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Protocol - Family Expressed Emotion Toward Relatives with Psychosis and Schizophrenia

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Protocol Name from Source:

Family Questionnaire (FQ)

Availability:

Publicly available

Description:

The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (criticism and emotional over involvement [EOI]) of family members toward patients with mental illness. The FQ has two subscales: critical comments, and EOI. Each item is rated on a 4-point scale (1 = never/very rarely; 4 = very often). The FQ is scored by adding together the ratings from the individual items, with higher scores indicating greater levels of expressed emotion.

Protocol:

Never/ very rarely

Rarely

Often

Very Often

1. I tend to neglect myself because of him/her

O

O

O

O

2. I have to keep asking him/her to do things

O

O

O

O

3. I often think about what is to become of him/her

O

O

O

O

4. He/she irritates me

O

O

O

O

5. I keep thinking about the reasons for his/her illness

O

O

O

O

6. I have to try not to criticize him/her

O

O

O

O

7. I can’t sleep because of him/her

O

O

O

O

8. It’s hard for us to agree on things

O

O

O

O

9. When something about him/her bothers me, I keep it to myself

O

O

O

O

10. He/she does not appreciate what I do for him/her

O

O

O

O

11. I regard my own needs as less important

O

O

O

O

12. He/she sometimes gets on my nerves

O

O

O

O

13. I’m very worried about him/her

O

O

O

O

14. He/she does some things out of spite

O

O

O

O

15. I thought I would become ill myself

O

O

O

O

16. When he/she constantly wants something from me, it annoys me

O

O

O

O

17. He/she is an important part of my life

O

O

O

O

18. I have to insist that he/she behave differently

O

O

O

O

19. I have given up important things in order to be able to help him/her

O

O

O

O

20. I’m often angry with him/her

O

O

O

O

Scoring: Each item is rated on a four-point scale (1 = never/very rarely; 4 = very often). Ratings from each item are added together to give a total score, with higher scores indicating greater levels of expressed emotion.

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None

Research Domain Information

Release Date:

January 17, 2017

Definition

A questionnaire to assess expressed emotion status of relatives of patients with mental illness.

Purpose

This measure can be used to assess expressed emotion, or attitudes and behavior patterns, of relatives toward mental health patients. Higher expressed emotion levels are predictive of relapse of some mental illnesses, including psychosis, schizophrenia, eating disorders, and mood disorders.

Selection Rationale

The Family Questionnaire (FQ) is a short, reliable, and valid self-administered questionnaire that is easy to use, score, and interpret.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Mental Health Family towards Patient Emotion Assessment Scale5628271CDE Browser

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

Wiedemann, G., Rayki, O., Feinstein, E., & Hahlweg, K. (2002). Family Questionnaire: Development and validation of a new self-report scale for assessing expressed emotion. Psychiatry Research, 109, 265-279.

General References

Fredman, S. J., Baucom, D. H., Boeding, S. E., & Miklowitz, D. J. (2015). Relatives’ emotional involvement moderates the effects of family therapy for bipolar disorder. Journal of Consulting and Clinical Psychology, 83(1), 81-91.

McCann, T. V., Lubman, D. I., Cotton, S. M., Murphy, B., Crisp, K., Catania, L., Marck, C., & Gleeson, J. F. (2013). A randomized controlled trial of bibliotherapy for careers of young people with first-episode psychosis. Schizophrenia Bulletin, 39(6), 1307-1317.

Protocol ID:

662001

Variables:

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