discomfort
-0.35(0.11) -2.52(0.18) -0.73(0.09) 0.33(0.07) 2.92(0.12)PN4：您需要靠醫療的幫助應付日常生活嗎？
Dependence on
medication
-0.44(0.11) -2.52(0.18) -0.73(0.09) 0.33(0.07) 2.92(0.12)BP1：覺得身體疼痛程度有多嚴重？
Pain-Magnitude
-0.52(0.09) -2.28(0.22) -0.90(0.12) -0.16(0.09) 1.02(0.08) 2.32(0.11)BP2：身體疼痛對日常工作妨礙程度如何？
Pain-Interfere
-0.68(0.09) -2.28(0.22) -0.90(0.12) -0.16(0.09) 1.02(0.08) 2.32(0.11)Table 19. Item and threshold estimates for the “Physical” items from WHOQOL-BREF and SF-36 combined (n=229, w/o medication group)
Taus (s.e.) Item NO. Difficulty
(s.e.) 1 2 3 4 5
Energy 0.61(0.07) -2.19(0.19) -0.69(0.11) -0.34(0.08) 1.10(0.07) 2.12(0.08)
VT1：您覺得充滿活力？
Pep/Life
0.47(0.07) -2.19(0.19) -0.69(0.11) -0.34(0.08) 1.10(0.07) 2.12(0.08)VT4：您覺得累？
Tired 0.30(0.07) -2.19(0.19) -0.69(0.11) -0.34(0.08) 1.10(0.07) 2.12(0.08)
PN17：您對從事日常活動的能力滿意嗎？
Activities of
daily living
0.13(0.09) -2.18(0.17) -0.97(0.09) 0.19(0.06) 2.96(0.08)PN18：您滿意自己的工作能力嗎？
Working
capacity
0.12(0.09) -2.18(0.17) -0.97(0.09) 0.19(0.06) 2.96(0.08)VT3：您覺得筋疲力竭？
Worn Out
-0.14(0.08) -2.19(0.19) -0.69(0.11) -0.34(0.08) 1.10(0.07) 2.12(0.08)BP1：覺得身體疼痛程度有多嚴重？
Pain-Magnitude
-0.24(0.08) -2.19(0.19) -0.69(0.11) -0.34(0.08) 1.10(0.07) 2.12(0.08)PN15 您四處行動的能力好嗎？
Mobility
-0.38(0.10) -2.18(0.17) -0.97(0.09) 0.19(0.06) 2.96(0.08)BP2：身體疼痛對日常工作妨礙程度如何？
Pain-Interfere
-0.54(0.08) -2.19(0.19) -0.69(0.11) -0.34(0.08) 1.10(0.07) 2.12(0.08)PN3：您覺得身體疼痛會妨礙您處理需要做的事情？
Pain and
discomfort
-0.62(0.10) -2.18(0.17) -0.97(0.09) 0.19(0.06) 2.96(0.08)PN4：您需要靠醫療的幫助應付日常生活嗎？
Dependence on
medication
-1.29(0.11) -2.18(0.17) -0.97(0.09) 0.19(0.06) 2.96(0.08)Table 20. Item and threshold estimates for the WHOQOL-BREF “Mental” items (n=166, w/ medication group)
Taus (s.e.)
