Relationship between objective and subjective quality of life measures

  • Caleb Ademola Gbiri
  • Aderonke O. Akinpelu


Arguments  exist  on  the  agreement  between  objective  and  subjective  Qol  construct  measures.  This  study determined the relationship between the objective and subjective Qol constructs and the socio-demographic correlates of Qol.

Data was collected using the fifth edition of the Comprehensive Qol (Adult) questionnaire from 10 tertiary health institutions located in 8 cities in Nigeria. The study involved 191 (71 patients and 120 apparently healthy) participants. Data was analyzed using Spearman's Correlation  Coefficient, Kruskal-Wallis, Mann-Whitney-U test and McNemar's test.

Participants were aged 59.9±11.5 with objective and subjective Qol scores of 71.2±9.2 and  49.2±12.1. There was no significant correlation between objective and subjective Qol scores (p>0.05). None of age, gender, occupational status, marital status or educational attainment had any significant effect (p>0.05) on Qol.

It was concluded that no significant relationship exists between subjective and objective Qol measures. Therefore, each axis should be considered to reflect the true state of individual Qol.


Ahmed, S., Mayo, N. E., Wood-Dauphinee, S., Hanley, J.

A. & Cohen, S. R. (2004). Response shift influenced estimates of change in health-related quality of life post-stroke. Journal of Clinical Epidemiology, 57: 561-570.

Akinpelu, A. 0. & Gbiri, C. A. (2009). Quality of life of Stroke Survivors and Apparently Healthy Individuals in South-western Nigeria. Physiotherapy Theory and Practice. 25(1): 14-20.

Allison, P. J., Locker, D. & Feine, J. S. (1995). Quality of life: A dynamic construct. Social Science and Medicine, 45: 221-330.

Argyle, M., Martin, M. & Lu, L. (1995). 'Testing for stress and happiness: role of social and cognitive factors', in Spielberger, C. D. & Sarason,I.G. (Eds.), Stress and Emotion, Washington DC, Taylor and Francis.

Bowling , A. (1995). Measuring disease. A Review of Disease Specific Quality of Life Measurement Scales, pp. 1-16, Buckingham, 0pen University Press.

Bowling, A. & Windsor, J. (2001). Towards the good life: A population survey of dimensions of quality of life, Journal of Happiness Studies, 2: 55-81.

Carr, A. J. & Higginson, I. J. (2001). Measuring quality of life: Are quality of life measures patient centred? British Medical Journal, 322: 1357-1360.

Claussen, C. (2004). Using quality of life measures for program evaluation: A review of literature. Rehabilitation on Review. 15(1): 1-5

Leidy NK, Revicki DA & Geneste B. Recommendation for evaluating the validity of quality of life claims for

labelling and promotion. Value Health 1999; 2: 113-27.

Meeberg GA. Quality of life: a concept analysis. Journal

of Advanced Nursing, 1993; 18: 32-38.

Musschenga AW. The relation between concepts of Quality -of-Life , health and happiness. The Journal of Medicine and Philosophy, 1997; 22: 11-28.

Niemi ML, Laaksonen R, Kotila M & Waltimo O. Quality of life 4 years after Stroke. Stroke 1988; 19: 1101-1107.

Pais-Ribeiro JL. Quality of life is a primary end-point in clinical settings. Clinical Nutrition, 2004; 23: 121-130.

Romney DM, Brown RI & Fry PS. Improving the quality of life: prescriptions for changes. Social Indicators Research 1994; 33, 237-272.

Rothman, M. (2000). Recommendations on health- related quality of life research to support labeling and promotional claims in United States. Quality of Life Research, 2000;9:887-900.

Shalock RL, Brown I, Brown R, Cummins RA, FeIce D, Matikka L, Keith KD & Parmenter T. Concept utilization, measurement and application of quality of life for persons with intellectual

disabilities, Report of an international part of experts. Mental Retardation 2002; 40 (6): 457-470.

Smith KW, Avis NE & Assmann SF. Distinguishing between quality of life and health status in quality of life research: a meta-analysis. Quality of Life Research, 1999; 8: 447-459.

Tschuschke, V. Hertenstein, B. Arnold, R. Bunjes, D. Denzinger, R. & Kaechele,

Veenhoven , R. (1999). The four qualities of life, Ordering Concepts and Measure of Good Life. Journal of Happiness Studies, 1999; 1: 1-39.

WHO Group. Introduction, administration, scoring and generic version of the assessment Programme on Mental Health .1999;

www. en/ 76.pdf (10 /11/2004.2604hr).

Wiebe, S., Guyatt, G., Weaver, B.,Matijevic, S.and Sidwell, C. (2003). Comparative responsiveness of generic and specific quality-of-life instruments. Journal of Clinical Epidemiology, 56, 52-60.

Wilk R. Quality of life and the anthropological perspective. Feminist Economics 1999; 5(2): 91-93.

Wolfensbergar W. Let's hang up 'quality of life' as a hopeless term. In D Goode (Ed), Quality of life for persons with Developmental Disabilities. International perspectives and issues. Cambridge, MA Brookline Books. 1994; pp 285 - 321.

Wyller TB, Holmen J, Laake P & Laake K. Correlates of subjective well-being in stroke patients. Stroke 1998; 29: 363-367.

Zack, M. M., Moriarty, D. G., Stroup, D. F., Ford, E. S. & Mokdad, A. H. (2004)