Abstract
Quality of life researchers have been studying “response shift” for a decade now, in an effort to clarify how best to measure QoL over time and across changing circumstances. However, we contend that this line of research has been impeded by conceptual confusion created by the term “response shift”, that lumps together sources of measurement error (e.g., scale recalibration) with true causes of changing QoL (e.g., hedonic adaptation). We propose abandoning the term response shift, in favor of less ambiguous terms, like scale recalibration and adaptation.
References
Schwartz, C. E., & Sprangers, M. A. (1999). Introduction to symposium on the challenge of response shift in social science and medicine. Social Science and Medicine, 48, 1505–1507.
Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48(11), 1507–1515.
Gibbons, F. X. (1999). Social comparison as a mediator of response shift. Social Science and Medicine, 48(11), 1517–1530.
Schwartz, C. E., & Sprangers, M. A. (1999). Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science and Medicine, 48(11), 1531–1548.
Daltroy, L., Larson, M., Eaton, H., Phillips, C., & Liang, M. (1999). Discrepancies between self-reported and observed physical function in the elderly: The influence of response shift and other factors. Social Science and Medicine, 48, 1549–1561.
Schwartz, C., & Sendor, R. (1999). Helping others helps oneself: Response shift effects in peer support. Social Science and Medicine, 48, 1563–1575.
Wilson, I. B. (1999). Clinical understanding and clinical implications of response shift. Social Science and Medicine, 48(11), 1577–1588.
Schwartz, C., Bode, R., Repucci, N., Becker, J., Sprangers, M., & Fayers, P. (2006). The clinical significance of adaptation to changing health: A meta-analysis of response shift. Quality of Life Research, 15, 1533–1550.
Albrecht, G. L., & Devlieger, P. J. (1999). The disability paradox: High quality of life against all odds. Social Science and Medicine, 48(8), 977–988.
Ubel, P. A., Loewenstein, G., & Jepson, C. (2003). Whose quality of life? A commentary exploring discrepancies between health state evaluations of patients and the general public. Quality of Life Research, 12(6), 599–607.
Ekman, P. (2003). Emotions revealed: Recognizing faces and feelings to improve communication and emotional life. New York: Times Books.
Ubel, P. A. (2006). You’re stronger than you think: Tapping into the secrets of emotionally resilient people. New York: McGraw-Hill.
Ubel, P. A., Jankovic, A., Smith, D., Langa, K. M., & Fagerlin, A. (2005). What is perfect health to an 85-year-old?: Evidence for scale recalibration in subjective health ratings. Medical Care, 43(10), 1054–1057.
Brunstein, J. C. (1993). Personal goals and subjective well-being: A longitudinal study. Journal of Personality and Social Psychology, 65(5), 1061–1070.
Lepore, S. J., & Eton, D. T. (2000). Response shifts in prostate cancer patients: An evaluation of suppressor and buffer modes. In C. E. Schwartz & M. A. Sprangers (Eds.), Adaptation to changing health: Response shift in quality-of-life research (1st ed., pp. 37–51). Washington, D.C.: American Psychological Association.
Kahneman, D., Wakker, P. P., & Sarin, R. (1997). Back to Bentham? Explorations of experienced utility. The Quarterly Journal of Economics, 112(2), 375–405.
Loewenstein, G., & Ubel, P. (2008). Hedonic adaptation and the role of decision and experience utility in public policy. Journal of Public Economics, 92(8–9), 1795–1810.
Brossart, D., Clay, D., & Willson, V. (2002). Methodological and statistical considerations for threats to internal validity in pediatric outcome data: Response shift in self-report outcomes. Journal of Pediatric Psychology, 27(1), 97–107.
Schwartz, C., Sprangers, M., Carey, A., & Reed, G. (2004). Exploring response shift in longitudinal data. Psychology & Health, 19(1), 51–69.
Norman, G. (2003). Hi! How are you? Response shift, implicit theories and differing epistemologies. Quality of Life Research, 12, 239–249.
Ross, M. (1989). Relation of implicit theories to the construction of personal histories. Psychological Review, 96(2), 341–357.
Lacey, H. P., Smith, D. M., & Ubel, P. A. (2006). Hope I die before I get old: Mispredicting happiness across the lifespan. Journal of Happiness Studies, 7(2), 167–182.
Smith, D., Loewenstein, G., Jankovich, S., Jepson, C., Feldman, H., & Ubel, P. (2008). Mispredicting and misremembering: patients with renal failure overestimate improvements in quality of life after a kidney transplant. Health Psychology, 27(5), 653–658.
Frederick, S., & Loewenstein, G. (1999). Hedonic adaptation. In D. Kahneman, E. Diener, & N. Schwarz (Eds.), Well-being: The foundations of hedonic psychology. New York: Russell Sage Foundation Press.
Smith, D., Schwarz, N., Roberts, T., & Ubel, P. (2006). Why are you calling me? How survey introductions change response patterns. Quality of Life Research, 15, 621–630.
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Dr. Ubel is supported by a Robert Wood Johnson Health Policy Investigators Award.
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Ubel, P.A., Peeters, Y. & Smith, D. Abandoning the language of “response shift”: a plea for conceptual clarity in distinguishing scale recalibration from true changes in quality of life. Qual Life Res 19, 465–471 (2010). https://doi.org/10.1007/s11136-010-9592-x
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DOI: https://doi.org/10.1007/s11136-010-9592-x