Item NO. Difficulty(s.e.) 1 2 3 4
YN5：您享受生活嗎？
Enjoy life 1.81(0.12) -3.50(0.18) -1.32(0.10) 0.98(0.08) 3.84(0.16)
YN7：集中精神的能力有多好？
Concentration -0.07(0.12) -3.50(0.18) -1.32(0.10) 0.98(0.08) 3.84(0.16)
YN26：常有負面的感受嗎？
Negative feeling -0.1(0.12) -3.50(0.18) -1.32(0.10) 0.98(0.08) 3.84(0.16)
YN6：覺得生命有意義嗎？
Life meaningful -0.35(0.12) -3.50(0.18) -1.32(0.10) 0.98(0.08) 3.84(0.16)
YN19：對自己滿意嗎？
Self-satisfaction -0.58(0.13) -3.50(0.18) -1.32(0.10) 0.98(0.08) 3.84(0.16)
YN11：能接受自己的外表嗎？
Appearance -0.71(0.13) -3.50(0.18) -1.32(0.10) 0.98(0.08) 3.84(0.16)
Table 21. Item and threshold estimates for the WHOQOL-BREF “Mental” items (n=229, w/o medication group)
Taus
Item NO. Difficulty(error) 1 2 3 4
YN5：您享受生活嗎？
Enjoy life 1.44(0.09) -2.74(0.16) -1.31(0.09) 0.41(0.07) 3.64(0.12)
YN26：常有負面的感受嗎？
Negative feeling 0.18(0.10) -2.74(0.16) -1.31(0.09) 0.41(0.07) 3.64(0.12)
YN7：集中精神的能力有多好？
Concentration 0.14(0.10) -2.74(0.16) -1.31(0.09) 0.41(0.07) 3.64(0.12)
YN6：覺得生命有意義嗎？
Life meaningful -0.37(0.10) -2.74(0.16) -1.31(0.09) 0.41(0.07) 3.64(0.12)
YN19：對自己滿意嗎？
Self-satisfaction -0.60(0.10) -2.74(0.16) -1.31(0.09) 0.41(0.07) 3.64(0.12)
YN11：能接受自己的外表嗎？
Appearance -0.78(0.11) -2.74(0.16) -1.31(0.09) 0.41(0.07) 3.64(0.12)
Table 22. Item and threshold estimates for the SF-36 “Mental” items (n=166, w/
medication group)
Taus (s.e.) Item
NO. Difficulty(s.e.) 1 2 3 4 5
MH3：覺得心情平靜？
Peaceful 0.31(0.09) -1.92(0.25) -1.18(0.15) -0.21(0.10) 0.72(0.09) 2.60(0.12)
MH5：您是一個快樂的人？
Happy 0.20(0.09) -1.92(0.25) -1.18(0.15) -0.21(0.10) 0.72(0.09) 2.60(0.12)
MH1：您是一個非常緊張的人？
Nervous 0.07(0.09) -1.92(0.25) -1.18(0.15) -0.21(0.10) 0.72(0.09) 2.60(0.12)
MH4：覺得悶悶不樂和憂鬱？
Blue/Sad
-0.18(0.09) -1.92(0.25) -1.18(0.15) -0.21(0.10) 0.72(0.09) 2.60(0.12)MH2：覺得非常沮喪？
Down in
Dumps
-0.39(0.10) -1.92(0.25) -1.18(0.15) -0.21(0.10) 0.72(0.09) 2.60(0.12)Table 23. Item and threshold estimates for the SF-36 “Mental” items (n=229, w/o medication group)
Taus (s.e.) Item
NO. Difficulty(s.e.) 1 2 3 4 5
MH3：覺得心情平靜？
Peaceful 0.33(0.08) -1.64(0.22) -1.09(0.14) -0.57(0.09) 0.61(0.08) 2.70(0.10)
MH1：您是一個非常緊張的人？
Nervous
0.28(0.08) -1.64(0.22) -1.09(0.14) -0.57(0.09) 0.61(0.08) 2.70(0.10)MH5：您是一個快樂的人？
Happy 0.22(0.08) -1.64(0.22) -1.09(0.14) -0.57(0.09) 0.61(0.08) 2.70(0.10)
MH4：覺得悶悶不樂和憂鬱？
Blue/Sad
-0.33(0.09) -1.64(0.22) -1.09(0.14) -0.57(0.09) 0.61(0.08) 2.70(0.10)MH2：覺得非常沮喪？
Down in
Dumps
-0.50(0.09) -1.64(0.22) -1.09(0.14) -0.57(0.09) 0.61(0.08) 2.70(0.10)Table 24. Item and threshold estimates for the “Mental” items from WHOQOL-BREF and SF-36 combined (n=166, w/ medication group)
Taus (s.e.) Item NO. Difficulty
(s.e.) 1 2 3 4 5
YN5：您享受生活嗎？
