Abstract
Despite the widespread use of the concept “quality of life”, there is no agreement about its definition. In an attempt to clarify its meaning, this chapter presents the results of a concept analysis that investigated the current use of the term in the literature. Four different definitions of quality of life were identified: quality of the objective life situation, general subjective well-being, subjective satisfaction of needs, and a multidimensional subjective state. Each definition comprises several components that may vary from author to author. Three of these definitions, however, concur that quality of life is a subjective state. Hence, in order to determine the components of subjective quality of life one has to ask older persons about their perspective. A definition of quality of life requires a person-centred approach.
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References
Beaumont JG, Kenealy PM (2004) Quality of life perceptions and social comparisons in healthy old age. Aging Soc 24(5):755–769
Bradburn NM (1969) The structure of psychological well-being. Aldine, Chicago
Brown J, Bowling A, Flyn T (2004) Models of quality of life: a taxonomy, overview and systematic review of the literature. European Forum on Population Ageing Research. Available at: http://www.ageingresearch.group.shef.ac.uk/pdf/qol_review_complete.pdf. Accessed 08 Nov 2012
Cheung CK (1997) Toward a theoretically based measurement model of the good life. J Genet Psychol 158(2):200–215
Diener E (2000) Subjective well-being. The science of happiness and a proposal for a National Index. Am Psychol 55(1):34–43
Diener E, Suh EM, Oishi S (1997) Recent findings on subjective wellbeing. Indian J Clin Psychol 24(1):25–41
Dietrich H (2003) Lebensqualität im Alter. In: Reuter U (ed) Lebensqualität für alte Menschen in der Pflege. ESI, Bremen, pp 13–31
Ebersberger K, Ebersberger S, Klassen M (2010) Die Theorie menschlicher Bedürfnisse: Entwicklung eines Methodengerüsts anhand einer empirischen Untersuchung zur Lebenszufriedenheit im Alter. Theorie und Praxis der sozialen Arbeit 61(5):388–400
Erlemeier N (2009) Lebensqualität und Wohlbefinden unter erschwerten Bedingungen. Förderung von Ressourcen und Potenzialen im Alter. In: Hölzle C (ed) Ressourcenorientierte Biografiearbeit. Eine Einführung in Theorie und Praxis, 1st edn. Verlag für Sozialwissenschaften, Wiesbaden, pp 236–253
Farquhar M (1995) Definitions of quality of life: a taxonomy. J Adv Nurs 22(3):502–508
Fernandez-Ballesteros R, Kruse A, Zamarrón MD (2007) Quality of life, life satisfaction, and positive aging. In: Ballesteros RF (ed) GeroPsychology. European perspectives for an aging world. Hogrefe, Cambridge, pp 197–223
Ferrans CE, Powers MJ (1992) Psychometric assessment of the quality of life index. Res Nurs Health 15(1):29–38
Ferring D, Boll T (2010) Subjective well-being in older adults: current state and gaps of research. In: Bovenberg AL (ed) Ageing, health and pensions in Europe: an economic and social policy perspective. Palgrave Macmillan, Basingstoke, pp 173–205
Ferring D, Filipp SH, Schmidt K (1996) Die “Skala zur Lebensbewertung”: Empirische Skalenkonstruktion und erste Befunde zu Reliabilität, Stabilität und Validität. Zeitschrift für Differentielle und Diagnostische Psychologie 17(3):141–153
Halvorsrud L, Kalfoss M (2007) The conceptualization and measurement of quality of life in older adults: a review of empirical studies published during 1994-2006. Eur J Ageing 4(4):229–246
Heidegger M (1962) Being and time. HarperCollins, New York
Hendry F, McVittie C (2004) Is quality of life a healthy concept? Measuring and understanding life experiences of older people. Qual Health Res 14(7):961–975
Higgs PFD, Hyde M, Wiggins R, Blane B (2003) Researching quality of life in early old age. Soc Policy Administr 37(3):239–252
Holzhausen M, Bornschlegel U, Fischer T (2009) Die Patientenperspektive in der Erfassung von Lebensqualität im Alter. Z Gerontol Geriatr 42(5):355–359
Hyde M, Wiggins R, Higgs PFD, Blane B (2003) A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP-19). Aging Ment Health 7(3):186–194
Kane R (2003) Definition, measurement, and correlates of quality of life in nursing homes: toward a reasonable practice, research, and policy agenda. The Gerontologist 43:28–36
Lennings CJ (2000) Optimism, satisfaction and time perspective in the elderly. Int J Aging Hum Dev 51(3):167–181
