Further validation of the Chinese version of the Level of Expressed Emotion Scale for research and clinical use

International Journal of Nursing Studies

Volumn 47, Issue 2, 2010, Pages 190-204

  Chien, Wai Tong ^a   Chan, Sally W C ^b  

^a HONG KONG POLYTECHNIC UNIVERSITY   (Hong Kong)

^b and Hong Kong Branch of CAS Center for Excellence in Animal Evolution and Genetics   (Hong Kong)

Author keywords

Expressed emotion; Factor structure; Psychotic disorders; Reproducibility; Responsiveness

Indexed keywords

ADULT; ARTICLE; CAREGIVER; CHINA; EMOTION; FEMALE; HONG KONG; HUMAN; MALE; MENTAL DISEASE; PSYCHOLOGICAL ASPECT; REPRODUCIBILITY;

ADULT; CAREGIVERS; CHINA; EXPRESSED EMOTION; FEMALE; HONG KONG; HUMANS; MALE; MENTAL DISORDERS; REPRODUCIBILITY OF RESULTS;

EID: 74649084295     PISSN: 00207489     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijnurstu.2009.05.019     Document Type: Article

References (67)

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. (1994), American Psychiatric Association, Washington, DC
2. Azhar M.Z., and Varma S.L. Relationship of expressed emotion with relapse of schizophrenia patients in Kelatin. Singapore Medical Journal 37 (1996) 82-85
3. Barrowclough C., Haddock G., Lowens I., Connor A., Pidliswyi J., and Tracey N. Staff expressed emotion and causal attributions for client problems on a low security unit: an exploratory study. Schizophrenia Bulletin 27 3 (2001) 517-526
4. Barrowclough C., and Parle M. Appraisal, psychological adjustment and expressed emotion in relatives of patients suffering from schizophrenia. British Journal of Psychiatry 171 7 (1997) 26-30
5. Barrowclough C., Tarrier N., and Johnston M. Distress, expressed emotion, and attributions in relatives of schizophrenia patients. Schizophrenia Bulletin 22 4 (1996) 691-702
6. Beaton D.E., Hogg-Johnson S., and Bombardier C. Evaluating changes in health status: reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders. Journal of Clinical Epidemiology 50 (1997) 79-93
7. Bentsen H., Notland T.H., Munkvold O., Boye B., Ulstein I., Bjorge H., et al. Guilt proneness and expressed emotion in relatives of patients with schizophrenia or related psychoses. British Journal of Medical Psychology 71 Pt. 2 (1998) 125-138
8. Boye B., Bentsen H., Notland T.H., Munkvold O.G., Lersbryggen A.B., Oskarsson K.H., et al. What predicts the course of expressed emotion in relatives of patients with schizophrenia or related psychoses?. Social Psychiatry and Psychiatric Epidemiology 34 1 (1999) 35-43
9. Brewin C.R., MacCarthy B., Duda K., and Vaughn C.E. Attribution and expressed emotion in the relatives of patients with schizophrenia. Journal of Abnormal Psychology 100 4 (1991) 546-554
10. Brown G.W., Monck E.M., Carstairs G.M., and Wing J.K. Influences of family life on the course of schizophrenic illness. British Journal of Preventive and Social Medicine 16 (1962) 55-68
11. Butzlaff R.L., and Hooley J.M. Expressed emotion and psychiatric relapse: a meta-analysis. Archives of General Psychiatry 55 6 (1998) 547-552
12. Chien W.T., and Chan W.C.S. Testing the psychometric properties of a Chinese version of the Level of Expressed Emotion scale. Research in Nursing & Health 32 1 (2009) 59-70
13. Chien W.T., Chan W.C.S., and Morrissey J. The perceived burden among Chinese family caregivers of people with schizophrenia. Journal of Clinical Nursing 16 (2007) 1151-1161
14. Chien W.T., Norman I., and Thompson D.R. Perceived benefits and difficulties experienced in a mutual support group for family carers of people with schizophrenia. Qualitative Health Research 16 7 (2006) 962-981
15. Chien W.T., Norman I., and Thompson D.R. A randomised controlled trial of a mutual support group for family caregivers of patients with schizophrenia. International Journal of Nursing Studies 41 6 (2004) 637-649
16. Chien W.T., and Norman J. The validity and reliability of a Chinese version of the family burden interview schedule. Nursing Research 53 5 (2004) 314-322
17. Cohen J. Statistical Power Analysis for the Behavioural Sciences. 2nd ed. (1988), Lawrence Erlbaum Associates, New Jersey
18. Cole J.D., and Kazarian S.S. The Level of Expressed Emotion Scale: a new measure of expressed emotion. Journal of Clinical Psychology 44 3 (1988) 392-397
19. Deyo R.A., Diehr P., and Patrick D.L. Reproducibility and responsiveness of health status measures: statistics and strategies for evaluation. Controlled Clinical Trials 12 (1991) S142-158
