Expressed emotion measure adaptation into a foreign language

Abstract

Expressed emotion (EE) measures have been created in English; adaptation into a foreign language is difficult. The aim of this study was to adapt the five minutes speech sample (FMSS), with a designed procedure ensuring optimum quality of the adaptation, and thus better trans-cultural validity. A strategy for improving inter-rater agreement comprised three phases: (1) phase of initial ratings (70 French samples), (2) experimental phase in two steps: ratings of 40 other samples in French, followed by analysis of differences between the French-language ratings and English-language ratings and (3) final rating phase of the initial 70 samples. For each phase, the κ coefficients measuring inter-rater agreement were calculated and compared using a bootstrap procedure. The improvements between these scorings were significant at p < 0.05 (phase 2 initial versus phase 2 final and phases 1 versus 3). The French inter-rater agreement significantly improved after this procedure.

Expressed Emotion in Families of Patients with Eating Disorders: A Review of the Literature

“…Dropout is however problematic, since a higher EE level is associated with greater probability of dropout (see Results; [31,[34][35][36][37] [27] used the same cohort as Le Grange et al [37] and Le Grange et al [38]; Hodes et al [39] the same as Eisler et al [40] and Eisler et al [41]; Hoste et al [25] the same as Le Grange et al [35] and Duclos et al 1 the same as Rein et al [42] and Rein et al [43]. In BN, Perkins et al [36] used the same cohort as Winn et al [44] and in ED, Van Furth et al [32] the same as Van Furth et al [45]; Kyariacou et al [46] and Sepulveda et al [47] used the same baseline.…”

“…Validation of the FMSS into a foreign language: this one study provides a reliable measure of EE using the FMSS in French following a robust adaptation of the instrument in a sample of parents of adolescents suffering from AN [43].…”

Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?

“…- The validated French version of the Five-Minute Speech Sample (FMSS) [ 14 , 16 , 40 ] was administered to each parent and recorded to assess high or low levels on two EE dimensions: Critical EE and EOI EE. Each parent was asked to talk about what kind of person they thought their daughter was and their relationship with her.…”

Bonding and Expressed Emotion: Two Interlinked Concepts?

“…This is a recorded 5-min sample of free speech provided by the respondent about the patient, and the measure has been validated in French and in AN [26,28,29]. The interviewer reads a single instruction asking the parent to talk about what kind of person his/her child is, and his/her relationship with him/her.…”

“…The CFI is the gold standard for evaluating EE, but it is particularly time-consuming. Therefore, shorter instruments were developed, such as the Five-Minute Speech Sample (FMSS) [26,27,28,29]. The FMSS enables the 2 principal dimensions of EE to be rated: Criticism (Critical EE) and Emotional Overinvolvement (EOI EE), as expressed by a parent on the subject of their child.…”