Behavioral Correlates of Maternal Expressed Emotion in Interaction Tasks

Family expressed emotion (EE), a measure of emotional overinvolvement (EOI) and criticism (CRIT), is predictive of relapses and poor treatment outcomes among adults experiencing a range of psychopathology and may predict outcomes among youth with mood disorders. Although it is typically measured by an individual interview with a family member, EE is thought to index family processes and, therefore, should be reflected in family interactional behavior. We examined the association between maternal EE and interactional behavior in a sample of mothers and their 8-12-year-old children. Mother-child dyads participated in three video-recorded interaction tasks-two problem-solving tasks and one planning-fun-activity task. Maternal EE was measured by the Five Minute Speech Sample, and mothers were classified as CRIT, EOI, or low EE. Maternal interactional behavior was coded using the Living in Family Environments coding system. Repeated measures analyses of variance were used to test the hypothesis that both maternal EE and the type of task would predict maternal interactional behavior. On average, maternal critical behavior increased from the first to the second problem-solving task and decreased during the planning-fun-activity task. Mothers high in CRIT showed greater relative frequencies of critical behavior as compared to mothers high in EOI or mothers low in EE. The results suggest that maternal CRIT, as assessed by the Five Minute Speech Sample, is significantly associated with observed maternal critical behavior.