Design and Psychometrics of a Tool for Measuring Perceived Social Support among Family Caregivers of Patients with Mental Disorders

Design and Psychometrics of a Tool for Measuring Perceived Social Support among Family Caregivers of Patients with Mental Disorders | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Design and Psychometrics of a Tool for Measuring Perceived Social Support among Family Caregivers of Patients with Mental Disorders Tahereh Memarazad, Mohammad Akbari, Mousa Alavi, Sima Ghezelbash, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8749406/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 10 You are reading this latest preprint version Abstract Introduction: Family caregivers of patients with psychiatric disorders face significant physical and psychological burdens. Social support is a key moderating factor for these burdens, and designing a valid tool to measure it is essential. This study aimed to design and validate a questionnaire for perceived social support for family caregivers of psychiatric patients. Materials and Methods This psychometric cross-sectional study was conducted in 2024. The questionnaire was designed based on the deductive approach and Waltz's model. Face and content validity (qualitative and quantitative) were assessed by experts, and reliability was evaluated using Cronbach's alpha and principal component analysis. Results The final questionnaire consists of 33 items across five dimensions: 'Emotional Support, Spiritual Support, Social Security Provision, Financial Support, and Responsive Support System'. The Cronbach's alpha coefficient of 0.93 indicated excellent internal consistency of the tool. The total score ranges from 33 to 165, with a higher score indicating greater perceived support. Conclusion The designed questionnaire has acceptable validity and reliability and can be used as a valid tool for comprehensively assessing perceived social support among these caregivers. This tool provides a basis for evaluating the support status and designing evidence-based effective interventions. Validation Reliability Social Support Family Caregivers Mental Disorders Questionnaire Figures Figure 1 Introduction The increasing prevalence of psychiatric disorders is a major global public health challenge ( 1 ). According to the World Health Organization (WHO), in 2019, 970 million people worldwide were living with a mental disorder ( 2 ). Results of a 2020 systematic review indicated that the prevalence of mental disorders in Iran covers approximately 31.3% of the general population ( 3 ). In cultures like Iran, which are based on collectivist values and family responsibility, over 70% of patients live with their families ( 4 ). This highlights the indispensable role of family caregivers in treatment continuity, prevention of frequent hospitalizations, and improvement of patient health outcomes ( 5 ). Factors preventing rehospitalization of patients in psychiatric centers include the family caregivers and their level of support for the patient ( 6 ). Family caregivers face multidimensional caregiving burdens including physical, psychological, social, and economic pressures ( 7 ). Family caregivers of patients with psychiatric disorders often face social stigma and isolation ( 8 ). These conditions can impair their ability to cope effectively with stress and lead to adverse consequences such as anxiety, impaired family relationships, financial problems, reduced social interactions, changing family roles, and emotions like anger, guilt, or denial. Therefore, caregivers themselves increasingly need to receive social support from the community and those around them ( 9 ). Caregivers may become distant from friends, family, and community due to the time and effort spent providing care for the ill family member ( 10 ). Under these conditions, caregivers may feel a decrease in available social support ( 11 ). The prolonged care process, social isolation, and insufficient support can exacerbate caregivers' problems and caregiving pressures ( 12 ). This compounded burden not only severely affects the caregiver's quality of life but can also lead to caregiver burnout, reduced quality of care provided to the patient, and even adverse behaviors in the long term ( 13 ). A key factor that can act as a moderator against these pressures is perceived social support ( 14 ). Social support refers to tangible and intangible resources an individual receives through their social networks (including family, friends, colleagues, and formal institutions) ( 15 ). Social support can play an important role in maintaining individuals' physical and mental health, reducing the negative effects of environmental and social pressures ( 12 ), and facilitating health-promoting behaviors. Social support may play a significant role in maintaining mental health and improving caregivers' quality of life by mediating between life stressors and the emergence of physical/psychological problems, and by strengthening a sense of belonging, increasing resilience, and facilitating effective coping strategies ( 16 ). Some experts and researchers believe that health professionals do not pay sufficient attention to family caregivers of patients, and social support for them is also ambiguous and inadequate. This may be due to an incorrect definition of the concept of social support and a lack of clear criteria for measuring it. Consequently, the assessment and design of effective support programs face challenges. Therefore, developing a precise tool to measure social support for family caregivers is essential ( 11 ). Despite the availability of numerous tools to assess perceived social support in various individuals and groups (Sarason et al., 1983 ( 17 ); Bagherian-Sararoudi et al. in Iran, 2013 ( 18 ); Tonsing et al., 2012 ( 19 ); Zimet et al., 2011 ( 20 ); Chinese Multi-Dimensional Social Support Scale by Le Chou, 2000 ( 21 ); Norbeck, 1984 ( 22 )), a review of these tools reveals that most focus on support for the patient rather than the caregiver, and sometimes address the needs and problems of all family members, who are not necessarily the primary caregiver. Therefore, a globally designed questionnaire specific to caregivers, especially family caregivers of patients with mental disorders who have their own specific issues, is lacking. Family caregivers of psychiatric patients primarily face problems that may not be significant to others. Many previous studies have defined support as receiving financial help from others and have not been very successful in describing support in terms of what caregivers themselves actually need. Consequently, a precise examination of the dimensions of social support for these caregivers and a tool to assess their current support status remains neglected in the existing literature. One of the main duties of psychiatric nurses is planning to empower family caregivers and familiarize them with existing support programs in the community. Therefore, nurses' awareness of caregivers' perception of the social support received in the community seems crucial. The lack of a valid, reliable, and context-specific tool capable of comprehensively measuring the perceived social support by these caregivers is a serious barrier to accurately identifying their needs, evaluating the effectiveness of support programs, and ultimately designing targeted interventions. Thus, the aim of this study was to design and conduct a psychometric evaluation of a tool to measure perceived social support among family caregivers of patients with mental disorders. Materials and Methods This methodological study was conducted in 2024. In this study, the deductive method was used to formulate appropriate items for the perceived social support measurement tool for family caregivers of psychiatric patients. The process of designing and validating the questionnaire was performed in four stages based on the methodological framework of Waltz et al. ( 23 ). Stage 1: Item Development and Creation of the Initial Item Pool To develop comprehensive and relevant items, a systematic review of resources was conducted. International (PubMed, Google Scholar, Wiley, ScienceDirect, CINAHL, Embase) and Persian (SID, Magiran, IranMedex) databases were searched using related keywords in Persian and English from 2000 to 2024. After screening articles, key dimensions and components of social support in family caregivers were extracted. Using the deductive method based on these dimensions, an initial pool containing 203 items was compiled. These items were reviewed by the research team, overlapping items were deleted or merged, and linguistic editing was performed for simplification and clarity. Stage 2: Assessment of Content and Face Validity a) Face Validity: Assessed both qualitatively and quantitatively. In qualitative face validity, with the participation of 10 caregivers and 10 specialists (psychiatrist, psychologist, psychiatric nurse), the clarity, comprehensibility, simplicity of language, and apparent relevance of items were reviewed and revised. In quantitative face validity, using the 'impact score', the importance of each item was assessed by 5 caregivers and 5 specialists on a 5-point Likert scale. Items with an impact score below 1.5 were deleted. b) Content Validity: This stage was also performed qualitatively and quantitatively. In qualitative content validity, opinions from 10 experienced experts in tool development and mental health regarding comprehensiveness, relevance, and item structure were collected and applied. In quantitative content validity, Content Validity Ratio (CVR) and Content Validity Index (CVI) were calculated by 10 experts. The minimum acceptable CVR value, considering the number of experts, was set at 0.62. Also, based on Waltz and Bausell's method, CVI was calculated for each item, and only items with a CVI score above 0.79 were retained. Stage 3: Factor structure and Assessment of Construct Validity To determine the preliminary reliability of the tool, it was first tested on a pilot sample of 20 family caregivers of patients with mental disorders, and the Cronbach's alpha coefficient was approximately 0.86. After completing the validity stages, a 38-item questionnaire was prepared for Principal Component Analysis (PCA). The questionnaire was distributed to the study sample. The study population consisted of primary family caregivers of patients with psychiatric disorders referred to selected treatment centers in Isfahan. Inclusion criteria included being a first-degree relative of the patient, having primary caregiving responsibility, a minimum of 6 months of caregiving experience, no history of major psychiatric disorder, and being literate in Persian. Convenience sampling was used. The final sample size was determined to be 221 (with a minimum of 5 participants per item). The study was conducted after receiving the ethical code (IR.MUI.NUREMA.REC.1403.075) from the Ethics Committee of Isfahan University of Medical Sciences and obtaining written informed consent from participants. Data were analyzed using Statistical Package for the Social Sciences (SPSS) software version 22 (SPSS Inc., Chicago, IL, USA). Descriptive statistics were used for demographic data analysis. To achieve the research objective of "identifying underlying factors in social support for family caregivers of patients with mental disorders," Principal Component Analysis was used. First, the researcher examined the possible lack of correlation between variables using the correlation matrix. The Kaiser-Meyer-Olkin (KMO) statistic was calculated to assess sampling adequacy, with values between 0.8 and 0.9 considered suitable, and Bartlett's test was also calculated. Then, extraction of hidden factors was performed using Principal Component Analysis. Items with