Acta Psychiatr Scand. 1994 Jan;89(1):62-7.

A self-report Insight Scale for psychosis: reliability, validity and sensitivity to change.

Birchwood M, Smith J, Drury V, Healy J, Macmillan F, Slade M.

Source

Academic Department of Psychology, University of Birmingham, United Kingdom.

Abstract

Lack of insight is a frequent concomitant of psychosis and has traditionally been viewed as a binary, all or none phenomenon. Recent conceptualization has formulated insight as a continuum representing the juxtaposition of 3 factors--awareness of illness, need for treatment and attribution of symptoms. Measurement of insight has been exclusively based on interview; this method does not easily lend itself to frequent repeated measurement and requires interrater reliability to be established. A self-report Insight Scale is presented, and evidence in support of its reliability, validity and sensitivity is provided that includes a sample of 30 patients monitored during recovery from an acute psychosis. The scale is a quick and acceptable measure that may find application in investigations of acute care, cognitive therapy of psychotic symptoms and as a method of augmenting clinical judgements of insight.

PMID:: 7908156; [PubMed - indexed for MEDLINE]

MeSH Terms, Substances

MeSH Terms

Substances

Antipsychotic Agents

LinkOut - more resources

Medical

Psychotic Disorders - MedlinePlus Health Information

Supplemental Content

Save items

Related citations in PubMed

[Insight in schizophrenia: assessment of 31 patients with different scales]. [Encephale. 2008]
[Insight in schizophrenia: assessment of 31 patients with different scales].
Travers D, Levoyer D, Millet B. Encephale. 2008 Jan; 34(1):66-72. Epub 2007 Sep 5.
Insight correlates in child- and adolescent-onset first episodes of psychosis: results from the CAFEPS study. [Psychol Med. 2009]
Insight correlates in child- and adolescent-onset first episodes of psychosis: results from the CAFEPS study.
Parellada M, Fraguas D, Bombín I, Otero S, Castro-Fornieles J, Baeza I, Gonzalez-Pinto A, Graell M, Soutullo C, Paya B, et al. Psychol Med. 2009 Sep; 39(9):1433-45. Epub 2008 Dec 18.
Measurement of insight in patients with bipolar disorder: are self-rated scales developed for patients with schizophrenia applicable? [J Nerv Ment Dis. 2008]
Measurement of insight in patients with bipolar disorder: are self-rated scales developed for patients with schizophrenia applicable?
Jónsdóttir H, Engh JA, Friis S, Birkenaes A, Ringen PA, Vaskinn A, Sundet K, Opjordsmoen S, Andreassen OA. J Nerv Ment Dis. 2008 Apr; 196(4):333-5.
Review [Lack of insight in schizophrenia: a review. Part I: theoretical concept, clinical aspects and Amador's model]. [Encephale. 2008]
Review [Lack of insight in schizophrenia: a review. Part I: theoretical concept, clinical aspects and Amador's model].
Raffard S, Bayard S, Capdevielle D, Garcia F, Boulenger JP, Gely-Nargeot MC. Encephale. 2008 Dec; 34(6):597-605. Epub 2008 Feb 20.
Review Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of schizophrenia and related disorders. [Aust N Z J Psychiatry. 2005]
Review Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of schizophrenia and related disorders.
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for the Treatment of Schizophrenia and Related Disorders. Aust N Z J Psychiatry. 2005 Jan-Feb; 39(1-2):1-30.

See reviews... See all...

Cited by 22 PubMed Central articles

REFLEX, a social-cognitive group treatment to improve insight in schizophrenia: study protocol of a multi-center RCT. [BMC Psychiatry. 2011]
REFLEX, a social-cognitive group treatment to improve insight in schizophrenia: study protocol of a multi-center RCT.
Pijnenborg GH, Van der Gaag M, Bockting CL, Van der Meer L, Aleman A. BMC Psychiatry. 2011 Oct 5; 11:161. Epub 2011 Oct 5.
Decisional capacity and consent for schizophrenia research. [IRB. 2011]
Decisional capacity and consent for schizophrenia research.
Kaup AR, Dunn LB, Saks ER, Jeste DV, Palmer BW. IRB. 2011 Jul-Aug; 33(4):1-9.
Coping styles predict responsiveness to cognitive behaviour therapy in psychosis. [Psychiatry Res. 2011]
Coping styles predict responsiveness to cognitive behaviour therapy in psychosis.
Premkumar P, Peters ER, Fannon D, Anilkumar AP, Kuipers E, Kumari V. Psychiatry Res. 2011 May 30; 187(3):354-62. Epub 2011 Jan 22.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

A self-report Insight Scale for psychosis: reliability, validity and sensitivity...
A self-report Insight Scale for psychosis: reliability, validity and sensitivity to change.
Acta Psychiatr Scand. 1994 Jan ;89(1):62-7.

PubMed
Cellular transglutaminases in neural development.
Cellular transglutaminases in neural development.
Int J Dev Neurosci. 1993 Dec ;11(6):709-20.

PubMed
The flavonoids. A class of semi-essential food components: their role in human n...
The flavonoids. A class of semi-essential food components: their role in human nutrition.
World Rev Nutr Diet. 1976 ;24:117-91.

PubMed
[What's new in cardiopulmonary resuscitation?].
[What's new in cardiopulmonary resuscitation?].
Rev Esp Anestesiol Reanim. 1993 Nov-Dec ;40(6):337-9.

PubMed
Risk of upper gastrointestinal bleeding and perforation associated with individu...
Risk of upper gastrointestinal bleeding and perforation associated with individual non-steroidal anti-inflammatory drugs.
Lancet. 1994 Mar 26 ;343(8900):769-72.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: