Universidade de São Paulo, Department of Psychiatry - São Paulo (SP), Brazil.
Universidade de São Paulo, Department of Gastroenterology - São Paulo (SP), Brazil.
Arq Bras Cir Dig. 2023 Oct 13;36:e1767. doi: 10.1590/0102-672020230049e1767. eCollection 2023.
Patients with obesity present multiple comorbid psychiatric conditions and experience impairments in health-related quality of life. Reliable and valid tools that evaluate health-related quality of life are essential for clinical practice.
This study aimed to investigate the reliability and validity of the six-item Moorehead-Ardelt Quality of Life Questionnaire II among Brazilian patients with severe obesity.
We assessed 387 patients (mean age 43 years, 78.8% women, mean body mass index of 46.5 kg/m²) on the waiting list of a bariatric surgery center. Trained research assistants concurrently applied the Moorehead-Ardelt Quality of Life-II, the Montgomery-Åsberg Depression Rating Scale, and the Global Assessment of Functioning for assessing health-related quality of life, comorbid depressive symptoms, and patient functioning level, respectively.
The internal consistency of the Moorehead-Ardelt Quality of Life-II was considered acceptable. The total score was correlated with the severity of depressive symptoms and functioning level. The more body mass index increases, the more health-related quality of life worsens. The Moorehead-Ardelt Quality of Life-II presented a unidimensional structure.
The unidimensional Moorehead-Ardelt Quality of Life-II is a reliable and valid measure for evaluating health-related quality of life in Brazilian patients with severe obesity. The questionnaire allows to quickly assess the health-related quality of life of patients in different bariatric contexts, considering depression and functional level.
肥胖患者常伴有多种合并症的精神疾病，并经历健康相关生活质量受损。可靠和有效的评估健康相关生活质量的工具对于临床实践至关重要。
本研究旨在调查六分量表 Moorehead-Ardelt 生活质量问卷 II 在巴西严重肥胖患者中的信度和效度。
我们评估了 387 名（平均年龄 43 岁，78.8%为女性，平均体重指数为 46.5kg/m²）正在一家减肥手术中心等待名单上的患者。经过培训的研究助理同时应用 Moorehead-Ardelt 生活质量问卷 II、蒙哥马利-阿斯伯格抑郁评定量表和总体功能评估，分别评估健康相关生活质量、合并抑郁症状和患者功能水平。
Moorehead-Ardelt 生活质量问卷 II 的内部一致性被认为是可接受的。总分与抑郁症状的严重程度和功能水平相关。体重指数越高，健康相关生活质量越差。Moorehead-Ardelt 生活质量问卷 II 呈现出一种单一维度的结构。
Moorehead-Ardelt 生活质量问卷 II 是一种可靠和有效的工具，可用于评估巴西严重肥胖患者的健康相关生活质量。该问卷允许在不同的减肥环境中快速评估患者的健康相关生活质量，同时考虑到抑郁和功能水平。