communalities less than 0.5 were removed from the analysis. Varimax rotation was performed to simplify the factor structure and enhance interpretability. The Kaiser criterion (eigenvalue > 1) was used to determine the appropriate number of components. The scree plot was also used as another criterion for determining the number of factors. Data were analyzed using SPSS 22 statistical software. Stage 4: Reliability Assessment The reliability of the tool was calculated using Cronbach's alpha coefficient for the entire questionnaire and each subscale. All items are positively oriented, and the total score is the sum of item scores, ranging from 33 to 165. A higher score indicates a higher level of perceived social support. Results This study used the four-stage Waltz process for tool design. Questionnaire items were designed using the deductive method. Ultimately, an item pool with 203 items was designed. Some items were deleted for reasons such as being repetitive or overlapping with other items. Some items were also modified, and the writing format of items was edited for simplification, resulting in a 179-item questionnaire. A 5-point Likert scale (5 = strongly agree, 4 = agree, 3 = neither agree nor disagree, 2 = disagree, 1 = strongly disagree) was deemed appropriate for responding to questionnaire items. Determining the Psychometric Properties of the Tool To examine the psychometric properties of the tool, qualitative and quantitative face validity, qualitative and quantitative content validity, construct validity, and reliability were assessed. Face Validity of the Tool In qualitative face validity, items were reviewed for fluency, easy comprehension, grammar, writing style, and ease of questionnaire completion, resulting in a 57-item questionnaire. Additionally, based on literature review and expert opinions, the research team formulated the initial draft of the questionnaire into 6 dimensions: emotional support, spiritual support, promotion of safety and security, facilitating access to health services, financial support, and responsive and satisfactory support structure. In quantitative face validity, 7 items were deleted due to an item impact score below 1.5, leaving a 50-item questionnaire. Content Validity of the Tool In qualitative content validity, based on expert opinions, repetitive or insignificant items were appropriately modified, resulting in the deletion of 9 items. In quantitative content validity, to determine the Content Validity Ratio (CVR), 10 experts were asked to evaluate each item based on a 3-part scale (necessary, useful but not necessary, not necessary). Based on this, 3 items (Item 3: "Those around me help me find solutions"; Item 9: "I trust those around me"; Item 35: "The level of guidance from personnel at service-providing centers matches my level of understanding") scored below 0.62 and were thus deleted, resulting in a 38-item questionnaire. Then, based on the average scores, the Scale-level Content Validity Index (S-CVI) for the 38-item questionnaire was calculated. The acceptable criterion is a score of 0.90, and in the present study, 0.92 was obtained, which is acceptable. Determining the Preliminary Reliability of the Tool The next step after confirming validity was examining the preliminary reliability of the tool. In this study, before factor analysis, the internal consistency of the questionnaire was determined using Cronbach's alpha coefficient. For this purpose, it was first calculated in a sample of 20 family caregivers of patients with mental disorders who participated in the pilot and face validity assessment, and the overall Cronbach's alpha coefficient was approximately 0.86. Results indicated the questionnaire has desirable internal consistency, and no items were deleted. Results of internal consistency assessment in all mentioned stages indicated high internal consistency in this questionnaire. Construct Validity To determine construct validity, after preparing the questionnaire and determining its preliminary validity and reliability, the questionnaire was distributed among the determined sample and, after collection, tested using Principal Component Analysis. A total of 221 eligible family caregivers completed the questionnaire (77 men, 144 women). The majority of participants were married (165 individuals; 74.70%). Most caregivers had a high school diploma. About half of the family caregivers of patients with mental disorders were homemakers. Among the participating family caregivers, 84 cared for patients with depression, 54 for bipolar disorder, and 41 for schizophrenia. The majority of family caregivers of patients with mental disorders were the patient's mother, spouse, father, and child, respectively. Also, most caregivers owned a private home and resided in the city. Regarding family income level, 66.50% of participants had an income less than living expenses. Family caregivers aged 19 to 86 years participated in this study. The number of children of family caregivers ranged from 0 to 11. Patients' ages ranged from 15 to 80 years. The number of hospitalizations of their patients varied up to 20 times. The minimum duration of care for a patient with a mental disorder was 1 year and the maximum was 40 years. The KMO statistic was calculated to assess sample adequacy. The KMO statistic ranges between 0 and 1, and values above 0.6 are considered desirable for conducting Principal Component Analysis. The KMO value was 0.86, indicating the sample was suitable for Principal Component Analysis. Bartlett's test of sphericity was also used to assess the correlation structure between items. The significant test (P < 0.001) indicated the suitability of the correlation matrix for conducting Principal Component Analysis. Communalities obtained from the analysis show the portion of each variable's variance explained by the extracted factors. Typically, in social science and psychology studies, item communalities range between 0.40 and 0.70. If an item has a communality less than 0.40, it may not correlate with other items. Findings showed that 5 items (Items 19, 20, 23, 24, 27) did not have adequate communalities and were deleted. Several criteria were used to determine the extracted factors. Kaiser Criterion: In the present study, based on the Kaiser criterion, 5 factors with eigenvalues greater than 1 were extracted, which together explained 58.91% of the variance. Results are presented in Table 1. Extraction Method: Principal Component Analysis. In the present study, the Kaiser criterion and scree plot were considered to determine the number of factors, and for a more comprehensive examination and accurate decision-making, Principal Component Analysis with orthogonal Varimax rotation, which provides clearer factor differentiation and interpretability, was used. Then, the 5 factors were named based on their items (Fig. 1 ). After determining the number of factors, they were named based on the common concepts of the items constituting each factor. Thus, 5 factors were finally confirmed by the research team under the titles: "Emotional Support, Spiritual Support, Social Security Provision, Financial Support, and Responsive Support System" (Table 2). Table 2: Factors extracted from Principal Component Analysis using Varimax rotation and factor loadings of items Factors items Components 1 2 3 4 5 Emotional Support 1. Those around me understand my problems and worries. 0.78 2. Those around me pay attention to my feelings. 0.82 3. Those around me make me feel valued. 0.73 4. I always have someone who listens to me. 0.73 5. I always have someone to accompany me when my patient's illness relapses. 0.70 6. I have someone who empathizes with me. 0.77 7. Those around me accept me under any circumstances. 0.70 8. Those around me motivate me when facing problems. 0.74 9. In times of need, there is someone who takes over the responsibility of caring for my patient instead of me. 0.55 Spiritual Support 10. I feel God's grace in every moment of my life. 0.84 11. Remembering God gives me strength and peace of mind. 0.82 12. I am always grateful to God. 0.84 13. I feel good about caring for my patient. 0.55 14. I am hopeful about the future. 0.56 Social Security Provision 15. I am capable of dealing with life's problems. 0.43 16. I have equal rights with others. 0.74 17. Society values me. 0.71 18. I have sufficient security during times of acute and irritable conditions of my patient. 0.63 19. In times of need, I can easily access care and treatment services. 0.51 20. Facilities have been considered for me as a patient caregiver in society. 0.52 21. Access to care and treatment center services is available at any hour of the day or night. 0.57 22. I receive care and treatment services without delay and at the scheduled time. 0.55 Financial Support 23. In my opinion, the costs of treatment services are appropriate and fair. 0.51 24. In case of necessity, I can benefit from governmental financial aid (such as Welfare Organization, Relief Committee, Martyrs Foundation, Support Center for Patients with Special Diseases, etc.). 0.74 25. Financial support from charitable organizations is satisfactory. 0.82 26. I am satisfied with the various financial supports. 0.82 27. If needed, I can count on the financial help of those around me. 0.41 Responsive Support System 28. If I have any ambiguity or problem, I can ask the staff again without facing inappropriate behavior from them. 0.77 29. The personnel of service-providing centers properly refer me to other centers when needed. 0.77 30. Appropriate coordination between service-providing organizations has made my work easier. 0.63 31. My suggestions and criticisms are considered by the officials of service-providing centers. 0.63 32. Services are provided to me with respect and honor. 0.72 33. Receiving support from service-providing organizations has a simple process. 0.66 To determine the reliability of the final questionnaire version, Cronbach's alpha coefficient was used. The alpha coefficient of 0.93 indicated high internal correlation of the questionnaire. Questionnaire Scoring: In this questionnaire, all items are scored positively; none are reverse-scored. The score range is from 33 to 165. A higher score indicates higher perceived support among family caregivers of psychiatric patients. Discussion This study aimed to design and psychometrically evaluate a specific tool for measuring perceived social support among family caregivers of patients with mental disorders. Based on the methodical development stages, the final questionnaire was designed across five dimensions: Emotional Support (9 items), Spiritual Support (5 items), Social Security Provision (8 items), Financial Support (5 items), and Responsive Support System (6 items) that shown in supplementary file. Identifying these dimensions not only reflects key support components in this specific population but also emphasizes the complexity and multidimensionality of the caregiving experience within Iran's mental health context. The Emotional Support dimension, as a main pillar, reflects the heavy psychological burdens caregivers endure. The presence of a patient with a mental disorder exposes the primary caregiver to a wide range of negative emotions such as grief, anger, anxiety, low self-esteem, despair, and especially feelings of shame and stigma, which are often overlooked ( 24 ). The exhausting and continuous nature of the caregiving process, often stemming from love and commitment, inevitably affects the caregiver's life ( 25 ). Neglecting caregivers' own needs in favor of the patient has negative consequences for their health and ultimately the quality of care provided ( 26 , 27 ). Therefore, assessing and providing emotional support resources is a critical necessity. Items in this dimension, such as "Those around