The validity and reliability of the measurement of the concept 'expressed emotion' in the family members and nurses of Hong Kong patients with schizophrenia

2002 ◽  
Vol 11 (3) ◽  
pp. 192-198 ◽  
Author(s):  
David Arthur ◽  
Keyword(s):  
Hong Kong ◽  
Expressed Emotion ◽  
Family Members ◽  
Validity And Reliability ◽  
The Family

scholarly journals Schizophrenia in a member of the family: Burden, expressed emotion and addressing the needs of the whole family

2016 ◽  
Vol 22 (1) ◽  
pp. 7 ◽  
Author(s):  
Gian Lippi
Keyword(s):  
Service Delivery ◽  
Expressed Emotion ◽  
Family Members ◽  
Chronically Ill ◽  
Family Burden ◽  
The Family

How often do we find ourselves concentrating so much on treating a patient with schizophrenia that we forget about the needs and difficulties of the family members who take care of that patient? This article highlights the global and specific difficulties that families and caregivers experience in having to care for chronically ill family members with schizophrenia with a backdrop of continuing global deinstitutionalisation of such patients. Matters such as burden and expressed emotion are explored, family-specific interventions are discussed and areas of service delivery and resource inadequacies are identified.

scholarly journals EKSPRESI EMOSI KELUARGA YANG MERAWAT PASIEN SKIZOFRENIA

2020 ◽  
Vol 6 (2) ◽  
pp. 117-122
Author(s):  
Jek Amidos Pardede
Keyword(s):  
Mental Hospital ◽  
Family Members ◽  
Sampling Technique ◽  
Emotional Expressions ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
The Family ◽  
Schizophrenic Patients ◽  
Expression Of Emotions ◽  
The Individual

Expression of emotions in the family can be an expression that reflects the high expression of negative emotions. Expressions of high emotion show an attitude that is full of criticism and hatred. It arises when parents or other family members assume that the disorder is influenced by internal factors and must be controlled by the individual. This study aims to determine the emotional expression of the family of schizophrenic patients in the mental hospital. Prof. dr. Muhammad Ildrem Medan. The research design used was descriptive with a cross-sectional approach. The population in this study were all families who have family members with outpatient schizophrenia patients at Prof. dr. Muhammad Ildrem Mental Hospital in Medan as many as 900 people. The sample of this research is 90 families. The sampling technique uses purposive sampling. The data collection tool used a questionnaire of 18 statements that had been tested for validity and reliability. The results showed the majority of respondents who treated patients had low emotional expressions, and the majority of respondents who treated more than one patient had high emotional expressions. Therefore, this research is expected to give attention to the families of sick family members to assist them in healing their illnesses.

Confirmatory Factor Analysis of the Family Emotional Involvement and Criticism Scale: Evidence of the Dimensionality of Expressed Emotion

2003 ◽  
Vol 92 (1) ◽  
pp. 119-127 ◽  
Author(s):  
Stephen M. Gavazzi ◽  
Patrick C. McKenry ◽  
Jill A. Jacobson ◽  
Teresa W. Julian ◽  
Brenda Lohman
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Expressed Emotion ◽  
Factor Model ◽  
Family Members ◽  
Married Couples ◽  
Emotional Involvement ◽  
Convenience Sample ◽  
Confirmatory Factor ◽  
The Family

Using a convenience sample of 152 married couples, the present study tested models that alternately considered family members' perceptions of Expressed Emotion to be a one-, two-, three-, or four-factor construct as measured by the Family Emotional Involvement and Criticism Scale. Results of confirmatory factor analysis procedures indicated that perceptions of Expressed Emotion were best represented by a four-factor model that consisted of involvement, criticism, upset feelings, and approval. The methodological implications of these findings are discussed.

scholarly journals Stigma and expressed emotion: a study of people with schizophrenia and their family members in China

2002 ◽  
Vol 181 (6) ◽  
pp. 488-493 ◽  
Author(s):  
Michael R. Phillips ◽  
Veronica Pearson ◽  
Feifei Li ◽  
Minjie Xu ◽  
Lawrence Yang
Keyword(s):  
Expressed Emotion ◽  
Family Members ◽  
Cognitive Responses ◽  
Highly Educated ◽  
Standard Work ◽  
Severe Effect ◽  
The Family ◽  
Family Interview ◽  
High Level ◽  
Work Up

BackgroundThe most damaging effect of stigma is the internalisation of others' negative valuations.AimsTo explore the factors that mediate patients' emotional and cognitive responses to stigma.MethodBased on responses to 10 open-ended questions about stigma appended to the Chinese version of the Camberwell Family Interview, trained coders rated the effect of stigma on both patients and family members in 1491 interviews conducted with 952 family members of 608 patients with schizophrenia at 5 sites around China from 1990 to 2000.ResultsFamily members reported that stigma had had a moderate to severe effect on the lives of patients over the previous 3 months in 60% of the interviews, and on the lives of other family members in 26% of the interviews. The effect of stigma on patients and family members was significantly greater if the respondent had a high level of expressed emotion, if the patient had more severe positive symptoms, if the respondent was highly educated and if the family lived in a highly urbanised area.ConclusionsClinicians should assess the effect of stigma as part of the standard work-up for patients with mental illness, and help patients and family members reduce the effect of stigma on their lives.

