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How do depressed patients evaluate their quality of life? A qualitative study
BACKGROUND: This is a qualitative study that aims to investigate the effect of depressive status on responses to items on the WHO quality of life assessment instrument (WHOQOL-Bref), comparing which aspects of the individual’s life he or she takes into account in responding to the items related to q...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215789/ https://www.ncbi.nlm.nih.gov/pubmed/30467650 http://dx.doi.org/10.1186/s41687-018-0076-z |
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author | Zimmermann, Jacques J. Tiellet Nunes, Maria Lucia Fleck, Marcelo P. |
author_facet | Zimmermann, Jacques J. Tiellet Nunes, Maria Lucia Fleck, Marcelo P. |
author_sort | Zimmermann, Jacques J. |
collection | PubMed |
description | BACKGROUND: This is a qualitative study that aims to investigate the effect of depressive status on responses to items on the WHO quality of life assessment instrument (WHOQOL-Bref), comparing which aspects of the individual’s life he or she takes into account in responding to the items related to quality of life when depressed and when euthymic. RESULTS: Six adult women were interviewed prior to initiating treatment for a depressive episode and were then interviewed again six months later when in remission from the episode. The ‘think aloud’ method of cognitive interviewing was used. Based on the Wilcoxon test, the seven items that exhibited a significant change with the improvement of the depressive condition were examined in depth, and the think aloud method was used to reveal the subjects’ cognitive processes. Depressive symptoms were associated with different interpretations of some items and the response scale. Also, for some items, patients chose the same response for the item both times but justified their choice differently during the depressive episode and in euthymia. CONCLUSIONS: We found that, in addition to the impact caused by depression on quality of life, there are peculiarities in the way the depressed individual makes subjective assessments. We believe that qualitative studies such as the present one may provide important support in the interpretation of quantitative results. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s41687-018-0076-z) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6215789 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-62157892018-11-15 How do depressed patients evaluate their quality of life? A qualitative study Zimmermann, Jacques J. Tiellet Nunes, Maria Lucia Fleck, Marcelo P. J Patient Rep Outcomes Research BACKGROUND: This is a qualitative study that aims to investigate the effect of depressive status on responses to items on the WHO quality of life assessment instrument (WHOQOL-Bref), comparing which aspects of the individual’s life he or she takes into account in responding to the items related to quality of life when depressed and when euthymic. RESULTS: Six adult women were interviewed prior to initiating treatment for a depressive episode and were then interviewed again six months later when in remission from the episode. The ‘think aloud’ method of cognitive interviewing was used. Based on the Wilcoxon test, the seven items that exhibited a significant change with the improvement of the depressive condition were examined in depth, and the think aloud method was used to reveal the subjects’ cognitive processes. Depressive symptoms were associated with different interpretations of some items and the response scale. Also, for some items, patients chose the same response for the item both times but justified their choice differently during the depressive episode and in euthymia. CONCLUSIONS: We found that, in addition to the impact caused by depression on quality of life, there are peculiarities in the way the depressed individual makes subjective assessments. We believe that qualitative studies such as the present one may provide important support in the interpretation of quantitative results. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s41687-018-0076-z) contains supplementary material, which is available to authorized users. Springer International Publishing 2018-11-05 /pmc/articles/PMC6215789/ /pubmed/30467650 http://dx.doi.org/10.1186/s41687-018-0076-z Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Zimmermann, Jacques J. Tiellet Nunes, Maria Lucia Fleck, Marcelo P. How do depressed patients evaluate their quality of life? A qualitative study |
title | How do depressed patients evaluate their quality of life? A qualitative study |
title_full | How do depressed patients evaluate their quality of life? A qualitative study |
title_fullStr | How do depressed patients evaluate their quality of life? A qualitative study |
title_full_unstemmed | How do depressed patients evaluate their quality of life? A qualitative study |
title_short | How do depressed patients evaluate their quality of life? A qualitative study |
title_sort | how do depressed patients evaluate their quality of life? a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215789/ https://www.ncbi.nlm.nih.gov/pubmed/30467650 http://dx.doi.org/10.1186/s41687-018-0076-z |
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