me accept me under any circumstances," "I always have someone to listen to me," and "I have someone who empathizes with me," emphasize the need for unconditional acceptance, empathy, and the active presence of a social network to alleviate emotional pressures. This finding aligns with the views of experts like Fleming and Baum, who emphasize the necessity of having reliable individuals for receiving empathy and reassurance ( 28 , 29 ). Receiving such support can increase the caregiver's hope and reduce the caregiving burden ( 30 ). The Spiritual Support dimension in this tool is conceptualized beyond individual religious beliefs as an active source of psycho-social resilience. This dimension provides a sense of meaning, hope, control, and peace when facing the chronic stresses of caregiving. Items like "Remembering God gives me strength and peace" and "I am hopeful about the future" indicate spirituality acts as an adaptive coping mechanism and prevents the collapse of life's meaning ( 31 , 32 ). Studies have shown that caregivers with lower spiritual support report more mental and emotional fatigue ( 33 ), while spirituality can help them navigate difficult stages like denial and anger ( 32 ). In Iran's cultural-religious context, resorting to God and belief in divine will plays a prominent role in fostering acceptance and reducing suffering ( 34 ), aligning with findings from studies in other societies like Malaysia ( 35 ). Identifying this dimension highlights the need for systematic attention by the health team to caregivers' spiritual needs and distress ( 36 ). The Social Security Provision dimension was identified as an emerging and key dimension in this study. This dimension measures caregivers' specific need to feel safe from threats arising from the illness (such as disturbed patient behavior, worry about harm to self or others, and social stigma). Beyond physical security, this dimension addresses the caregiver's 'psycho-social sense of security,' achieved through recognition of equal rights, receiving social respect, and relative immunity from discrimination. Items like "I have equal rights with others" and "In acute conditions... I have sufficient security" imply this concept. Studies show that barriers to accessing services, limited mental health infrastructure, and problems like hospital bed shortages or inadequate insurance coverage intensify feelings of insecurity and tension in families ( 37 , 38 ). Therefore, this dimension emphasizes the necessity of designing practical and immediate supports to create a psychological and social protective shield. The Financial Support dimension reveals the direct and vital impact of economics on the caregiving experience. This dimension not only refers to sufficient income but assesses the accessibility, adequacy, and diversity of formal and informal financial resources to cover the heavy direct and indirect costs of care. A family member's mental illness confronts the family with treatment costs, loss of income (both patient and caregiver), and incidental costs ( 39 , 40 ). Items like "Insurance covers a large portion of services" and "I receive financial aid from governmental support centers" emphasize the role of formal institutions in providing economic security. Financial burden is one of the strongest predictors of caregiver stress and burnout, and caregivers often face financial regression ( 41 ). Attention to this dimension highlights the necessity of expanding insurance coverage and targeted financial support for this vulnerable group. The Responsive Support System dimension, focusing on the quality of the caregiver's interaction with formal institutions, measures a key and structured aspect of social support. This dimension evaluates the efficiency, respect, accessibility, and coordination of service delivery systems. Items like "My suggestions and criticisms are considered by..." and "Receiving services does not involve me in administrative paperwork" refer to constructs of accountability and user-centeredness in health services, consistent with the WHO framework. In Iran, despite the multiplicity of mental health professions, inter-sectoral lack of coordination and caregivers' unawareness of these professions' roles can create additional burden ( 26 , 42 ). A responsive system with a single entry point and clear service pathway reduces caregiver confusion. Studies show that complex and non-empathetic systems directly impact caregiver burnout ( 43 ), while participatory and coordinated communication with health staff increases caregiver confidence ( 44 ). Service design should be based on the "caregiver's journey," not existing administrative structures. The findings of this study align with global theoretical frameworks and recognized tools. The identified dimensions have conceptual overlap with factors from valid questionnaires such as the Multidimensional Scale of Perceived Social Support (MSPSS) by Zimet et al. ( 45 ), the Medical Outcomes Study (MOS) Social Support Survey by Sherbourne and Stewart ( 46 ), the Social Support Behaviors (SS-B) Scale based on Cobb's definition ( 47 ), and the Norbeck Social Support Questionnaire (NSSQ) ( 22 ). This alignment strengthens the construct validity of the present tool. Also, congruence with localized tools like the Family Social Support Questionnaire (FSSQ) for chronic patients by Khodapanahi et al. ( 48 ), which highlights emotional, informational, and instrumental dimensions, indicates the stability of key support factors in the Iranian context. The distinction and added value of the designed tool lie in its practicality, context-specificity, and comprehensiveness. This tool translates general concepts of social support into objective forms relevant to the unique challenges of caregivers of psychiatric patients in Iran. For example, "instrumental support" here is manifested as the system's 24/7 responsiveness or financial help from those around. Furthermore, extracting emerging dimensions like "Social Security Provision" and "Responsive Support System," directly stemming from caregivers' objective experiences, fills a gap in general tools. These dimensions well reflect the complexity of the stressful caregiving environment and the importance of interaction with formal systems. In summary, the tool designed in this study, while respecting the evolutionary path of theoretical foundations and previous tools, has taken a step forward by linking them to the specific context of caring for psychiatric patients in Iran. This five-dimensional questionnaire provides researchers, professionals, and mental health policymakers with a valid, context-specific, and pragmatic tool to comprehensively assess caregivers' perceived social support, more accurately identify their support needs, and ultimately design and implement targeted and effective support interventions and policies. This not only helps improve caregivers' quality of life but can also, in the long term, lead to enhanced quality of care for patients and reduced disease burden. Study Limitations This study has several limitations that should be considered when interpreting its findings. The use of convenience sampling from a single city may affect the generalizability of the results to broader or more diverse populations. Furthermore, the cross-sectional design of the study limits the ability to infer causal relationships or observe changes over time. Data were also collected through self-reported measures, which may be subject to social desirability bias or recall inaccuracies. Future research should aim to validate this tool in larger, more geographically diverse samples and assess its convergent and discriminant validity to further establish its robustness and applicability. Conclusion Family caregivers of psychiatric patients bear a significant caregiving burden, underscoring the need for targeted, evidence-based support. In response, this study successfully developed and validated a robust instrument for measuring perceived social support tailored to this population. The resulting questionnaire comprises 33 items organized across five distinct dimensions: Emotional Support, Spiritual Support, Social Security, Financial Support, and Responsive Support System. Demonstrating strong psychometric properties, this tool provides a reliable means to identify the multifaceted support needs of caregivers. It offers a practical foundation for designing targeted interventions and can inform the development of a more "caregiver-aware" healthcare system. The application of this instrument in future research and clinical practice represents a critical step towards delivering meaningful support to caregivers, thereby enhancing both the quality of patient care and overall community health outcomes. Abbreviations CVR Content Validity Ratio CVI Content Validity Index Declarations Acknowledgements The author would like to thank all participants. Funding This study is funded by a Grant (No. 3403216) from the Nursing & Midwifery care research center. Authors and Affiliations Tahereh Memarazad Department of Psychiatric Nursing, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran Mohammad Akbari Department of psychiatric nursing, Isfahan University of Medical Sciences, Isfahan, Iran. Mousa Alavi Department of Psychiatric Nursing, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran Sima Ghezelbash Department of Psychiatric Nursing, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran Zahra Yousefi Department of cilinical Psychology, Research center for behavioral and psychological science, department of psychology, Isf.C., Islamic Azad University, Isfahan, Iran Contributions Tahereh Memarazad, Mohammad Akbari, Sima Ghezelbash And Zahra Yousefi wrote the main manuscript text and Mousa Alavi prepared tables. All authors reviewed the manuscript. All authors read and approved the final version of the manuscript. Corresponding author Mohammad Akbari, MSc, PhD, Associate Professor, Department of Psychiatric Nursing, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, St. Hezar Jerib, Isfahan, Iran. Email: [email protected] Ethics declarations Ethics approval and consent to participate This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. this article was derived from the approved master's thesis and with the ethics identification number IR.MUI.NUREMA.REC.1403.075. Informed consent was obtained from the patients of the subjects, and they were assured that their information would remain confidential in the researcher's possession. Consent for publication Not applicable. Competing interests The authors declare no competing interests. Data availability The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.. References Fan Y, Fan A, Yang Z, Fan D. Global burden of mental disorders in 204 countries and territories, 1990–2021: results from the global burden of disease study 2021. BMC Psychiatry. 2025;25(1):486. Mental Health [Internet]. 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The effect of the virtual social network-based psycho-education on the hope of family caregivers of clients with severe mental disorders. Arch Psychiatr Nurs. 2021;35(3):290–5. Cheng W-L, Chang C-C, Griffiths MD, Yen C-F, Liu J-H, Su J-A, et al. Quality of life and care burden among family caregivers of people with severe mental illness: mediating effects of self-esteem and psychological distress. BMC Psychiatry. 2022;22(1):672. Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane database Syst reviews. 2017(6). Ntsayagae EI, Myburgh C, Poggenpoel M. Experiences of family caregivers of persons living with mental illness: A meta-synthesis. Curationis. 2019;42(1):1–9. Fleming R, Baum A, Singer JE. Social support and the physical environment. 1985. Sartorius N. Fighting schizophrenia and its stigma: a new World Psychiatric Association educational programme. Br J Psychiatry. 