The validity and reliability of the Turkish version of the Family Inventory of Needs

2021 ◽  
pp. 1-9
Author(s):  
Zeynep Sağlam ◽  
Zeliha Koç
Keyword(s):  
Intraclass Correlation ◽  
Family Members ◽  
Correlation Coefficients ◽  
Measurement Tool ◽  
Validity And Reliability ◽  
Turkish Version ◽  
Translation Process ◽  
The Family ◽  
Exploratory Factor Analyses ◽  
Palliative Care Units

Abstract Objective The aim of this methodological study was to test the validity and reliability of the Turkish version of the Family Inventory of Needs. Methods The universe of the study consisted of 300 family members of inpatients hospitalized in the palliative care units of four hospitals in northern Turkey between April 12, 2019 and December 30, 2019. The translation process was performed in multiple stages using the forward–backward translation model. The reliability of the Family Inventory of Needs was evaluated using the Cronbach α reliability coefficient and item-total score correlations. Exploratory factor analyses were applied to examine the factor structure of the scale and its construct validity. To test the time invariance of the scale, the relationships between the scores obtained from the first and second applications were examined using the intraclass correlation coefficient (ICC). Results The Kaiser–Meyer–Olkin value of the Family Inventory of Needs was found to be 0.893. The items of the Family Inventory of Needs were found to explain 45.23% of the total variance in scores. The Turkish form of the scale consisted of the importance and fulfillment subdimensions, and had 19 items. The ICCs of the test–retest scores of the importance and fulfillment subdimensions of the Family Inventory of Needs were found to be, respectively, ICC = 1.000 and ICC = 0.730 with a positive, linear, and highly significant relationship between the scores. The item-total score correlation coefficients of the scale were found to vary between 0.920 and 0.908 in the importance subdimension, and between 0.930 and 0.922 in the fulfillment subdimension. Significance of results The Turkish version of the Family Inventory of Needs was found to be a valid and reliable measurement tool that can be safely used with the family members of Turkish inpatients.

Measuring Family Members’ Experiences of Integrating Chronic Illness Into Family Life: Preliminary Validity and Reliability of the Family Integration Experience Scale:Chronic Illness (FIES:CI)

2020 ◽  
Vol 26 (2) ◽  
pp. 111-125
Author(s):  
Sonja J. Meiers ◽  
Sandra K. Eggenberger ◽  
Norma K. Krumwiede ◽  
Brant Deppa
Keyword(s):  
Chronic Illness ◽  
Family Life ◽  
Discriminant Validity ◽  
Measurement Theory ◽  
Family Members ◽  
Validity And Reliability ◽  
Internal Reliability ◽  
The Family ◽  
Family Integration ◽  
Illness Model

Measures of family members’ experiences of integrating chronic conditions (CC) or chronic illnesses (CI) into family life are needed to optimize family care. This article reports development and psychometric testing of the Family Integration Experience Scale: Chronic Illness (FIES:CI), a measure of family member perceptions of integrating CC or CI into evolving family life. Family Systems Nursing (FSN), the Reintegration Within Families in the Context of Chronic Illness Model, and measurement theory guided the study. Participants were those ( N = 328) managing a CC or CI. Concurrent validity ( r = +.629; p < .001) and discriminant validity, F(1, 155) = 7.09; p < .05, were demonstrated. Exploratory factor analysis revealed a two-dimensional model explaining 63.8% variance. Scale internal reliability was α = .70 and .785, and factor reliabilities were α = .798 (Factor 1) and α = .847 (Factor 2). Test–retest item and subscale correlations, while accounting for intra-family correlation, were acceptable. The FIES:CI contributes a valuable new measure of family integration in the context of CC or CI with preliminary validity and reliability as tested in these samples.

