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September 10, 2025Open Access

Expression Scale Emotional Family: Validity and Reliability Study in Families with Patient Schizophrenia

NANoviana Ayu ArdikaState University of Semarang WCWidya Hary CahyatiState University of Semarang

Key Points

The short version of the LEE Scale effectively measures family emotional expression in schizophrenia patients, indicating its importance for patient care.
Correlation coefficients for the subscales exceeded critical values, confirming strong validity with statistical significance at p < 0.05.
Reliability testing showed high internal consistency with Cronbach's Alpha values of 0.934 and 0.866 for Critical Comments and Emotional Overinvolvement, respectively.
The study's findings highlight the tool's usefulness in assessing emotional dynamics, which could influence relapse rates among individuals with schizophrenia.

Abstract

This study aims to determine the validity and reliability of the short version of the Level of Expressed Emotion (LEE) Scale in measuring family emotional expression toward individuals with schizophrenia. A quantitative approach with a descriptive correlational design was employed. A total of 18 respondents were purposively selected from families living with schizophrenia patients. The instrument consisted of two subscales: Critical Comments and Emotional Overinvolvement. Validity testing revealed that all items in both subscales had correlation coefficients greater than the critical value (r > 0.443) and were statistically significant at p < 0.05. Reliability testing yielded Cronbach's Alpha values of 0.934 for Critical Comments and 0.866 for Emotional Overinvolvement, indicating high internal consistency. Therefore, the short version of the LEE Scale is a valid and reliable tool to assess family emotional expression that may influence relapse in individuals with schizophrenia.

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