Confirmatory factor analysis of the Level of Expressed Emotion scale in Chinese version
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摘要: 目的 LEE (the Level of Expressed Emotion scale)量表是一款由患者评估家庭成员情感表达的自评问卷,国外已讨论过该量表的信效度并将该量表运用在临床各个领域。亚洲将LEE量表引进并结合文化背景进行修订和运用的国家目前只有新加坡和中国香港。因此本研究拟探讨使用中文版本的LEE量表对预测精神科慢性疾患家庭成员情感表达的可能性,为我国临床上使用LEE量表来预测与评估家庭成员的情感表达,从而降低家庭因素对疾病再发的影响提供依据。 方法 对符合本研究对象标准的130例精神障碍患者采用中文版LEE量表与家庭功能FAD量表以及简明精神病评定量表进行调查评估。通过因子分析、信度检验及相关分析比较中文版LEE量表在临床上使用的有效性。 结果 因子分析的结果得到因子负荷量很高的3个分量表:欠缺情感支持(LES,26项)、干涉/干预型(INTR,10项)和易怒/易激惹型(IRR,7项)。3个分量表有较高的内部一致性(LES:α系数0.92;INTR:α系数0.60;IRR:α系数0.56),各分量表间呈显著的正相关。同时该结果中分量表的类型及项目数量和其他研究结果相比较还存在差异,因此该量表临床上使用的有效性有待进一步评估。 结论 本研究中使用中文版本的LEE量表中3个分量表具备预测精神科慢性疾患家庭成员情感表达的信度与效度,但部分项目内容还需要再进一步考察。Abstract: Objective Level of Expressed Emotion(LEE) scale is a self-assessment questionnaire for patients to assess the emotional expression of family members.The reliability and validity of this scale has been discussed and used in many areas of clinical in Abroad.Currently the LEE scale is introduced and combined with the cultural background for the revision and application only by Singapore and Hong Kong.Therefore,this study intends to explore the possibility of using the Chinese version of the LEE scale to predict the emotional expression of family members in psychiatric patients with chronic diseases,in order to predict and evaluate the emotional expression of family members in the clinical use of LEE in China,and to provide evidence for reducing family factors on the recurrence of disease. Methods Total 130 patients with mental disorders who meet the criteria of this study were assessed with the Chinese version of LEE scale,Family Assessment Device(FAD) scale and the Brief Psychiatric Rating Scale.Through factor analysis,reliability test and correlation analysis to compare the effectiveness of the Chinese version of LEE scale in clinical practice. Results The result of factor analysis of LEE had good construct validity of three subscales:LES(26 Items),INTR(10 Items) and IRR(7 Items).The 3 subscales have a high internal consistency(LES:α=0.91;INTR:α=0.6;C:α=0.59).Among subscales showed a significant positive correlation.At the same time,there are still have some differences in the type of the component and the number of items with the results of other studies.Therefore,the effectiveness of the clinical use of this scale should be further evaluated. Conclusion The 3 subscales of LEE have a higher reliability and validity for predicting the emotion expression of the family members in psychiatric disorders.But the content of the items still need to be further investigated.
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