1. Understands if sometimes I don’t want to talk.
2. Calms me down when I’m upset.
3. Says I lack self-control.
4. Is tolerant with me even when I’m not meeting his/her expectations.
5. Doesn’t butt into my conversations.
6. Doesn’t make me nervous.
7. Says I just want attention when I say I’m not well.
8. Makes me feel guilty for not meeting his/her expectations.
9. Isn’t overprotective with me.
10.Loses his/her temper when I’m not feeling well.
11.Is sympathetic towards me when I’m ill or upset.
12.Can see my point of view.
13.Is always interfering.
14.Doesn’t panic when things start going wrong.
15.Encourages me to seek outside help when I’m not feeling well.
16.Doesn’t feel that I’m causing him/her a lot of trouble.
17.Doesn’t insist on doing things with me.
18.Can’t think straight when things go wrong.
19.Doesn’t help me when I’m upset or feeling unwell.
20.Puts me down if I don’t live up to his/her expectations.
21.Doesn’t insist on being with me all the time.
22.Blames me for things not going well.
23.Makes me feel valuable as a person.
24.Can’t stand it when I’m upset.
25.Leaves me feeling overwhelmed.
26.Doesn’t know how to handle my feelings when I’m not feeling well.
27.Says I cause my troubles to occur in order to get back at him/her.
28.Understands my limitations.
29.Often checks up on me to see what I’m doing.
30.Is able to be in control in stressful situations.
31.Tries to make me feel better when I’m upset or ill.
32.Is realistic about what I can and cannot do.
33.Is always nosing into my business.
34.Hears me out.
35.Says it’s not OK to seek professional help.
36.Get angry with me when things don’t go right.
37.Always has to know everything about me.
38.Makes me feel relaxed when he/she is around.
39.Accuses me of exaggerating when I say I’m unwell.
40.Will take it easy with me‚ even if things aren’t going right.
41.Insists on knowing where I’m going.
42.Gets angry with me for no reason.
43.Is considerate when I’m ill or upset.
44.Supports me when I need it.
45.Butts into my private matters.
46.Can cope well with stress.
47.Is willing to gain more information to understand my condition‚ when I’m not feeling well.
48.Is understanding if I make mistakes.
49.Doesn’t pry into my life.
50.Is impatient with me when I’m not well.
51.Doesn’t blame me when I’m feeling unwell.
52.Expects too much from me.
53.Doesn’t ask a lot of personal questions.
54.Makes matters worse when things aren’t going well.
55.Often accuses me of making things up when I’m not feeling well.
56.”Flies off the handle” when I don’t do something well.
57.Gets upset when I don’t check in with him/her.
58.Gets irritated when things don’t go right.
59.Tries to reassure me when I’m not feeling well.
60.Expects the same level of effort from me‚ even if I don’t feel well.
LEE- Spanish
Sepúlveda‚ Anastasiadou‚ a del Río et al‚ 2012
2: I calm him/her down when he/she is upset
3: I say he/she lacks control
4: I am tolerant with him/her even when he/she doesn’t meet my expectations.
6: I don’t make him/her nervous.
7: I say he/she just wants attention when he/she is not well.
8: I make him/her feel guilty for not meeting my expectations.
9: I am not over protective with him/her.
10: I lose control of my temper
11: I am sympathetic towards him/her when he/she is not feeling well
12: I can see his/her point of view.
13: I am always interfering
14: I don’t panic when things start going wrong
19: I don’t help him/her when he or she is upset or feeling unwell.
20: I put him/her down if he/she doesn’t live up to my expectations.
22: I blame him/her for things not going well.
23: I make him/her feel valuable as a person.
26: I don’t know how to handle his/he feelings when he/she is not feeling well.
27: I say he/she causes his/her troubles to occur in order to get back at me.
28: I understand his/her limitations.
30: I am able to be in control in stressful situations.
31: I try to make him/her feel better when he/she is upset or ill.
32: I am realistic about what he/she can and cannot do.
33: I am always nosing about into his/her business.
34: I hear him/her out.
35: I say it is not OKAY to seek professional help.
36: I get angry with him/her when things don’t go right.
37: I always have to know everything about him/her.
38: I make him/her feel relaxed when I am around.
39: I accuse him/her of exaggerating when he/she says that she is unwell.
41: I insist on knowing where he/she is going.
42: I get angry with him/her for no reason.
43: When he/she is upset‚ I am a considerate person.
44: I support him/her when he/she needs it.
45: I butt into his/her private matters.
46: I can cope well with stress.
48: I am understanding if he/she makes a mistake.
49: I don’t pry into his/her life.
50: I an impatient with him/her when he/she is not well.
52: I expect too much from him/her.
53: I don’t ask a lot of personal questions.
54: I make matters worse when things aren’t going well.
55: I often accuse him/her of making things up when he/she is not feeling well.
56: I ‘fly off the handle’ when he/she doesn’t do something well.
58: I get irritated when things don’t go right.
59: I try to reassure him/her when he/she is not feeling well.
Intrusiveness‚ emotional response‚ attitude toward illness‚ and tolerance/expectations
True‚ False
This instrument can be found in: Fischer‚ Joel.‚ Corcoran‚ Kevin J. (2007 ). Measures for Clinical Practice and research: A sourcebook. (4th ed.). NY. Oxford University Pr. Vol. 1‚ Page (s): 359-361.
Cole‚ J. D.‚ Kazarian‚ S.S. (1988). The level of expressed emotion scale: a new measure of expressed emotion. J Clin Psychol 44:392–397
Cole‚ John D.‚ Kazarian‚ Shahe S. (1993). Predictive validity of the level of expressed emotion (LEE) scale: Readmission follow-up data for 1‚ 2‚ and 5-year periods. Clinical Psychology‚ 49(2)‚ 216-218
Hale‚ W. W.‚ Raaijmakers Quinten A. W.‚ Gerlsma‚ Coby.‚2 and Meeus‚ W. (2007). Does the level of expressed emotion (LEE) questionnaire have the same factor structure for adolescents as it has for adults?. Social Psychiatry and Psychiatric Epidemiology. 42(3): 215–220.
Cole & Kazarian. (1988). Level of Expressed Emotion (LEE). In Fischer‚ Joel.‚ Corcoran‚ Kevin J. (2007 ). Measures for Clinical Practice and research: A sourcebook. (4th ed.). NY. Oxford University Pr. Vol. 1‚ Page (s): 359-361.
Sepúlveda‚ Ana R.‚ Anastasiadou‚ Dimitra.‚ del Río‚ A. M. et al. (2012). The Spanish Validation of Level of Expressed Emotion Scale for Relatives of People with Eating Disorders. The Spanish Journal of Psychology‚ 15(2)‚ 825-839.