Lasebikan Victor Olufolahan
Department of Psychiatry, College of Medicine, University of Ibadan, P.O. Box 31395 (GPO), Ibadan, Nigeria.
ISRN Psychiatry. 2012 Jun 10;2012:165179. doi: 10.5402/2012/165179. Print 2012.
Objective. To validate the Yoruba version of Family Burden Interview Schedule (Y-FBIS) for assessing the burden on caregivers of persons with schizophrenia. Methods. Three hundred and sixty-eight dyads of persons with schizophrenia and their caregivers were recruited from a psychiatric outpatient clinic. The (Y-FBIS) and the Yoruba version of the GHQ-12 (Y-GHQ-12) were applied to the caregivers. Patients' level of social functioning was assessed using the Global Assessment of Functioning scale. Results. All (368) caregivers were used for tests of internal consistency, 180 for interrater reliability, and another 180 for test-retest reliability. Internal consistency of the Y-FBIS was demonstrated by a significant Cronbach α of between 0.62 and 0.82 for each item. Concurrent validity of the Y-FBIS was illustrated by its significant positive correlation with Y-GHQ-12 (r = 0.633 , P < 0.01). Split-half reliability was 0.849. Intraclass correlation coefficient for the total score of Y-FBIS was 0.849 at 95% confidence interval. Test-retest reliability of individual scales ranged from 0.780 to 0.874 and was 0.830 for total objective scale score. Convergent validity was shown by the significant positive correlation (r = 0.83) between the objective burden score and subjective burden score of Y-FBIS. ROC curve area was 0.981. Conclusion. The Y-FBIS is a valid, reliable, and sensitive instrument for assessing the burden on caregivers of persons with schizophrenia in Nigeria.
目的。验证约鲁巴语版家庭负担访谈量表(Y-FBIS),用于评估精神分裂症患者照料者的负担。方法。从一家精神科门诊招募了368对精神分裂症患者及其照料者。将Y-FBIS和约鲁巴语版一般健康问卷12项(Y-GHQ-12)应用于照料者。使用功能总体评定量表评估患者的社会功能水平。结果。所有368名照料者用于内部一致性检验,180名用于评分者间信度检验,另外180名用于重测信度检验。Y-FBIS的内部一致性通过各项目显著的克朗巴哈α系数在0.62至0.82之间得以证明。Y-FBIS的同时效度通过其与Y-GHQ-12的显著正相关(r = 0.633,P < 0.01)得以说明。分半信度为0.849。Y-FBIS总分的组内相关系数在95%置信区间为0.849。各分量表的重测信度范围为0.780至0.874,总客观量表得分的重测信度为0.830。Y-FBIS的客观负担得分与主观负担得分之间的显著正相关(r = 0.83)显示了收敛效度。ROC曲线面积为0.981。结论。Y-FBIS是一种有效、可靠且敏感的工具,用于评估尼日利亚精神分裂症患者照料者的负担。