishersFerrans, C.E. Powers, M.J. (1985). Quality of life index: Development and psychometric properties. Advances in Nursing Science, 8, 1 15– 24Gill, T.M. Feinstein, A.R. (1994). A critical appraisal of the quality of quality-of-life measurements. Journal of the American Medical Association, 272, 8 619– 626Glatzer, W. Zapf, W. (1984). Lebensqualität in der Bundesrepublik: Objektive Lebensbedingungen und subjektives Wohlbefinden [Quality of life in the Federal Republic of Germany: Objective life situation and subjective well-being]. Frankfurt: CampusHenrich, G. Herschbach, P. (1995). Fragen zur Lebenszufriedenheit (FLZ) - ein Gewichtungsmodell [Questions on Life Satisfaction (FLZ) - A weighting model]. In R. Schwarz, J. Bernhard, H. Flechtner, T. Küchler, & C. Hürny (Eds.), Lebensqualität in der Onkologie II [Quality of life in oncology II] (pp. 77-93). München: W. Zuckschwerdt VerlagHenrich, G. Herschbach, P. von Rad, M. (1992). “Lebensqualität” in den alten und neuen Bundesländern [“Quality of life” in the original and new states of the Federal Republic of Germany]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 42, 1 31– 32Herschbach, P. Henrich, G. Oberst, U. (1994). Lebensqualität in der Nachsorge. Eine Evaluationsstudie in der Fachklinik für Onkologie und Lymphologie, Bad Wildungen-Reinhardshausen [Quality of life in aftercare: An evaluation study in the Treatment Center for Oncology and Lymphology, Bad Wildungen-Reinhardshausen]. Praxis der Klinischen Verhaltensmedizin und Rehabilitation, 28, 241– 251Hickey, A.M. Bury, G. O'Boyle, C.A. Bradley, F. O'Kelly, F.D. Shannon, W. (1996). A new short form individual quality of life measure (SEIQoL-DW): Application in a cohort of individuals with HIV/AIDS. British Medical Journal, 313, 29– 33Huber, D. Henrich, G. Herschbach, P. (1988). Measuring the quality of life: A comparison between physically and mentally chronically ill patients and healthy persons. Pharmacopsychiatry, 21, 453– 455Hunt, S.M. McEwen, J. McKenna, S.P. (1986). Measuring health status . London: Croom HelmIpsen, D. (1978). Das Konstrukt Zufriedenheit [The construct satisfaction]. Soziale Welt, 29, 1 44– 53Karnofsky, D.A. Abelmann, W.H. Craver, L.F. Burchenal, J.H. (1948). The use of the nitrogen mustards in the palliative treatment of carcinoma. Cancer, 1, 634– 656Krischke, N.R. (1996). Lebensqualität und Krebs [Quality of life and cancer] (Vol. 2). München: Quintessenz MMV Medizin VerlagMcDowell, I. Newell, C. (1987). Measuring health: A guide to rating scales and questionnaires . New York: Oxford University PressMcGee, H.M. O'Boyle, C.A. Hickey, A. O'Malley, K. Joyce, C.R.B. (1991). Assessing the quality of life of the individual: The SEIQOL with a healthy and a gastroenterology unit population. Psychological Medicine, 21, 3 749– 759Roder, J.D. Herschbach, P. Sellschopp, A. Siewert, J.R. (1991). Quality-of-life assessment following oesophagectomy. Theoretical Surgery, 6, 206– 210Salovey, P. Birnbaum, D. (1989). Influence of mood on health-relevant cognitions. Journal of Personality and Social Psychology, 57, 539– 551Spielberger, C.D. Gorsuch, R.L. Lushene, R.E. (1970). STAI, Manual for the State-Trait-Anxiety-Inventory . Palo Alto: Consulting Psychologist PressVeenhoven, R. (1991). Ist Glück relativ? Überlegungen zu Glück, Stimmung und Zufriedenheit aus psychologischer Sicht [Thoughts on happiness, mood, and satisfaction from a psychological perspective]. Report Psychologie, 7, 14– 20Ware, J.E. Kosinski, M. Bayliss, M.S. McHorney, C.A. Rogers, W.H. Raczek, A. (1995). Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: Summary of results from the Medical Outcomes Study. Medical Care, 33, (4 Suppl.) AS264– 279Watson, D. Clark, L.A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96, 465– 490Watson, D. Pennebaker, J. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review, 96, 234– 2541994). Quality of life assessment. An annotated bibliography (Vol. WHO/MNH/PSF/94.1). Geneva: WHO. Division of Mental Health
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