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The addition of mood and anxiety domains to the University of Washington quality of life scale

Authors

  • Simon N. Rogers FDS, RCS, FRCS, MD,

    Corresponding author
    1. Consultant and Honorary Reader, Regional Maxillofacial Unit, University Hospital Aintree, Fazakerley, Liverpool L9 1AL United Kingdom
    • Consultant and Honorary Reader, Regional Maxillofacial Unit, University Hospital Aintree, Fazakerley, Liverpool L9 1AL United Kingdom
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  • Suzanne Gwanne,

    1. Medical student, Liverpool University, United Kingdom
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  • Derek Lowe Msc, C.Stat,

    1. Medical Statistician, Mossley Cheshire, United Kingdom
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  • Gerry Humphris PhD, Mclin Psychol, Cpsychol Reader,

    1. Department of Clinical Psychology, School of Psychiatry and Behavioural Sciences, Rawnsley Building, Manchester University, United Kingdom
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  • Beven Yueh MD,

    1. Department of Otolaryngology–Head and Neck Surgery, University of Washington School of Medicine, Seattle, Washington, and Health Services Research and Development Service, Veterans Affairs Puget Sound Health Care System, Seattle, Washington
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  • Ernest A. Weymuller Jr MD

    1. Department of Otolaryngology–Head and Neck Surgery, University of Washington School of Medicine, Seattle, Washington
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  • Ethical approval was given for this study by the South Sefton Ethical Committee. Dr. Yueh is supported by a Career Development Award (#RCD-98318) from the Health Services Research & Development Service of the Veterans Health Administration, Department of Human Affairs. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

Abstract

Background

There are numerous head and neck specific quality of life questionnaires, each having its own merits and disadvantages. The University of Washington questionnaire has been widely used and is notable by the inclusion of a shoulder dysfunction domain, domain importance ratings, and patient free text. It is short, simple to process, and provides clinically relevant information. However, it has lacked any psychological dimension of quality of life. The aim of this study was to report the inclusion of two psychological domains (mood, anxiety) to the most recent refinement of the questionnaire (version 3).

Method

A cross-sectional survey was performed in April 2000. Questionnaires were sent to 183 patients alive and disease free after surgery for oral and oro-pharyngeal malignancy. Replies were received from 145 patients (79% response rate).

Results

The new domains (mood and anxiety) correlated significantly with the emotional functioning domains from the EORTC C30 and with the pain and appearance domains of UW-QOL. There were also significant correlations between the “global quality of life” item and the two new domains. Mood (p = .005) and anxiety (p < .001) scores were associated with patient age but with no other clinicodemographic variable.

Conclusion

The addition of mood and anxiety domains makes the UW-QOL version 4 a single broad measure suitable for effective health-related quality of life evaluation in the routine clinical setting. © 2002 Wiley Periodicals, Inc. Head Neck 24: 521–529, 2002

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