Skip to main content Accessibility help
×
Home

Validation of the Italian version of the self report Insight Scale

  • Rita Roncone (a1), Carola Tozzini (a1), Monica Mazza (a1), Alessandro De Risio (a1), Patricia Giosuè (a1), Pierluigi Morosini (a2) and Massimo Casacchia (a1)...

Summary

Aims – To evaluate the psychometric properties of the Italian version of the Insight Scale (IS), self-report questionnaire assessing the awareness of psychiatric illness. The instrument contains two forms, the first A that enquires about the present status, and the second B that concerns past episodes of illness. Method – Factorial structure, internal consistency and concurrent validity (towards three selected items of the 24-item BPRS, Unusual thought content”, Conceptual disorganisation and Uncooperativeness) were studied on 80 chronic subjects affected by schizophrenia. Differences between acute and stabilised patients were investigated. Test-retest reliability was assessed in a sub-sample of 22 stable cases. Results – The Italian IS showed satisfactory concurrent validity and reliability. Acute patients had lower scores than stabilised ones. Factorial analysis brought to the distinction between insight for need for care in the present and in the past, which seems both plausible and clinically-useful. Conclusion æ The use of the IS Italian version may be encouraged as a valid insight self–report instrument. Sensitivity to change and predictive power concerning clinical and social outcome and adherence to treatment should be investigated.

Declaration of Interest: the study was supported by the National Project Mental Health, Mental Health Institute, Rome, Italy.

Copyright

Corresponding author

Address for correspondence: Prof.ssa R. Roncone, Clinica Psichiatrica, Università degli Studi de L'Aquila, Blocco 11, Via Vetoio Coppito I, 67100 L'Aquila. Fax: +39-0862-312.104 E-mail: rroncone@cc.univaq.it

