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Psychometric properties and factorial analysis of invariance of the Satisfaction with Life Scale (SWLS) in cancer patients
Abstract
Purpose The purpose of this study was to assess the psychometric properties of the Satisfaction with Life Scale (SWLS), evaluate the measurement invariance with respect to sex, age, and tumor location, as well as analyze associations between life satisfaction and socio-demographic and clinical variables among individuals with resected, non-advanced cancer. Methods A confirmatory factor analysis was conducted to explore the dimensionality of the scale and test invariance across gender, age, and tumor localization in a prospective, multicenter cohort of 713 patients who completed the following scales: SWLS, Health-related Quality of Life Questionnaire (EORTC QLQ-C30), Brief Symptom Inventory (BSI-18). Results Confirmatory factor analysis results indicated that the SWLS is an essentially unidimensional instrument, providing accurate scores: both McDonald's omega and Cronbach's alpha estimates were 0.91. Strong measurement invariance was found to hold across gender, age, and tumor localization. Low satisfaction with life was associated with psychological symptoms (anxiety, depression, and somatization), and decreased quality of life (malfunction, symptoms, poor global QoL). Conclusion The SWLS is a reliable, valid satisfaction with life measurement among people with cancer and should be recommended as an indicator of psychological adjustment in oncological patients.
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“Lorenzo-Seva et al. (2019) found that cancer survivors had slightly elevated SWL scores compared to healthy controls, with many participants endorsing the statement ‘life has given them a second chance’.”
From Cancer, now what? A cross-sectional study examining physical symptoms, subjective well-being, and psychological flexibility (2023) · cites this paper as Lorenzo-Seva et al., 2019
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“Lorenzo-Seva et al. (2019) found that cancer survivors had slightly elevated SWL scores compared to healthy controls, with many participants endorsing the statement ‘life has given them a second chance’.”
Background
Metadata
- Authors
- Lorenzo-Seva, U., Calderon, C., Ferrando, P. J., del Mar Muñoz, M., Beato, C., Ghanem, I., Castelo, B., Carmona-Bayonas, A., Hernández, R., & Jiménez-Fonseca, P.
- Affiliations
- Universitat Rovira i Virgili (ES)
- Hospital Universitario La Paz (ES)
- Hospital Universitario de Canarias (ES)
- Venue
- Quality of Life Research
- Published
- 2019-01-14
- Volume
- 28
- Issue
- 5
- Pages
- 1255-1264
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W2910527267
- Cited by
- 57
- References
- 48
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 8 · 2023: 8 · 2022: 11 · 2021: 13 · 2020: 4 · 2019: 3
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
- Repositori institucional URV (Universitat Rovira i Virgili) (submittedVersion)
- Funders
- FSEOM2015 (Spanish Society of Medical Oncology (SEOM) in 2015)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- Satisfaction with Life Scale, life satisfaction, cancer patients, measurement invariance, psychometric properties, psychological adjustment, anxiety, depression, somatization, quality of life, tumor location, sex differences, age differences
- MeSH terms
- Emotional Adjustment, Adaptation, Psychological, Adolescent, Adult, Aged, Anxiety, Anxiety Disorders, Demography, Depression, Depressive Disorder, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Neoplasms, Personal Satisfaction, Prospective Studies, Psychometrics, Quality of Life, Surveys and Questionnaires, Reproducibility of Results, Young Adult
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