Assessing subjective change in chronic illness: an examination of response shift in health-related and goal-oriented subjective status
Assessing subjective change in chronic illness: an examination of response shift in health-related and goal-oriented subjective status
This study examined changes over time on scales from the Short Form 36 (SF-36) and a new measure of goal-oriented subjective status (the GOSS) which assessed perceived rate of goal approach. Our aim was to determine whether adaptation to a moderately disabling chronic illness was associated with response shift. We also investigated predictors of response shift. At baseline, 301 members of a self-help group for people with Ménière's disease completed the GOSS and SF-36 scales, and potential predictors of response shift. At 10-month follow-up, respondents completed the GOSS and SF-36 again in the conventional manner, and as a Then-test. The GOSS was the only scale that indicated subjective improvement between baseline and follow-up. Then-test results suggested substantial response shift on the SF-36. Severe symptoms and social comparison predicted greater response shift. Less response shift was seen in those with a longer time since diagnosis, longer membership of the self-help group and higher baseline levels of self-esteem and optimism.
questionnaires, chronic illness, response shift, psychological adjustment, social comparison
813-828
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Dibb, Bridget
1cdc4ce1-7f8e-4c21-80ed-c3a48cdae209
1 October 2007
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Dibb, Bridget
1cdc4ce1-7f8e-4c21-80ed-c3a48cdae209
Yardley, Lucy and Dibb, Bridget
(2007)
Assessing subjective change in chronic illness: an examination of response shift in health-related and goal-oriented subjective status.
Psychology and Health, 22 (7), .
(doi:10.1080/14768320601124808).
Abstract
This study examined changes over time on scales from the Short Form 36 (SF-36) and a new measure of goal-oriented subjective status (the GOSS) which assessed perceived rate of goal approach. Our aim was to determine whether adaptation to a moderately disabling chronic illness was associated with response shift. We also investigated predictors of response shift. At baseline, 301 members of a self-help group for people with Ménière's disease completed the GOSS and SF-36 scales, and potential predictors of response shift. At 10-month follow-up, respondents completed the GOSS and SF-36 again in the conventional manner, and as a Then-test. The GOSS was the only scale that indicated subjective improvement between baseline and follow-up. Then-test results suggested substantial response shift on the SF-36. Severe symptoms and social comparison predicted greater response shift. Less response shift was seen in those with a longer time since diagnosis, longer membership of the self-help group and higher baseline levels of self-esteem and optimism.
More information
Published date: 1 October 2007
Keywords:
questionnaires, chronic illness, response shift, psychological adjustment, social comparison
Identifiers
Local EPrints ID: 44934
URI: http://eprints.soton.ac.uk/id/eprint/44934
ISSN: 0887-0446
PURE UUID: 555c3df5-5fde-4a19-8829-799336e9347c
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Date deposited: 22 Mar 2007
Last modified: 16 Mar 2024 03:03
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Author:
Bridget Dibb
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