Psychometric properties of the abbreviated version of the Scale to Assess Unawareness in Mental Disorder in schizophrenia.

Abstract:

BACKGROUND:The Scale to Assess Unawareness in Mental Disorder (SUMD) is widely used in clinical trials and epidemiological studies but more rarely in clinical practice because of its length (74 items). In clinical practice, it is necessary to provide shorter instruments. The aim of this study was to investigate the validity and reliability of the abbreviated version of the SUMD. METHODS: DESIGN:We used data from four cross-sectional studies conducted in several psychiatric hospitals in France. INCLUSION CRITERIA:a diagnosis of schizophrenia based on DSM-IV criteria. DATA COLLECTION:socio-demographic and clinical data (including duration of illness, Positive and Negative Syndrome Scale, and the Calgary Depression Scale); quality of life; SUMD. STATISTICAL ANALYSIS:confirmatory factor analyses, item-dimension correlations, Cronbach's alpha coefficients, Rasch statistics, relationships between the SUMD and other parameters. We tested two different scoring models and considered the response 'not applicable' as '0' or as missing data. RESULTS:Five hundred and thirty-one patients participated in this study. The 3-factor structure of the SUMD (awareness of the disease, consequences and need for treatment; awareness of positive symptoms; and awareness of negative symptoms) was confirmed using LISREL confirmatory factor analysis for the two models. Internal item consistency and reliability were satisfactory for all dimensions. External validity testing revealed that dimension scores correlated significantly with all PANSS scores, especially with the G12 item (lack of judgement and awareness). Significant associations with age, disease duration, education level, and living arrangements showed good discriminant validity. CONCLUSION:The abbreviated version of the SUMD appears to be a valid and reliable instrument for measuring insight in patients with schizophrenia and may be used by clinicians to accurately assess insight in clinical settings.

journal_name

BMC Psychiatry

journal_title

BMC psychiatry

authors

Michel P,Baumstarck K,Auquier P,Amador X,Dumas R,Fernandez J,Lancon C,Boyer L

doi

10.1186/1471-244X-13-229

subject

Has Abstract

pub_date

2013-09-22 00:00:00

pages

229

issn

1471-244X

pii

1471-244X-13-229

journal_volume

13

pub_type

杂志文章
  • Evaluation of evidence grades in psychiatry and psychotherapy guidelines.

    abstract:BACKGROUND:Information regarding the distribution of evidence grades in psychiatry and psychotherapy guidelines is lacking. Based on the German evidence- and consensus- based (S3) psychiatry and psychotherapy and the Scottish Intercollegiate Guidelines Network (SIGN) treatment guidelines, we aimed to specify how guidel...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-02897-2

    authors: Löhrs L,Handrack M,Kopp I,Jessen F,Wagner E,Falkai P,Röh A,Strube W,Hasan A

    更新日期:2020-10-12 00:00:00

  • Motivation and treatment engagement intervention trial (MotivaTe-IT): the effects of motivation feedback to clinicians on treatment engagement in patients with severe mental illness.

    abstract:BACKGROUND:Treatment disengagement and non-completion poses a major problem for the successful treatment of patients with severe mental illness. Motivation for treatment has long been proposed as a major determinant of treatment engagement, but exact mechanisms remain unclear. This current study serves three purposes: ...

    journal_title:BMC psychiatry

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-244X-12-209

    authors: Jochems EC,Mulder CL,van Dam A,Duivenvoorden HJ,Scheffer SC,van der Spek W,van der Feltz-Cornelis CM

    更新日期:2012-11-24 00:00:00

  • The prevalence of psychiatric disorders among students aged 6~ 16 years old in central Hunan, China.

    abstract:BACKGROUND:Though several epidemiological surveys of psychiatric disorders have been carried out in China, only a few of them are concerned about the prevalence of psychiatric disorders in central Hunan and reveal the distribution of common psychiatric disorders and their comorbidities. METHODS:Achenbach's Child Behav...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-018-1823-7

    authors: Shen YM,Chan BSM,Liu JB,Zhou YY,Cui XL,He YQ,Fang YM,Xiang YT,Luo XR

    更新日期:2018-07-28 00:00:00

  • Vitamin D status in chronic dialysis patients with depression: a prospective study.

