Orhagen T, d'Elia G
Department of Psychiatry, Faculty of Health Sciences, University Hospital, Linköping, Sweden.
Acta Psychiatr Scand. 1991 Nov;84(5):466-74. doi: 10.1111/j.1600-0447.1991.tb03179.x.
A Swedish version of the Camberwell Family Interview (CFI), a psychiatric, semistructured interview schedule for assessing a family's emotional atmosphere, is described. Thirty-two relatives of patients with schizophrenic disorders, according to DSM-III criteria, were interviewed. Eighteen relatives were interviewed twice, before and after one part of a psychoeducational programme. The total number of interviews analysed was 50. Two independent investigators rated the audiotape-recorded interviews to test the interrater reliability of 5 different measures of expressed emotion (critical remarks, hostility, emotional overinvolvement, warmth and positive remarks). High interrater reliabilities were found for the frequency scales, i.e. critical remarks and positive remarks. For the global scales the interrater reliabilities were lower. The use of only one interviewer, the interviewer being one of the raters and shortage of co-training probably influence the reliability. The CFI schedule could probably gain in clarity, structure and shortness in a revised form, although the interview time cannot be reduced to less than 1.5 h. The ratings of measures of expressed emotion are quite complicated and require extensive and specific training of the raters. The total procedure is complex, time-consuming and not easily learned. In its present form, the CFI probably discourages clinicians and researchers from using it.
本文介绍了《坎伯韦尔家庭访谈》（CFI）的瑞典语版本，这是一种用于评估家庭情感氛围的精神病学半结构化访谈程序。根据《精神疾病诊断与统计手册》第三版（DSM-III）标准，对32名精神分裂症患者的亲属进行了访谈。其中18名亲属在参加一个心理教育项目的前后各接受了一次访谈。总共分析了50次访谈。两名独立调查员对访谈录音进行评分，以检验5种不同情感表达测量方法（批评性言论、敌意、情感过度卷入、温暖和积极言论）的评分者间信度。发现频率量表（即批评性言论和积极言论）的评分者间信度较高。对于整体量表，评分者间信度较低。仅使用一名访谈员（该访谈员也是评分者之一）以及缺乏共同培训可能影响了信度。CFI程序经过修订后，在清晰度、结构和简洁性方面可能会有所提高，尽管访谈时间不能缩短至少于1.5小时。情感表达测量方法的评分相当复杂，需要对评分者进行广泛而具体的培训。整个程序复杂、耗时且不易掌握。以其目前的形式，CFI可能会使临床医生和研究人员不愿使用它。
