Abstract：
Using cross-sectional data from a representative sample of the French population (the 2008 Disability Health survey), this paper examines whether the SF-6D, a widely used preference-based measure of health-related quality of life in economic evaluations, fully captures the variation in subjective well-being (SWB) due to chronic illnesses. We conduct a mediation analysis to disentangle the direct and indirect, through the SF-6D, effects of various chronic conditions on SWB (happiness). Our results show that the SF-6D reflects changes in happiness due to most illnesses except mental illness. Changes in SWB mediated by the SF-6D account for 74% of the total effect. The variation unexplained by the SF-6D is significant and increases substantially in the presence of multimorbidity when a chronic illness is combined with anxiety or depression. Overall, our results suggest that the SF-6D incompletely captures the subjective experience of chronically ill patients, especially those with comorbid conditions.
摘要：
使用来自法国人口代表性样本的横截面数据(2008年残疾健康调查)，本文研究了SF-6D，在经济评估中广泛使用的基于偏好的健康相关生活质量衡量标准，完全捕获由于慢性疾病引起的主观幸福感（SWB）的变化。我们进行了调解分析，以理清直接和间接的关系，通过SF-6D，各种慢性病对SWB（幸福）的影响。我们的结果表明，SF-6D反映了除精神疾病外的大多数疾病引起的幸福感变化。由SF-6D介导的SWB的改变占总效应的74%。当慢性疾病与焦虑或抑郁相结合时，SF-6D无法解释的变化是显着的，并且在多患病的情况下大大增加。总的来说,我们的结果表明，SF-6D不完全捕获慢性病患者的主观体验，尤其是那些有共存条件的人。