    abstract:BACKGROUND:Depression is the most widely acknowledged psychological problem among end-stage renal disease (ESRD) patients. Depression may be associated with VD deficiency. The aims of this study are to (a) elucidate the prospective association between HsCRP, VD contents and depressive symptoms in the dialyzed populatio...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-14-125

    authors: Zhang J,Zhang P,Ni X,Bao B,Huang C,Wu Y,Ni M,Duan J,Chen J

    更新日期:2014-04-28 00:00:00

  • Treatment utilization and treatment barriers in individuals with body dysmorphic disorder.

    abstract:BACKGROUND:Although effective treatments are available, most individuals with body dysmorphic disorder (BDD) do not receive an appropriate diagnosis or treatment. We aimed to examine treatment utilization and barriers to treatment, and to identify associated socio-demographic and clinical characteristics. METHODS:Germ...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-02489-0

    authors: Schulte J,Schulz C,Wilhelm S,Buhlmann U

    更新日期:2020-02-18 00:00:00

  • Psychosomatic syndromes and anorexia nervosa.

    abstract:BACKGROUND:In spite of the role of some psychosomatic factors as alexithymia, mood intolerance, and somatization in both pathogenesis and maintenance of anorexia nervosa (AN), few studies have investigated the prevalence of psychosomatic syndromes in AN. The aim of this study was to use the Diagnostic Criteria for Psyc...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-13-14

    authors: Abbate-Daga G,Delsedime N,Nicotra B,Giovannone C,Marzola E,Amianto F,Fassino S

    更新日期:2013-01-09 00:00:00

  • Improvement in cognitive and psychosocial functioning and self image among adolescent inpatient suicide attempters.

    abstract:BACKGROUND:Psychiatric treatment of suicidal youths is often difficult and non-compliance in treatment is a significant problem. This prospective study compared characteristics and changes in cognitive functioning, self image and psychosocial functioning among 13 to 18 year-old adolescent psychiatric inpatients with su...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-6-58

    authors: Hintikka U,Marttunen M,Pelkonen M,Laukkanen E,Viinamäki H,Lehtonen J

    更新日期:2006-12-29 00:00:00

  • Perceived Stress Scale (PSS-10) psychometric properties in migrants and native Germans.

    abstract:BACKGROUND:With the increasing diversity of the German population, it is important to test the psychometric validity and reliability of the German version Perceived Stress Scale (PSS-10) specifically between German natives and residents with a migration background. METHODS:Using nationally representative data (N = 252...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-02851-2

    authors: Bastianon CD,Klein EM,Tibubos AN,Brähler E,Beutel ME,Petrowski K

    更新日期:2020-09-11 00:00:00

  • The renin-angiotensin-aldosterone system in patients with depression compared to controls--a sleep endocrine study.

    abstract:BACKGROUND:Hypercortisolism as a sign of hypothamamus-pituitary-adrenocortical (HPA) axis overactivity and sleep EEG changes are frequently observed in depression. Closely related to the HPA axis is the renin-angiotensin-aldosterone system (RAAS) as 1. adrenocorticotropic hormone (ACTH) is a common stimulus for cortiso...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-3-15

    authors: Murck H,Held K,Ziegenbein M,Künzel H,Koch K,Steiger A

    更新日期:2003-10-29 00:00:00

  • Factors and predictors of length of stay in offenders diagnosed with schizophrenia - a machine-learning-based approach.

    abstract:BACKGROUND:Prolonged forensic psychiatric hospitalizations have raised ethical, economic, and clinical concerns. Due to the confounded nature of factors affecting length of stay of psychiatric offender patients, prior research has called for the application of a new statistical methodology better accommodating this dat...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-02612-1

    authors: Kirchebner J,Günther MP,Sonnweber M,King A,Lau S

    更新日期:2020-05-06 00:00:00

  • Viewing an alpine environment positively affects emotional analytics in patients with somatoform, depressive and anxiety disorders as well as in healthy controls.

