Development of the insight scale for affective disorders (ISAD): Modification from the scale to assess unawareness of mental disorder

Journal of Affective Disorders

Volumn 142, Issue 1-3, 2012, Pages 65-71

  Olaya, Beatriz ^a   Marsà, Ferran ^a   Ochoa, Susana ^a   Balanzá Martínez, Vicent ^a,b   Barbeito, Sara ^a,c   García Portilla, Mari Paz ^a,d   González Pinto, Ana ^a,c   Lobo, Antonio ^a,e   López Antón, Raúl ^a,e   Usall, Judith ^a   Arranz, Belén ^a   Haro, Josep Maria ^a,f  

^a CENTRO DE INVESTIGACIÓN BIOMÉDICA EN RED DE SALUD MENTAL CIBERSAM   (Spain)

^b UNIVERSITY OF VALENCIA   (Spain)

^c HOSPITAL TXAGORRITXU   (Spain)

^d UNIVERSITY OF OVIEDO   (Spain)

^e UNIVERSITY OF ZARAGOZA   (Spain)

^f UNIVERSITY OF BARCELONA   (Spain)

Author keywords

Insight; Mood disorders; Reliability; Scale development; Validity

Indexed keywords

ADULT; ARTICLE; BIPOLAR DISORDER; CLINICAL ASSESSMENT; CLINICAL ASSESSMENT TOOL; CONTENT VALIDITY; DELPHI STUDY; DSM-IV; FEMALE; HUMAN; INSIGHT SCALE FOR AFFECTIVE DISORDER; INTERNAL CONSISTENCY; INTERRATER RELIABILITY; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MOOD DISORDER; OUTPATIENT; PRIORITY JOURNAL; PSYCHOLOGICAL RATING SCALE; PSYCHOSIS; SCALE TO ASSESS UNAWARENESS OF MENTAL DISORDER; SOCIAL WELFARE; TEST RETEST RELIABILITY;

ADULT; AGE OF ONSET; AWARENESS; BIPOLAR DISORDER; DEPRESSIVE DISORDER, MAJOR; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEMALE; HUMANS; MALE; MOOD DISORDERS; PSYCHOLOGICAL TESTS; PSYCHOPATHOLOGY; PSYCHOTIC DISORDERS; REPRODUCIBILITY OF RESULTS; SELF-ASSESSMENT;

EID: 84868105922     PISSN: 01650327     EISSN: 15732517     Source Type: Journal    
DOI: 10.1016/j.jad.2012.03.041     Document Type: Article

References (68)

