Volume 1 Supplement 1

Proceedings of the 2013 Australia and New Zealand Academy for Eating Disorders (ANZAED) Conference. Inspiring Change: Person and Context

Open Access

Using the Five Minute Speech Sample to assess expressed emotion in families of adolescents with anorexia nervosa

Journal of Eating Disorders20131(Suppl 1):O47


Published: 14 November 2013

High Expressed Emotion (EE) has been associated with poorer treatment outcomes and increased risk for relapse in patients with eating disorders. EE refers to the attitudes, emotions and feelings expressed by a relative towards a person with an illness. Assessment of EE includes measuring levels of criticism, emotional overinvolvement (EOI), warmth and positive remarks made by a relative towards a patient.

The Structured Clinical Family Interview (SCFI) and Camberwell Family Interview (CFI) can be used to make EE ratings. However, extensive training is required to administer these interviews, and both interviews are extremely time consuming to conduct and score. The Five Minute Speech Sample (FMSS) was developed as an alternative to the SCFI and CFI and involves a relative speaking about the patient and their relationship with them for five minutes.

This presentation will describe how the FMSS is administered, provide an overview of scoring and explain the training required to score a FMSS. Extracts from FMSS recordings provided by families of patients with anorexia nervosa at The Royal Children's Hospital Eating Disorders Program will be presented. Examples of how the FMSS can be used in clinical and research settings will also be provided.

This abstract was presented in the Anorexia Nervosa – Characteristics and Treatment stream of the 2013 ANZAED Conference.

Authors’ Affiliations

Murdoch Childrens Research Institute
Centre for Adolescent Health, Royal Children's Hospital
University of Melbourne
University of Chicago


© Allan et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.