    abstract:BACKGROUND:Patients with somatoform, depressive or anxiety disorders often don't respond well to medical treatment and experience many side effects. It is thus of clinical relevance to identify alternative, scientifically based, treatments. Our approach is based on the recent evidence that urbanicity has been shown to ...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-02787-7

    authors: Hüfner K,Ower C,Kemmler G,Vill T,Martini C,Schmitt A,Sperner-Unterweger B

    更新日期:2020-07-23 00:00:00

  • 'I am not a depressed person': how identity conflict affects help-seeking rates for major depressive disorder.

    abstract:BACKGROUND:There is a significant treatment gap for patients with depression. A third of sufferers never seek help, and the vast majority of those who do only do so after considerable delay. Little is understood regarding poor help-seeking rates amongst people with depression, with existing research mainly focussed on ...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-12-164

    authors: Farmer C,Farrand P,O'Mahen H

    更新日期:2012-10-02 00:00:00

  • Altered expression of the CSMD1 gene in the peripheral blood of schizophrenia patients.

    abstract:BACKGROUND:Schizophrenia (SCZ) is a heritable, refractory, and devastating psychiatric disorder. Previous studies have shown that the variants of CUB and sushi multiple domains 1 (CSMD1) demonstrate significant genome-wide association with SCZ. However, few studies have been conducted on the effect of antipsychotics on...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-019-2089-4

    authors: Liu Y,Fu X,Tang Z,Li C,Xu Y,Zhang F,Zhou D,Zhu C

    更新日期:2019-04-15 00:00:00

  • Prolonged-release melatonin versus placebo for benzodiazepine discontinuation in patients with schizophrenia: a randomized clinical trial - the SMART trial protocol.

    abstract:BACKGROUND:Treatment of schizophrenia frequently includes prolonged benzodiazepine administration despite a lack of evidence of its use. It is often difficult to discontinue benzodiazepines because of the development of dependence. We aim to assess if melatonin can facilitate the withdrawal of prolonged benzodiazepine ...

    journal_title:BMC psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-244X-11-160

    authors: Baandrup L,Fagerlund B,Jennum P,Lublin H,Hansen JL,Winkel P,Gluud C,Oranje B,Glenthoj BY

    更新日期:2011-10-05 00:00:00

  • Comparison of relationships among French adult siblings with or without schizophrenia using the ASRQ-S: mediating effect on emotional distress.

    abstract:BACKGROUND:Good sibling relationships in adulthood are known to be a protective factor for mental health. The present study examined and compared the relationships of siblings with either a healthy brother or sister or one experiencing schizophrenia. METHODS:In the first phase, we ran a statistical comparison of the t...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-02510-6

    authors: Plessis L,Wilquin H,Pavani JB,Bouteyre E

    更新日期:2020-03-13 00:00:00

  • Validity and clinical utility of the obsessive compulsive inventory - child version: further evaluation in clinical samples.

    abstract:BACKGROUND:Obsessive-compulsive disorder (OCD) is a clinically heterogeneous disorder. Currently, the Obsessive Compulsive Inventory-Child Version (OCI-CV) is the only self-report measure that fully captures this symptom heterogeneity in children and adolescents. The psychometric properties of the OCI-CV are promising ...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-2450-7

    authors: Aspvall K,Cervin M,Andrén P,Perrin S,Mataix-Cols D,Andersson E

    更新日期:2020-02-03 00:00:00

  • Study protocol: the JEU cohort study--transversal multiaxial evaluation and 5-year follow-up of a cohort of French gamblers.

    abstract:BACKGROUND:There is abundant literature on how to distinguish problem gambling (PG) from social gambling, but there are very few studies of the long-term evolution of gambling practice. As a consequence, the correlates of key state changes in the gambling trajectory are still unknown. The objective of the JEU cohort st...

    journal_title:BMC psychiatry

    pub_type: 临床试验,杂志文章

    doi:10.1186/s12888-014-0226-7

    authors: Challet-Bouju G,Hardouin JB,Vénisse JL,Romo L,Valleur M,Magalon D,Fatséas M,Chéreau-Boudet I,Gorsane MA,JEU Group.,Grall-Bronnec M

