Quality of life in depression: Daily life determinants and variability
Abstract
Identifying daily influences on subjective well-being can be helpful in understanding the burden of depression. This study used experience sampling methodology (ESM) to examine the contribution of mood states, physical complaints and enjoyment of activities to a momentary measure of quality of life (mQoL), assessed by responses to the question 'In general, how is it going with you right now?' Sixty-three depressed and 22 healthy control subjects completed ESM self-reports during daily activities, 10 times per day for 6 days. In comparison to control subjects, depressed subjects had lower levels of mQoL, positive mood, and enjoyment of activity, higher negative mood, and more frequent and severe complaints. Depressed subjects were more likely than control subjects to be doing nothing and less likely to be engaged in work. Multilevel regression analysis showed that positive mood and enjoyment of the current activity were associated with higher mQoL, whereas negative mood and complaints were associated with lower mQoL. In depressed subjects, mQoL was more variable over time than in control subjects. In contrast to the ESM results, only negative mood and depression were significant predictors of global measures of QoL. We conclude that QoL has important situational determinants that can in part explain the impact of depression on daily functioning and well-being.
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When the ESM/EMA data were analyzed in more detail (but not when a global retrospective measure was used at the end of the EMS/EMA period), patients reported their quality of life to be poor specifically in situations in which they also reported low levels of PA, high levels of NA, a lack of enjoyment of current activities, and physical complaints.
“More importantly, when the ESM/EMA data were analyzed in more detail (but not when a global retrospective measure was used at the end of the EMS/EMA period), it was found that patients reported their quality of life to be poor speci fi cally in situations in which they also reported low levels of PA, high levels of NA, a lack of enjoyment of current activities, and physical complaints.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Barge-Schaapveld et al. (1999)
During the baseline ESM/EMA period, MDD patients reported relatively little positive affect, a lot of negative affect, many physical complaints, limited enjoyment of everyday activities, and a poor quality of life.
“during the baseline ESM/EMA period patients reported relatively little PA, a lot of NA, many physical complaints, limited enjoyment of everyday activities, and a poor quality of life (Barge-Schaapveld et al., 1999).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Barge-Schaapveld et al., 1999
On average adults with MDD report less PA and more NA than healthy controls.
“For example, the group of deVries has repeatedly found that on average adults with MDD report less PA and more NA than healthy controls (Barge-Schaapveld et al., 1999; Myin-Germeys et al., 2003; Peeters, Nicolson, Berkhof, Delespaul, et al., 2003).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Barge-Schaapveld et al., 1999
On average, MDD patients reported less enjoyment of everyday activities, more complaints, and a poorer quality of life, than healthy controls.
“On average, MDD patients reported less enjoyment of everyday activities, more complaints, and a poorer quality of life, than healthy controls.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Barge-Schaapveld et al. (1999)
Barge-Schaapveld et al. found that experiencing side effects in the first week of treatment made MDD patients less likely to complete the treatment.
“Barge-Schaapveld et al. (1999) found that experiencing side effects in the fi rst week of treatment made MDD patients less likely to complete the treatment.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Barge-Schaapveld et al. (1999)
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- Authors
- Barge-Schaapveld, D. Q. C. M., Nicolson, N. A., Berkhof, J., & deVries, M. W.
- Affiliations
- Maastricht University (NL)
- KU Leuven (BE)
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 1999-11
- Volume
- 88
- Issue
- 3
- Pages
- 173-189
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W1977480771
- Cited by
- 132
- References
- 73
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 8 · 2016: 7 · 2015: 5 · 2014: 4 · 2013: 2 · 2012: 5
- FWCI
- 5.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depression, quality of life, daily mood, positive mood, negative mood, physical complaints, activity enjoyment, subjective well-being, within-person variability, daily functioning, work engagement
- MeSH terms
- Adolescent, Adult, Aged, Depression, Depressive Disorder, Major, Major Depressive Disorder, Family Practice, Female, Humans, Life Style, Male, Mass Screening, Middle Aged, Negativism, Predictive Value of Tests, Quality of Life, Regression Analysis, Case-Control Studies
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