|
| | |
|
Am J Psychiatry 1993; 150:873-879
Copyright © 1993 by American Psychiatric Association
Assessment of insight in psychosis
XF Amador, DH Strauss, SA Yale, MM Flaum, J Endicott and JM Gorman
Department of Clinical Psychobiology, New York State Psychiatric Institute, NY 10032.
OBJECTIVE: It is frequently reported that patients with psychotic disorders
have poor insight into their illness. Previous research has suggested that
poor insight may have considerable power in predicting the long-term course
of chronic mental disorders and an impact on patients' compliance with
treatment plans. The authors, proposing that insight is best viewed as a
multidimensional phenomenon, developed the Scale to Assess Unawareness of
Mental Disorder, which samples discrete and global aspects of insight
across a variety of manifestations of illness. This article reports on a
reliability and validity study of the scale. METHOD: The study subjects
were 43 patients with schizophrenia and schizoaffective disorder. Various
aspects of insight into illness were evaluated with the scale. In addition,
ratings of psychopathology, course of illness, and compliance with
treatment were made. RESULTS: Item variability was high and normally
distributed, supporting the authors' contention that insight can be rated
on a continuous rather than dichotomous scale. Results of the analyses
examining the relations between the various dimensions of insight assessed
and the psychopathology, course, and compliance variables were generally as
hypothesized. Convergent validity with other global measures of insight was
found, and aspects of poor insight were correlated with poorer compliance
and course of illness. Examination of the interrelations among the four
insight subscales revealed that these subscales sample independent
phenomena. CONCLUSIONS: The Scale to Assess Unawareness of Mental Disorder
has good reliability and validity and has certain advantages over previous
measures of insight, suggesting the usefulness of a multidimensional view
of this complex concept.
This article has been cited by other articles:
|
|
|
|
 
S. Vikram, N. Yarger, A. Coxell, and M. Maier
Video self-observation: a means of improving insight in psychosis
Psychiatr. Bull.,
September 1, 2008;
32(9):
341 - 344.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. A. Garety, D. G. Fowler, D. Freeman, P. Bebbington, G. Dunn, and E. Kuipers
Cognitive-behavioural therapy and family intervention for relapse prevention and symptom reduction in psychosis: randomised controlled trial
The British Journal of Psychiatry,
June 1, 2008;
192(6):
412 - 423.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Tranulis, E. Corin, and L. J. Kirmayer
Insight and Psychosis: Comparing the Perspectives of Patient, Entourage and Clinician
International Journal of Social Psychiatry,
May 1, 2008;
54(3):
225 - 241.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. D. Orfei, R. G. Robinson, P. Bria, C. Caltagirone, and G. Spalletta
Unawareness of Illness in Neuropsychiatric Disorders: Phenomenological Certainty versus Etiopathogenic Vagueness
Neuroscientist,
April 1, 2008;
14(2):
203 - 222.
[Abstract]
[PDF]
|
|
|
|
|
|
|
T. M. Lincoln, E. Lullmann, and W. Rief
Correlates and Long-Term Consequences of Poor Insight in Patients With Schizophrenia. A Systematic Review
Schizophr Bull,
November 1, 2007;
33(6):
1324 - 1342.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. D. Harvey, D. I. Velligan, and A. S. Bellack
Performance-Based Measures of Functional Skills: Usefulness in Clinical Treatment Studies
Schizophr Bull,
September 1, 2007;
33(5):
1138 - 1148.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Saravanan, K. S. Jacob, S. Johnson, M. Prince, D. Bhugra, and A. S. David
Assessing insight in schizophrenia: East meets West
The British Journal of Psychiatry,
March 1, 2007;
190(3):
243 - 247.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. L. M. CATON, D. S. HASIN, P. E. SHROUT, R. E. DRAKE, B. DOMINGUEZ, M. B. FIRST, S. SAMET, and B. SCHANZER
Stability of early-phase primary psychotic disorders with concurrent substance use and substance-induced psychosis
The British Journal of Psychiatry,
February 1, 2007;
190(2):
105 - 111.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. I. Velligan, Y.-W. F. Lam, D. C. Glahn, J. A. Barrett, N. J. Maples, L. Ereshefsky, and A. L. Miller