Enjoy life 1.62(0.10) -2.40(0.16) -1.07(0.09) 0.56(0.08) 2.91(0.15)
YN7：集中精神的能力有多好？
Concentration 0.29(0.11) -2.40(0.16) -1.07(0.09) 0.56(0.08) 2.91(0.15)
YN26：常有負面的感受嗎？
Self-satisfaction -0.08(0.11) -2.40(0.16) -1.07(0.09) 0.56(0.08) 2.91(0.15)
MH3：覺得心情平靜？
Peaceful -0.14(0.08) -1.74(0.25) -0.96(0.15) -0.05(0.10) 0.70(0.08) 2.05(0.10)
YN11：能接受自己的外表嗎？
Appearance -0.18(0.11) -2.40(0.16) -1.07(0.09) 0.56(0.08) 2.91(0.15)
MH5：您是一個快樂的人？
Happy -0.23(0.08) -1.74(0.25) -0.96(0.15) -0.05(0.10) 0.70(0.08) 2.05(0.10)
MH1：您是一個非常緊張的人？
Nervous
-0.34(0.08) -1.74(0.25) -0.96(0.15) -0.05(0.10) 0.70(0.08) 2.05(0.10)MH4：覺得悶悶不樂和憂鬱？
Blue/Sad
-0.55(0.09) -1.74(0.25) -0.96(0.15) -0.05(0.10) 0.70(0.08) 2.05(0.10)MH2：覺得非常沮喪？
Down in Dumps
-0.73(0.09) -1.74(0.25) -0.96(0.15) -0.05(0.10) 0.70(0.08) 2.05(0.10)Table 25. Item and threshold estimates for the “Mental” items from WHOQOL-BREF and SF-36 combined (n=229, w/o medication group)
Taus (s.e.) Item NO. Difficulty
(s.e.) 1 2 3 4 5
Concentration 0.35(0.09) -2.24(0.15) -1.15(0.08) 0.25(0.06) 3.15(0.12)
MH3：覺得心情平靜？
Peaceful -0.01(0.07) -1.15(0.19) -0.92(0.13) -0.49(0.09) 0.51(0.07) 2.05(0.09)
MH1：您是一個非常緊張的人？
Nervous
-0.05(0.07) -1.15(0.19) -0.92(0.13) -0.49(0.09) 0.51(0.07) 2.05(0.09)YN6：覺得生命有意義嗎？
Life meaningful -0.08(0.09) -2.24(0.15) -1.15(0.08) 0.25(0.06) 3.15(0.12)
MH5：您是一個快樂的人？
Happy -0.10(0.07) -1.15(0.19) -0.92(0.13) -0.49(0.09) 0.51(0.07) 2.05(0.09)
YN19：對自己滿意嗎？
Self-satisfaction -0.30(0.10) -2.24(0.15) -1.15(0.08) 0.25(0.06) 3.15(0.12)
YN11：能接受自己的外表嗎？
Appearance -0.43(0.10) -2.24(0.15) -1.15(0.08) 0.25(0.06) 3.15(0.12)
MH4：覺得悶悶不樂和憂鬱？
Blue/Sad
-0.54(0.08) -1.15(0.19) -0.92(0.13) -0.49(0.09) 0.51(0.07) 2.05(0.09)MH2：覺得非常沮喪？
Down in Dumps
-0.68(0.08) -1.15(0.19) -0.92(0.13) -0.49(0.09) 0.51(0.07) 2.05(0.09)Table 26.Categary Statistics ( Infit and Outfit ) of with- and without- medication groups.
Subjects with index >1.4 (poor fit)
w/o medication (n=229) w/ medication (n=166)
Infit Outfit Infit Outfit
“Mental” Domain
WHOQOL 22.27% 21.40% 21.08% 22.29%
SF-36 23.14% 20.96% 31.33% 29.52%
“Physical “ Domain
WHOQOL 19.65% 21.83% 21.69% 22.89%
SF-36 24.45% 23.14% 25.90% 25.30%
0
WHOQOL-BREF- Physical
0
WHOQOL-BREF- Psychological
0
WHOQOL-BREF- Social
0
WHOQOL-BREF- Environmental
Figure 1. Distribution of 4 domain scores for the WHOQOL-BREF
Figure 2. Distribution of 8 scale scores for the SF-36
Physical (〝Physical〞)
Psychological (〝Mental〞)
Social
Environmental
PF
RP
BP(〝Physical〞)
GH
VT(〝Physical〞)
MH(〝Mental〞)
SF
RE
WHOQOL-BREF SF-36
0.52 0.51
0.55 0.52
0.62
0.52
Figure 3. Corresponding domains between the WHOQOL-BREF and the SF-36.