1997;170(4):297. Olawande TI, Ajayi MP, Amoo EO, Iruonagbe CT. Variations in family attitudes towards coping with people living with mental illness. Open access Macedonian J Med Sci. 2019;7(12):2010. Swinton J, Pattison S. Moving beyond clarity: towards a thin, vague, and useful understanding of spirituality in nursing care. Nurs Philos. 2010;11(4):226–37. Uzun U, Başar S, Saritaş A. Spiritual needs of family caregivers in palliative care. BMC Palliat Care. 2024;23(1):256. Sfeir M, Zeitoun A, Hallit S, Obeid S. Presence of a psychiatric patient at home and work fatigue in family caregivers: the moderating effect of spirituality. Perspect Psychiatr Care. 2022;58(4):2664–75. Sharif L, Basri S, Alsahafi F, Altaylouni M, Albugumi S, Banakhar M, et al. An exploration of family caregiver experiences of burden and coping while caring for people with mental disorders in Saudi Arabia—A qualitative study. Int J Environ Res Public Health. 2020;17(17):6405. Azman A, Jamir Singh PS, Sulaiman J. Caregiver coping with the mentally ill: a qualitative study. J Mental Health. 2017;26(2):98–103. Damianakis T, Wilson K, Marziali E. Family caregiver support groups: spiritual reflections’ impact on stress management. Aging Ment Health. 2018;22(1):70–6. Verity F, Turiho A, Mutamba B, Cappo D. Family care for persons with severe mental illness: experiences and perspectives of caregivers in Uganda. Int J Mental Health Syst. 2021;15(1):48. Tamizi Z, Fallahi-Khoshknab M, Dalvandi A, Mohammadi-Shahboulaghi F, Mohammadi E, Bakhshi E. Caregiving burden in family caregivers of patients with schizophrenia: A qualitative study. J Educ health promotion. 2020;9(1):12. Ride J, Kasteridis P, Gutacker N, Aragon Aragon MJ, Jacobs R. Healthcare costs for people with serious mental illness in England: an analysis of costs across primary care, hospital care, and specialist mental healthcare. Appl Health Econ Health Policy. 2020;18(2):177–88. Mokwena KE, Ngoveni A. Challenges of providing home care for a family member with serious chronic mental illness: A qualitative enquiry. Int J Environ Res Public Health. 2020;17(22):8440. Alyafei AH, Alqunaibet T, Mansour H, Ali A, Billings J. The experiences of family caregivers of people with severe mental illness in the Middle East: A systematic review and meta-synthesis of qualitative data. PLoS ONE. 2021;16(7):e0254351. Akbari M, Alavi M, Maghsoudi J, Irajpour A, Lopez V, Cleary M. Mastering the art of collaboration: Supporting family caregivers of mental health patients by service providers in Iran. Adm Policy Mental Health Mental Health Serv Res. 2019;46(1):54–61. Smith D. Exploring Burnout Among Family Caregivers of Patients With Schizophrenia: A Qualitative Phenomenological Study. National University; 2024. Stuart R, Akther SF, Machin K, Persaud K, Simpson A, Johnson S, et al. Carers' experiences of involuntary admission under mental health legislation: systematic review and qualitative meta-synthesis. BJPsych Open. 2020;6(2):e19. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30–41. Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705–14. Vaux A, Riedel S, Stewart D. Modes of social support: The social support behaviors (SS-B) scale. Am J Community Psychol. 1987;15(2):209–32. Khodapanahi MK, Asghari A, Sedghpoor BS, Katebaii J. Preparing and investigating the reliability and validation of the family social support questionnaire (FSSQ). J family Res. 2009;5(4):423–39. Additional Declarations No competing interests reported. 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According to the World Health Organization (WHO), in 2019, 970\u0026nbsp;million people worldwide were living with a mental disorder (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e). Results of a 2020 systematic review indicated that the prevalence of mental disorders in Iran covers approximately 31.3% of the general population (\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eIn cultures like Iran, which are based on collectivist values and family responsibility, over 70% of patients live with their families (\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e). This highlights the indispensable role of family caregivers in treatment continuity, prevention of frequent hospitalizations, and improvement of patient health outcomes (\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e). Factors preventing rehospitalization of patients in psychiatric centers include the family caregivers and their level of support for the patient (\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eFamily caregivers face multidimensional caregiving burdens including physical, psychological, social, and economic pressures (\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e). Family caregivers of patients with psychiatric disorders often face social stigma and isolation (\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e). These conditions can impair their ability to cope effectively with stress and lead to adverse consequences such as anxiety, impaired family relationships, financial problems, reduced social interactions, changing family roles, and emotions like anger, guilt, or denial. Therefore, caregivers themselves increasingly need to receive social support from the community and those around them (\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e). Caregivers may become distant from friends, family, and community due to the time and effort spent providing care for the ill family member (\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e). Under these conditions, caregivers may feel a decrease in available social support (\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e). The prolonged care process, social isolation, and insufficient support can exacerbate caregivers' problems and caregiving pressures (\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e). This compounded burden not only severely affects the caregiver's quality of life but can also lead to caregiver burnout, reduced quality of care provided to the patient, and even adverse behaviors in the long term (\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eA key factor that can act as a moderator against these pressures is perceived social support (\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e). Social support refers to tangible and intangible resources an individual receives through their social networks (including family, friends, colleagues, and formal institutions) (\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e). Social support can play an important role in maintaining individuals' physical and mental health, reducing the negative effects of environmental and social pressures (\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e), and facilitating health-promoting behaviors. Social support may play a significant role in maintaining mental health and improving caregivers' quality of life by mediating between life stressors and the emergence of physical/psychological problems, and by strengthening a sense of belonging, increasing resilience, and facilitating effective coping strategies (\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eSome experts and researchers believe that health professionals do not pay sufficient attention to family caregivers of patients, and social support for them is also ambiguous and inadequate. This may be due to an incorrect definition of the concept of social support and a lack of clear criteria for measuring it. Consequently, the assessment and design of effective support programs face challenges. Therefore, developing a precise tool to measure social support for family caregivers is essential (\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e). Despite the availability of numerous tools to assess perceived social support in various individuals and groups (Sarason et al., 1983 (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e); Bagherian-Sararoudi et al. in Iran, 2013 (\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e); Tonsing et al., 2012 (\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e); Zimet et al., 2011 (\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e); Chinese Multi-Dimensional Social Support Scale by Le Chou, 2000 (\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e); Norbeck, 1984 (\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e)), a review of these tools reveals that most focus on support for the patient rather than the caregiver, and sometimes address the needs and problems of all family members, who are not necessarily the primary caregiver. Therefore, a globally designed questionnaire specific to caregivers, especially family caregivers of patients with mental disorders who have their own specific issues, is lacking. Family caregivers of psychiatric patients primarily face problems that may not be significant to others. Many previous studies have defined support as receiving financial help from others and have not been very successful in describing support in terms of what caregivers themselves actually need. Consequently, a precise examination of the dimensions of social support for these caregivers and a tool to assess their current support status remains neglected in the existing literature. One of the main duties of psychiatric nurses is planning to empower family caregivers and familiarize them with existing support programs in the community. Therefore, nurses' awareness of caregivers' perception of the social support received in the community seems crucial. The lack of a valid, reliable, and context-specific tool capable of comprehensively measuring the perceived social support by these caregivers is a serious barrier to accurately identifying their needs, evaluating the effectiveness of support programs, and ultimately designing targeted interventions. Thus, the aim of this study was to design and conduct a psychometric evaluation of a tool to measure perceived social support among family caregivers of patients with mental disorders.\u003c/p\u003e"},{"header":"Materials and Methods","content":"\u003cp\u003eThis methodological study was conducted in 2024. In this study, the deductive method was used to formulate appropriate items for the perceived social support measurement tool for family caregivers of psychiatric patients. The process of designing and validating the questionnaire was performed in four stages based on the methodological framework of Waltz et al. (\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eStage 1: Item Development and Creation of the Initial Item Pool\u003c/p\u003e \u003cp\u003eTo develop comprehensive and relevant items, a systematic review of resources was conducted. International (PubMed, Google Scholar, Wiley, ScienceDirect, CINAHL, Embase) and Persian (SID, Magiran, IranMedex) databases were searched using related keywords in Persian and English from 2000 to 2024. After screening articles, key dimensions and components of social support in family caregivers were extracted. Using the deductive method based on these dimensions, an initial pool containing 203 items was compiled. These items were reviewed by the research team, overlapping items were deleted or merged, and linguistic editing was performed for simplification and clarity.\u003c/p\u003e \u003cp\u003eStage 2: Assessment of Content and Face Validity\u003c/p\u003e \u003cp\u003e \u003cp\u003ea) Face Validity: Assessed both qualitatively and quantitatively. In qualitative face validity, with the participation of 10 caregivers and 10 specialists (psychiatrist, psychologist, psychiatric nurse), the clarity, comprehensibility, simplicity of language, and apparent relevance of items were reviewed and revised. In quantitative face validity, using the 'impact score', the importance of each item was assessed by 5 caregivers and 5 specialists on a 5-point Likert scale. Items with an impact score below 1.5 were deleted.