Defining and Assessing Adherence to Oral Antipsychotics: A Review of the Literature
Schizophr Bull,
October 1, 2006;
32(4):
724 - 742.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. L. M. Caton, D. S. Hasin, P. E. Shrout, R. E. Drake, B. Dominguez, S. Samet, and B. Schanzer
Predictors of Psychosis Remission in Psychotic Disorders That Co-occur With Substance Use
Schizophr Bull,
October 1, 2006;
32(4):
618 - 625.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Aleman, N. Agrawal, K. D. Morgan, and A. S. David
Insight in psychosis and neuropsychological function: Meta-analysis
The British Journal of Psychiatry,
September 1, 2006;
189(3):
204 - 212.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Koren, L. J Seidman, M. Goldsmith, and P. D Harvey
Real-World Cognitive--and Metacognitive--Dysfunction in Schizophrenia: A New Approach for Measuring (and Remediating) More "Right Stuff"
Schizophr Bull,
April 1, 2006;
32(2):
310 - 326.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. L. M. Caton, R. E. Drake, D. S. Hasin, B. Dominguez, P. E. Shrout, S. Samet, and W. B. Schanzer
Differences Between Early-Phase Primary Psychotic Disorders With Concurrent Substance Use and Substance-Induced Psychoses
Arch Gen Psychiatry,
February 1, 2005;
62(2):
137 - 145.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Quanbeck, M. Frye, and L. Altshuler
Mania and the Law in California: Understanding the Criminalization of the Mentally Ill
Am J Psychiatry,
July 1, 2003;
160(7):
1245 - 1250.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y. Kozuki and E. S. Froelicher
Lack of Awareness and Nonadherence in Schizophrenia
West J Nurs Res,
February 1, 2003;
25(1):
57 - 74.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. Clare
Awareness in Dementia: New Directions: Guest Editor:
Dementia,
November 1, 2002;
1(3):
275 - 278.
[PDF]
|
|
|
|
|
|
|
L. A. Flashman, T. W. McAllister, S. C. Johnson, J. H. Rick, R. L. Green, and A. J. Saykin
Specific Frontal Lobe Subregions Correlated With Unawareness of Illness in Schizophrenia: A Preliminary Study
J Neuropsychiatry Clin Neurosci,
May 1, 2001;
13(2):
255 - 257.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Mullick, L. J. Miller, and T. Jacobsen
Insight Into Mental Illness and Child Maltreatment Risk Among Mothers With Major Psychiatric Disorders
Psychiatr Serv,
April 1, 2001;
52(4):
488 - 492.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Pini, G. B. Cassano, L. Dell’Osso, and X. F. Amador
Insight Into Illness in Schizophrenia, Schizoaffective Disorder, and Mood Disorders With Psychotic Features
Am J Psychiatry,
January 1, 2001;
158(1):
122 - 125.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
L. A. Flashman, T. W. McAllister, N. C. Andreasen, and A. J. Saykin,
Smaller Brain Size Associated With Unawareness of Illness in Patients With Schizophrenia
Am J Psychiatry,
July 1, 2000;
157(7):
1167 - 1169.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
C. Arango, H. Adami, J. D. Sherr, G. K. Thaker, and W. T. Carpenter Jr.
Relationship of Awareness of Dyskinesia in Schizophrenia to Insight Into Mental Illness
Am J Psychiatry,
July 1, 1999;
156(7):
1097 - 1099.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
G. B. Cassano, S. Pini, M. Saettoni, and L. Dell'Osso
Multiple Anxiety Disorder Comorbidity in Patients With Mood Spectrum Disorders With Psychotic Features
Am J Psychiatry,
March 1, 1999;
156(3):
474 - 476.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
M. R. Agarwal, V. K. Sharma, K. K. K.V., and D. Lowe
Non-Compliance With Treatment in Patients Suffering From Schizophrenia: a Study To Evaluate Possible Contributing Factors
International Journal of Social Psychiatry,
June 1, 1998;
44(2):
92 - 106.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. S. Swartz, J. W. Swanson, V. A. Hiday, R. Borum, H. R. Wagner, and B. J. Burns
Violence and Severe Mental Illness: The Effects of Substance Abuse and Nonadherence to Medication
Am J Psychiatry,
February 1, 1998;
155(2):
226 - 231.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
J. L. Eisen, K. A. Phillips, L. Baer, D. A. Beer, K. D. Atala, and S. A. Rasmussen
The Brown Assessment of Beliefs Scale: Reliability and Validity
Am J Psychiatry,
January 1, 1998;
155(1):
102 - 108.
[Abstract]
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1993
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
