Evaluation of the reliability and validity of Functional Assessment Of Chronic Illness Therapy-Spiritual Well-Being-Expanded in elderly patients with chronic orthopaedic diseases.

BACKGROUND: The Functional Assessment Of Chronic Illness Therapy-Spiritual Well-Being-Expanded (FACIT-Sp-Ex) scale can simultaneously evaluate the quality of life and spiritual health level of patients with chronic orthopaedic diseases. We performed the FACIT-Sp-Ex scale in Chinese, and tested its reliability and validity in patients with chronic orthopaedic diseases. METHODS: There were 249 patients with chronic orthopaedic diseases who were selected for the questionnaire survey. AMOS 23.0 and SPSS 25.0 were used for statistical analysis to calculate the reliability and validity of the Chinese version of the scale. RESULTS: The Chinese version of FACIT-Sp-Ex scale showed that root mean square error of approximation (RMSEA) was 0.06. Cronbach's alpha coefficient was 0.83, the subscale was 0.72 ~ 0.82. The meaning, peace, relational subscales and total scale of the FACIT-Sp-Ex were negatively correlated with hospital anxiety and depression scale (HADS) and positively correlated with health-related quality of life (HRQOL). All four subdomains were inversely associated with HADS anxiety symptoms, the peace and relational subscales were inversely associated with HADS depressive symptoms. Elderly female patients score higher than male patients in faith subscale. The highest-scoring disease in FACIT-Sp-Ex faith scale was osteoarthritis, which in FACIT-Sp-Ex total scale are piriformis syndrome and osteoarthritis. CONCLUSION: The Chinese version of FACIT-Sp-Ex scale has good reliability and validity, which can be used as an evaluation tool for the spiritual status and quality of life of Chinese elderly chronic orthopaedic patients.

Expectation and Evaluation of Spouse's Filial Piety and Marital Satisfaction in China.

The present study examined the effect of expectation and evaluation of spouse's filial piety on marital satisfaction among young Chinese couples. We administered scales assessing gender role attitude, marital satisfaction, and expectation and evaluation of spouse's filial piety on 422 married participants and explored the relationships among these variables. The results showed the following: (1) gender role attitude mediated the relationship between participants' gender and evaluation of their spouse's filial piety. There was no significant gender difference in the evaluation of spouse's filial piety; however, men were more likely to have a traditional gender role attitude, and a traditional gender role attitude leads to lower evaluation of spouse's filial piety. Furthermore, it was found that the wife's sibling condition influenced the participants' expectation and evaluation of spouse's filial piety as compared to the husband's; (2) the evaluation of spouse's filial piety was significantly positively correlated with marital satisfaction; and (3) women's expectations of their husband's filial piety moderated this relationship. The positive effects of the evaluation of spouse's filial piety on marital satisfaction were significantly stronger when they had high expectations in this regard.