Assessing Symptom Accommodation of Social Anxiety Symptoms Among Chinese Adults: Factor Structure and Psychometric Properties of Family Accommodation Scale Anxiety—Adult Report
Open accessAbstract
OBJECTIVE: Symptom accommodation is an important interpersonal construct associated with more severe symptoms, lower levels of functioning, and worse treatment outcomes across various mental health conditions, including social anxiety. Research on this phenomenon is surprisingly absent in Chinese culture, where interpersonal relationships are highly emphasized. This may be due to the absence of a valid Chinese symptom accommodation measure for individuals with social anxiety symptoms. The current study aimed to examine the factor structure and psychometric properties of the Family Accommodation Scale Anxiety-Adult Report (FASA-AR) in Chinese adults. METHODS: Three hundred and seventy-five Chinese undergraduate students with social anxiety symptoms completed a battery of self-report measures assessing symptom accommodation in relation to social anxiety symptoms and related impairments, as well as overall symptoms of anxiety and depression. RESULTS: Confirmatory factor analysis supported a two-factor model of symptom accommodation, with factors named Participation in symptom-related behaviors and Modification of functioning. The multiple indicators multiple causes model indicated the indicators of the FASA-AR, mainly the participation in symptom-related behaviors subscale, were not invariant across gender. Internal consistency for the FASA-AR total score and subscale scores was good. Convergent validity of the FASA-AR was evidenced by significant positive association with ratings of social anxiety symptoms, social anxiety related impairments, and anxiety symptoms. Divergent validity was supported by non-significant relation with depression symptoms. Nearly all participants (94.7%) endorsed being accommodated to some extent in the past month. CONCLUSION: Symptom accommodation is an important construct and is related to social anxiety symptoms among Chinese adults. The FASA-AR demonstrated a clear two-factor latent structure and possessed good psychometric properties that can validly and reliably assess symptom accommodation of social anxiety among Chinese adults.
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The FASA-AR has received preliminary validation in an undergraduate sample with elevated social anxiety disorder symptoms.
“The FASA-AR has received preliminary validation in an undergraduate sample with elevated social anxiety disorder symptoms from a university in China (Lou et al., 2020).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Lou et al., 2020
The Discussion describes preliminary evidence for the FASA-AR’s validity, and Participants and Procedures says the sample was recruited from a university in China. But only 81 participants (21.6%) met the study’s cutoff for elevated social anxiety symptoms; the full undergraduate sample was not an elevated-symptom sample. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe FASA-AR demonstrated convergent validity with measures of general anxiety symptoms and divergent validity with depressive symptoms.
“Furthermore, the FASA-AR demonstrated convergent validity with measures of general anxiety symptoms and divergent validity with depressive symptoms (Lou et al ., 2020).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Lou et al., 2020
The FASA-AR subscales have good internal consistency (Cronbach's alpha = .78-.86).
“the subscales were found to have good internal consistency (Cronbach ' s α = .78 -.86).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Lou et al., 2020
The FASA-AR has a two-factor structure with strong support.
“Strong support was found for the two-factor structure of the FASA-AR”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Lou et al., 2020
The growing evidence that SA is relevant across psychological disorders suggests that SA may be a transdiagnostic process.
“The growing evidence that SA is relevant across psychological disorders suggests that it may be a transdiagnostic process.”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Lou et al., 2020
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- Authors
- Lou, C., Zhou, X., Lebowitz, E. R., Williams, L. L., & Storch, E. A.
- Affiliations
- Shanghai Normal University (CN)
- Yale University (US)
- Baylor College of Medicine (US)
- Corresponding author
- Zhou, Xiaolu
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2020-06-04
- Volume
- 11
- Pages
- 1018-1018
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC7287202
- OpenAlex
- W3033789782
- Cited by
- 9
- References
- 46
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- social anxiety, Chinese adults, factor structure, psychometric properties, gender invariance, cross-cultural measurement, interpersonal relationships
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