Cross-cultural adaptation of the family coping questionnaire and psychometric evaluation among caregivers of schizophrenic patients in China.

Authors

Ting-Ting Ruan, Yi-Wei Huang, Li-Juan Zhang

Published in

BMC nursing. Volume 24. Issue 1. Pages 853. Jul 05, 2025. Epub Jul 05, 2025.

Abstract

Schizophrenia is a significant public health concern in China, imposing a heavy burden on patients' families and the healthcare system. However, there is a lack of a specific questionnaire for family caregivers of schizophrenia patients in China. This study aimed to introduce and culturally adapt the Family Coping Questionnaire (FCQ) to develop an assessment tool suitable for the Chinese cultural context.
With the permission of the original author, the FCQ was culturally adapted following the Brislin translation model, which involved forward translation, target harmonization, back translation, and reconciliation. A pilot test with 15 caregivers was conducted to refine the questionnaire, followed by a cross-sectional survey of 242 participants from the psychiatric clinic and ward at the Third Xiangya Hospital of Central South University, Changsha, Hunan, China. Data analysis was performed using SPSS 22.0 to evaluate the scale's properties.
The Chinese version of the FCQ demonstrated good reliability, with a Cronbach's α of 0.714 for the overall questionnaire and ranging from 0.57 to 0.79 for individual scales. The split-half reliability was 0.654, and test-retest reliability ranged from 0.52 to 0.88 for individual scales, with an overall FCQ reliability of 0.89. The content validity index was 1.0, and the FCQ accounted for 62.97% of the variance, indicating satisfactory construct validity.
The culturally adapted Chinese version of the FCQ questionnaire has demonstrated good reliability and validity, serving as an effective tool for assessing the coping styles of caregivers of schizophrenia patients in China. However, this study has limitations. The sample was mainly composed of caregivers of patients in mild wards, and future research needs to expand the sample range.
Not applicable.

PMID:
40618043
Bibliographic data and abstract were imported from PubMed on 06 Jul 2025.

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