Translation and Cross-Cultural Adaptation of the Family Accommodation Scale for Obsessive-Compulsive Disorder Into Chinese

2021 ◽  
pp. JCPSY-D-20-00020
Author(s):  
Zhenhua Liao ◽  
Ciping You ◽  
Ying Chen ◽  
Lingbo Yan ◽  
Jinli Zhang ◽  
...  

Family accommodation is a phenomenon that has been associated with worse treatment outcome of patients with obsessive-compulsive disorder (OCD) and greater severity of symptoms and levels of functional impairment. Yet, there are no Chinese scales to assess family accommodation in OCD among family members. The present study aimed to illustrate the steps of translation and cross-cultural adaptation of the Chinese versions of the Family Accommodation Scale (FAS). After obtaining authorization of the developers, the Chinese versions of the FAS were translated and adapted from the English versions based on a standard protocol, following six steps: forward translation, pilot administration, language adjustment and cultural adaptation, back-translation, review and minor edit, and final approval of the developer. Thirty-five pairs of patients and corresponding relatives with different education levels were administered the FAS in the pretest stage. This study found that the semantic, idiomatic, and conceptual equivalence were obtained between the Chinese versions and original English scales, and the Chinese versions of FAS were well translated and culturally adapted. We also found that the Chinese versions of the FAS can be easily understood by people of different socioeconomic statuses.

2007 ◽  
Vol 30 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Fernanda Pasquoto de Souza ◽  
Edna B Foa ◽  
Elisabeth Meyer ◽  
Kátia Gomes Niederauer ◽  
Andréa Litvin Raffin ◽  
...  

OBJECTIVE: The present study describes the process of translation into Brazilian Portuguese and the cross-cultural adaptation of the Obsessive-Compulsive Inventory and the Obsessive-Compulsive Inventory-Revised scales. The Obsessive-Compulsive Inventory was developed with the purpose of measuring the intensity of the various symptoms that characterize the obsessive-compulsive disorder, assessing their frequency and the distress they caused during the previous month, as well as estimating the overall severity of the disorder. Thus, different levels of severity among different obsessions and compulsions can be assessed and compared. METHOD: The scales were initially translated into Brazilian Portuguese by two bilingual psychiatrists and then independently back-translated by other two bilingual psychiatrists. The scales were then applied to 15 obsessive-compulsive disorder patients, deliberately chosen from different educational levels, to make language adjustments. The author accepted the final version of the Obsessive-Compulsive Inventory and the Obsessive-Compulsive Inventory-Revised scales after their back translation. RESULTS: The scales were easily understood and filled in by individuals and may be used with obsessive-compulsive disorder patients of different socioeconomic levels. CONCLUSION: The Obsessive-Compulsive Inventory and the Obsessive-Compulsive Inventory-Revised scales, in their Brazilian Portuguese version, can help health professionals to screen potential obsessive-compulsive disorder patients, assess the severity of obsessive-compulsive symptoms and reduce these symptoms using different treatments.


2010 ◽  
Vol 32 (3) ◽  
pp. 102-112 ◽  
Author(s):  
Juliana Braga Gomes ◽  
Lisa Calvocoressi ◽  
Barbara Van Noppen ◽  
Michele Pato ◽  
Elisabeth Meyer ◽  
...  

OBJECTIVE: To describe the process of translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR). METHOD: The process of translation and adaptation of the scale involved four bilingual health professionals. The scale was initially translated into Brazilian Portuguese independently by two professionals. Then, the two versions were compared, resulting in a preliminary Portuguese version that was administered to 15 relatives of patients diagnosed with obsessive-compulsive disorder (OCD) with different education levels, deliberately chosen to collect language adjustment suggestions. Subsequently, the scale was translated back into English independently by two other professionals. After comparing the two back translations, a new English version was generated. This version was reviewed and approved by the authors of the original scale. RESULTS: The Brazilian Portuguese version of the FAS-IR proved to be easily understood and can be used in relatives of OCD patients from different socioeconomic backgrounds. CONCLUSION: Adaptation of the FAS-IR into Brazilian Portuguese will enable health professionals to assess the level of accommodation in relatives of OCD patients and allows the development of future studies aimed at 1) studying the influence of family accommodation on maintaining and possibly facilitating OCD symptoms, and 2) assessing the effect of family accommodation on treatment outcomes in Portuguese-speaking populations.


2020 ◽  
pp. 002076402098110
Author(s):  
Mariana Bonati de Matos ◽  
Andressa Jacondino Pires ◽  
Jéssica Puchalski Trettim ◽  
Carolina Coelho Scholl ◽  
Viviane Porto Tabeleão ◽  
...  

Background: Family members tend to modify their routine by assisting or participating in the patient’s rituals. These behaviors have been identified as family accommodation (FA). Aims: The aim of this study was to describe the relationship between family accommodation of relatives of Obsessive-Compulsive Disorder (OCD) patients and their perceptions about the obsessions and compulsions of the patient. Method: This was a cross-sectional study with family members of Obsessive-Compulsive Disorder in a Southern Brazilian city. The family perception of the OCD symptoms and their accommodation were assessed through the Family Accommodation Scale for Obsessive-Compulsive Disorder – Interviewer-Rated (FAS-IR). Results: The level of family accommodation was higher in those family members who lived with the patient when compared to those who did not live with them ( p = .011). The obsessions associated with higher levels of family accommodation were: contamination ( p < .001), hoarding/saving ( p = .001), symmetry/exactness ( p = .001), religious ( p = .019), and diverse ( p = .003). Regarding compulsions, the perception of all symptoms was associated with higher levels of family accommodation ( p < .05). Conclusion: The family accommodation is present in family members of Obsessive-Compulsive Disorder patients, regardless of the type of obsessive/compulsive symptom perceived.


2009 ◽  
Vol 17 (4) ◽  
pp. 541-547 ◽  
Author(s):  
Edilene Curvelo Hora ◽  
Regina Márcia Cardoso de Sousa

This is a quantitative methodological development study on the cross-cultural adaptation of the "Family Needs Questionnaire" (FNQ), which is a structured instrument developed in the United States to measure the perceived needs of family members after the Traumatic Brain Injury (TBI) of a relative. This instrument aims to identify important needs presented by family members, whether met or not. The FNQ translation and adaptation followed a particular method, which permitted to achieve semantic, idiomatic, cultural and conceptual equivalence of the instrument version labeled in Portuguese as "Questionário de Necessidades da Família". The results of the questionnaire application to 161 family members showed that the instrument content is valid to measure the needs of families of patients with TBI in the Brazilian context.


2003 ◽  
Vol 25 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Gail Steketee ◽  
Barbara Van Noppen

This article reviews the family constellation of patients with obsessive compulsive disorder (OCD), the presence of OCD symptoms among family members, and familial aspects including parental attachment, expressed emotion (EE), and family accommodation. Some evidence supports a negative effect of hostility, emotional over-involvement, and criticism perceived by the patient on behavioral treatment outcome. However, actual criticism observed by the relative during an interview was associated with more benefit from therapy. Family accommodation predicted poorer family functioning and more severe OCD symptoms after behavioral treatment. A review of the limited treatment literature indicates no actual tests of the effects of psycho-educational and supportive treatments, although several reports suggest they are useful for families and patients. Including relatives in treatment has proved beneficial in some studies, especially with children, but not in others. Multiple family groups that focus on behavioral contracting for exposure and stopping rituals may be a promising intervention. Likewise, efforts to reduce family accommodation in the context of behavioral treatment have proved useful. Additional research on the content, process and effects of family interventions for OCD is much needed.


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