    更新日期:2014-08-20 00:00:00

  • Mixed method evaluation of Relational Team Development (RELATED) to improve team-based care for complex patients with mental illness in primary care.

    abstract:BACKGROUND:Patients with mental illness are frequently treated in primary care, where Primary Care Providers (PCPs) report feeling ill-equipped to manage their care. Team-based models of care improve outcomes for patients with mental illness, but multiple barriers limit adoption. Barriers include practical issues and p...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-019-2294-1

    authors: Loeb DF,Monson SP,Lockhart S,Depue C,Ludman E,Nease DE Jr,Binswanger IA,Kline DM,de Gruy FV,Good DG,Bayliss EA

    更新日期:2019-10-15 00:00:00

  • Correcting and interpreting the effect of cognitive therapy versus exposure in anxiety disorders.

    abstract::Dr. Ougrin's evaluation of cognitive therapy versus exposure in anxiety disorders reported a standardised mean difference [SMD] (95% confidence interval [CI]) of 0.52 (0.37, 0.74) for short-term outcomes and 0.46 (0.29, 0.73) for long-term outcomes in social phobia, and 0.88 (0.69, 1.11) for short-term outcomes and 1....

    journal_title:BMC psychiatry

    pub_type: 评论,信件

    doi:10.1186/1471-244X-12-202

    authors: Ebrahim S,Bance S

    更新日期:2012-11-20 00:00:00

  • A qualitative study of how people with severe mental illness experience living in sheltered housing with a private fully equipped apartment.

    abstract:BACKGROUND:There are a number of supported housing options for people with severe mental illness (SMI), but limited knowledge about residents' experiences. The aim of this study was to explore how people with SMI experienced sheltered housing consisting of both a private fully equipped apartment and a shared accommodat...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-016-0888-4

    authors: Roos E,Bjerkeset O,Søndenaa E,Antonsen DØ,Steinsbekk A

    更新日期:2016-06-06 00:00:00

  • Clinical utility of the Montgomery-Åsberg Depression Rating Scale for the detection of depression among bariatric surgery candidates.

    abstract:BACKGROUND:Clinical assessment of depression is an important part of pre-surgical assessment among individuals with morbid obesity. However, there is no agreed-upon instrument to identify mood psychopathology in this population. We examined the reliability and criterion validity of the clinician-administered Montgomery...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-016-0823-8

    authors: Duarte-Guerra LS,Gorenstein C,Paiva-Medeiros PF,Santo MA,Lotufo Neto F,Wang YP

    更新日期:2016-04-30 00:00:00

  • Attitudes toward psychopharmacology among hospitalized patients from diverse ethno-cultural backgrounds.

    abstract:BACKGROUND:Biological factors influencing individual response to drugs are being extensively studied in psychiatry. Strikingly, there are few studies addressing social and cultural differences in attitudes toward psychotropic medications. The objective of this study was to investigate ethno-culturally determined belief...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-8-55

    authors: Thorens G,Gex-Fabry M,Zullino DF,Eytan A

    更新日期:2008-07-09 00:00:00

  • Health service use and costs associated with aggressiveness or agitation and containment in adult psychiatric care: a systematic review of the evidence.

    abstract:BACKGROUND:Agitation and containment are frequent in psychiatric care but little is known about their costs. The aim was to evaluate the use of services and costs related to agitation and containment of adult patients admitted to a psychiatric hospital or emergency service. METHODS:Systematic searches of four electron...

    journal_title:BMC psychiatry

    pub_type: 杂志文章,评审

    doi:10.1186/s12888-015-0417-x

    authors: Rubio-Valera M,Luciano JV,Ortiz JM,Salvador-Carulla L,Gracia A,Serrano-Blanco A

    更新日期:2015-03-04 00:00:00

  • Intensive home treatment for adolescents in psychiatric crisis.

