Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

This study examined changes over time on scales from the Short Form 36 (SF-36) and a new measure of goal-oriented subjective status (the GOSS) which assessed perceived rate of goal approach. Our aim was to determine whether adaptation to a moderately disabling chronic illness was associated with response shift. We also investigated predictors of response shift. At baseline, 301 members of a self-help group for people with Mnire's disease completed the GOSS and SF-36 scales, and potential predictors of response shift. At 10-month follow-up, respondents completed the GOSS and SF-36 again in the conventional manner, and as a Then-test. The GOSS was the only scale that indicated subjective improvement between baseline and follow-up. Then-test results suggested substantial response shift on the SF-36. Severe symptoms and social comparison predicted greater response shift. Less response shift was seen in those with a longer time since diagnosis, longer membership of the self-help group and higher baseline levels of self-esteem and optimism.

Original publication




Journal article


Psychology and Health

Publication Date





813 - 828