\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003cp\u003eb) Content Validity: This stage was also performed qualitatively and quantitatively. In qualitative content validity, opinions from 10 experienced experts in tool development and mental health regarding comprehensiveness, relevance, and item structure were collected and applied. In quantitative content validity, Content Validity Ratio (CVR) and Content Validity Index (CVI) were calculated by 10 experts. The minimum acceptable CVR value, considering the number of experts, was set at 0.62. Also, based on Waltz and Bausell's method, CVI was calculated for each item, and only items with a CVI score above 0.79 were retained.\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003c/ol\u003e \u003c/p\u003e \u003cp\u003eStage 3: Factor structure and Assessment of Construct Validity\u003c/p\u003e \u003cp\u003e To determine the preliminary reliability of the tool, it was first tested on a pilot sample of 20 family caregivers of patients with mental disorders, and the Cronbach's alpha coefficient was approximately 0.86. After completing the validity stages, a 38-item questionnaire was prepared for Principal Component Analysis (PCA). The questionnaire was distributed to the study sample. The study population consisted of primary family caregivers of patients with psychiatric disorders referred to selected treatment centers in Isfahan. Inclusion criteria included being a first-degree relative of the patient, having primary caregiving responsibility, a minimum of 6 months of caregiving experience, no history of major psychiatric disorder, and being literate in Persian. Convenience sampling was used. The final sample size was determined to be 221 (with a minimum of 5 participants per item).\u003c/p\u003e \u003cp\u003e The study was conducted after receiving the ethical code (IR.MUI.NUREMA.REC.1403.075) from the Ethics Committee of Isfahan University of Medical Sciences and obtaining written informed consent from participants.\u003c/p\u003e \u003cp\u003eData were analyzed using Statistical Package for the Social Sciences (SPSS) software version 22 (SPSS Inc., Chicago, IL, USA). Descriptive statistics were used for demographic data analysis. To achieve the research objective of \"identifying underlying factors in social support for family caregivers of patients with mental disorders,\" Principal Component Analysis was used. First, the researcher examined the possible lack of correlation between variables using the correlation matrix. The Kaiser-Meyer-Olkin (KMO) statistic was calculated to assess sampling adequacy, with values between 0.8 and 0.9 considered suitable, and Bartlett's test was also calculated. Then, extraction of hidden factors was performed using Principal Component Analysis.\u003c/p\u003e \u003cp\u003eItems with communalities less than 0.5 were removed from the analysis. Varimax rotation was performed to simplify the factor structure and enhance interpretability. The Kaiser criterion (eigenvalue\u0026thinsp;\u0026gt;\u0026thinsp;1) was used to determine the appropriate number of components. The scree plot was also used as another criterion for determining the number of factors. Data were analyzed using SPSS 22 statistical software.\u003c/p\u003e \u003cp\u003eStage 4: Reliability Assessment\u003c/p\u003e \u003cp\u003eThe reliability of the tool was calculated using Cronbach's alpha coefficient for the entire questionnaire and each subscale. All items are positively oriented, and the total score is the sum of item scores, ranging from 33 to 165. A higher score indicates a higher level of perceived social support.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eThis study used the four-stage Waltz process for tool design. Questionnaire items were designed using the deductive method. Ultimately, an item pool with 203 items was designed. Some items were deleted for reasons such as being repetitive or overlapping with other items. Some items were also modified, and the writing format of items was edited for simplification, resulting in a 179-item questionnaire. A 5-point Likert scale (5\u0026thinsp;=\u0026thinsp;strongly agree, 4\u0026thinsp;=\u0026thinsp;agree, 3\u0026thinsp;=\u0026thinsp;neither agree nor disagree, 2\u0026thinsp;=\u0026thinsp;disagree, 1\u0026thinsp;=\u0026thinsp;strongly disagree) was deemed appropriate for responding to questionnaire items.\u003c/p\u003e\n\u003ch3\u003eDetermining the Psychometric Properties of the Tool\u003c/h3\u003e\n\u003cp\u003eTo examine the psychometric properties of the tool, qualitative and quantitative face validity, qualitative and quantitative content validity, construct validity, and reliability were assessed.\u003c/p\u003e\n\u003ch3\u003eFace Validity of the Tool\u003c/h3\u003e\n\u003cp\u003eIn qualitative face validity, items were reviewed for fluency, easy comprehension, grammar, writing style, and ease of questionnaire completion, resulting in a 57-item questionnaire. Additionally, based on literature review and expert opinions, the research team formulated the initial draft of the questionnaire into 6 dimensions: emotional support, spiritual support, promotion of safety and security, facilitating access to health services, financial support, and responsive and satisfactory support structure. In quantitative face validity, 7 items were deleted due to an item impact score below 1.5, leaving a 50-item questionnaire.\u003c/p\u003e\n\u003ch3\u003eContent Validity of the Tool\u003c/h3\u003e\n\u003cp\u003eIn qualitative content validity, based on expert opinions, repetitive or insignificant items were appropriately modified, resulting in the deletion of 9 items. In quantitative content validity, to determine the Content Validity Ratio (CVR), 10 experts were asked to evaluate each item based on a 3-part scale (necessary, useful but not necessary, not necessary). Based on this, 3 items (Item 3: \"Those around me help me find solutions\"; Item 9: \"I trust those around me\"; Item 35: \"The level of guidance from personnel at service-providing centers matches my level of understanding\") scored below 0.62 and were thus deleted, resulting in a 38-item questionnaire. Then, based on the average scores, the Scale-level Content Validity Index (S-CVI) for the 38-item questionnaire was calculated. The acceptable criterion is a score of 0.90, and in the present study, 0.92 was obtained, which is acceptable.\u003c/p\u003e\n\u003ch3\u003eDetermining the Preliminary Reliability of the Tool\u003c/h3\u003e\n\u003cp\u003eThe next step after confirming validity was examining the preliminary reliability of the tool. In this study, before factor analysis, the internal consistency of the questionnaire was determined using Cronbach's alpha coefficient. For this purpose, it was first calculated in a sample of 20 family caregivers of patients with mental disorders who participated in the pilot and face validity assessment, and the overall Cronbach's alpha coefficient was approximately 0.86. Results indicated the questionnaire has desirable internal consistency, and no items were deleted. Results of internal consistency assessment in all mentioned stages indicated high internal consistency in this questionnaire.\u003c/p\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eConstruct Validity\u003c/h2\u003e \u003cp\u003eTo determine construct validity, after preparing the questionnaire and determining its preliminary validity and reliability, the questionnaire was distributed among the determined sample and, after collection, tested using Principal Component Analysis. A total of 221 eligible family caregivers completed the questionnaire (77 men, 144 women). The majority of participants were married (165 individuals; 74.70%). Most caregivers had a high school diploma. About half of the family caregivers of patients with mental disorders were homemakers. Among the participating family caregivers, 84 cared for patients with depression, 54 for bipolar disorder, and 41 for schizophrenia. The majority of family caregivers of patients with mental disorders were the patient's mother, spouse, father, and child, respectively. Also, most caregivers owned a private home and resided in the city. Regarding family income level, 66.50% of participants had an income less than living expenses. Family caregivers aged 19 to 86 years participated in this study. The number of children of family caregivers ranged from 0 to 11. Patients' ages ranged from 15 to 80 years. The number of hospitalizations of their patients varied up to 20 times. The minimum duration of care for a patient with a mental disorder was 1 year and the maximum was 40 years.\u003c/p\u003e \u003cp\u003eThe KMO statistic was calculated to assess sample adequacy. The KMO statistic ranges between 0 and 1, and values above 0.6 are considered desirable for conducting Principal Component Analysis. The KMO value was 0.86, indicating the sample was suitable for Principal Component Analysis. Bartlett's test of sphericity was also used to assess the correlation structure between items. The significant test (P\u0026thinsp;\u0026lt;\u0026thinsp;0.001) indicated the suitability of the correlation matrix for conducting Principal Component Analysis.\u003c/p\u003e \u003cp\u003eCommunalities obtained from the analysis show the portion of each variable's variance explained by the extracted factors. Typically, in social science and psychology studies, item communalities range between 0.40 and 0.70. If an item has a communality less than 0.40, it may not correlate with other items. Findings showed that 5 items (Items 19, 20, 23, 24, 27) did not have adequate communalities and were deleted.\u003c/p\u003e \u003cp\u003eSeveral criteria were used to determine the extracted factors. Kaiser Criterion: In the present study, based on the Kaiser criterion, 5 factors with eigenvalues greater than 1 were extracted, which together explained 58.91% of the variance. Results are presented in Table\u0026nbsp;1.\u003c/p\u003e\n\u003cp\u003e\u003cimg 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\"\u003e\u003c/p\u003e\n\u003cp\u003eExtraction Method: Principal Component Analysis.\u003c/p\u003e\n\n\n\n \u003cp\u003eIn the present study, the Kaiser criterion and scree plot were considered to determine the number of factors, and for a more comprehensive examination and accurate decision-making, Principal Component Analysis with orthogonal Varimax rotation, which provides clearer factor differentiation and interpretability, was used. Then, the 5 factors were named based on their items (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eAfter determining the number of factors, they were named based on the common concepts of the items constituting each factor. Thus, 5 factors were finally confirmed by the research team under the titles: \"Emotional Support, Spiritual Support, Social Security Provision, Financial Support, and Responsive Support System\" (Table\u0026nbsp;2).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabb\" border=\"1\"\u003e \u003ccolgroup cols=\"10\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c10\" colnum=\"10\"\u003e\u003c/div\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"9\" nameend=\"c10\" namest=\"c2\"\u003e \u003cp\u003eTable\u0026nbsp;2: Factors extracted from Principal Component Analysis using Varimax rotation and factor loadings of items\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"3\" morerows=\"1\" nameend=\"c3\" namest=\"c1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eFactors\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eitems\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"5\" nameend=\"c9\" namest=\"c5\"\u003e \u003cp\u003e\u003cb\u003eComponents\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"3\" morerows=\"8\" nameend=\"c3\" namest=\"c1\" rowspan=\"9\"\u003e \u003cp\u003e\u003cb\u003eEmotional Support\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1. Those around me understand my problems and worries.