Emotional Quality of the Relationship Scale (EQR)

Download Clinical Summary PDF

Tool Description

  • The EQR measures Affection, Emotional Intimacy and Communication. Useful in looking at aspects of relationships experienced by individuals with SCI.
  • More specifically, the EQR scale measures:

o   Feelings of affection and intimacy

o   Ability to solve problems within the relationship

o   Ability to communicate about sex with the partner

o   Satisfaction with these areas and the relationship as a whole.

ICF Domain:

Body Functions – Subcategory: Functions of the Reproductive System.

Number of Items:

7

Brief Instructions for Administration & Scoring

Administration:

  • Self-report instrument that takes approximately 2-5 minutes to complete.

Equipment: None

Scoring:

  • Scores are summed resulting in a composite score that ranges from a minimum score of 7 to a maximum of 28.
  • Items are scored on a four-point ordinal scale ranging from 4 (very great) to 1 (very poor).

Interpretability

MCID: not established for SCI
SEM: not established for SCI
MDC: not established for SCI

  • Higher scores indicates that the emotional quality of the relationship is stronger.
  • Mean values for SCI patients range from approximately 22 to 24.
  • There are no definitions and classifications of the results provided.
  • No cut-points or normative data have been established for the SCI population
  • Published data for the SCI population is available for comparison (see the Interpretability section of the Study Details sheet).

Languages:

English.

Training Required:

Though no special equipment or training is required, items can elicit an emotional response that may require professional attention.

Availability:

See the how-to page of this tool.

Clinical Considerations

  • 30% - 40% of the subjects thought the questions regarding sex were difficult to answer.
  • Due to the lack of current literature using this tool, other more mainstream methods such as client interview should be used in conjunction with this scale.
  • The tool could feasibly be used for individuals with both tetraplegia and paraplegia.
  • Staff burden is limited given the self-report nature of the scale

Measurement Property Summary

# of studies reporting psychometric properties: 3

Reliability:

  • Internal consistency of the EQR is High (α=0.85).

[Kreuter et al. 1994a, Kreuter et al. 1994b]

Validity:

  • The EQR is significantly (p<.01) and Moderately correlated with the:
    • Sexual Behaviour Scale (r=0.45)
    • Hospital Anxiety and Depression Scale (r=-0.38)
    • Quality of Life (Visual Analog Scale) (r=0.37).

[Kreuter et al. 1994b, Kreuter et al. 1996]

Responsiveness:

No values were reported for the responsiveness of the EQR for the SCI population.

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the EQR for the SCI population.

Reviewer

Dr. Ben Mortenson, Matthew Querée

Date Last Updated:

Dec 1, 2016

Download the measure

Download Worksheet:

Worksheet Document

Video

n/a

Scoring

  • Scores are summed resulting in a composite score that ranges from a minimum score of 7 to a maximum of 28.
  • Items are scored on a four-point ordinal scale ranging from 4 (very great) to 1 (very poor).
  • Higher scores indicates that the emotional quality of the relationship is stronger.
  • Mean values for SCI patients range from approximately 22 to 24.

Equipment Needed

EQR:

Kreuter M, Sullivan M, Siosteen A. Sexual adjustment and quality of relationships in spinal paraplegia: A controlled study. Arch Phys Med Rehabil 1996;77:541-548.
http://www.ncbi.nlm.nih.gov/pubmed/8831469

Kreuter M, Sullivan M, Siosteen A. Sexual adjustment after spinal cord injury (SCI) focusing on partner experiences. Paraplegia 1994; 32:225-235.
http://www.ncbi.nlm.nih.gov/pubmed/8022632

Kreuter M, Sullivan M, Siosteen A. Sexual adjustment after spinal cord injury (SCI) -comparison of partner experiences in pre- and postinjury relationships. Paraplegia 1994;32:759-770.
http://www.ncbi.nlm.nih.gov/pubmed/7885719