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O'Leary TE, Diller L, Recklitis CJ. The effects of response bias on self-reported quality of life among childhood cancer survivors. Qual Life Res. 2007;16(7):1211-20doi: 10.1007/s11136-007-9231-3.
O'Leary, T. E., Diller, L., & Recklitis, C. J. (2007). The effects of response bias on self-reported quality of life among childhood cancer survivors. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 16(7), 1211-20. https://doi.org/10.1007/s11136-007-9231-3
O'Leary, Tara E, et al. "The effects of response bias on self-reported quality of life among childhood cancer survivors." Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation vol. 16,7 (2007): 1211-20. doi: https://doi.org/10.1007/s11136-007-9231-3
O'Leary TE, Diller L, Recklitis CJ. The effects of response bias on self-reported quality of life among childhood cancer survivors. Qual Life Res. 2007 Sep;16(7):1211-20. doi: 10.1007/s11136-007-9231-3. Epub 2007 Jul 11. PMID: 17624814.
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Qual Life Res. 2007 Sep;16(7):1211-20. doi: 10.1007/s11136-007-9231-3. Epub 2007 Jul 11.

The effects of response bias on self-reported quality of life among childhood cancer survivors.

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

Tara E O'Leary, Lisa Diller, Christopher J Recklitis

Affiliations

  1. Suffolk University, Boston, MA, USA.

PMID: 17624814 DOI: 10.1007/s11136-007-9231-3

Abstract

BACKGROUND: Several studies of long-term adjustment in childhood cancer survivors (CCS) report very positive outcomes, while other studies find significant adjustment problems. These inconsistencies have prompted some investigators to suggest survivors may be biased responders, prone to underreporting on self-report measures. This study tested the hypothesis that CCS are elevated on self-deception response bias (SDRB), and that SDRB is associated with higher ratings of quality-of-life (QOL).

METHODS: One hundred and seven adult (mean age = 31.85) survivors of childhood cancers completed a demographic questionnaire, Short Form-12 (SF-12), Functional Assessment of Cancer Therapy-General (FACT-G), and Self-Deception Enhancement scale (SDE), an SDRB measure.

RESULTS: Survivors' QOL scores were similar to normative groups, but they evidenced much higher levels of response bias. SDE scores were significantly correlated with the FACT-G, and SF-12 Mental Health (but not Physical Health) scores even after accounting for demographic and treatment-related variables.

CONCLUSIONS: CCS show a biased response style, indicating a systematic tendency to deny difficulties on QOL measures. This may complicate QOL studies by inflating survivors' reports of their socio-emotional functioning. Understanding how response bias develops may help us learn more about cancer survivors' adaptation to illness, and the effects of the illness experience on their perceptions of QOL.

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