University of Worcester Worcester Research and Publications

A Self-report Insight Scale for Psychosis: Reliability, Validity and Sensitivity to Change

Birchwood, M., Smith, Jo, Drury, V., Healy, J., Macmillan, F. and Slade, M. (1994) A Self-report Insight Scale for Psychosis: Reliability, Validity and Sensitivity to Change. Acta Psychiatrica Scandinavica, 89 (1). pp. 62-67. ISSN Online 1600-0447

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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.

Item Type: Article
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Uncontrolled Discrete Keywords: psychosis, insight, inventory, reliability, validity, self-report, acute care, clinical judgment, acute psychosis, Insight Scale for Psychosis
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: College of Health, Life and Environmental Sciences > School of Allied Health and Community
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Depositing User: Tanya Buchanan
Date Deposited: 23 Aug 2017 09:52
Last Modified: 17 Jun 2020 17:19

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