Leung BW, Moneta GB, McBride-Chang C (2005) Think positively and feel positively: optimism and life satisfaction in late life. Int J Aging Hum Dev 61(4):335–365
Low G, Molzahn AE, Kalfoss M (2008) Quality of life of older adults in Canada and Norway: examining the Iowa model. West J Nurs Res 30(4):458–476
Maslow A (1943) A theory of human motivation. Psychol Rev 50(4):370–396
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. https://doi.org/10.1371/journal.pmed1000097
Musslewhite C, Haddad H (2010) Mobility, accessibility and quality of later life. Qual Ageing Older Adults 11(1):25–37
Neugarten BL, Havighurst RJ, Tobin SS (1961) The measurement of life satisfaction. J Gerontol 16:134–143
O’Boyle C (1997) Measuring the quality of later life. Philos Trans R Soc Lond B Biol Sci 352:1871–1879
Raphael D, Brown I, Renwick R, Cava M, Weir N, Heathcote K (1995) The quality of life of seniors living in the community: a conceptualization with implications for public health practice. Can J Public Health 86(4):228–233
Rokne B, Wahl AK (2011) Quality of life assessment in health sciences. In: Reuschenbach B, Mahler C (eds) Pflegebezogene Assessmentinstrumente. Huber, Bern, pp 401–416
Rosenberg R (1995) Health-related quality of life between naturalism and hermeneutics. Soc Sci Med 41(10):1411–1415
Ryff CD (1989) Happiness is everything, or is it? Explorations on the meaning of psychological Well-being. J Pers Soc Psychol 57:1069–1081
Ryff CD, Keyes CLM (1995) The structure of psychological well-being revisited. J Pers Soc Psychol 69:719–727
Sirgy MJ, Michalos AC, Ferriss AL, Easterlin RA, Pavot W, Patrick D (2006) The quality of life (QoL) research movement: past, present and future. Soc Indic Res 76(3):343–462
Smith J, Fleeson W, Geiselmann B (2010) Wohlbefinden im hohen Alter: Vorhersagen aufgrund objektiver Lebensbedingungen und subjektiver Bewertung. In: Lindenberger U, Delius J (eds) Die Berliner Altersstudie. Akademie-Verlag, Berlin, pp 521–547
Spiro A, Bosse R (2000) Relations between health-related quality of life and Well-being: the gerontologist’s new clothes? Int J Aging Hum Dev 50(4):297–318
Tesch-Römer C (2002) Lebensqualität im hohen Alter: Herausforderungen für Forschung und Praxis. [Quality of Life in Old Age. Challenges for Research and Practice] Blätter der Wohlfahrtspflege 149(5):165–168
Tesch-Römer C, Wiest M, Wurm S (2010) Subjektives Wohlbefinden. [Subjective Wellbeing] In: Altern Im Wandel. Befunde des Deutschen Alterssurveys (DEAS) [Aging in the change. Results of the German Aging Survey] (Motel-Klingenbiel A, Wurm S, Tesch-Römer C eds.) Kohlhammer, Stuttgart, pp. 261–283
Veenhoven R (2000) The four qualities of life: ordering concepts and measures of the good life. J Happiness Stud 1:1–39
Walker A (2005) A European perspective on quality of life in old age. Eur J Aging 2:2–12
Walker A (2010) Ageing and quality of life in Europe. In: Phillipson C, Dannefer D (eds) The SAGE handbook of social gerontology. SAGE, London, pp 573–586
Walker LO, Avant KC (2005) Strategies for theory construction in nursing, 4th edn. Pearson Prentice Hall, Upper Saddle River
Watson D, Clark LA (1999) The PANAS-X: manual for the positive and negative affect schedule - expanded form. University of Iowa, Iowa. Available at: http://ir.uiowa.edu/psychology_pubs/11. Accessed 08 Nov 2012
Weidekamp-Meicher M (2005) Lebensqualität älterer Menschen. In: Schönberg F (ed) Alter hat Zukunft. 15 Jahre gerontologische Forschung in Dortmund. Literatur Verlag, Münster, pp 329–340
WHOQOL Group (1995) The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41(10):1403–1409
Wiggins R, Higgs PFD, Hyde M (2004) Quality of life in the third age: key predictors of the CASP-19 measure. Aging Soc 24:693–708
Winkler I, Matschinger H, Angermayer MC, The WHOQOL Group (2006) Der WHOQOL−OLD. Ein Fragebogen zur interkulturellen Erfassung der Lebensqualität im Alter. Psychotherapie, Psychosomatik, Medizinische Psychologie 56:63–69
Zeman P, Tesch-Römer C (2009) Gutes Leben im Alter. Soziale Arbeit 58(11):408–416
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Boggatz, T. (2020). Quality of Life in Old Age: A Theoretical Perspective. In: Quality of Life and Person-Centered Care for Older People. Springer, Cham. https://doi.org/10.1007/978-3-030-29990-3_2
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