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Seven-Dimensional Time Quality of Life Scale correlates with mental health outcomes in psychiatric outpatients aged 12–65 years.

Seven-Dimensional Time Quality of Life Scale correlates with mental health outcomes in psychiatric o…
Photo by Chelaxy Designs / Unsplash
Key Takeaway
Consider the SDT-QoLS as a potential adjunctive tool for assessing time-related quality of life in psychiatric outpatient settings.

A systematic review assessed the psychometric properties of the Seven-Dimensional Time Quality of Life Scale (SDT-QoLS) among 608 participants aged 12 to 65 years recruited from a psychiatric outpatient setting. The study aimed to determine the scale's validity and reliability for measuring overall quality of daily time experience and its associations with key mental health indicators.

The analysis revealed a unidimensional factor structure accounting for 58.90% of common variance. Confirmatory factor analysis indicated acceptable model fit, while internal consistency was rated as good with a Cronbach alpha of 0.906. These metrics support the scale's reliability for measuring time-related quality of life in this population.

Associations between SDT-QoLS scores and secondary outcomes were examined. Results indicated a positive association with mental well-being. Conversely, the scale showed negative associations with depression, anxiety, and general psychological distress. No adverse events, discontinuations, or tolerability issues were reported, as these data were not collected or available for this psychometric evaluation.

Key limitations include the reliance on a systematic review of existing data rather than a primary randomized trial, which precludes causal inferences. The findings are specific to a psychiatric outpatient population and may not generalize to primary care or other settings. The scale may complement existing mental health assessments and support research and practice in mental health promotion, but clinicians should interpret these results cautiously given the observational nature of the evidence.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
BackgroundMental health assessment has traditionally relied on symptom-based measures of depression and anxiety. Although widely used, such measures may overlook individuals’ everyday experiences and lifestyle contexts that are closely related to psychological well-being. Grounded in the Seven-Dimensional Time Theory (SDTT), the present study aimed to develop and validate the Seven-Dimensional Time Quality of Life Scale (SDT-QoLS) to assess the overall quality of daily time experience.MethodsUsing a convenience sampling approach, participants aged 12–65 years were recruited from a psychiatric outpatient setting. Scale items were generated through literature review, qualitative interviews, and expert evaluation. A total of 608 valid questionnaires were included in the analyses. The sample was randomly divided into two subsamples for exploratory factor analysis (EFA; n = 304) and confirmatory factor analysis (CFA; n = 304). Factor structure, internal consistency, and convergent validity were examined.ResultsEFA supported a unidimensional structure of the SDT-QoLS, accounting for 58.90% of the common variance. CFA indicated an acceptable model fit. The scale demonstrated good internal consistency (α = 0.906). SDT-QoLS scores were positively associated with mental well-being and negatively associated with depression, anxiety, and general psychological distress.ConclusionThe SDT-QoLS provides a brief and psychometrically sound measure of subjective daily time quality. By focusing on everyday time experience rather than psychological symptoms, the scale may complement existing mental health assessments and support research and practice in mental health promotion.
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