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    Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey

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    Authors
    Fukuhara, Shunichi
    Ware, John E. Jr.
    Kosinski, Mark
    Wada, Sayuri
    Gandek, Barbara
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    1998-11-17
    Keywords
    Adult
    Cross-Cultural Comparison
    Depression
    Educational Status
    Factor Analysis, Statistical
    Female
    *Health Status Indicators
    Humans
    Japan
    Male
    *Psychometrics
    *Quality of Life
    Reproducibility of Results
    Biostatistics
    Epidemiology
    Health Services Research
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    Link to Full Text
    http://dx.doi.org/10.1016/S0895-4356(98)00096-1
    Abstract
    Cross-sectional data from a representative sample of the general population in Japan were analyzed to test the validity of Japanese SF-36 Health Survey scales as measures of physical and mental health. Results from psychometric and clinical tests of validity were compared. Principal components analyses were used to test for the hypothesized physical and mental dimensions of health and the pattern of scale correlations with those components. To test the clinical validity of SF-36 scale scores, self-reports of chronic medical conditions and the Zung Self-Rating Depression Scale were used to create mutually exclusive groups differing in the severity of physical and mental conditions. The pattern of correlations between the SF-36 scales and the two empirically derived components generally confirmed hypotheses for most scales. Results of psychometric and clinical tests of validity were in agreement for the Physical Functioning, Role-Physical, Vitality, Social Functioning, and Mental Health scales. Relatively less agreement between psychometric and clinical tests of validity was observed for the Bodily Pain, General Health, and Role-Emotional scales, and the physical and mental health factor content of those scales was not consistent with hypotheses. In clinical tests of validity, the General Health, Bodily Pain, and Physical Functioning scales were the most valid scales in discriminating between groups with and without a severe physical condition. Scales that correlated highest with mental health in the components analysis (Mental Health and Vitality) also were most valid in discriminating between groups with and without depression. The results of this study provide preliminary interpretation guidelines for all SF-36 scales, although caution is recommended in the interpretation of the Role-Emotional, Bodily Pain, and General Health scales pending further studies in Japan.
    Source
    J Clin Epidemiol. 1998 Nov;51(11):1045-53. Link to article on publisher's site
    DOI
    10.1016/S0895-4356(98)00096-1
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47406
    PubMed ID
    9817122
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/S0895-4356(98)00096-1
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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