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10-07-2015 | Uitgave 1/2016 Open Access

Quality of Life Research 1/2016

Quality of life in rehabilitation outpatients: normal values and a comparison with the general Dutch population and psychiatric patients

Tijdschrift:
Quality of Life Research > Uitgave 1/2016
Auteurs:
Ernst Schrier, Irene Schrier, Jan H. B. Geertzen, Pieter U. Dijkstra

Abstract

Purpose

To provide Dutch normal values for rehabilitation outpatients with chronic pain or musculoskeletal diseases utilizing the World Health Organization Quality of Life questionnaire abbreviated version (WHOQOL-BREF) and analyse influence of diagnosis and patient characteristics on normal values and increase understanding in those values.

Methods

Five hundred and forty-two outpatients were referred to a rehabilitation psychologist. Referral diagnoses were “musculoskeletal”, “chronic pain”, “neurological” and “miscellaneous”. Comparisons between groups were made for each of the four domains of the WHOQOL-BREF (scoring range 4–20).

Results

Domain scores of rehabilitation outpatients were physical domain 11.0 (±2.7), psychological domain 13.6 (±2.4), social domain 14.8 (±3.4) and environmental domain 14.2 (±2.2). Outpatients with chronic pain reported the lowest scores on the WHOQOL-BREF when compared to the “musculoskeletal”, “neurological” and “miscellaneous” groups. Increased age, lower education, living alone and unemployment had a negative impact on WHOQOL-BREF scores. Compared to the general Dutch population, rehabilitation outpatients scored, unadjusted for age, significantly lower difference for the physical domain 4.5 [95 % confidence interval (CI) 4.2; 4.8], the environment domain 1.7 (95 % CI 1.5; 2.0), the psychological domain 1.1 (95 % CI 0.4; 1.2) and the social domain 0.4 (95 % CI 0.0; 0.8).

Conclusions

WHOQOL-BREF scores of rehabilitation outpatients are lower and differed significantly from normal values of a Dutch population in all four domains. Therefore, the WHOQOL-BREF can be used to measure the subjective impact of their disease or injury. The subjective impact of chronic pain was found to be particularly high.

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