
Social isolation has been shown to contribute to negative health outcomes. Within a Chinese cultural context where people highly value social relationships, family caregivers of people with severe mental illness are prone to experience social isolation due to demanding caregiving tasks and prevalent social stigma. However, an instrument that could comprehensively measure social isolation in Chinese family caregivers is lacking. The six-item Friendship Scale was designed to measure social isolation but it has not previously been validated for use in the Chinese context. This study aimed to assess the reliability and validity of the Friendship Scale - Chinese version (FS-C) in family caregivers of people with severe mental illness (SMI) (N = 200). Confirmatory factor analysis affirmed FS-C's single-factor structure. FS-C demonstrated good internal consistency (Cronbach's alpha = 0.74) and test-retest reliability (ICC = 0.72). Convergent validity was supported by moderate to strong correlations with social networks (r = 0.342, p < 0.01) and loneliness (r = -0.608, p < 0.01). Divergent validity was confirmed by a weak correlation with perceived social stigma (r = -0.190, p < 0.01). FS-C is a reliable and valid tool for assessing social isolation among Chinese family caregivers of people with SMI.
Male, Adult, China, Psychometrics, Clinical Trials and Supportive Activities, anzsrc-for: 4205 Nursing, Social Stigma, 150, anzsrc-for: 4201 Allied Health and Rehabilitation Science, 610, Friends, anzsrc-for: 520108 Testing, Validity, anzsrc-for: 420313 Mental health services, Caregiving Research, 4205 Nursing, Clinical Research, Surveys and Questionnaires, Behavioral and Social Science, Humans, anzsrc-for: 17 Psychology and Cognitive Sciences, wellbeing and community services, 4201 Allied Health and Rehabilitation Science, anzsrc-for: 440902 Counselling, Chinese, anzsrc-for: 42 Health Sciences, Mental Disorders, Loneliness, 42 Health Sciences, Reproducibility of Results, Social Support, 3 Good Health and Well Being, assessment and psychometrics, Middle Aged, 4203 Health Services and Systems, Serious Mental Illness, Reliability, Mental Illness, Brain Disorders, anzsrc-for: 4203 Health Services and Systems, Mental Health, anzsrc-for: 11 Medical and Health Sciences, Caregivers, Social Isolation, Schizophrenia, Female
Male, Adult, China, Psychometrics, Clinical Trials and Supportive Activities, anzsrc-for: 4205 Nursing, Social Stigma, 150, anzsrc-for: 4201 Allied Health and Rehabilitation Science, 610, Friends, anzsrc-for: 520108 Testing, Validity, anzsrc-for: 420313 Mental health services, Caregiving Research, 4205 Nursing, Clinical Research, Surveys and Questionnaires, Behavioral and Social Science, Humans, anzsrc-for: 17 Psychology and Cognitive Sciences, wellbeing and community services, 4201 Allied Health and Rehabilitation Science, anzsrc-for: 440902 Counselling, Chinese, anzsrc-for: 42 Health Sciences, Mental Disorders, Loneliness, 42 Health Sciences, Reproducibility of Results, Social Support, 3 Good Health and Well Being, assessment and psychometrics, Middle Aged, 4203 Health Services and Systems, Serious Mental Illness, Reliability, Mental Illness, Brain Disorders, anzsrc-for: 4203 Health Services and Systems, Mental Health, anzsrc-for: 11 Medical and Health Sciences, Caregivers, Social Isolation, Schizophrenia, Female
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