Discussing Health-Related Quality of Life in Prenatal Consultations Richard L. Street, Jr., William R. Gold, and Tony McDowell
We adopted Ware and Sherbourne's (1992) conception that health status con-
sists of eight distinctive dimensions. Five represent patients' perceptions of problems with the health of their bodies and health in general. These include bodily pain, physical functioning (i.e., routine physical activities such as bending, walking, and lifting), role limitations due to physical problems, vitality (i.e., pep and energy), and health in general. Another three aspects of health status address the patient's perceptions of social and psychological problems. These include social functioning (i.e., relationships with family and friends), mental health (i.e., emotional well-being and psychological distress), and role limitations (e.g., work, chores, and other daily activities) due to emotional problems. For two reasons, we adopted Ware and Sherbourne's (1992) perspective on health status. First, their health concepts and SF-36 Health Status Questionnaire are arguably the most widely used approaches to the study of health status. Second, as is discussed later, the eight health status dimensions provide a convenient and diverse category system for classifying topics of physician-patient communication.