Aims: Present results from focus interviews concerning existential aspects related to the adaptation of the WHOQOL-SRPB(BREF) for Swedish adolescents.
Background: Exploring existential aspects of HRQL are important when mental ill-health is increasing among adolescents in a secular context. WHO introduced WHOQOL-SRPB in 2002 for measuring HRQL, including Spiritual, Religious and Personal beliefs [SRPB]. It is validated for Swedish adults. Now it requires adaptation for youth, even internationally.
Methods: Pupils (age 15–19) in four groups were interviewed following WHO instructions for cognitive interviewing. Content analysis of the transcribed interviews was conducted.
Results: The pupils considered existential aspects important for HRQL. The items: Meaning, Awe, Wholeness, Peace and Hope were comprehensible for them. Faith and Personal beliefs were related to e.g. insecurity, individualism:”To believe in yourself” and traditional aspects:”I personally believe in Jesus but I do not believe in God”. Spiritual Strength and Spiritual Connection did not require transcendence and could relate to various ideas e.g. nature or popular culture:”The first thing that pops up is the Lion King that talks to Simba in the clouds. It is his inner spirituality”.
Conclusion: Results show the importance of adaptation of existential aspects in HRQL to the cultural (secularized) context.