Monday, April 13, 2015

Assessments in Family Therapy

Self-report scales




■ Cost effective to administer

■ Provide information on how family members evaluate their own functioning.

The Dyadic Adjustment Scale (DAD)
■ 32-item measure of marital quality and marital adjustment
■ Four subscales measure

  • • marital satisfaction
  • • cohesion
  • • consensus
  • • affective expression


■ The Family Environment Scale (FES) is a 90-item true/false measure assessing how family members perceive their family environment along the three domains of relationships, personal growth and system maintenance.

■ The Family Questionnaire (FQ)
o Brief measure of perceived criticism and overinvolvment.

■ The Family Assessment Device (FAD)
o 60-item scale that assesses the six dimensions of the McMaster Model of Family Functioning

  • ■ Communications
  • ■ problem solving
  • ■ affective responsiveness
  • ■ affective involvement
  • ■ roles
  • ■ behavior control



Interview-based family assessment instruments

■ More labor intensive and require rater training.

■ Provide an outside perspective on how a family functions compared to other families.

■ The Camberwell Family Interview o Requires extensive training
o Used to assess levels of criticism and overinvolvment.

■ The Five Minute Speech Sample o Method of assessing expressed emotion in relatives of patients with psychiatric disorders.

■ The McMaster Clinical Rating Scale (MCRS) o Based on a family interview conducted by a rater
o Assesses the same six dimensions of family functioning as the FAD in addition to assessing the overall health/pathology of a family.
o Inter-rater and test-retest reliability as well as concurrent and discriminative validity.
o Can take from 45 to 90 minutes depending on the experience of the rater.





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