References

Hide All
Amador, X.F., Strauss, D.H., Yale, S.A., Flaum, M.M. & Endicott, J.M. (1993). Assessment of insight in psychosis. American Journal of Psychiatry 150, 873879.
Amador, X.F., Flaum, M., Andreasen, N.C., Strauss, D.H., Yale, S.A., Clark, S.C. & Gorman, J.M. (1994). Awareness of illness in schizophrenia and schizoaffective and mood disorders. Archives of General Psychiatry 51, 826836.
Bartko, G., Herczeg, I. & Zador, G. (1988). Clinical symptomatology and drug compliance in schizophrenic patients. Acta Psychiatrica Scandinavica 11, 1416.
Birchwood, M., Smith, J., Drury, V., Healy, J., Macmillan, F. & Slade, M. (1994). A Self- Report Insight Scale for psychosis. Reliability, validity and sensitivity to change. Acta Psychiatrica Scandinavica 89, 6267.
Bisiach, E. (1992). Unilateral neglect in route description. British Journal of Psychiatry 160, 266271.
Cabeza, I.G., Diaz, S.E.I., Amador, M.S., Rodriguez, G.M. & Gonzales de Chavez, M. (1999). Factors related to treatment adherence in schizophrenic patients. Actas Espanol Psiquiatrica 27, 211216.
Cabeza, I.G., Amador, M.S., Lopez, C.A. & Gonzales de Chavez, M. (2000). Subjective experience to antipsychotics in schizophrenic patients: clinical implications and related factors. Schizophrenia Research 42, 349355.
Chadwick, P. & Lowe, F. (1990). The measurement and modification of delusional beliefs. Journal of Consulting Clinical Psychology 58, 225232.
Cuesta, M.J. & Peralta, V. (1994). Lack of insight in schizophrenia. Schizophrenia Bulletin 20, 359366.
Cuesta, M.J., Peralta, V. & Zarzuela, A. (1998). Psychopathological dimensions and lack of insight in schizophrenia. Psychological Report 83, 895898.
Cuesta, M.J., Peralta, V. & Zarzuela, A. (2000). Reappraising insight in psychosis. Multi-scale longitudinal study. British Journal of Psychiatry 111, 233240.
David, A.S. (1990). Insight and psychosis. British Journal of Psychiatry 156, 798808.
David, A.S. (1999). To see ourselves as other see us. British Journal of Psychiatry 175, 210216.
Falloon, I.R.H. (1993). Intervento Psicoeducativo in Psichiatria. Erickson: Trento.
Hayashi, N., Yamashina, M. & Igarashi, Y. (1999). Awareness of being a patient and its relevance to insight into illness in patients with schizophrenia. Comprehensive Psychiatry 40, 7785.
Heinrichs, D.W., Cohen, B.P. & Carpenter, W.T. (1985). Early insight and management of schizophrenic decompensation. Journal of Nervous and Mental Diseases 173, 133138.
Kemp, R. & David, A. (1997). Insight and compliance. In Compliance and the Treatment Alliance in Serious Mental Illness (ed. Blackwell, B.). Harwood Academic Publishers: Amsterdam.
Lysaker, P.H. & Bell, M.D. (1995). Work rehabilitation and improvements in insight in schizophrenia. Journal of Nervous and Mental Diseases 183, 103106.
Lysaker, P.H., Bell, M.D., Bryson, G. & Kaplan, E. (1998). Neurocognitive function and insight in schizophrenia: support for an association with impairment in executive function. Acta Psychiatrica Scandinavica 97, 297300.
Macpherson, R., Jerrom, B. & Hughes, A. (1996). Relationship between insight, educational background and cognition in schizophrenia. British Journal of Psychiatry 168, 718722.
Markova, I.S. & Berrios, G.E. (1992). The assessment of insight in clinical psychiatry: a new scale. Acta Psychatrica Scandinavica 86, 159164.
McEvoy, J.P., Apperson, L.J., Appelbaum, P.S., Ortlip, P., Brecosky, J., Hammil, K., Geller, J.L. & Roth, L. (1989). Insight into schizophrenia. Its relationship to acute psychopathology. Journal of Nervous and Mental Diseases 111, 4347.
McEvoy, J.P., Hartman, M., Gottlieb, D., Godwin, S., Apperson, L.J. & Wilson, W. (1996). Common sense, insight and neuropsychological test performance in schizophrenia patients. Schizophrenia Bulletin 22, 635641.
Morosini, P. & Casacchia, M. (1994). BPRS 4.0 ampliata. Manuale di istruzione. Scale, definizioni operative dei livelli di gravita dei sintomi e domande dell'intervista. Rivista di Riabilitazione Psichiatrica e Psicosociale 3, 207222.
Norusis, M.J. (1999). SPSS/PC 1999. SPSS Inc.: Chicago.
Roback, H.B. & Abramowitz, S.I. (1979). Insight and hospital adjustment. Canadian Journal of Psychiatry 24, 233236.
Roncone, R., Ventura, J., Impallomeni, M., Falloon, I.R.H., Morosini, P.L., Chiaravalle, E. & Casacchia, M. (1999). Reliability of an Italian standardized and expanded Brief Psychiatric Rating Scale (BPRS 4.0) in raters with high vs. low clinical experience. Acta Psychiatrica Scandinavica 100 (3), 2936.
Roncone, R., Morosini, P.L., Falloon, I.R.H. & Casacchia, M. (2002). Family intervention in Italian mental health services. In Comprehensive Treatment of Schizophrenia (ed. Kashima, H., Falloon, I.R.H., Mizuno, M. and Asai, M.). Springer Verlag: Tokyo
Sanz, M., Constable, G., Lopez-Ibor, R., Kemp, R. & David, A.S. (1998). A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychological Medicine 28, 437446.
Sarwer-Foner, G.J. (1960). The role of neuroleptic medication in psy-chotherapeutic interaction. Comprehensive Psychiatry 1, 291300.
Schwartz, R.C., Cohen, B.N. & Grubaugh, A. (1997). Does insight affect long term inpatient treatment outcome in chronic schizophrenia? Comprehensive Psychiatry 38, 283288.
Smith, T.E., Hull, J.W. & Santos, L. (1998). The relationship between symptoms and insight in schizophrenia: a longitudinal perspective. Schizophrenia Research 33, 6367.
Soskis, D.A. & Bowers, M.B. (1969). The schizophrenic experience: a follow-up study of attitude and post hospital adjustment. Journal of Nervous and Mental Diseases 149, 443449.
Van Putten, T., Crumpton, E. & Yale, C. (1976). Drug refusal and the wish to be crazy. Archives of General Psychiatry 33, 14431446.
World Health Organization (1973). Report of the International Pilot Study of Schizophrenia. World Health Organization: Geneva.

Keywords

Validation of the Italian version of the self report Insight Scale

  • Rita Roncone (a1), Carola Tozzini (a1), Monica Mazza (a1), Alessandro De Risio (a1), Patricia Giosuè (a1), Pierluigi Morosini (a2) and Massimo Casacchia (a1)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed