ArticleBJPsych open2026
Psychometric and qualitative assessment of the Client Satisfaction Questionnaire-8 (CSQ-8) among Syrian mental health and psychosocial support service users.
Article in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPatient satisfaction is an important indicator of mental healthcare quality. The Client Satisfaction Questionnaire-8 (CSQ-8) is widely used, but its psychometric performance and contextual relevance have not been examined in humanitarian settings.
aimsTo assess the reliability and validity of the CSQ-8 in a sample of displaced and conflict-affected Syrian mental health and psychosocial support (MHPSS) service users.
methodStructured telephone interviews were conducted with Syrian MHPSS service users in North-West Syria. Psychometric analysis assessed the internal consistency and construct validity of the CSQ-8. Convergent validity with therapeutic alliance was examined using the Working Alliance Inventory Short Revised. Item comprehension and contextual relevance were examined using open-ended qualitative responses.
resultsAmong 337 participants, the CSQ-8 demonstrated strong internal consistency (
conclusionsIn this humanitarian setting, items about a willingness to recommend and intent to return to a service may lack conceptual validity and should be used cautiously. Shorter forms such as the CSQ-4 may be a useful alternative.
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