1. M.E. Addis, P. Traux, and N.S. Jacobson Why do people think they are depressed?: the reasons for depression questionnaire Psychotherapy 32 3 1995 476 483
2. M. Adida, L. Clark, P. Pomietto, A. Kaladjian, N. Besnier, J.M. Azorin, R. Jeanningros, and G.M. Goodwin Lack of insight may predict impaired decision making in manic patients Bipolar Disorder 10 2008 829 837
3. M. Adler, and E. Ziglio Gazing into the Oracle: The Delphi Method and its Application to Social policy and Public Health 1996 Jessica Kingsley Publishers London
4. A. Aleman, N. Agrawal, K.D. Morgan, and A.S. David Insight in psychosis and neuropsychological function: meta-analysis The British Journal of Psychiatry 189 2006 204 212
5. E. Altman Rating scales for mania: is self-reporting reliable? Journal of Affective Disorders 50 1998 283 286
6. X.F. Amador, D.H. Strauss, S.A. Yale, M.M. Flaum, J. Endicott, and J.M. Gorman Assessment of insight in psychosis American Journal of Psychiatry 150 1993 873 879
7. X.F. Amador, M. Flaum, N.C. Andreasen, D.H. Strauss, S.A. Yale, S.C. Clark, and J.M. Gorman Awareness of illness in schizophrenia and schizoaffective and mood disorders Archives of General Psychiatry 51 1994 826 836
8. X.F. Amador, J.H. Friedman, C. Kasapis, S.A. Yale, M. Flaum, and J.M. Gorman Suicidal behavior in schizophrenia and its relationship to awareness of illness American Journal of Psychiatry 153 1996 1185 1188
9. X.F. Amador, and A. David Insight and Psychosis: Awareness of Illness in Schizophrenia and Related Disorders 2004 Oxford University Press Oxford
10. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders fifth ed. 2001 American Psychiatric Association Washington, DC
11. S. Aspiazu, F. Mosquera, B. Ibañez, P. Vega, S. Barbeito, P. López, S. Ruiz de Azúa, A. Ugarte, E. Vieta, and A. González-Pinto Manic and depressive symptoms and insight in first episode psychosis Psychiatric Research 178 2010 480 486
12. A.T. Beck, E. Baruch, J.M. Balter, R.A. Steer, and D.M. Warman A new instrument for measuring insight: the Beck Cognitive Insight Scale Schizophrenia Research. 68 2004 319 329
13. M. Birchwood, J. Smith, V. Drury, J. Healy, F. Macmillan, and M. Slade A self-report Insight Scale for psychosis: reliability, validity and sensitivity to change Acta Psychiatrica Scandinavica 89 1994 62 67
14. J. Bobes, A. Bulbena, A. Luque, R. Dal-Re, J. Ballesteros, N. Ibarra Grupo de Validacion en Espanol de Escalas Psicometricas A comparative psychometric study of the Spanish versions with 6, 17, and 21 items of the Hamilton depression rating scale Medicina Clínica (Barc) 120 2003 693 700
15. E. Broadbent, K.J. Petrie, J. Main, and J. Weinman The brief illness perception questionnaire Journal of Psychosomatic Research 60 2006 631 637
16. C. Brown, D.R. Battista, S.M. Sereika, R.D. Bruehlman, J. Dunbar-Jacob, and M.E. Thase Primary care patients' personal illness models for depression: relationship to coping behavior and functional disability General Hospital Psychiatry 29 2007 492 500
17. J. Brunelle, A. Consoli, M.L. Tanguy, C. Huynh, D. Perisse, E. Deniau, J.M. Guile, P. Gerardin, and D. Cohen Phenomenology, socio-demographic factors and outcome upon discharge of manic and mixed episodes in hospitalized adolescents: a chart review European Child & Adolescent Psychiatry 18 2009 185 193
18. P.F. Buckley, D.R. Hrouda, L. Friedman, S.G. Noffsinger, P.J. Resnick, and K. Camlin-Shingler Insight and its relationship to violent behavior in patients with schizophrenia American Journal of Psychiatry 161 2004 1712 1714
19. N. Camprubi, A. Almela, and J. Garre-Olmo Psychometric properties of the Spanish validation of the Insight Scale Actas Españolas de Psiquiatría 36 2008 323 330
20. F. Cassidy, E. Murry, K. Forest, and B.J. Carroll Signs and symptoms of mania in pure and mixed episodes Journal of Affective Disorders 50 1998 187 201
21. F. Cassidy Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions Neuropsychiatric Disease and Treatment 6 2010 627 631
22. F. Colom, E. Vieta, A. Martinez-Aran, M. Garcia-Garcia, M. Reinares, C. Torrent, J.M. Goikolea, S. Banus, and M. Salamero Spanish version of a scale for the assessment of mania: validity and reliability of the Young Mania Rating Scale Medicina Clínica (Barc) 119 2002 366 371
23. A. David, A. Buchanan, A. Reed, and O. Almeida The assessment of insight in psychosis The British Journal of Psychiatry 161 1992 599 602
