Assessment of insight in psychosis.
Assessment of insight in psychosis.
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精神病洞察力评估。
DOI：
10.1176/ajp.150.6.873
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Gorman,JM
中科院分区：
文献类型：
--
作者：
Amador,XF;Strauss,DH;Yale,SA;Flaum,MM;Endicott,J;Gorman,JM
经常有报道说，精神病患者对自己的疾病缺乏洞察力。先前的研究表明，洞察力差可能在预测慢性精神障碍的长期病程方面具有相当大的力量，并影响患者对治疗计划的依从性。作者提出，洞察力最好被视为一种多维现象，开发了评估精神障碍的无意识的量表，该量表在各种各样的精神障碍表现中对洞察力的离散和整体方面进行了抽样。本文报告了该量表的信度和效度研究。使用该量表评估了对疾病洞察的各个方面。此外，评级的精神病理学，当然ofillness，并遵守treatmentwered.ResultsItem变异性高，正态分布，支持作者的论点，即洞察力，可以评为连续的，而不是二分法规模。分析结果检查的各个方面之间的关系的洞察力评估和精神病理学，过程中，和依从性变量一般假设。收敛效度与其他全球措施的洞察力被发现，和方面的穷人的洞察力与较差的依从性和病程。四个洞察力分量表之间的相互关系的检查显示，这些分量表样本独立的phenomenon.ConclusionsThe Scale评估意识不到的精神障碍有良好的信度和效度，并具有一定的优势，比以前的措施的洞察力，这表明有用的多维视图这个复杂的概念。
ObjectiveIt 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 ofMental Disorder, which samples discrete and global aspects of insight across a variety of manifestations ofillness. This article reports on a reliability and validity study ofthe scale.MethodThe 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 ofillness, and compliance with treatment were made.ResultsItem 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 ofpoor 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.ConclusionsThe 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.
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