Quality of Life Research

, Volume 13, Issue 6, pp 1139–1152

Development of a Pain and Discomfort Module for Use with the WHOQOL-100


  • Victoria L. Mason
    • Department of Psychology, WHO Field Centre for the Study of Quality of LifeUniversity of Bath
  • Suzanne M. Skevington
    • Department of Psychology, WHO Field Centre for the Study of Quality of LifeUniversity of Bath
  • Mike Osborn
    • Palliative Care Team, RoyalUnited Hospital

DOI: 10.1023/B:QURE.0000031344.53009.eb

Cite this article as:
Mason, V.L., Skevington, S.M. & Osborn, M. Qual Life Res (2004) 13: 1139. doi:10.1023/B:QURE.0000031344.53009.eb


Clinicians and researchers have become increasingly interested in the impact of chronic pain (CP) on quality of life (QoL). This report describes the qualitative stages of developing a pain and discomfort module for persons with CP to be used with the UK World Health Organisation generic measure of quality of life (WHOQOL). The aims were to investigate patients' perceptions of CP and its effect on QoL, and to generate items to be used in the development of a module appended to the UK WHOQOL-100. At the first stage (study 1), six focus groups of patients were invited to discuss how living with pain and discomfort affected QoL. At the second stage (study 2), an international web survey was conducted with English-speaking respondents. 10 new facets of QoL were identified by the focus groups: flare-ups, pain relief, anger and frustration, vulnerability/fear/worry, uncertainty, loss/loneliness/feeling alone, positive strategies, communication, guilt and burdening others, and relationship with health-care providers. The web-survey confirmed and validated these new facets. Although the WHOQOL-100 is a reliable and valid measure of QoL for use in CP, this study shows that additional areas must be assessed when measuring the impact of CP on QoL.

Chronic painFocus groupsQuality of LifeWeb surveyWHOQOL-100

Copyright information

© Kluwer Academic Publishers 2004