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Quality of Life Research

Gepubliceerd in:

01-04-2008

The SF-36 scales are not accurately summarised by independent physical and mental component scores

Auteurs: Mark Hann, David Reeves

Gepubliceerd in: Quality of Life Research | Uitgave 3/2008

Abstract

Objectives

The Short Form 36 Health Status Questionnaire (SF-36) has eight scales that can be condensed into two components: physical component summary (PCS) and mental component summary (MCS). This paper investigates: (1) the assumption that PCS and MCS are orthogonal, (2) the applicability of a single model to different condition-specific subgroups, and (3) a reduced five-scale model.

Study design and setting

We performed a secondary analysis of two large-scale data sets that utilised the SF-36: the Health Survey for England 1996 and the Welsh Health Survey 1998. We used confirmatory factor analysis to compare hypothetical orthogonal and oblique factor models, and exploratory factor analysis to derive data-driven models for condition-specific subgroups.

Results

Oblique models gave the best fit to the data and indicated a considerable correlation between PCS and MCS. The loadings of the eight scales on the two component summaries varied significantly by disease condition. The choice of model made an important difference to norm-referenced scores for large minorities, particularly patients with a mental illness or mental–physical comorbidity.

Conclusions

We recommend that users of the SF-36 adopt the oblique model for calculating PCS and MCS. An oblique five-scale model provides a more universal factor structure without loss of predictive power or reliability.

vorige artikel Physical activity, quality of life, and weight status in overweight children

volgende artikel Aggregated measures of functional disability in a nationally representative sample of disabled people: analysis of dimensionality according to gender and severity of disability

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Titel: The SF-36 scales are not accurately summarised by independent physical and mental component scores
Auteurs: Mark Hann
David Reeves
Publicatiedatum: 01-04-2008
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 3/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-008-9310-0

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Abstract

Objectives

Study design and setting

Results

Conclusions

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