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      Consistency of health-related quality of life among people living with HIV: Latent statetrait analysis

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          Abstract

          Background

          The aim of this longitudinal study was to examine the consistency of health-related quality of life (HRQoL) among people living with HIV (PLWH) by breaking down the variance of repeated HRQoL measures into trait, state, and method components and to test the stability of HRQoL over time. In addition, we wanted to examine whether HRQoL trait components are related to personality traits, while controlling for selected socio-medical variables.

          Methods

          Three assessments were performed with a six-month lag on each assessment. Each participant filled out a World Health Organization (WHO) Quality of Life-BREF to assess HRQoL and a NEO-FFI to measure Big Five personality traits. Overall, 82 participants out of 141 (58.2% of the initial sample) participated in all the assessments.

          Results

          The HRQoL among PLWH represented a stable trait to a somewhat greater extent than a situational variability, although the proportions were domain and time variant. More specifically, psychological domain appeared to be the most consistent, whereas social domain appeared to be the most prone to situational influences. The trait component of HRQoL was positively related to being in a relationship, being employed, and being extraverted, and negatively related to neuroticism, which altogether explained 26% of the trait variance.

          Conclusions

          HRQoL among PLWH is rather distinct from personality and socio-medical data, which indicates its uniqueness in a clinical practise. Thus, there is a need for a more comprehensive assessment of HRQoL among this patient group to capture an additional source of variance in this important theoretical construct.

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          Most cited references60

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          Subjective wellbeing, health, and ageing

          Andrew Steptoe, Angus Deaton, Arthur A Stone (2015)
          Subjective wellbeing and health are closely linked to age. Three aspects of subjective wellbeing can be distinguished-evaluative wellbeing (or life satisfaction), hedonic wellbeing (feelings of happiness, sadness, anger, stress, and pain), and eudemonic wellbeing (sense of purpose and meaning in life). We review recent advances in the specialty of psychological wellbeing, and present new analyses about the pattern of wellbeing across ages and the association between wellbeing and survival at older ages. The Gallup World Poll, a continuing survey in more than 160 countries, shows a U-shaped relation between evaluative wellbeing and age in high-income, English speaking countries, with the lowest levels of wellbeing in ages 45-54 years. But this pattern is not universal. For example, respondents from the former Soviet Union and eastern Europe show a large progressive reduction in wellbeing with age, respondents from Latin America also shows decreased wellbeing with age, whereas wellbeing in sub-Saharan Africa shows little change with age. The relation between physical health and subjective wellbeing is bidirectional. Older people with illnesses such as coronary heart disease, arthritis, and chronic lung disease show both increased levels of depressed mood and impaired hedonic and eudemonic wellbeing. Wellbeing might also have a protective role in health maintenance. In an analysis of the English Longitudinal Study of Ageing, we identify that eudemonic wellbeing is associated with increased survival; 29·3% of people in the lowest wellbeing quartile died during the average follow-up period of 8·5 years compared with 9·3% of those in the highest quartile. Associations were independent of age, sex, demographic factors, and baseline mental and physical health. We conclude that the wellbeing of elderly people is an important objective for both economic and health policy. Present psychological and economic theories do not adequately account for the variations in patterns of wellbeing with age across different parts of the world. The apparent association between wellbeing and survival is consistent with a protective role of high wellbeing, but alternative explanations cannot be ruled out at this stage.
          Article 0 comments Cited 391 times – based on 0 reviews     Review now
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            The happy personality: a meta-analysis of 137 personality traits and subjective well-being.

            K DeNeve, H. Cooper (1998)
            This meta-analysis used 9 literature search strategies to examine 137 distinct personality constructs as correlates of subjective well-being (SWB). Personality was found to be equally predictive of life satisfaction, happiness, and positive affect, but significantly less predictive of negative affect. The traits most closely associated with SWB were repressive-defensiveness, trust, emotional stability, locus of control-chance, desire for control, hardiness, positive affectivity, private collective self-esteem, and tension. When personality traits were grouped according to the Big Five factors, Neuroticism was the strongest predictor of life satisfaction, happiness, and negative affect. Positive affect was predicted equally well by Extraversion and Agreeableness. The relative importance of personality for predicting SWB, how personality might influence SWB, and limitations of the present review are discussed.
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              Quality of life: An approach integrating opportunities, human needs, and subjective well-being

              Robert Costanza, Brendan Fisher, Saleem Ali … (2007)
              Article 0 comments Cited 143 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Marcin Rzeszutek:
                ORCID: http://orcid.org/0000-0002-4230-3806
                +48 22 55 49 805 , marcin.rzeszutek@psych.uw.edu.pl
                Ewa Gruszczyńska: +48 22 517-98-56 , egruszczynska@swps.edu.pl
                Journal
                Journal ID (nlm-ta): Health Qual Life Outcomes
                Journal ID (iso-abbrev): Health Qual Life Outcomes
                Title: Health and Quality of Life Outcomes
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1477-7525
                Publication date (Electronic): 24 May 2018
                Publication date PMC-release: 24 May 2018
                Publication date Collection: 2018
                Volume: 16
                Electronic Location Identifier: 101
                Affiliations
                [1 ]ISNI 0000 0004 1937 1290, GRID grid.12847.38, Faculty of Psychology, , University of Warsaw, ; Stawki 5/7, 00-183 Warsaw, Poland
                [2 ]ISNI 0000 0001 2184 0541, GRID grid.433893.6, Faculty of Psychology, , University of Social Sciences and Humanities, ; Chodakowska 19/31, 03-815 Warsaw, Poland
                Author information
                http://orcid.org/0000-0002-4230-3806
                Article
                Publisher ID: 929
                DOI: 10.1186/s12955-018-0929-4
                PMC ID: 5968481
                PubMed ID: 29793544
                SO-VID: ffbe352a-1b61-4b0e-bdc0-c380745c4d84
                Copyright © © The Author(s). 2018
                License:

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 13 December 2017
                Date accepted : 8 May 2018
                Funding
                Funded by: This work was supported by the University of Warsaw, Faculty of Psychology.
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © The Author(s) 2018

                ScienceOpen disciplines: Health & Social care
                Keywords: health related quality of life,personality,latent state-trait analysis,hiv/aids
                Data availability:
                ScienceOpen disciplines: Health & Social care
                Keywords: health related quality of life, personality, latent state-trait analysis, hiv/aids

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