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.78\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2. Those around me pay attention to my feelings.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.82\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3. Those around me make me feel valued.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.73\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4. I always have someone who listens to me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.73\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e5. I always have someone to accompany me when my patient's illness relapses.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.70\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e6. I have someone who empathizes with me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.77\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e7. Those around me accept me under any circumstances.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.70\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e8. Those around me motivate me when facing problems.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e9. In times of need, there is someone who takes over the responsibility of caring for my patient instead of me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.55\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"3\" morerows=\"4\" nameend=\"c3\" namest=\"c1\" rowspan=\"5\"\u003e \u003cp\u003e\u003cb\u003eSpiritual Support\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e10. I feel God's grace in every moment of my life.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.84\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e11. Remembering God gives me strength and peace of mind.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.82\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e12. I am always grateful to God.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.84\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e13. I feel good about caring for my patient.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.55\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e14. I am hopeful about the future.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.56\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"3\" morerows=\"7\" nameend=\"c3\" namest=\"c1\" rowspan=\"8\"\u003e \u003cp\u003e\u003cb\u003eSocial Security Provision\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e15. I am capable of dealing with life's problems.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.43\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e16. I have equal rights with others.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e17. Society values me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.71\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e18. I have sufficient security during times of acute and irritable conditions of my patient.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.63\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e19. In times of need, I can easily access care and treatment services.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.51\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e20. Facilities have been considered for me as a patient caregiver in society.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.52\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e21. Access to care and treatment center services is available at any hour of the day or night.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.57\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e22. I receive care and treatment services without delay and at the scheduled time.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.55\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"3\" morerows=\"4\" nameend=\"c3\" namest=\"c1\" rowspan=\"5\"\u003e \u003cp\u003e\u003cb\u003eFinancial Support\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e23. In my opinion, the costs of treatment services are appropriate and fair.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.51\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e24. In case of necessity, I can benefit from governmental financial aid (such as Welfare Organization, Relief Committee, Martyrs Foundation, Support Center for Patients with Special Diseases, etc.).\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e25. Financial support from charitable organizations is satisfactory.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.82\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e26. I am satisfied with the various financial supports.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.82\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e27. If needed, I can count on the financial help of those around me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"3\" morerows=\"5\" nameend=\"c3\" namest=\"c1\" rowspan=\"6\"\u003e \u003cp\u003e\u003cb\u003eResponsive Support System\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e28. If I have any ambiguity or problem, I can ask the staff again without facing inappropriate behavior from them.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.77\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e29. The personnel of service-providing centers properly refer me to other centers when needed.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.77\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e30. Appropriate coordination between service-providing organizations has made my work easier.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.63\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e31. My suggestions and criticisms are considered by the officials of service-providing centers.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.63\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e32. Services are provided to me with respect and honor.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.72\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e33. Receiving support from service-providing organizations has a simple process.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.66\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"1\" nameend=\"c10\" namest=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eTo determine the reliability of the final questionnaire version, Cronbach's alpha coefficient was used. The alpha coefficient of 0.93 indicated high internal correlation of the questionnaire.\u003c/p\u003e \u003cp\u003eQuestionnaire Scoring:\u003c/p\u003e \u003cp\u003eIn this questionnaire, all items are scored positively; none are reverse-scored. The score range is from 33 to 165. A higher score indicates higher perceived support among family caregivers of psychiatric patients.\u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis study aimed to design and psychometrically evaluate a specific tool for measuring perceived social support among family caregivers of patients with mental disorders. Based on the methodical development stages, the final questionnaire was designed across five dimensions: Emotional Support (9 items), Spiritual Support (5 items), Social Security Provision (8 items), Financial Support (5 items), and Responsive Support System (6 items) that shown in supplementary file. Identifying these dimensions not only reflects key support components in this specific population but also emphasizes the complexity and multidimensionality of the caregiving experience within Iran's mental health context.\u003c/p\u003e \u003cp\u003eThe Emotional Support dimension, as a main pillar, reflects the heavy psychological burdens caregivers endure. The presence of a patient with a mental disorder exposes the primary caregiver to a wide range of negative emotions such as grief, anger, anxiety, low self-esteem, despair, and especially feelings of shame and stigma, which are often overlooked (\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e). The exhausting and continuous nature of the caregiving process, often stemming from love and commitment, inevitably affects the caregiver's life (\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e). Neglecting caregivers' own needs in favor of the patient has negative consequences for their health and ultimately the quality of care provided (\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e, \u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e). Therefore, assessing and providing emotional support resources is a critical necessity. Items in this dimension, such as \"Those around me accept me under any circumstances,\" \"I always have someone to listen to me,\" and \"I have someone who empathizes with me,\" emphasize the need for unconditional acceptance, empathy, and the active presence of a social network to alleviate emotional pressures. This finding aligns with the views of experts like Fleming and Baum, who emphasize the necessity of having reliable individuals for receiving empathy and reassurance (\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e, \u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e). Receiving such support can increase the caregiver's hope and reduce the caregiving burden (\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe Spiritual Support dimension in this tool is conceptualized beyond individual religious beliefs as an active source of psycho-social resilience. This dimension provides a sense of meaning, hope, control, and peace when facing the chronic stresses of caregiving. Items like \"Remembering God gives me strength and peace\" and \"I am hopeful about the future\" indicate spirituality acts as an adaptive coping mechanism and prevents the collapse of life's meaning (\u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e, \u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eStudies have shown that caregivers with lower spiritual support report more mental and emotional fatigue (\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e), while spirituality can help them navigate difficult stages like denial and anger (\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e). In Iran's cultural-religious context, resorting to God and belief in divine will plays a prominent role in fostering acceptance and reducing suffering (\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e), aligning with findings from studies in other societies like Malaysia (\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e). Identifying this dimension highlights the need for systematic attention by the health team to caregivers' spiritual needs and distress (\u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe Social Security Provision dimension was identified as an emerging and key dimension in this study. This dimension measures caregivers' specific need to feel safe from threats arising from the illness (such as disturbed patient behavior, worry about harm to self or others, and social stigma). Beyond physical security, this dimension addresses the caregiver's 'psycho-social sense of security,' achieved through recognition of equal rights, receiving social respect, and relative immunity from discrimination. Items like \"I have equal rights with others\" and \"In acute conditions... I have sufficient security\" imply this concept. Studies show that barriers to accessing services, limited mental health infrastructure, and problems like hospital bed shortages or inadequate insurance coverage intensify feelings of insecurity and tension in families (\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e, \u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e). Therefore, this dimension emphasizes the necessity of designing practical and immediate supports to create a psychological and social protective shield.