Existential well-being is an important determinant of quality of life : Evidence from the McGill quality of life questionnaire

Existential well-being is an important determinant of quality of life : Evidence from the McGill quality of life questionnaire

The McGill Quality of Life Questionnaire (MQOL) is being developed to correct what we perceive to be a flaw in existing quality of life instruments: neglect of the existential domain. This study reports the first use of MQOL for people with cancer at all phases of the disease, including those with n...

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Bibliographic Details
Published in:Cancer Vol. 77; no. 3; pp. 576 - 586
Main Authors: COHEN, S. R, MOUNT, B. M, TOMAS, J. J. N, MOUNT, L. F
Format: Journal Article
Language:English
Published: New York, NY Wiley-Liss 01-02-1996
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Existentialism
Female
General aspects
Humans
Male
Medical sciences
Middle Aged
Neoplasms - psychology
Patient Acceptance of Health Care
Quality of Life
Surveys and Questionnaires
Tumors
Human
Lymphoproliferative syndrome
Leukemia
Well being
Malignant hemopathy
Malignant tumor
Psychological effect
Lymphoma
Social aspect
Quality of life
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Summary:The McGill Quality of Life Questionnaire (MQOL) is being developed to correct what we perceive to be a flaw in existing quality of life instruments: neglect of the existential domain. This study reports the first use of MQOL for people with cancer at all phases of the disease, including those with no evidence of disease after therapy. The data suggest that MQOL is comprised of an item measuring physical well-being and four subscales: physical symptoms, psychological symptoms, existential well-being, and support. MQOL is acceptable to oncology outpatients. Correlation of the MQOL total and subscale scores with a single item scale measuring overall quality of life and with the Spitzer Quality of Life Index suggests that MQOL has construct and concurrent validity. The hypothesis that the existential domain is important, especially to those patients with a life-threatening illness, is supported because multiple regression showed that the existential subscale is at least as important as any other subscale in predicting a single item scale measuring the overall quality of life and plays a greater role in determining the quality of life of patients with local or metastatic disease than in patients with no evidence of disease.
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ISSN:0008-543X
1097-0142
DOI:10.1002/(SICI)1097-0142(19960201)77:3<576::AID-CNCR22>3.0.CO;2-0