Assessment of the SF-36 version 2 in the United Kingdom.
Open accessAbstract
OBJECTIVES: To introduce the UK SF36 Version II (SF36-II), and to (a) gain population norms for the UK SF36-II in a large community sample as well as to explore the instrument's internal consistency reliability and construct validity, and (b) to derive the Physical Component Summary (PCS) and Mental Component Summary (MCS) algorithms for the UK SF36-II. DESIGN: Postal survey using a questionnaire booklet, containing the SF-36-II and questions on demographics and long term illness. SETTING: The sample was drawn from General Practitioner Records held by the Health Authorities for Berkshire, Buckinghamshire, Northamptonshire, and Oxfordshire. SAMPLE: The questionnaire was sent to 13,800 randomly selected subjects between the ages of 18-64 inclusive. OUTCOME MEASURES: Scores for the eight dimensions of the UK SF36-II and the PCS and MCS summary scores. RESULTS: The survey achieved a response rate of 64.4% (n = 8889). Internal consistency of the different dimensions of the questionnaire were found to be high. Normative data for the SF-36 are reported, broken down by age and sex, and social class. Factor analysis of the eight domains produced a two factor solution and provided weights for the UK SF36-II. CONCLUSION: The SF36-II domains were shown to have improved reliability over the previous version of the UK SF36. Furthermore, enhancements to wording and response categories reduces the extent of floor and ceiling effects in the role performance dimensions. These advances are likely to lead to better precision as well as greater responsiveness in longitudinal studies.
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Using SF-36, Addison's disease subjects had lower scores at baseline, denoting worse health status than a normal U.K. population.
“As with GHQ status, using the SF-36 questionnaire as a tool to assess a broad range of physical symptomatology as well as psychological morbidity, the Addison's disease subjects had lower scores at baseline, denoting worse health status than a normal U.K. population (36) (Table 6).”
From Long-Term DHEA Replacement in Primary Adrenal Insufficiency: A Randomized, Controlled Trial (2008) · cites this paper as [36]
The SF-36 questionnaire is a tool that has been validated in population studies.
“The Short Form-36 (SF-36) questionnaire examined symptoms relating to physical and mental health and is a tool that has been validated in population studies (35,36).”
From Long-Term DHEA Replacement in Primary Adrenal Insufficiency: A Randomized, Controlled Trial (2008) · cites this paper as [36]
The SF-36v2 has proven satisfactory psychometric characteristics in Sweden and elsewhere.
“The SF-36v2 has proven satisfactory psychometric characteristics in Sweden (31) and elsewhere (32).”
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“The SF-36v2 has proven satisfactory psychometric characteristics in Sweden (31) and elsewhere (32).”
- Authors
- Jenkinson, C., Stewart-Brown, S., Petersen, S., & Paice, C.
- Affiliations
- University of Oxford (GB)
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 1999-01
- Volume
- 53
- Issue
- 1
- Pages
- 46-50
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC1756775
- OpenAlex
- W1983872259
- Cited by
- 565
- References
- 9
- Citations by year
- 2026: 9 · 2025: 5 · 2024: 31 · 2023: 21 · 2022: 27 · 2021: 12 · 2020: 24 · 2019: 27 · 2018: 30 · 2017: 16 · 2016: 29 · 2015: 20 · 2014: 31 · 2013: 18 · 2012: 24
- FWCI
- 28.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- health-related quality of life, reference values, population norms, internal consistency, construct validity, physical component summary, mental component summary, floor and ceiling effects, role performance, questionnaire wording, community sample, United Kingdom
- MeSH terms
- Adolescent, Adult, Female, United Kingdom, Health Status, Health Surveys, Humans, Male, Mental Health, Middle Aged, Surveys and Questionnaires, Sensitivity and Specificity, Social Class, Health Behavior
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