\u003c/p\u003e \u003cp\u003eThe Financial Support dimension reveals the direct and vital impact of economics on the caregiving experience. This dimension not only refers to sufficient income but assesses the accessibility, adequacy, and diversity of formal and informal financial resources to cover the heavy direct and indirect costs of care. A family member's mental illness confronts the family with treatment costs, loss of income (both patient and caregiver), and incidental costs (\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e, \u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e). Items like \"Insurance covers a large portion of services\" and \"I receive financial aid from governmental support centers\" emphasize the role of formal institutions in providing economic security. Financial burden is one of the strongest predictors of caregiver stress and burnout, and caregivers often face financial regression (\u003cspan citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e). Attention to this dimension highlights the necessity of expanding insurance coverage and targeted financial support for this vulnerable group.\u003c/p\u003e \u003cp\u003eThe Responsive Support System dimension, focusing on the quality of the caregiver's interaction with formal institutions, measures a key and structured aspect of social support. This dimension evaluates the efficiency, respect, accessibility, and coordination of service delivery systems. Items like \"My suggestions and criticisms are considered by...\" and \"Receiving services does not involve me in administrative paperwork\" refer to constructs of accountability and user-centeredness in health services, consistent with the WHO framework. In Iran, despite the multiplicity of mental health professions, inter-sectoral lack of coordination and caregivers' unawareness of these professions' roles can create additional burden (\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e, \u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e42\u003c/span\u003e). A responsive system with a single entry point and clear service pathway reduces caregiver confusion. Studies show that complex and non-empathetic systems directly impact caregiver burnout (\u003cspan citationid=\"CR43\" class=\"CitationRef\"\u003e43\u003c/span\u003e), while participatory and coordinated communication with health staff increases caregiver confidence (\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e). Service design should be based on the \"caregiver's journey,\" not existing administrative structures.\u003c/p\u003e \u003cp\u003eThe findings of this study align with global theoretical frameworks and recognized tools. The identified dimensions have conceptual overlap with factors from valid questionnaires such as the Multidimensional Scale of Perceived Social Support (MSPSS) by Zimet et al. (\u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e45\u003c/span\u003e), the Medical Outcomes Study (MOS) Social Support Survey by Sherbourne and Stewart (\u003cspan citationid=\"CR46\" class=\"CitationRef\"\u003e46\u003c/span\u003e), the Social Support Behaviors (SS-B) Scale based on Cobb's definition (\u003cspan citationid=\"CR47\" class=\"CitationRef\"\u003e47\u003c/span\u003e), and the Norbeck Social Support Questionnaire (NSSQ) (\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThis alignment strengthens the construct validity of the present tool. Also, congruence with localized tools like the Family Social Support Questionnaire (FSSQ) for chronic patients by Khodapanahi et al. (\u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e48\u003c/span\u003e), which highlights emotional, informational, and instrumental dimensions, indicates the stability of key support factors in the Iranian context.\u003c/p\u003e \u003cp\u003eThe distinction and added value of the designed tool lie in its practicality, context-specificity, and comprehensiveness. This tool translates general concepts of social support into objective forms relevant to the unique challenges of caregivers of psychiatric patients in Iran. For example, \"instrumental support\" here is manifested as the system's 24/7 responsiveness or financial help from those around. Furthermore, extracting emerging dimensions like \"Social Security Provision\" and \"Responsive Support System,\" directly stemming from caregivers' objective experiences, fills a gap in general tools. These dimensions well reflect the complexity of the stressful caregiving environment and the importance of interaction with formal systems.\u003c/p\u003e \u003cp\u003eIn summary, the tool designed in this study, while respecting the evolutionary path of theoretical foundations and previous tools, has taken a step forward by linking them to the specific context of caring for psychiatric patients in Iran. This five-dimensional questionnaire provides researchers, professionals, and mental health policymakers with a valid, context-specific, and pragmatic tool to comprehensively assess caregivers' perceived social support, more accurately identify their support needs, and ultimately design and implement targeted and effective support interventions and policies. This not only helps improve caregivers' quality of life but can also, in the long term, lead to enhanced quality of care for patients and reduced disease burden.\u003c/p\u003e"},{"header":"Study Limitations","content":"\u003cp\u003eThis study has several limitations that should be considered when interpreting its findings. The use of convenience sampling from a single city may affect the generalizability of the results to broader or more diverse populations. Furthermore, the cross-sectional design of the study limits the ability to infer causal relationships or observe changes over time. Data were also collected through self-reported measures, which may be subject to social desirability bias or recall inaccuracies. Future research should aim to validate this tool in larger, more geographically diverse samples and assess its convergent and discriminant validity to further establish its robustness and applicability.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eFamily caregivers of psychiatric patients bear a significant caregiving burden, underscoring the need for targeted, evidence-based support. In response, this study successfully developed and validated a robust instrument for measuring perceived social support tailored to this population. The resulting questionnaire comprises 33 items organized across five distinct dimensions: Emotional Support, Spiritual Support, Social Security, Financial Support, and Responsive Support System. Demonstrating strong psychometric properties, this tool provides a reliable means to identify the multifaceted support needs of caregivers. It offers a practical foundation for designing targeted interventions and can inform the development of a more \"caregiver-aware\" healthcare system. The application of this instrument in future research and clinical practice represents a critical step towards delivering meaningful support to caregivers, thereby enhancing both the quality of patient care and overall community health outcomes.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eCVR \u0026nbsp;Content Validity Ratio\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eCVI \u0026nbsp;Content Validity Index\u0026nbsp;\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe author would like to thank all participants.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study is funded by a Grant (No. 3403216) from the Nursing \u0026amp; Midwifery care research center.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors and Affiliations\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTahereh Memarazad \u003c/p\u003e\n\u003cp\u003eDepartment of Psychiatric Nursing, School of Nursing \u0026amp; Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran\u003c/p\u003e\n\u003cp\u003eMohammad Akbari\u003c/p\u003e\n\u003cp\u003eDepartment of psychiatric nursing, Isfahan University of Medical Sciences, Isfahan, Iran.\u003c/p\u003e\n\u003cp\u003eMousa Alavi \u003c/p\u003e\n\u003cp\u003eDepartment of Psychiatric Nursing, Faculty of Nursing \u0026amp; Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran\u003c/p\u003e\n\u003cp\u003eSima Ghezelbash\u003c/p\u003e\n\u003cp\u003eDepartment of Psychiatric Nursing, School of Nursing \u0026amp; Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran \u003c/p\u003e\n\u003cp\u003eZahra Yousefi \u003c/p\u003e\n\u003cp\u003eDepartment of cilinical Psychology, Research center for behavioral and psychological science, department of psychology, Isf.C., Islamic Azad University, Isfahan, Iran\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eContributions \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTahereh Memarazad, Mohammad Akbari, Sima Ghezelbash And Zahra Yousefi wrote the main manuscript text and Mousa Alavi prepared tables. All authors reviewed the manuscript. All authors read and approved the final version of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCorresponding author\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eMohammad Akbari, MSc, PhD, Associate Professor, Department of Psychiatric Nursing, Faculty of Nursing \u0026amp; Midwifery, Isfahan University of Medical Sciences, St. Hezar Jerib, Isfahan, Iran. Email: [email protected]\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthics declarations\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. this article was derived from the approved master\u0026apos;s thesis and with the ethics identification number IR.MUI.NUREMA.REC.1403.075. Informed consent was obtained from the patients of the subjects, and they were assured that their information would remain confidential in the researcher\u0026apos;s possession.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData availability\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets used and/or analysed during the current study are available from the corresponding author on reasonable request..\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eFan Y, Fan A, Yang Z, Fan D. Global burden of mental disorders in 204 countries and territories, 1990\u0026ndash;2021: results from the global burden of disease study 2021. BMC Psychiatry. 2025;25(1):486.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eMental Health [Internet]. World Health Organization. 2019. Available from: \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://www.who.int/health-topics/mental-health#tab=tab_2\u003c/span\u003e\u003cspan address=\"https://www.who.int/health-topics/mental-health#tab=tab_2\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eMirghaed MT, Gorji HA, Panahi S. Prevalence of psychiatric disorders in Iran: a systematic review and meta-analysis. Int J Prev Med. 2020;11(1):21.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eKarimirad MR, Seyedfatemi N, Noghani F, Dehkordi AH, Barasteh S. The relationship between resilience and quality of life in family caregivers of patients with mental disorders. 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Iran J Nurs midwifery Res. 2018;23(5):329\u0026ndash;37.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAkbari M, Alavi M, Irajpour A, Maghsoudi J, Lopez V, Cleary M. Support needs for family caregivers of clients with mental illness in Iran: A qualitative study. Issues Ment Health Nurs. 2018;39(10):896\u0026ndash;903.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAdelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;311(10):1052\u0026ndash;60.