Predictive validity of the Family Attitude Scale in people with psychosis

Kavanagh, D. J., Pourmand, D., White, A., Robertson, D., Halford, K. and Vaughan, K. (2008) Predictive validity of the Family Attitude Scale in people with psychosis. Psychiatry Research, 160 3: 356-363. doi:10.1016/j.psychres.2007.08.003

Author Kavanagh, D. J.
Pourmand, D.
White, A.
Robertson, D.
Halford, K.
Vaughan, K.
Title Predictive validity of the Family Attitude Scale in people with psychosis
Journal name Psychiatry Research   Check publisher's open access policy
ISSN 0165-1781
Publication date 2008-01-01
Year available 2008
Sub-type Article (original research)
DOI 10.1016/j.psychres.2007.08.003
Open Access Status DOI
Volume 160
Issue 3
Start page 356
End page 363
Total pages 8
Editor Buchsbaum, M. S.
Place of publication Ireland
Publisher Elsevier Ireland
Language eng
Subject C1
110319 Psychiatry (incl. Psychotherapy)
920410 Mental Health
Abstract 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.
Keyword Expressed emotion
Psychotic disorders
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 25 Mar 2009, 00:44:29 EST by Sheila Cleary on behalf of Psychiatry - Royal Brisbane and Women's Hospital