Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-rated
Background: Family accommodation (FA) in obsessive-compulsive disorder (OCD) means that the relatives of patients are involved in, help or facilitate patients' ritual behaviors and avoidance, which is a frequent occurrence and underresearched phenomenon in China. Recent studies have suggested t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-02-01
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| Series: | Comprehensive Psychiatry |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X20300626 |
| _version_ | 1818676144798433280 |
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| author | Zhenhua Liao Ciping You Ying Chen Jinli Zhang Lijun Ding |
| author_facet | Zhenhua Liao Ciping You Ying Chen Jinli Zhang Lijun Ding |
| author_sort | Zhenhua Liao |
| collection | DOAJ |
| description | Background: Family accommodation (FA) in obsessive-compulsive disorder (OCD) means that the relatives of patients are involved in, help or facilitate patients' ritual behaviors and avoidance, which is a frequent occurrence and underresearched phenomenon in China. Recent studies have suggested that FA is adversely associated with treatment response, contradictory to the goal of cognitive behavior therapy, a contributor to the maintenance of symptoms and increased symptom severity, and associated with low levels of family and social functioning. There is increasing interest and focus on establishing a family-based intervention for OCD treatment based on the inclusion of relatives by decreasing FA. The present study explored the psychometric properties of the Chinese version of the Family Accommodation Scale for OCD Interviewer-Rated (FAS-IR). Method: A total of 109 patients with OCD and 91 primary relatives were assessed in corresponding patient and family measures, and the FAS-IR was administered to relatives by trained interviewers. Results: More than 90% of the relatives accommodated patients' symptoms with at least one kind of FA behavior over the previous week, and the incidence of extreme or everyday routines was as high as 59.3%. Exploratory factor analysis demonstrated two-factor structure for the whole scale, including (1) modification and facilitation, and (2) participation. Cronbach's alpha was 0.798 for the whole scale, and the interrater and test-retest reliability coefficients were 0.835 (95%CI: 0.603–0.937) and 0.882 (95%CI: 0.685–0.959), respectively. Convergent validity was supported in exploring FA and was associated with symptom severity, level of functional impairment and family functioning related to OCD. The FA was not significantly correlated with depressive symptoms rated by the patients, as evidence of acceptable divergent validity. There was no significant difference in FA total score based on patient gender, patient age, or relationship with patients. Conclusions: The Chinese version of the FAS-IR demonstrated excellent psychometric properties for assessing the degree of FA, suggesting that it is a useful and valuable instrument in clinical and research settings. |
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| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-12-17T08:38:49Z |
| publishDate | 2021-02-01 |
| publisher | Elsevier |
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| series | Comprehensive Psychiatry |
| spelling | doaj.art-5f317d8d57df4ae4a7c046bd0686cefa2022-12-21T21:56:23ZengElsevierComprehensive Psychiatry0010-440X2021-02-01105152220Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-ratedZhenhua Liao0Ciping You1Ying Chen2Jinli Zhang3Lijun Ding4Department of Research and Education, Xiamen Xianyue Hospital, Xiamen, Fujian, China; Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fuzhou, Fujian, ChinaDepartment of Research and Education, Xiamen Xianyue Hospital, Xiamen, Fujian, ChinaDepartment of Research and Education, Xiamen Xianyue Hospital, Xiamen, Fujian, ChinaDepartment of Psychiatry Rehabilitation Medicine, Xuzhou Central Hospital, Xuzhou, Jiangsu, ChinaDepartment of Research and Education, Xiamen Xianyue Hospital, Xiamen, Fujian, China; Corresponding author at: Department of Psychiatry, Xiamen Xianyue Hospital, 387 Xianyue Road, Siming District, Xiamen 361012, Fujian, China.Background: Family accommodation (FA) in obsessive-compulsive disorder (OCD) means that the relatives of patients are involved in, help or facilitate patients' ritual behaviors and avoidance, which is a frequent occurrence and underresearched phenomenon in China. Recent studies have suggested that FA is adversely associated with treatment response, contradictory to the goal of cognitive behavior therapy, a contributor to the maintenance of symptoms and increased symptom severity, and associated with low levels of family and social functioning. There is increasing interest and focus on establishing a family-based intervention for OCD treatment based on the inclusion of relatives by decreasing FA. The present study explored the psychometric properties of the Chinese version of the Family Accommodation Scale for OCD Interviewer-Rated (FAS-IR). Method: A total of 109 patients with OCD and 91 primary relatives were assessed in corresponding patient and family measures, and the FAS-IR was administered to relatives by trained interviewers. Results: More than 90% of the relatives accommodated patients' symptoms with at least one kind of FA behavior over the previous week, and the incidence of extreme or everyday routines was as high as 59.3%. Exploratory factor analysis demonstrated two-factor structure for the whole scale, including (1) modification and facilitation, and (2) participation. Cronbach's alpha was 0.798 for the whole scale, and the interrater and test-retest reliability coefficients were 0.835 (95%CI: 0.603–0.937) and 0.882 (95%CI: 0.685–0.959), respectively. Convergent validity was supported in exploring FA and was associated with symptom severity, level of functional impairment and family functioning related to OCD. The FA was not significantly correlated with depressive symptoms rated by the patients, as evidence of acceptable divergent validity. There was no significant difference in FA total score based on patient gender, patient age, or relationship with patients. Conclusions: The Chinese version of the FAS-IR demonstrated excellent psychometric properties for assessing the degree of FA, suggesting that it is a useful and valuable instrument in clinical and research settings.http://www.sciencedirect.com/science/article/pii/S0010440X20300626Family accommodationPsychometric propertiesChinese versionObsessive-compulsive disorder |
| spellingShingle | Zhenhua Liao Ciping You Ying Chen Jinli Zhang Lijun Ding Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-rated Comprehensive Psychiatry Family accommodation Psychometric properties Chinese version Obsessive-compulsive disorder |
| title | Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-rated |
| title_full | Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-rated |
| title_fullStr | Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-rated |
| title_full_unstemmed | Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-rated |
| title_short | Psychometric properties of the Chinese version of the family accommodation scale for obsessive-compulsive disorder interviewer-rated |
| title_sort | psychometric properties of the chinese version of the family accommodation scale for obsessive compulsive disorder interviewer rated |
| topic | Family accommodation Psychometric properties Chinese version Obsessive-compulsive disorder |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X20300626 |
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