Camberwell Family Interview

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The Camberwell Family Interview is a semi-standardized interview that is used to record the expression of expressed emotion in family members of the mentally ill . It was introduced by Brown, Birley, and Wing in 1972. It is mainly used for schizophrenic , but also depressive and bipolar-manic patients.

Elevation

The interview asks about the previous history and the history of the current episode of the disease. Usually, the interview is conducted about 2-3 weeks after admission to psychiatry with one of the closest reference persons (father, mother, partner, sibling, ...). The interview is usually recorded on video or tape.

The following subject areas are queried:

  • Psychiatric history: interval and duration of episodes of illness, as well as symptom-free periods that lasted longer than three months
  • Current phase of illness: symptoms, contact with psychiatric care, severity of the current course.
  • Daily structure of the family and the patient
  • Emotional stress in living together with the patient, as well as dealing with it (irritability, argument, dissatisfaction)
  • Patient behavior in the period of 3 months prior to hospital admission
  • Fulfilling tasks in the household and dealing with money
  • Relationship and feelings (like or dislike)
  • Taking medication

evaluation

The interview must be evaluated by well-trained advisers. The expression of expressed emotion is assessed on multi-level scales according to the following criteria:

  • Criticism (disapproval, dislike, resentment)
  • Hostility (rejection of the patient)
  • Extreme Emotional Involvement (EOI)

The patient relationship is considered high-expressed emotion (HEE) as soon as the caregiver receives one or more of the following ratings. The family climate is automatically classified as HEE as soon as only one family member is classified as HEE.

  • 6 or more critical statements occur or
  • Rating 1 or higher on the hostility or scale
  • Rating 3 or higher on the EOI scale

literature

  • Jürgen Margraf (2000). Textbook of behavior therapy, volume 2. Springer Medizin Verlag, Heidelberg.

Web links