Predictive validity of the family attitude scale in people with psychosis

Kavanagh, David, Pourmand, Diba, White, Angela, Robertson, Denise, Halford, Kim, & Vaughan, Kevin (2008) Predictive validity of the family attitude scale in people with psychosis. Psychiatry Research, 160(3), pp. 356-363.

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Expressed Emotion (EE) strongly predicts relapse in mental disorders, but there remains a need to develop and refine brief, self-report measures. This article describes two studies testing the validity of a self-report measure of criticism or burden, the Family Attitude Scale (FAS), in relatives of patients with psychosis. Study 1 had 54 families of patients with psychosis and a substance use disorder, while Study 2 had 61 families of patients at an early psychotic episode. In Study 1, a consensus FAS was obtained; in Study 2 separate parental scores were used. The FAS was positively associated with EE, and with relationship negativity. Associations with negative caregiving experiences or stress were restricted to maternal or consensual FAS ratings. FAS scores predicted relapse in both studies, although prediction at the optimal cutoff (≥ 60) only reached statistical significance in Study 2, and time to relapse was only predicted by the FAS in Study 1. Prediction of relapse from the CFI was stronger, and the FAS did not add to that prediction. Results supported the utility of the FAS, but confirmed the pre-eminence of the CFI as a household-related predictor of relapse.

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6 citations in Web of Science®

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ID Code: 19620
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Relapse, Expressed emotion, Psychotic disorders, Schizophrenia
DOI: 10.1016/j.psychres.2007.08.003
ISSN: 0165-1781
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Deposited On: 20 Apr 2009 03:13
Last Modified: 29 Feb 2012 13:50

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