    abstract:BACKGROUND:Adolescents with acute psychiatric disorders are typically treated with long-term clinical admission. However, long term admission may be associated with a variety of negative outcomes. This pilot study presents a new model of care, that is, the combined application of intensive home treatment and the possib...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-019-2407-x

    authors: Muskens JB,Herpers PCM,Hilderink C,van Deurzen PAM,Buitelaar JK,Staal WG

    更新日期:2019-12-19 00:00:00

  • Alexithymia and emotional regulation: A cluster analytical approach.

    abstract:BACKGROUND:Alexithymia has been a familiar conception of psychosomatic phenomenon. The aim of this study was to investigate whether there were subtypes of alexithymia associating with different traits of emotional expression and regulation among a group of healthy college students. METHODS:1788 healthy college student...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-11-33

    authors: Chen J,Xu T,Jing J,Chan RC

    更新日期:2011-02-23 00:00:00

  • Depression treatment in Germany - using claims data to compare a collaborative mental health care program to the general practitioner program and usual care in terms of guideline adherence and need-oriented access to psychotherapy.

    abstract:BACKGROUND:Societies strive for fast-delivered, evidence-based and need-oriented depression treatment within budget constraints. To explore potential improvements, selective contracts can be implemented. Here, we evaluate if the German collaborative psychiatry-neurology-psychotherapy contract (PNP), which extends the g...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-020-02995-1

    authors: Engels A,König HH,Magaard JL,Härter M,Hawighorst-Knapstein S,Chaudhuri A,Brettschneider C

    更新日期:2020-12-14 00:00:00

  • Screening value of the Center for epidemiologic studies - depression scale among people living with HIV/AIDS in Ho Chi Minh City, Vietnam: a validation study.

    abstract:BACKGROUND:Depression is believed to be under-diagnosed and under-treated in people living with HIV/AIDS (PLHIV). Early screening and referral to mental health services for treatment has been shown to enhance HIV patients' health during the course of HIV treatment. A lack of psychiatric specialist services for PLHIV at...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/s12888-016-0860-3

    authors: Thai TT,Jones MK,Harris LM,Heard RC

    更新日期:2016-05-13 00:00:00

  • Investigating the (cost-) effectiveness of attention bias modification (ABM) for outpatients with major depressive disorder (MDD): a randomized controlled trial protocol.

    abstract:BACKGROUND:Despite the range of available, evidence-based treatment options for Major Depressive Disorder (MDD), the rather low response and remission rates suggest that treatment is not optimal, yet. Computerized attention bias modification (ABM) trainings may have the potential to be provided as cost-effective interv...

    journal_title:BMC psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12888-016-1085-1

    authors: Ferrari GR,Becker ES,Smit F,Rinck M,Spijker J

    更新日期:2016-11-03 00:00:00

  • Tecla: a telephone- and text-message based telemedical concept for patients with severe mental health disorders--study protocol for a controlled, randomized, study.

    abstract:BACKGROUND:Severe mental disorders like psychotic disorders including schizophrenia and schizoaffective disorders have a 12-month-prevalence of 2.6, bipolar disorders of 1.5% in Germany. The relapse risk is high; so many patients need intensive monitoring and lifelong treatment. A high medication adherence is essential...

    journal_title:BMC psychiatry

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12888-015-0659-7

    authors: Stentzel U,Grabe HJ,Strobel L,Penndorf P,Langosch J,Freyberger HJ,Hoffmann W,van den Berg N

    更新日期:2015-11-04 00:00:00

  • Metabolic risk factor profile associated with use of second generation antipsychotics: a cross sectional study in a Community Mental Health Centre.

    abstract:BACKGROUND:Second generation antipsychotics (SGA) have demonstrated several advantages over first generation antipsychotics (FGA) in terms of positive, negative, cognitive, and affective symptoms and a lower propensity for extrapyramidal side effects. Despite these undeniable advantages, SGA have been associated with c...

    journal_title:BMC psychiatry

    pub_type: 杂志文章

    doi:10.1186/1471-244X-6-11

    authors: Tarricone I,Casoria M,Gozzi BF,Grieco D,Menchetti M,Serretti A,Ujkaj M,Pastorelli F,Berardi D

    更新日期:2006-03-16 00:00:00