24. A.S. David Insight and psychosis The British Journal of Psychiatry 156 1990 798 808
25. L. Dell'Osso, S. Pini, A. Tundo, N. Sarno, L. Musetti, and G.B. Cassano Clinical characteristics of mania, mixed mania, and bipolar depression with psychotic features Comprehensive Psychiatry 41 2000 242 247
26. L. Dell'Osso, S. Pini, G.B. Cassano, C. Mastrocinque, R.A. Seckinger, M. Saettoni, A. Papasogli, S.A. Yale, and X.F. Amador Insight into illness in patients with mania, mixed mania, bipolar depression and major depression with psychotic features Bipolar Disorder 4 2002 315 322
27. V.V. Dias, S. Brissos, B.N. Frey, and F. Kapczinski Insight, quality of life and cognitive functioning in euthymic patients with bipolar disorder Journal of Affective Disorders 110 2008 78 83
28. J. Endicott, R.L. Spitzer, J.L. Fleiss, and J. Cohen The global assessment scale: a procedure for measuring overall severity of psychiatric disturbance Archives of General Psychiatry. 33 1976 766 771
29. J.M. Fitzgerald, and H. Richardson Use of the reasons for depression questionnaire with adolescents Journal of Clinical Psychology 58 2002 1045 1056
30. F.K. Gazalle, B.N. Frey, P.C. Hallal, A.C. Andreazza, A.B. Cunha, A. Santin, and F. Kapczinski Mismatch between self-reported quality of life and functional assessment in acute mania: a matter of unawareness of illness? Journal of Affective Disorder 103 2007 247 252
31. S.N. Ghaemi, and H.G. Pope Jr Lack of insight in psychotic and affective disorders: a review of empirical studies Harvard Review of Psychiatry 2 1994 22 33
32. S.N. Ghaemi, A.L. Stoll, and H.G. Pope Jr Lack of insight in bipolar disorder. The acute manic episode The Journal of Nervous Mental Disorder 183 1995 464 467
33. S.N. Ghaemi, N. Hebben, A.L. Stoll, and H.G. Pope Neuropsychological aspects of lack of insight in bipolar disorder: a preliminary report Psychiatry Research 65 1996 113 120
34. S.N. Ghaemi, E. Boiman, and F.K. Goodwin Insight and outcome in bipolar, unipolar, and anxiety disorders Comprehensive Psychiatry 41 2000 167 171
35. S.N. Ghaemi, and K.J. Rosenquist Is insight in mania state-dependent?: a meta-analysis The Journal of Nervous Mental Disorder 192 2004 771 775
36. A. González-Pinto, C. Reed, D. Novick, J. Bertsch, and J.M. Haro Assessment of medication adherence in a cohort of patients with bipolar disorder Pharmacopsychiatry 43 2010 263 270
37. S. Govil, S.N. Sengupta, P. Sharma, and D. Kumar A study of comparison of components of insight in patients with schizophrenia and bipolar affective disorder in remission phase European Psychiatry 23 2008 S118-S118
38. W.J. Greenhouse, B. Meyer, and S.L. Johnson Coping and medication adherence in bipolar disorder Journal of Affective Disorder 59 2000 237 241
39. N.A. Hagen, C. Stiles, C. Nekolaichuk, P. Biondo, L.E. Carlson, K. Fisher, and R. Fainsinger The Alberta Breakthrough Pain Assessment Tool for cancer patients: a validation study using a Delphi process and patient think-aloud interviews Journal of Pain and Symptom Management 35 2008 136 152
40. M. Hamilton A rating scale for depression Journal of Neurology, Neurosurgery, and Psychiatry 23 1960 56 62
41. M. Hansson, J. Chotai, and O. Bodlund Patients' beliefs about the cause of their depression Journal of Affective Disorder 124 2010 54 59
42. A. Kleinman, and D. Seeman Personal experience of illness G.L. Albrecht, R. Fitzpatrick, S.C. Scrimshaw, Handbook of Social Studies in Health and Medicine 2000 Sage London 230 242
43. D. Lam, and G. Wong Prodromes, coping strategies, insight and social functioning in bipolar affective disorders Psychological Medicine 27 1997 1091 1100
44. R.J. Linscott, and J. van Os Systematic reviews of categorical versus continuum models in psychosis: evidence for discontinuous subpopulations underlying a psychometric continuum. Implications for DSM-V, DSM-VI, and DSM-VII Annual Review Of Clinical Psychology 6 2010 391 419
45. F. Lobban, C. Barrowclough, and S. Jones A review of the role of illness models in severe mental illness Clinical Psychology Review 23 2003 171 196
46. M. Masson, J.M. Azorin, and M.L. Bourgeois Awareness of illness in schizophrenic, schizo-affective, bipolar and unipolar mood disorders; results of a comparative study of 90 hospitalized patients Annales Médico- Psychologiques 159 2001 369 374
