Document Detail


The effects of response bias on self-reported quality of life among childhood cancer survivors.
MedLine Citation:
PMID:  17624814     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Several studies of long-term adjustment in childhood cancer survivors (CCS) report very positive outcomes, while other studies find significant adjustment problems. These inconsistencies have prompted some investigators to suggest survivors may be biased responders, prone to underreporting on self-report measures. This study tested the hypothesis that CCS are elevated on self-deception response bias (SDRB), and that SDRB is associated with higher ratings of quality-of-life (QOL). METHODS: One hundred and seven adult (mean age = 31.85) survivors of childhood cancers completed a demographic questionnaire, Short Form-12 (SF-12), Functional Assessment of Cancer Therapy-General (FACT-G), and Self-Deception Enhancement scale (SDE), an SDRB measure. RESULTS: Survivors' QOL scores were similar to normative groups, but they evidenced much higher levels of response bias. SDE scores were significantly correlated with the FACT-G, and SF-12 Mental Health (but not Physical Health) scores even after accounting for demographic and treatment-related variables. CONCLUSIONS: CCS show a biased response style, indicating a systematic tendency to deny difficulties on QOL measures. This may complicate QOL studies by inflating survivors' reports of their socio-emotional functioning. Understanding how response bias develops may help us learn more about cancer survivors' adaptation to illness, and the effects of the illness experience on their perceptions of QOL.
Authors:
Tara E O'Leary; Lisa Diller; Christopher J Recklitis
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-07-11
Journal Detail:
Title:  Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation     Volume:  16     ISSN:  0962-9343     ISO Abbreviation:  Qual Life Res     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-31     Completed Date:  2007-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9210257     Medline TA:  Qual Life Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1211-20     Citation Subset:  IM    
Affiliation:
Suffolk University, Boston, MA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Adolescent
Adult
Child
Child Welfare*
Demography
Female
Health Status*
Health Status Indicators
Health Surveys
Humans
Male
Mental Health
Middle Aged
Neoplasms / psychology*
Pediatrics
Prospective Studies
Psychometrics
Quality of Life / psychology*
Questionnaires
Self Assessment (Psychology)
Survivors / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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