Journal of Affective Disorders
Volume 77, Issue 1 , Pages 21-30 , October 2003

Toward the development of a Mood Disorders Insight Scale: modification of Birchwood’s Psychosis Insight Scale

  • Edward D. Sturman

      Affiliations

    • Psychopharmacology Research Program, Sunnybrook & Women’s College Health Science Centre, Toronto, Ontario, Canada
  • ,
  • Beth A. Sproule

      Affiliations

    • Psychopharmacology Research Program, Sunnybrook & Women’s College Health Science Centre, Toronto, Ontario, Canada
    • Faculty of Pharmacy and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
    • Corresponding Author InformationCorresponding author. Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario, Canada M5S 2S1. Tel.: +1-416-535-8501, ext. 6501; fax: +1-416-260-4182

Received 11 June 2001 ,Accepted 14 January 2002.

References 

  1. Alloy LB, Abramson LY. Depressive realism: four theoretical perspectives. In:  Alloy LB editors. Cognitive Processes in Depression. New York: Guilford Press; 1988;
  2. Amador XF, Strauss DH, Yale SA, Flaum MM, Endicott J, Gordon JM. Assessment of insight in psychosis. Am. J. Psychiatry. 1993;150(6):873–879
  3. Amador XF, Flaum M, Andreasen NC, Strauss DH, Yale SA, Clark SC, et al. Awareness of illness in schizophrenia, schizoaffective and mood disorders. Arch. Gen. Psychiatry. 1994;51:826–836
  4. Amador XF, Seckinger RA. The assessment of insight: a methodological review. Psychiatr. Ann. 1997;27(12):798–805
  5. Baier M, Murray RLE, McSweeney M. Conceptualization and measurement of insight. Arch. Psychiatr. Nurs. 1998;12(1):32–40
  6. Bartko G, Herczeg I, Zador G. Clinical symptomatology and drug compliance in schizophrenic patients. Acta Psychiatr. Scand. 1988;77:74–78
  7. Birchwood M, Smith J, Drury V, Healy J, Macmillan F, Slade M. A self-report Insight Scale for psychosis: reliability, validity, and sensitivity to change. Acta Psychiatr. Scand. 1994;89:62–67
  8. Carroll A, Fattah S, Clyde Z, Coffey I, Owens GC, Johnstone EC. Correlates of insight and insight change in schizophrenia. Schizophr. Res. 1999;35:247–253
  9. Cuesta MJ, Peralta V, Zarzuela A. Reappraising insight in psychosis. Br. J. Psychiatry. 2000;177:233–240
  10. Cuffel BJ, Alford J, Fischer EP, Owen RR. Awareness of illness in schizophrenia and outpatient treatment adherence. J. Nerv. Ment. Dis. 1996;184(11):653–659
  11. David AS. Insight and psychosis. Br. J. Psychiatry. 1990;156:798–808
  12. David AS, Buchanan A, Reed A, Almeida O. The assessment of insight in psychosis. Br. J. Psychiatry. 1992;161:599–602
  13. Debowska G, Grzywa A, Kucharska-Pietura K. Insight in paranoid schizophrenia—its relationship to psychopathology and premorbid adjustment. Compr. Psychiatry. 1998;39(5):255–260
  14. Dell’Osso L, Pini S, Tundo A, Sarno N, Musetti L, Cassano G. Clinical characteristics of mania, mixed mania, and bipolar depression with psychotic features. Comp. Psychiatry. 2000;41(4):242–247
  15. Foulks EF, Persons JB, Merkel RL. The effects of patients’ beliefs about their illness on compliance in psychotherapy. Am. J. Psychiatry. 1986;143(3):340–344
  16. Ghaemi SN, Pope HG. Lack of insight in psychotic and affective disorders: a review of empirical studies. Harv. Rev. Psychiatry. 1994;2:22–33
  17. Ghaemi SN, