Meaning in life and perceived quality of life in Switzerland: results of a representative survey in the German, French and Italian regions

被引:18
作者
Bernard, Mathieu [1 ]
Braunschweig, Giliane [1 ]
Fegg, Martin Johannes [2 ]
Borasio, Gian Domenico [1 ]
机构
[1] Univ Lausanne, CHUV, Palliat Care Serv, Lausanne, Switzerland
[2] Univ Munich, Dept Palliat Med, Munich, Germany
关键词
Meaning in life; General population; Quality of life; PALLIATIVE CARE; SELF-DETERMINATION; ANALOG SCALE; HEALTH; VALIDATION; SCHEDULE; SINGLE; DETERMINANTS; INSTRUMENT; EXPERIENCE;
D O I
10.1186/s12955-015-0353-y
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The concept of meaning in life (MIL) has become a central one in recent years, particularly in psycho-oncology and palliative care. The Schedule for Meaning in Life Evaluation (SMILE) has been developed to allow individuals to choose the life areas that they consider to be important for their own MIL. This approach relates to the "World Health Organisation" definition of quality of life (QOL) as an individual's perception of his own position. The aims of this study were (i) to assess MIL in a representative sample of the Swiss population according to the three linguistic regions and (ii) to evaluate whether MIL constitutes a significant determinant of the perceived QOL. Methods: A telephone survey of the Swiss population, performed by a professional survey company, was conducted between November and December 2013. The interview included the SMILE, perceived QOL (0-10) and health status (1-5), and various sociodemographic variables. In the SMILE, an index of weighting (IOW, 20-100), an index of satisfaction (IOS, 0-100), and a total SMILE index (IOWS, 0-100) are calculated from the areas mentioned by the participants as providing MIL. Results: Among the 6671 telephonic contacts realized, 1015 (15 %) participants completed the survey: 405 French, 400 German and 210 Italian participants. "Family" (80.2 %), "occupation/work" (51 %), and "social relations" (43.3 %) were the most cited MIL-relevant categories. Italian participants listed "health" more frequently than German and French participants (50.4 % vs 31.5 % and 24.8 % respectively, chi(2) = 12.229, p = .002). Age, gender, education, employment, and marital status significantly influenced either the MIL scores or the MIL-relevant categories. Linear regression analyses indicate that 24.3 % of the QOL variance (p = .000) is explained by health status (B = .609, IC = .490-.728, p = .000), MIL (B = .034, IC = .028-.041, p = .000) and socioeconomic status (F = 11.01, p = .000). Conclusion: The major finding of our analysis highlights the positive and significant influence of MIL on the perceived QOL in a representative sample of a general, multilingual and multicultural population. This result indicates that the existential dimension is not only determinant for QOL in some critical life events, as shown e.g. in psycho-oncology and palliative care, but also in everyday life.
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页数:10
相关论文
共 51 条
[1]   Content and Spiritual Items of Quality-of-Life Instruments Appropriate for Use in Palliative Care: A Review [J].
Albers, Gwenda ;
Echteld, Michael A. ;
de Vet, Henrica C. W. ;
Onwuteaka-Philipsen, Bregje D. ;
van der Linden, Mecheline H. M. ;
Deliens, Luc .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2010, 40 (02) :290-300
[2]   Evaluation of quality-of-life measures for use in palliative care: a systematic review [J].
Albers, Gwenda ;
Echteld, Michael A. ;
de Vet, Henrica C. W. ;
Onwuteaka-Philipsen, Bregje D. ;
van der Linden, Mecheline H. M. ;
Deliens, Luc .
PALLIATIVE MEDICINE, 2010, 24 (01) :17-37
[3]  
[Anonymous], MEASURING ATTITUDES
[4]   The relative contribution of domains of quality of life to overall quality of life for different chronic diseases [J].
Arnold, R ;
Ranchor, AV ;
Sanderman, R ;
Kempen, GIJM ;
Ormel, J ;
Suurmeijer, TPBM .
QUALITY OF LIFE RESEARCH, 2004, 13 (05) :883-896
[5]  
Baumeister R. F., 2002, HDB POSITIVE PSYCHOL, V1, P608, DOI DOI 10.1093/OXFORDHB/9780195187243.001.0001
[6]   Experience of meaning in life in bereaved informal caregivers of palliative care patients [J].
Brandstaetter, Monika ;
Koegler, Monika ;
Baumann, Urs ;
Fensterer, Veronika ;
Kuechenhoff, Helmut ;
Borasio, Gian Domenico ;
Fegg, Martin Johannes .
SUPPORTIVE CARE IN CANCER, 2014, 22 (05) :1391-1399
[7]   Systematic review of meaning in life assessment instruments [J].
Brandstaetter, Monika ;
Baumann, Urs ;
Borasio, Gian Domenico ;
Fegg, Martin Johannes .
PSYCHO-ONCOLOGY, 2012, 21 (10) :1034-1052
[8]   Psychosocial factors and health as determinants of quality of life in community-dwelling older adults [J].
Brett, Caroline E. ;
Gow, Alan J. ;
Corley, Janie ;
Pattie, Alison ;
Starr, John M. ;
Deary, Ian J. .
QUALITY OF LIFE RESEARCH, 2012, 21 (03) :505-516
[9]  
Cohen SR, 1996, CANCER-AM CANCER SOC, V77, P576, DOI 10.1002/(SICI)1097-0142(19960201)77:3<576::AID-CNCR22>3.0.CO
[10]  
2-0