Brief Chinese version of the Family Experience Interview Schedule to assess caregiver burden of family members of individuals with mental disorders.

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.在制定慢性精神障碍患者管理计划时需要解决 的一个重要问题就是照料者的负担，但是迄今为止， 国内还没有可靠的方法来评估上述负担。.评估家庭负担访谈问卷（Family Experience Interview Schedule, FEIS）中文简化版在国内住院精神障碍 患者的照料者中使用的信度和效度。.我们翻译114项条目的英文版FEIS，并回译。 然后用中文版评估606名住院精神障碍患者的主要照 料者。排除9项社会人口学变量和9项超过15％的受 访者都不能回答的条目后，我们随机选取一半样本问 卷对剩余的96项进行了探索性因子分析，并根据因子 分析的结果选择最终简化版量表包含的项目。利用另 一半样本数据，通过相关性分析、验证性因子分析和 内部一致性方法来评估最终简化版量表的信度和效度。.最终的中文版量表由28个条目组成，包括五 个维度：(a) 患者的暴力行为；(b) 患者的自杀倾向； (c) 照料者的抑郁和焦虑症状；(d) 照料者的日常生活 受扰乱；(e) 照料者对医疗服务的满意度。这五个维度 解释了总方差的50.5％。验证性因子分析发现该五因 子模型是合理的[χ2 /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]。每个条目和对应的因子之间的相关系 数均在0.5以上。整个量表的Cronbach α系数为0.76， 五个维度的Cronbach α系数在0.71和0.84之间。.28项FEIS简化中文版评估的家庭负担五个维度 具有良好的内部一致性，因此，可以用来评估国内重 性精神障碍患者照料者的家庭负担的各个维度。还需 要进一步工作来评估该量表的重测信度和随时间而改 变的灵敏度。.本文全文中文版从2015年4月8日起在http://dx.doi.org/10.11919/j.issn.1002-0829.214138可供免费阅览下载.