47. J.P. McEvoy, L.J. Apperson, P.S. Appelbaum, P. Ortlip, J. Brecosky, K. Hammill, J.L. Geller, and L. Roth Insight in schizophrenia. Its relationship to acute psychopathology The Journal of Nervous and Mental Disease 177 1989 43 47
48. A. Michalakeas, C. Skoutas, A. Charalambous, A. Peristeris, V. Marinos, E. Keramari, and A. Theologou Insight in schizophrenia and mood disorders and its relation to psychopathology Acta Psychiatrica Scandinavica 90 1994 46 49
49. M. Parellada, L. Boada, D. Fraguas, S. Reig, J. Castro-Fornieles, D. Moreno, A. Gonzalez-Pinto, S. Otero, M. Rapado-Castro, M. Graell, I. Baeza, and C. Arango Trait and state attributes of insight in first episodes of early-onset schizophrenia and other psychoses: a 2-year longitudinal study Schizophrenia Bulletin 37 2011 38 51
50. 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 American Journal of Psychiatry 158 2001 122 125
51. S. Pini, V. de Queiroz, L. Dell'Osso, M. Abelli, C. Mastrocinque, M. Saettoni, M. Catena, and G.B. Cassano Cross-sectional similarities and differences between schizophrenia, schizoaffective disorder and mania or mixed mania with mood-incongruent psychotic features European Psychiatry 19 2004 8 14
52. S. Platman, R. Plutchik, R. Fieve, and R. Lawlor Emotion profiles associated with mania and depression Archives of General Psychiatry. 20 1969 210 214
53. D.F. Polit, and B.P. Hungler Nursing Research. Principles and Methods 1999 Lippincott Philadelphia
54. S.L. Rossell, J. Coakes, J. Shapleske, P.W. Woodruff, and A.S. David Insight: its relationship with cognitive function, brain volume and symptoms in schizophrenia Psychological Medicine 33 2003 111 119
55. A.I. Ruiz, E. Pousa, R. Duñó, J.M. Crosas, S. Cuppa, and C. García-Ribera Adaptación al español de la escala de valoración de la no conciencia de trastorno mental (SUMD) Actas Españolas de Psiquiatría 36 2008 111 119
56. D. Schuepbach, I. Goetz, H. Boeker, and D. Hell Voluntary vs. involuntary hospital admission in acute mania of bipolar disorder: results from the Swiss sample of the EMBLEM study Journal of Affective Disorder 90 2006 57 61
57. R.C. Schwartz, B.N. Cohen, and A. Grubaugh Does insight affect long-term impatient treatment outcome in chronic schizophrenia? Comprehensive Psychiatry 38 1997 283 288
58. R.C. Schwartz, and S. Petersen The relationship between insight and suicidality among patients with schizophrenia The Journal of Nervous and Mental Disease 187 1999 376 378
59. R.C. Schwartz, and S.D. Smith Suicidality and psychosis: the predictive potential of symptomatology and insight into illness Journal of Psychiatric Research 38 2004 185 191
60. J. Scott, and M. Pope Nonadherence with mood stabilizers: prevalence and predictors Journal of Clinical Psychiatry 63 2002 384 390
61. T.E. Smith, J.W. Hull, M. Goodman, A. Hedayat-Harris, D.F. Willson, L.M. Israel, and R.L. Munich The relative influences of symptoms, insight, and neurocognition on social adjustment in schizophrenia and schizoaffective disorder The Journal of Nervous and Mental Disease 187 1999 102 108
62. S. Stahl, O. Freudenreich, and D. Goff A successful antipsychotic combination trial. Qou vadis? Acta Psychiatrica Scandinavica 110 2004 241 242
63. E.D. Sturman, and B.A. Sproule Toward the development of a mood disorders insight scale: modification of Birchwood's psychosis insight scale Journal of Affective Disorder 77 2003 21 30
64. M. Varga, A. Magnusson, K. Flekkoy, U. Ronneberg, and S. Opjordsmoen Insight, symptoms and neurocognition in bipolar I patients Journal of Affective Disorder 91 2006 1 9
65. M. Varga, A. Babovic, K. Flekkoy, U. Ronneberg, N.I. Landro, A.S. David, and S. Opjordsmoen Reduced insight in bipolar I disorder: neurofunctional and neurostructural correlates: a preliminary study Journal of Affective Disorder 116 2009 56 63
66. C.F. Yen, M.L. Yeh, C.S. Chen, and H.H. Chung Predictive value of insight for suicide, violence, hospitalization, and social adjustment for outpatients with schizophrenia: a prospective study Comprehensive Psychiatry 43 2002 443 447
67. C.F. Yen, C.S. Chen, C.H. Ko, J.Y. Yen, and C.F. Huang Changes in insight among patients with bipolar I disorder: a 2-year prospective study Bipolar Disorder 9 2007 238 242
68. R.C. Young, J.T. Biggs, V.E. Ziegler, and D.A. Meyer A rating scale for mania: reliability, validity and sensitivity The British Journal of Psychiatry 133 1978 429 435