A comparative study of insight scales and their relationship to psychopathological and clinical variables.

Abstract:

BACKGROUND:Research on the subject of insight has been hampered by difficulties in definition and reliable measurement. METHODS:We compared several rating scales to measure insight on a group of 33 psychotic patients as well as assessing patients' psychopathology, clinical characteristics and cognitive functioning. RESULTS:Most currently used scales showed a high degree of inter-correlation. Measures of insight related strongly to the presence of delusions; grandiosity (inversely), and depression (positively). Higher insight scores correlated with indices of treatment compliance and inversely with substance abuse. Measures of pre-morbid IQ and impaired executive functioning, including the Wisconsin Card Sorting Test were not associated with poor insight. CONCLUSIONS:The study highlights aspects of psychopathology and clinical variables particularly related to insight and supports the continued use of standardized scales in further research in this area.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Sanz M,Constable G,Lopez-Ibor I,Kemp R,David AS

doi

10.1017/s0033291797006296

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

437-46

issue

2

eissn

0033-2917

issn

1469-8978

journal_volume

28

pub_type

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