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Predictive power and construct validity of the Level of Expressed Emotion (LEE) scale

Depressed out-patients and couples from the general community

Published online by Cambridge University Press:  03 January 2018

Coby Gerlsma*
Affiliation:
Department of Clinical Psychology, University of Groningen, The Netherlands
William W. Hale Iii
Affiliation:
Department of Biological Psychiatry, University of Groningen, The Netherlands
*
Coby Gerlsma, Department of Clinical Psychology, PO Box 30.001, 9700 RB Groningen, The Netherlands

Abstract

Background

The Level of Expressed Emotion scale (LEE) is a questionnaire designed to measure the perception of expressed emotion, an important predictor of the course of several psychiatric disorders.

Method

In this study, the scales predictive and construct validity were examined in a sample of 26 clinically depressed out-patients and their partners, and in a sample of 40 couples from the general community

Results

In the sample of depressed out-patients, the LEE was predictive of depression improvement at six-month follow-up. With regard to the construct validity, results in both samples showed quite strong relationships between the LEE and depressive symptomatology, relational dissatisfaction, and coping styles.

Conclusions

The LEE may be a useful tool in the study of interpersonal processes and depression, both in clinical and research settings.

Type
Papers
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4 th edn) (DSM-IV). Washington. DC: APA.Google Scholar
Arrindell, W. A., Boelens, W. & Lamberts, H. (1983) On the psychometric properties of the Maudsley Marital Questionnaire (MMQ): evaluation of self-ratings in distressed and “normal” volunteer couples based on the Dutch version. Personality and Individual Differences, 4, 293306.CrossRefGoogle Scholar
Arrindell, W. A., Boelens, W. & Lamberts, H. & Ettema, J. J. M. (1986) SCL-90. Handleiding bij een Multidimensionele Psychopathologie-indicator (Manual of a Multi-dimensional Psychopathology Indicator). Lisse: Swets en Zeitlinger.Google Scholar
Beck, A. T., Ward, C. H., Mendelson, M., et al (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 5363.CrossRefGoogle ScholarPubMed
Blatt, S. J. & Maroudas, C. (1992) Convergences among psychoanalytic and cognitive-behavioral theories of depression. Psychoanalytic Psychology, 9, 157190.CrossRefGoogle Scholar
Cohen, J. (1988) Statistical Power Analysis for the Behavioural Sciences. Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
Cole, J. D. & Kazarian, S. S. (1988) The level of Expressed Emotion scale: a new measure of expressed emotion. Journal of Clinical Psychology, 44, 392397.3.0.CO;2-3>CrossRefGoogle Scholar
Cowan, C. P., Cowan, P. A., Heming, G., et al (1985) Transitions to parenthood: his, hers, and theirs. Journal of Family Issues, 6, 451481.Google Scholar
Coyne, J. C. & Downey, G. (1991) Social factors and psychopathology. Annual Review of Psychology, 42, 401425.Google Scholar
Coyne, J. C. & Downey, G., Burchili, S. A. L. & Stiles, W. B. (1991) An interactional perspective on depression. In Handbook of Social and Clinical Psychology (eds C. R. Snyder & D. O. Forsyth), pp. 327349. New York: Pergamon.Google Scholar
Gerlsma, C., van der Lubbe, P. M. & van Nieuwenhuizen, C. H. (1992) Factor analysis of the Level of Expressed Emotion Scale, a questionnaire intended to measure ‘perceived expression emotion’. British Journal of Psychiatry, 160, 385389.Google Scholar
Gilbert, P. (1993) Defence and safety: their function in social behaviour and psychopathology. British Journal of Clinical Psychology, 32, 131154.Google Scholar
Hahlweg, K., Dürr, H. & Müller, U. (1995) Familien Betre-nung Schizophrener Patienten, pp. 5459. Weinheim: Psycho-logie Verlags Union Google Scholar
Hooley, J. M. & Teasdale, J. D. (1989) Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 98, 229235.Google Scholar
Hooley, J. M. & Teasdale, J. D. & Rkhters, J. D. (1991) Alternative measures of expressed emotion: a methodological and cautionary note. Journal of Abnormal Psychology, 100, 9497.Google Scholar
Hooley, J. M. & Teasdale, J. D. & Rkhters, J. D., Rosen, L. R. & Richters, J. E. (1995) Expressed emotion: toward clarification of a critical construct. In The Behavioral High-Risk Paradigma in Psychopathology (ed. Miller, G. A.), pp. 133166. New York: Springer-Verlag.Google Scholar
Horowitz, L. M. & Vitkus, J. (1986) The interpersonal basis of psychiatric symptoms. Clinical Psychology Review, 6, 443469.CrossRefGoogle Scholar
Kavanagh, D. J. (1992) Recent developments in expressed emotion and schizophrenia. British Journal of Psychiatry, 160, 601620.Google Scholar
Lange, A. (1983) Interactionele Probleem Oplossings Vragenlijst (Interactional Problem Solving Inventory). Deventer. The Netherlands: Van Loghum Slaterus.Google Scholar
Schreurs, P. J. G., Willige, G. V., Tellegen, B., et al (1988) De Utrechtse Coping Lijst: UCL. Omgaan met Problemen en Gebeurtenissen (The Utrecht Coping List. Coping with Problems and Events). Lisse: Swets en Zeitlinger Google Scholar
Vkughn, C. 6 Lefff, J. (1976) The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology, 15, 157165.Google Scholar
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