Shimodera Shinji, Mino Yoshio, Fujita Hirokazu, Izumoto Yuji, Kamimura Naoto, Inoue Shimpei
Department of Neuropsychiatry, Kochi Medical School, Kohasu, Okoh-cho, Nankoku-shi, Kochi, Japan.
Psychiatry Res. 2002 Nov 15;112(3):231-7. doi: 10.1016/s0165-1781(02)00242-1.
Both the Camberwell Family Interview (CFI) and the Five-Minute Speech Sample (FMSS) have been used to define expressed emotion (EE), but the validity of the FMSS relative to the CFI in mood disorders has not been evaluated. In our study, the FMSS and the CFI were performed on the same day in close family members of inpatients with mood disorders within 2 weeks after their admission. The ratings obtained from the CFI were then used to estimate the validity of the FMSS, which was defined by sensitivity and specificity on the basis of the overall evaluation of EE. Validity was also assessed by including borderline ratings of 'low EE' in the category of 'high EE.' Based on the overall evaluation, sensitivity and specificity were 66.7 and 96.8%, respectively. When borderline low EE was included in high EE, the sensitivity and specificity were 100 and 90.3%, respectively. The validity of definitions of EE by the FMSS relative to the CFI was high in mood disorders. Evaluation of EE by the FMSS, which is clinically applicable to patients with mood disorders, is feasible. The validity of this approach is enhanced when families defined as 'borderline low EE' are included in the high-EE category.
坎伯韦尔家庭访谈（CFI）和五分钟言语样本（FMSS）都曾被用于界定情感表达（EE），但FMSS相对于CFI在心境障碍中的效度尚未得到评估。在我们的研究中，FMSS和CFI在心境障碍住院患者入院后2周内，于同一天对其近亲进行。然后用从CFI获得的评分来评估FMSS的效度，该效度根据对EE的总体评估，通过敏感性和特异性来界定。通过将“低EE”的临界评分纳入“高EE”类别，也对效度进行了评估。基于总体评估，敏感性和特异性分别为66.7%和96.8%。当临界低EE被纳入高EE时，敏感性和特异性分别为100%和90.3%。在心境障碍中，FMSS相对于CFI对EE的界定效度较高。对心境障碍患者临床适用的FMSS评估EE是可行的。当被界定为“临界低EE”的家庭被纳入高EE类别时，这种方法的效度会提高。