20. Epstein N.B., Baldwin L.M., and Bishop D.S. The McMaster Family Assessment Device. Journal of Marital and Family Therapy 9 2 (1983) 171-180
21. Flanagan D.A.J., and Wagner H.L. Expressed emotion and panic-fear in the prediction of diet treatment compliance. British Journal of Clinical Psychology 30 3 (1991) 231-240
22. Gerlsma C., and Hale III W.W. Predictive power and construct validity of the Level of Expressed Emotion scale. British Journal of Psychiatry 170 (1997) 520-525
23. Gerlsma C., Van der Lubbe P.M., and Van Nieuwenhuizen C. Factor analysis of the Level of Expressed Emotion Scale, a questionnaire intended to measure 'perceived expressed emotion'. British Journal of Psychiatry 160 3 (1992) 385-389
24. Götell E., Brown S., and Ekman S.-L. The influence of caregiver singing and background music on vocally expressed emotions and moods in dementia care: A qualitative analysis. International Journal of Nursing Studies 46 4 (2009) 422-430
25. Hashemia A., and Cochrane R. Expressed emotion and schizophrenia: a review of studies across cultures. International Review of Psychiatry 11 2-3 (1999) 219-224
26. Heikkila J., Karlsson H., Taiminen T., Lauerma H., Ilonen T., et al. Expressed emotion is not associated with disorder severity in first-episode mental disorder. Psychiatry Research 111 2-3 (2002) 155-165
27. Hooley J.M., and Teasdale J.D. Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology 98 3 (1989) 229-235
28. Hospital Authority, Hong Kong, 2004. Annual Report 2003-2004. Hospital Authority, Hong Kong SAR, China.
29. Jenkins J.H., Karno M., De La Selva A., and Santana F. Expressed emotion in cross-cultural context: familial responses to schizophrenic illness among Mexican Americans. In: Goldstein M.J., Hand I., and Hahlweg K. (Eds). Treatment of Schizophrenia: Family Assessment and Intervention (1986), Springer, New York 35-49
30. Kazarian S.S., Cole J.D., Malla A.K., and Baker B. Comparisons of two expressed emotion scales with the Camberwell Family Interview. Journal of Clinical Psychology 46 3 (1990) 306-309
31. Kazis L.E., Anderson J.J., and Meenan R.F. Effect sizes for interpreting changes in health status. Medical Care 27 Suppl. 3 (1989) S178-189
32. King S., Ricard N., Rochon V., Steiger H., and Nelis S. Determinants of expressed emotion in mothers of schizophrenia patients. Psychiatry Research 117 3 (2003) 211-222
33. Lazarus R.S., and Folkman S. Stress. Appraisal and Coping (1984), Springer Publishing Company, New York
34. Lee, K.L., 1999. Study on the effect of the pre-discharge rehabilitation program on the level of functioning of chronic schizophrenic patients in Hong Kong. Master's Thesis in Nursing, The Chinese University of Hong Kong, Hong Kong SAR.
35. Leff J., and Vaughn C. Expressed Emotion in Families: Its Significance for Mental Illness (1985), Guilford Press, New York
36. Li Z., and Arthur D. A study of three measures of expressed emotion in a sample of Chinese families of a person with schizophrenia. Journal of Psychiatric & Mental Health Nursing 12 (2005) 431-438
37. Magana A.B., Goldstein M.J., Karno M., Miklowitz D.J., Jenkins J., and Falloon I.R. A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research 17 (1986) 203-212
38. McCreadie R.G., Robertson D.J., Hall D.J., and Berry I. The Nithsdale Schizophrenia Surveys. XI. Relatives' expressed emotion. Stability over five years and its relation to relapse. British Journal of Psychiatry 162 (1993) 393-397
39. Mueser K.T., Curran P.J., and McHugo G.J. Factor structure of the Brief Psychiatric Rating Scale in schizophrenia. Psychological Assessment 9 3 (1997) 196-204
40. Nicholson I.R., Chapman J.E., and Neufield R.W.J. Variability in BPRS definitions of positive and negative symptoms. Schizophrenic Research 17 (1995) 177-185
41. Nunnally J.C., and Bernstein I.H. Psychometric Theory. 3rd ed. (1994), McGraw-Hill, New York
42. Overall J.E., and Gorham D.R. The Brief Psychiatric Rating Scale. Psychiatric Reports 10 (1962) 799-812
43. Peter H., and Hand I. Patterns of patient-spouse interaction in agoraphobics: assessment by Camberwell Family Interview and impact on outcome of self-exposure treatment. In: Hand I., and Wittchen H.V. (Eds). Panic and Phobic vol. 2 (1988), Springer Publication, New York
44. Phillips M.R., Pearson V., Li F., Xu M., and Yang L. Stigma and expressed emotion: a study of people with schizophrenia and their family members in China. British Journal of Psychiatry 181 (2002) 488-493
