Department of Social Work and Social Administration, University of Hong Kong, Hong Kong.
Compr Psychiatry. 2019 Feb;89:1-6. doi: 10.1016/j.comppsych.2018.12.001. Epub 2018 Dec 5.
Although high expressed emotions (EE) is one of the most significant predictors for schizophrenic relapse, the assessment of EE is often impeded by the demanding Camberwell Family Interview (CFI) that is required to be conducted by specifically trained staff. To enable a more efficient assessment of EE, we developed the 12-item Concise Chinese Level of Expressed Emotion Scale (CCLEES) and reported its predictive and concurrent validity in this study.
A one-year prospective study design was adopted. Totally 101 participants diagnosed with schizophrenia were recruited from the department of psychiatry of a major acute hospital in Hong Kong. CCLEES was administered and subsequent relapse information was collected from all participants. At baseline, 10 family members of the participants were also administered CFI.
Participants who scored above the optimal cut-off point (Score 13 on Criticism, and/or 13 on Hostility, and/or 15 on Emotional Over-involvement) showed a 6.3 times elevated 12-month schizophrenic relapse rate compared to those who scored below cut-off. The CCLEES also demonstrated excellent correspondence with CFI, the widely-recognized golden benchmark of EE assessment.
The results support the CCLEES as a brief and psychometrically sound self-report measurement for EE in Chinese people with schizophrenia.
尽管高度表达的情绪（EE）是精神分裂症复发的最重要预测因素之一，但 EE 的评估常常受到需要由专门训练的人员进行的高要求的 Camberwell 家庭访谈（CFI）的阻碍。为了更有效地评估 EE，我们开发了 12 项简明中文表达情绪量表（CCLEES），并在本研究中报告了其预测和同时效度。
采用为期一年的前瞻性研究设计。总共招募了 101 名来自香港一家主要急症医院精神科的精神分裂症患者。对所有参与者进行 CCLEES 测试，并收集随后的复发信息。在基线时，还对 10 名参与者的家庭成员进行了 CFI 测试。
与得分低于截止值的患者相比，得分高于最佳截止点（批评得分 13，或敌意得分 13，或情感过度卷入得分 15）的患者 12 个月的精神分裂症复发率高出 6.3 倍。CCLEES 还与 CFI 表现出极好的一致性，CFI 是评估 EE 的广泛认可的黄金基准。
结果支持 CCLEES 作为一种简明且心理测量可靠的精神分裂症中国人群 EE 的自我报告测量工具。
