Protocol - Family Expressed Emotion Toward Relatives with Psychosis and Schizophrenia
Related Protocols:
- Childhood Maltreatment
- Current Marital Status
- Family Conflict - Intimate-Relationship
- Family Conflict - Parent-Child
- Family Control and Organization
- Family Interpersonal Relationships
- Household Roster - Relationships
- Marital Status of Primary Caregiver
Essential Protocols:
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.
Specific Instructions:
None
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.
Protocol Name from Source:
Family Questionnaire (FQ)
Availability:
Personnel and Training Required
None
Equipment Needs
None
Requirements
| Requirement Category | Required |
|---|---|
| Major equipment | No |
| Specialized training | No |
| Specialized requirements for biospecimen collection | No |
| Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Self-administered questionnaire
Life Stage:
Adult
Participants:
Adults, ages 18 years and older
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
| Standard | Name | ID | Source |
|---|---|---|---|
| Common Data Elements (CDE) | Mental Health Family towards Patient Emotion Assessment Scale | 5628271 | CDE Browser |
Derived Variables
None
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:
Export Variables| Variable Name | Variable ID | Variable Description | Version | dbGaP Mapping |
|---|---|---|---|---|
| PX662001_Family_Questionnaire_Anger | PX662001200000 | I'm often angry with him/her | N/A | |
| PX662001_Family_Questionnaire_Annoyed | PX662001120000 | He/she sometimes gets on my nerves | N/A | |
| PX662001_Family_Questionnaire_Appreciative | PX662001100000 | He/she does not appreciate what I do for him/her | N/A | |
| PX662001_Family_Questionnaire_Behavior | PX662001180000 | I have to insist that he/she behave differently | N/A | |
| PX662001_Family_Questionnaire_Criticism | PX662001060000 | I have to try not to criticize him/her | N/A | |
| PX662001_Family_Questionnaire_Difficulty_Agreeing | PX662001080000 | It's hard for us to agree on things | N/A | |
| PX662001_Family_Questionnaire_Difficulty_Sleeping | PX662001070000 | I can't sleep because of him/her | N/A | |
| PX662001_Family_Questionnaire_Future | PX662001030000 | I often think about what is to become of him/her | N/A | |
| PX662001_Family_Questionnaire_Illness | PX662001150000 | I thought I would become ill myself | N/A | |
| PX662001_Family_Questionnaire_Important | PX662001170000 | He/she is an important part of my life | N/A | |
| PX662001_Family_Questionnaire_Internalization | PX662001090000 | When something about him/her bothers me, I keep it to myself | N/A | |
| PX662001_Family_Questionnaire_Irritating | PX662001040000 | He/she irritates me | N/A | |
| PX662001_Family_Questionnaire_Manage | PX662001020000 | I have to keep asking him/her to do things | N/A | |
| PX662001_Family_Questionnaire_Needy | PX662001160000 | When he/she constantly wants something from me, it annoys me | N/A | |
| PX662001_Family_Questionnaire_Neglect | PX662001010000 | I tend to neglect myself because of him/her | N/A | |
| PX662001_Family_Questionnaire_Reason_Illness | PX662001050000 | I keep thinking about the reasons for his/her illness | N/A | |
| PX662001_Family_Questionnaire_Sacrifice | PX662001190000 | I have given up important things in order to be able to help him/her | N/A | |
| PX662001_Family_Questionnaire_Sacrifice_Needs | PX662001110000 | I regard my own needs as less important | N/A | |
| PX662001_Family_Questionnaire_Spite | PX662001140000 | He/she does some things out of spite | N/A | |
| PX662001_Family_Questionnaire_Worried | PX662001130000 | I'm very worried about him/her | N/A |
Measure Name:
Family Expressed Emotion Toward Relatives with Psychosis and Schizophrenia
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.
Keywords
Early psychosis, family expressed emotion, caregiver, Family Questionnaire, FQ, emotional over involvement, EOI