45. Portney L.G., and Watkins M.P. Foundation of Clinical Research: Application to Practice. 2nd ed. (2000), Prentice Hall, New Jersey
46. Redelmeier D.A., Guyatt G.H., and Goldstein R.S. Assessing the minimal important differences in symptoms: a comparison of 2 techniques. Journal of Clinical Epidemiology 49 (1996) 1215-1219
47. Raune D., Kuipers E., and Bebbington P.E. Expressed emotion at first-episode psychosis: investigating a carer appraisal model. British Journal of Psychiatry 184 (2004) 321-326
48. Rhoades H.M., and Overall J.E. The semi-structured BPRS interview and rating scale. Psychopharmacology Bulletin 24 1 (1988) 101-104
49. Scazufca M., and Kuipers E. Stability of expressed emotion in relatives of those with schizophrenia and its relationship with burden of care and perception of patients' social functioning. Psychological Medicine 28 (1998) 453-461
50. Scazufca M., and Kuipers E. Coping strategies in relatives of people with schizophrenia before and after psychiatric admission. British Journal of Psychiatry 174 2 (1999) 154-158
51. Schneider L.C., and Struening E.L. SLOF: a behavioural rating scale for assessing the mentally ill. Social Work Research and Abstracts 19 3 (1983) 9-21
52. Shefler G., Hersco-Levy U., and Kreisman D.E. The measurement of expressed emotion and the Patient Rejection Scale (PRS): characteristics and application. Israel Journal of Psychotherapy 9 3 (1995) 203-208
53. Shields C.G., Franks P., Harp J.J., Campbell T.L., et al. Family Emotional Involvement and Criticism Scale (FEICS). II. Reliability and validity studies. Family Systems Medicine 12 4 (1994) 361-377
54. Startup M. Confirmatory factor analysis of the Level of Expressed Emotion (LEE) scale. British Journal of Medical Psychology 72 3 (1999) 421-424
55. Stevens J. Applied Multivariate Statistics for the Social Sciences. 4th ed. (2002), Lawrence Erlbaum Associates, Mahwah, NJ
56. Streiner D.L., and Norman G.R. Health Measurement Scales: A Practical Guide to their Development and Use (1989), Oxford University Press, Oxford
57. Sun Y.K.S., and Cheung S.K. Family functioning, social support to families and symptom remittance of schizophrenia. Hong Kong Journal of Psychiatry 7 2 (1997) 19-25
58. Tammenagi M.C., Frank J.W., Levlane M., Artsob H., and Streiner D.L. Methodological issues in assessing reproducibility: a comparative study of various indices of reproducibility applied to repeat Elisa serological tests for Lyme disease. Journal of Clinical Epidemiology 48 (1995) 1123-1132
59. Telles C., Karno M., Mintz J., Paz G., Tucker D., Arias M., et al. Immigrant families coping with schizophrenia: behavioural family intervention vs. case management with a low-income Spanish-speaking population. British Journal of Psychiatry 167 4 (1995) 473-479
60. Terwee C.B., Vekker F.W., Wiersinga W.M., Prummel M.F., and Bossuyt P.M.M. On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Quality of Life Research 12 (2003) 349-362
61. Vaughn C.E., and Leff J.P. The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology 15 (1976) 157-165
62. Vaughn C.E., and Leff J.P. Patterns of emotional response in relatives of schizophrenic patients. Schizophrenia Bulletin 7 1 (1981) 43-44
63. Wearden A.J., Tarrier N., Barrowclough C., Zastowny T.R., and Rahill A.A. A review of expressed emotion research in health care. Clinical Psychology Review 20 5 (2000) 633-636
64. Weisman A.G., Nuechterlein K.H., Goldstein M.J., and Snyder K. Expressed emotion, attributions, and schizophrenia symptom dimensions. Journal of Abnormal Psychology 107 2 (1998) 355-359
65. Weisman A., Rosales G., Kymalainen J., and Armesto J. Ethnicity, family cohesion, religiosity and general emotional distress in patients with schizophrenia and their relatives. Journal of Nervous and Mental Disease 193 6 (2005) 359-368
66. Wendel J.S., Miklowitz D.J., Richards J.A., and George E.L. Expressed emotion and attributions in the relatives of bipolar patients: an analysis of problem-solving interactions. Journal of Abnormal Psychology 109 4 (2000) 792-796
67. Yeo S.S., and Meiser B. Cross-cultural cognitive therapy for the treatment of depressive symptoms in Chinese clients: integrating the belief systems of Confucianism, Buddhism and Taoism. In: Phoon W.O., and Macindoe I. (Eds). Untangling the Threads: Perspectives on Mental Health in Chinese Communities. (2003), Trans-cultural Mental Health Centre, Sydney 300-317