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eHsiao C-Y, Lu H-L, Tsai Y-F. Caregiver burden and health-related quality of life among primary family caregivers of individuals with schizophrenia: a cross-sectional study. Qual Life Res. 2020;29(10):2745\u0026ndash;57.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLatifian M, Raheb G, Abdi K, Alikhani R. The bipolar patients\u0026rsquo; family experiences of the outcomes of encountering stigma in Tehran: a qualitative study. Int J Soc Psychiatry. 2023;69(2):503\u0026ndash;11.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLohrasebi F, Alavi M, Akbari M, Maghsoudi J. Design, implementation and evaluation of a health promotion program for family caregivers of chronic mental disorders: a mixed methods study. Chonnam Med J. 2024;60(3):155.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLo Hog Tian JM, Watson JR, Cioppa L, Murphy M, Boni AR, Parsons JA, et al. The Role of Dimensions of Social Support in the Relationship Between Stigma and Mental Health: A Moderation Analysis. AIDS Behav. 2025;29(1):155\u0026ndash;65.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eBottaro R, Craparo G, Faraci P. What is the direction of the association between social support and coping in cancer patients? A systematic review. J Health Psychol. 2023;28(6):524\u0026ndash;40.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eHalpern MT, Fiero MH, Bell ML. Impact of caregiver activities and social supports on multidimensional caregiver burden: analyses from nationally-representative surveys of cancer patients and their caregivers. Qual Life Res. 2017;26(6):1587\u0026ndash;95.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSarason IG, Levine HM, Basham RB, Sarason BR. Assessing social support: the social support questionnaire. J Personal Soc Psychol. 1983;44(1):127.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eBagherian-Sararoudi R, Hajian A, Ehsan HB, Sarafraz MR, Zimet GD. Psychometric properties of the Persian version of the multidimensional scale of perceived social support in Iran. Int J Prev Med. 2013;4(11):1277.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eTonsing K, Zimet GD, Tse S. 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Measurement in Nursing and Health Research2010.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSeyedfatemi N, Asl MA, Bahrami R, Haghani H. The effect of the virtual social network-based psycho-education on the hope of family caregivers of clients with severe mental disorders. Arch Psychiatr Nurs. 2021;35(3):290\u0026ndash;5.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eCheng W-L, Chang C-C, Griffiths MD, Yen C-F, Liu J-H, Su J-A, et al. Quality of life and care burden among family caregivers of people with severe mental illness: mediating effects of self-esteem and psychological distress. BMC Psychiatry. 2022;22(1):672.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane database Syst reviews. 2017(6).\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eNtsayagae EI, Myburgh C, Poggenpoel M. Experiences of family caregivers of persons living with mental illness: A meta-synthesis. Curationis. 2019;42(1):1\u0026ndash;9.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eFleming R, Baum A, Singer JE. Social support and the physical environment. 1985.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSartorius N. Fighting schizophrenia and its stigma: a new World Psychiatric Association educational programme. Br J Psychiatry. 1997;170(4):297.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eOlawande TI, Ajayi MP, Amoo EO, Iruonagbe CT. Variations in family attitudes towards coping with people living with mental illness. Open access Macedonian J Med Sci. 2019;7(12):2010.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSwinton J, Pattison S. 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Int J Environ Res Public Health. 2020;17(17):6405.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAzman A, Jamir Singh PS, Sulaiman J. Caregiver coping with the mentally ill: a qualitative study. J Mental Health. 2017;26(2):98\u0026ndash;103.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDamianakis T, Wilson K, Marziali E. Family caregiver support groups: spiritual reflections\u0026rsquo; impact on stress management. Aging Ment Health. 2018;22(1):70\u0026ndash;6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eVerity F, Turiho A, Mutamba B, Cappo D. Family care for persons with severe mental illness: experiences and perspectives of caregivers in Uganda. Int J Mental Health Syst. 2021;15(1):48.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eTamizi Z, Fallahi-Khoshknab M, Dalvandi A, Mohammadi-Shahboulaghi F, Mohammadi E, Bakhshi E. Caregiving burden in family caregivers of patients with schizophrenia: A qualitative study. J Educ health promotion. 2020;9(1):12.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eRide J, Kasteridis P, Gutacker N, Aragon Aragon MJ, Jacobs R. Healthcare costs for people with serious mental illness in England: an analysis of costs across primary care, hospital care, and specialist mental healthcare. Appl Health Econ Health Policy. 2020;18(2):177\u0026ndash;88.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eMokwena KE, Ngoveni A. Challenges of providing home care for a family member with serious chronic mental illness: A qualitative enquiry. Int J Environ Res Public Health. 2020;17(22):8440.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAlyafei AH, Alqunaibet T, Mansour H, Ali A, Billings J. The experiences of family caregivers of people with severe mental illness in the Middle East: A systematic review and meta-synthesis of qualitative data. PLoS ONE. 2021;16(7):e0254351.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAkbari M, Alavi M, Maghsoudi J, Irajpour A, Lopez V, Cleary M. Mastering the art of collaboration: Supporting family caregivers of mental health patients by service providers in Iran. Adm Policy Mental Health Mental Health Serv Res. 2019;46(1):54\u0026ndash;61.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSmith D. Exploring Burnout Among Family Caregivers of Patients With Schizophrenia: A Qualitative Phenomenological Study. National University; 2024.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eStuart R, Akther SF, Machin K, Persaud K, Simpson A, Johnson S, et al. Carers' experiences of involuntary admission under mental health legislation: systematic review and qualitative meta-synthesis. BJPsych Open. 2020;6(2):e19.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eZimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30\u0026ndash;41.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705\u0026ndash;14.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eVaux A, Riedel S, Stewart D. Modes of social support: The social support behaviors (SS-B) scale. Am J Community Psychol. 1987;15(2):209\u0026ndash;32.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eKhodapanahi MK, Asghari A, Sedghpoor BS, Katebaii J. Preparing and investigating the reliability and validation of the family social support questionnaire (FSSQ). J family Res. 2009;5(4):423\u0026ndash;39.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-nursing","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"nurs","sideBox":"Learn more about [BMC Nursing](http://bmcnurs.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/nurs/default.aspx","title":"BMC Nursing","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Validation, Reliability, Social Support, Family Caregivers, Mental Disorders, Questionnaire","lastPublishedDoi":"10.21203/rs.3.rs-8749406/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8749406/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eIntroduction:\u003c/h2\u003e \u003cp\u003eFamily caregivers of patients with psychiatric disorders face significant physical and psychological burdens. Social support is a key moderating factor for these burdens, and designing a valid tool to measure it is essential. This study aimed to design and validate a questionnaire for perceived social support for family caregivers of psychiatric patients.\u003c/p\u003e\u003ch2\u003eMaterials and Methods\u003c/h2\u003e \u003cp\u003eThis psychometric cross-sectional study was conducted in 2024. The questionnaire was designed based on the deductive approach and Waltz's model. Face and content validity (qualitative and quantitative) were assessed by experts, and reliability was evaluated using Cronbach's alpha and principal component analysis.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe final questionnaire consists of 33 items across five dimensions: 'Emotional Support, Spiritual Support, Social Security Provision, Financial Support, and Responsive Support System'. The Cronbach's alpha coefficient of 0.93 indicated excellent internal consistency of the tool. The total score ranges from 33 to 165, with a higher score indicating greater perceived support.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eThe designed questionnaire has acceptable validity and reliability and can be used as a valid tool for comprehensively assessing perceived social support among these caregivers. This tool provides a basis for evaluating the support status and designing evidence-based effective interventions.\u003c/p\u003e","manuscriptTitle":"Design and Psychometrics of a Tool for Measuring Perceived Social Support among Family Caregivers of Patients with Mental Disorders","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-05-04 08:21:57","doi":"10.21203/rs.3.rs-8749406/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"editorInvitedReview","content":"","date":"2026-05-09T16:19:50+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"234420241234792608450301594257866592656","date":"2026-05-08T09:10:14+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-05-05T18:10:43+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"35453877935029291402634988337364150731","date":"2026-05-05T15:38:46+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"187811912148277901276466774505625702829","date":"2026-04-29T02:12:33+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-04-21T18:16:10+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2026-03-09T19:03:56+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2026-03-01T17:25:14+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2026-02-27T03:58:36+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Nursing","date":"2026-02-24T11:36:28+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-nursing","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"nurs","sideBox":"Learn more about [BMC Nursing](http://bmcnurs.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/nurs/default.aspx","title":"BMC Nursing","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"e29cc280-2efd-4509-a44c-e3104f7d4b8f","owner":[],"postedDate":"May 4th, 2026","published":true,"recentEditorialEvents":[{"type":"editorInvitedReview","content":"","date":"2026-05-09T16:19:50+00:00","index":71,"fulltext":""},{"type":"reviewerAgreed","content":"234420241234792608450301594257866592656","date":"2026-05-08T09:10:14+00:00","index":70,"fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-05-05T18:10:43+00:00","index":69,"fulltext":""},{"type":"reviewerAgreed","content":"35453877935029291402634988337364150731","date":"2026-05-05T15:38:46+00:00","index":68,"fulltext":""}],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-05-04T08:21:57+00:00","versionOfRecord":[],"versionCreatedAt":"2026-05-04 08:21:57","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8749406","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8749406","identity":"rs-8749406","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}