He Hongbo, Zhou Yanling, Sun Bin, Guo Yaoguang, Rosenheck Robert A
Guangzhou Huiai Hospital, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong Province, China.
Department of Psychiatry, Yale University School of Medicine, New Haven, United States.
Shanghai Arch Psychiatry. 2015 Feb 25;27(1):55-61. doi: 10.11919/j.issn.1002-0829.214138.
Caregiver burden is an important issue that needs to be addressed when developing management programs for persons with chronic mental illnesses, but there is, as yet, no reliable way for assessing this in China.
Assess the validity and reliability of a brief adapted Chinese version of the Family Experience Interview Schedule (FEIS) among caregivers of inpatients with mental disorders in China.
We first translated and back-translated the original 114-item FEIS and administered it to 606 primary caregivers of psychiatric inpatients. After excluding 9 items about sociodemographic variables and 9 items that over 15% of respondents were unable to answer, we conducted an exploratory factor analysis using a random half of the sample on the remaining 96 items and, based on the results of the factor analysis, selected the items to be included in the final shortened scale. Correlation analysis, confirmatory factor analysis, and internal consistency measures were used to assess the reliability and validity of the final scale using data from the second half of the sample.
The final scale included 28 items that loaded on five dimensions: (a) patients' violent behavior; (b) patients' suicidal tendency; (c) caregivers' depression and anxiety; (d) disruption of caregivers' daily routines; and (e) caregivers' satisfaction with health services. These five dimensions explained 50.5% of the total variance. Confirmatory factor analysis found reasonable fit of this 5-factor model (χ (2) /df=2.94, p<0.001, goodness-of-fit index [GFI]=0.85, comparative fit index [CFI]=0.85, root-mean-square error of approximation [RMSEA]=0.08). The correlation coefficients between each item and the corresponding factor were all above 0.5. The Cronbach α coefficient of the entire scale was 0.76 and that for the five dimensions varied between 0.71 and 0.84.
The five dimensions of family burden assessed by the 28-item brief Chinese version of FEIS have good internal consistency and, thus, appear to assess valid dimensions of family burden in Chinese caregivers of persons with serious mental illnesses. Further work is needed to assess the test-retest reliability of this scale and its sensitivity to change over time.
照顾者负担是为慢性精神疾病患者制定管理方案时需要解决的一个重要问题，但在中国，目前尚无可靠的评估方法。
评估简短改编中文版家庭体验访谈量表（FEIS）在中国精神障碍住院患者照顾者中的效度和信度。
我们首先对原114项的FEIS进行翻译和回译，并将其施用于606名精神科住院患者的主要照顾者。在排除9项关于社会人口学变量的条目以及超过15%的受访者无法回答的9项条目后，我们使用样本的随机一半对其余96项进行探索性因素分析，并根据因素分析结果选择纳入最终简化量表的条目。使用样本另一半的数据进行相关分析、验证性因素分析和内部一致性测量，以评估最终量表的信度和效度。
最终量表包括28个条目，分为五个维度：（a）患者的暴力行为；（b）患者的自杀倾向；（c）照顾者的抑郁和焦虑；（d）照顾者日常生活的干扰；（e）照顾者对医疗服务的满意度。这五个维度解释了总方差的50.5%。验证性因素分析发现该五因素模型拟合合理（χ(2)/df = 2.94，p < 0.001，拟合优度指数[GFI] = 0.85，比较拟合指数[CFI] = 0.85，近似均方根误差[RMSEA] = 0.08）。每个条目与相应因素之间的相关系数均高于0.5。整个量表的Cronbach α系数为0.76，五个维度的系数在0.71至0.84之间。
28项简短中文版FEIS评估的家庭负担五个维度具有良好的内部一致性；因此，似乎可以有效评估中国严重精神疾病患者照顾者的家庭负担维度。需要进一步开展工作来评估该量表的重测信度及其随时间变化的敏感性。
