Response shift after coronary revascularization

Quality of Life Research, vol. 31, pp. 437–450

Abstract

PURPOSE: The aims of this study were to investigate (1) the extent to which response shift occurs among patients with coronary artery disease (CAD) after coronary revascularization, (2) whether the assessment of changes in health-related quality of life (HRQoL), controlled for response shift, yield more valid estimates of changes in HRQoL, as indicated by stronger associations with criterion measures of change, than without controlling for response shift, and (3) if occurrences of response shift are related to patient characteristics. METHODS: Patients with CAD completed the SF-36 and the Seattle Angina Questionnaire (SAQ7) at baseline and 3 months after coronary revascularization. Sociodemographic, clinical and psychosocial variables were measured with the patient version of the New York Heart Association-class, Subjective Significance Questionnaire, Reconstruction of Life Events Questionnaire (RE-LIFE), and HEXACO personality inventory. Oort's Structural Equation Modeling (SEM) approach was used to investigate response shift. RESULTS: 191 patient completed questionnaires at baseline and at 3 months after treatment. The SF-36 showed recalibration and reprioritization response shift and the SAQ7 reconceptualization response shift. Controlling for these response shift effects did not result in more valid estimates of change. One significant association was found between reprioritization response shift and complete integration of having CAD into their life story, as indicated by the RE-LIFE. CONCLUSION: Results indicate response shift in HRQoL following coronary revascularization. While we did not find an impact of response shift on the estimates of change, the SEM approach provides a more comprehensive insight into the different types of change in HRQoL following coronary revascularization.

Authors 12

1. Tom H. Oreel

   Amsterdam Public Health · Amsterdam University Medical Centers · University of Amsterdam

   Affiliation as printed

   Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, Netherlands

2. Pythia T. Nieuwkerk

   Amsterdam Public Health · Amsterdam University Medical Centers · University of Amsterdam

   Affiliation as printed

   Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, Netherlands

3. Iris D. Hartog

   Radboud University Nijmegen · Amsterdam Public Health · Amsterdam University Medical Centers · University of Amsterdam

   Affiliation as printed

   Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, Netherlands

   Faculty of Philosophy, Theology and Religious Studies, Radboud University Nijmegen, Nijmegen, Netherlands

4. Justine E. Netjes

   Amsterdam Public Health · Amsterdam University Medical Centers · University of Amsterdam

   Affiliation as printed

   Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, Netherlands

5. Alexander B. A. Vonk

   Amsterdam University Medical Centers · Vrije Universiteit Amsterdam · Amsterdam UMC Location Vrije Universiteit Amsterdam

   Affiliation as printed

   Department of Cardio-Thoracic Surgery, Amsterdam University Medical Centers, VU University Amsterdam, Amsterdam, Netherlands

6. Jorrit S. Lemkes

   Amsterdam University Medical Centers · Vrije Universiteit Amsterdam

   Affiliation as printed

   Department of Cardiology, Amsterdam University Medical Centers, VU University Amsterdam, Amsterdam, Netherlands

7. Hanneke W.M. van Laarhoven

   Cancer Center Amsterdam · University of Amsterdam

   Affiliation as printed

   Department of Medical Oncology, Cancer Center Amsterdam, University of Amsterdam, Amsterdam, Netherlands

8. Michael Scherer‐Rath

   Radboud University Nijmegen

   Affiliation as printed

   Faculty of Philosophy, Theology and Religious Studies, Radboud University Nijmegen, Nijmegen, Netherlands

9. Josè P.S. Henriques

   Amsterdam University Medical Centers · University of Amsterdam

   Affiliation as printed

   Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

10. Frans Jeroen Oort

    University of Amsterdam

    Affiliation as printed

    Research Institute of Child Development and Education, University of Amsterdam, 15776, 1001 NG, Amsterdam, Netherlands

11. Mirjam A. G. Sprangers

    Amsterdam Public Health · Amsterdam University Medical Centers · University of Amsterdam

    Affiliation as printed

    Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, Netherlands

12. Mathilde G. E. Verdam corresponding Aachen Department of Methodology and Statistics Institute of Psychology, Leiden University

    Leiden University · Amsterdam Public Health · Amsterdam University Medical Centers · University of Amsterdam

    Affiliation as printed

    Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, Netherlands. m.g.e.verdam@amsterdamumc.nl

    Department of Methodology and Statistics, Institute of Psychology, Leiden University, Leiden, Netherlands. m.g.e.verdam@amsterdamumc.nl

    Department of Methodology and Statistics, Institute of Psychology, Leiden University, Leiden, Netherlands