.
-1.6 -1.4 -1.2 -1 -0.8 -0.6 -0.4 -0.2 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6
"Physical" domain
WHOQOL w/ med
WHOQOL w/o med
SF-36 w/ med
SF-36 w/o med W2 W1 Figure 4. Average Rasch item calibration for the “Physical” domain of SF-36 and
WHOQOL-BREF separated (with- and without- medication groups)
0
W7:Dependence of medicatnS5:Pain-Magnitude S6:Pain-Interfere S4
Figure 5. Average Rasch item calibration for the “Physical” domain of SF-36 and WHOQOL-BREF combined (with- and without- medication groups)
0
WHOQOL w/ med
WHOQOL w/o med
SF-36 w/ med
SF-36 w/o med
W1:Enjoy life W2:Negative feeling W3:Concentration W4:Life meaningful W5:Self-satisfaction W6:Appearance S1:Peaceful S2:Happy S3:Nervous S4:Blue/Sad S5:Down in Dumps
W1
Figure 6. Average Rasch item calibration for the “Mental” domain of SF-36 and WHOQOL-BREF separated (with- and without- medication groups)
0
W1:Enjoy life W2:Concentration W3:Negative feeling W4:Life meaningful W5:Self-satisfaction S1:Peaceful W6:Appearance S2:Happy S3:Nervous S4:Blue/Sad S5:Down in Dumps
Figure 7. Average Rasch item calibration for the “Physical” domain of SF-36 and WHOQOL-BREF combined (with- and without- medication groups)
"Physical" DIF
Figure 8.Graph of DIF for “Physical” domain of WHOQOL-BREF between with- and without- medication groups.
"Physical" DIF
Figure 9. Graph of DIF for “Physical” domain of SF-36 between with- and without- medication groups.
"Mental" DIF
Figure 10. Graph of DIF for “Mental” domain of WHOQOL-BREF between with- and without- medication groups.
"Mental" DIF
Figure 11. Graph of DIF for “Mental” domain of SF-36 between with- and without- medication groups.
WHOQOL-BREF vs. SF-36(n=166)
Figure 12.Graph of trait equating from the “Physical” domain between WHOQOL-BREF and SF-36 (n=166, w/ medication group)
WHOQOL-BREF vs. SF-36(n=229)
-8
Figure 13. Graph of trait equating from the “Physical” domain between WHOQOL-BREF and SF-36 (n=229, w/o medication group)
WHOQOL-BREF vs SF-36(n=166)
Figure14. Graph of trait equating from the “Mental” domain between WHOQOL-BREF and SF-36 (n=166, w/ medication group)
WHOQOL-BREF vs SF-36(n=229)
-6
Figure 15. Graph of trait equating from the “Mental” domain between WHOQOL-BREF and SF-36 (n=229, w/o medication group)
附錄一 世界衛生組織生活品質問卷（台灣簡明版）
□完全不足夠 □少許足夠 □中等程度足夠 □很足夠 □完全足夠
□從來沒有 □不常有 □一半有一半沒有 □很常有 □一直都有 27. 您覺得自己有面子或被尊重嗎？
□完全沒有 □有一點有 □中等程度有 □很有 □極有
28. 您想吃的食物通常都能吃到嗎？
□從來沒有 □不常有 □一半有一半沒有 □很常有 □一直都有
附錄二 中文版 SF-36 健康量表問卷
4.在過去四個禮拜內，您是否曾因為身體健康問題，而在工作上或其他日常活動方面
9. 下列各項問題是關於過去四個禮拜內您的感覺及您對周遭生活的感受，請針對每
附錄三 WHOQOL-BREF 和 SF-36 在〝Physical〞向度的題目