ArticleHealth and quality of life outcomes2023
Validity and reliability of the WHOQOL-BREF in a pregnant population.
Article in Health and quality of life outcomes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of the factor structure of WHOQOL-bref in adult population.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Pooled it
- Reliability and validation of the German WHOQOL-BREF in adults with congenital heart disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Discrepancies in the country versions of the WHOQOL-BREF as a potential source of error in assessing quality of life and a barrier to comparative research.Health and quality of life outcomes · 2026Article
- Determinants of physical activity levels and quality of life among older adults in Ghana: insights from cardiometabolic risk (CarMeR) study.Archives of public health = Archives belges de sante publique · 2025Article
- Effects of combined preconception and prenatal myo-inositol, probiotics, and trace element supplementation on the outcomes of depressed mothers.World journal of psychiatry · 2025Article
- Psychometric analysis and validation of the SF-34 PREG: An adaptation of the SF-36 for assessing quality of life in pregnant women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Protective factors of prenatal depression, anxiety and stress: a network analysis of Bernstein's strengths model.Frontiers in psychiatry · 2025Article
- Combined trigger point acupuncture knife and traditional Chinese medicine split-tendon massage for shoulder periarthritis: improved function and quality of life.American journal of translational research · 2025Article
- Food insecurity in women with mental illnesses attending a psychiatric hospital in KwaZulu-Natal.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Association between diet and quality of life among healthcare professionals in King Saud University Medical City.Frontiers in public health · 2025Article
- Validation of the Thai version of the World Health Organization's Quality of Life Scale (WHOQOL-BREF-THAI) among Thai nursing students in northeast Thailand: A multi-centre study.F1000Research · 2025Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical end emotional changes during pregnancy may not only affect pregnant womens' quality of life, but also how instruments assessing quality of life perform in such populations. To date, there is insufficient evidence on psychometric properties for both generic and condition-specific instruments measuring quality of life during pregnancy. The aim of this study was thus to examine the structural validity, internal consistency, and construct validity of the WHOQOL-BREF in a sample of pregnant women.
methodsA convenience sample of 1015 pregnant women in Sweden completed the WHOQOL-BREF online. We examined the psychometric properties of the instrument using principal component analysis (PCA), confirmatory factor analysis (CFA), Cronbach's alpha, item-domain correlations, correlations with overall QOL and general health, and multiple linear regression with items on overall QOL and general health as outcomes.
resultsPrincipal Component Analysis in a random subsample (n = 502) supported a four-factor model, encompassing the domains physical, psychological, social and environmental quality of life, but with four of the items originally in the environmental domain relocated to the other domains. The proposed domain structure showed good fit in confirmatory factor analysis in the other random subsample (n = 513). The physical and psychological domains showed good internal consistency (Cronbach's alpha = 0.885 and 0.826 respectively), while the social and environmental domains were weaker in this regard. All domains showed significant positive correlations with items on overall QOL and general health. The physical and psychological domains were the most evident predictors in the regression models.
conclusionsWe find the Swedish version of the WHOQOL-BREF to have good psychometric properties to be used in samples of pregnant women, and propose an alternative domain structure that might be even more useful for assessing quality of life during pregnancy. The physical and psychological domains showed good internal consistency and construct validity.
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