Involving Friends, Family, and Other Loved Ones

2019 ◽  
pp. 185-194
Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller
Keyword(s):  
Treatment Outcome ◽  
Eating Disorder ◽  
Expressed Emotion ◽  
Family Members ◽  
Individual Therapy ◽  
Loved One ◽  
Eating Disorder Symptoms ◽  
Successful Treatment Outcome ◽  
The Family ◽  
The Common

Although exposure-based treatments are most commonly implemented in an individual therapy format, involving families in exposure can boost the likelihood of a successful treatment outcome. Many families will need instruction and careful guidance from clinicians in sidestepping the common pitfalls of accommodating their loved one’s eating disorder symptoms and/or engaging in patterns of highly emotionally charged and critical responding toward their loved one (i.e., expressed emotion). There are several useful options that clinicians have for involving family members directly in patients’ exposure activities. Examples of those options include training family members to be supportive “exposure coaches,” as well as utilizing family as exposure stimuli when appropriate. Employing these options effectively will help to instill a collective “exposure mindset,” in which the family are all on the same page in confronting anxiety-evoking stimuli and eliminating use of safety behaviors.

Validity and Reliability of the Family Inventory of Needs (FIN): Measuring the Care Needs of Families of Advanced Cancer Patients

1995 ◽  
Vol 3 (2) ◽  
pp. 109-126 ◽  
Author(s):  
Linda J. Kristjanson ◽  
Jan Atwood ◽  
Lesley F. Degner
Keyword(s):  
Construct Validity ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Internal Consistency ◽  
Family Members ◽  
Validity And Reliability ◽  
Alpha Coefficient ◽  
Advanced Cancer Patients ◽  
Care Needs ◽  
The Family

Two studies balanced qualitative and quantitative data to provide evidence of satisfactory validity and reliability of the Family Inventory of Needs (FIN). The FIN is designed to measure the importance of care needs of families of advanced cancer patients (FIN-Importance of Care Needs subscale) and the extent to which families perceive that their care needs have been met (FINFulfillment of Care Needs subscale). The first study involved development of the instrument and testing for clarity, apparent internal consistency (nonquantitative assessment of homogeneity of content), and content validity using a panel of six experts (family members of advanced cancer patients). The FIN met or exceeded the preset criteria specified used in this phase of testing. The second study of the project used 109 family members of advanced cancer patients from three hospice programs to test the FIN for internal consistency and construct validity. Internal consistency of the FIN-Importance of Care Needs subscale as measured by Cronbach’s alpha coefficient was .83 without redundancy. Construct analysis was assessed using factor analysis techniques. An inability to extract a substantively meaningful minimum number of factors, together with the fact that a theta reliability coefficient of .85 was obtained (only .02 higher than the alpha coefficient), suggested that the items were parallel supporting the conclusion that the subscale is unidimensional. Support for the construct validity of the FINImportance of Care Needs subscale was also obtained using predictive modeling. The internal structure of the FIN-Fulfillment of Care Needs subscale was assessed using cluster analysis. Results suggested that the subscale is a unidimensional one. Overall, the FIN met the preset reliability and validity criteria providing promising evidence for the instrument’s sound psychometric properties for use in research and clinical settings.

Validity and Reliability of the Dying Care Process and Outcome Scales Before and After Death From the Bereaved Family Members’ Perspective

2018 ◽  
Vol 36 (2) ◽  
pp. 130-137 ◽  
Author(s):  
Yusuke Kanno ◽  
Kazuki Sato ◽  
Megumi Shimizu ◽  
Yuko Funamizu ◽  
Hideaki Andoh ◽  
...  
Keyword(s):  
Intraclass Correlation ◽  
Family Members ◽  
Family Care ◽  
Care Process ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Care Processes ◽  
The Family ◽  
Before And After ◽  
Bereaved Family

Objective: There are no instruments evaluating the processes and outcomes of dying care right before and after death. Therefore, we developed and examined the validity and reliability of 2 scales for evaluating dying care processes and outcomes before and after death. Methods: A cross-sectional, anonymous questionnaire was administered to bereaved family members of patients with cancer who had died in 5 facilities. We evaluated the Dying Care Process Scale for Bereaved Family Members (DPS-B) and the Dying Care Outcome Scale for Bereaved Family Members (DOS-B) with 345 bereaved family members. Results: A factor analysis revealed that DPS-B and DOS-B each consisted of 4 subscales. For the DPS-B, they were “symptom management,” “respect for the patient’s dignity before and after death,” “explanation to the family,” and “family care.” For the DOS-B, they were “peaceful dying process for the patient,” “being respected as a person before and after death,” “good relationship between the patient and family,” and “peaceful dying process for the family.” Both DPS-B and DOS-B had sufficient convergent and discriminative validity, sufficient internal consistency (DPS-B: α = 0.91 and subscales’ αs = 0.78-0.91; DOS-B: α = 0.91 and subscales’ αs = 0.78-0.94), and sufficient test–retest reliability (DPS-B: intraclass correlation coefficient [ICC] of total score = 0.79 and subscales = 0.55-0.79; DOS-B: ICC of total score = 0.88 and subscales = 0.70-0.88). Significance of Results: Both DPS-B and DOS-B are valid and reliable scales for evaluating the dying care processes and outcomes before and after death from the bereaved family members’ perspectives.

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