Quality of Life Concepts

Secondary Health Conditions

Life Satisfaction Questionnaire 9 (LISAT-9-11)

Description: A domain-specific measure of life satisfaction.

Format: The LISAT-9 has 9 items; one is a global item for ‘life as a whole’ and 8 are domain-specific items for ‘vocational situation’, ‘financial situation’, ‘leisure’, ‘contact friends’, ‘sexual life’, ‘activities of daily living’, ‘family life’, and ‘partnership relationship’.  The LISAT-11 has 11 items, which includes the same items as the LISAT-9 but with two additions evaluating 'physical health' and 'psychological health'.

Scoring: Items are rated on an ordinal scale ranging from 1 (very dissatisfying) to 6 (very satisfying). Summing of the scores is not recommended; Rather, it is more appropriate to take the mean score.

Administration and Burden: Self-administered; Interviewer-administered; Approximately 5 minutes.

Psychometrics for SCI: Preliminary work using the LISAT in SCI has demonstrated good construct/criterion validity [1]. 

Languages: Translated into 8 languages.

QoL Concept: The LISAT is a domain-specific measure of Life Satisfaction, which corresponds to Box E (subjective evaluations and reactions; life satisfaction) of Dijker’s Model.

Permissions/Where to Obtain: Public domain; A copy can be obtained from the following article:

Fugl-Meyer A, Bränholm I-B, Fugl-Meyer K. Happiness and Domain-Specific Life Satisfaction in Adult Northern Swedes. Clin Rehabil 1991;5:25-33.


  1. Post M, De Witte L, Van Asbeck F, Schrijvers A. Predictors of Health Status and Life Satisfaction of People with Spinal Cord Injuries. Arch Phys Med Rehabil 1998;79:395-402.


Pain SCI Studies: Two cross-sectional survey studies.

  1. Norrbrink Budh C, Lundeberg T. Use of analgesic drugs in individuals with spinal cord injury. J Rehabil Med 2005;37:87-94.

  2. Norrbrink Budh C, Osteraker A-L. Life satisfaction in individuals with a spinal cord injury and pain. Clin Rehabil 2007;21:89-96.

Sensitivity to Impact: Norrbrink Budh and Lundeberg (2005) used the Hospital Anxiety and Depression Scale (HADS) and the Life Satisfaction 9 (LISAT-9) to elucidate which factors were associated with or predictive for the use of analgesic drugs in patients with spinal cord injury (SCI; N = 90). Regression analyses showed that the affective component was the main variable associated with the use of analgesic drugs, followed by a low score on leisure activities, and by the presence of stabbing/cutting pain. Non-analgesic users had higher scores on whole life satisfaction, leisure, and sexual life than analgesic users. In addition, anxiety and depression were higher in analgesic users compared to non-users.

Norrbrink Budh and Osteraker (2007) used the HADS and the LISAT-9 to assess and describe life satisfaction with regard to pain in individuals with SCI (N = 191). The sample was divided into 3 groups: no pain, intermittent pain, and continuous pain. There were significant group different for 6 of the 9 variables on the LISAT-9 scale, with patients with pain scoring lower than patients without pain on life as a whole, financial situation, leisure, contact with friends, activities of daily living, and family life. In general, patients with SCI and pain reported lower satisfaction with life compared to patients with SCI without pain.

Suggestions for Use: The LISAT-9 appears to be sensitive to the impact of SCI-related chronic pain.  Further, the LISAT (9 and 11) has been endorsed by the 'Spinal Cord Outcomes Partnership Endeavor' (SCOPE) [1], which is a broad-based international consortium of scientists and clinical researchers representing academic institutions, industry, government agencies, not-for-profit organizations and foundation. The endorsement, however, is not specific for assessing the impact of SCI-related pain.

Additional References:

  1. Alexander MS, et al. Outcome measures in spinal cord injury: Recent assessments and recommendations for future directions. Spinal Cord 2009:1-10.
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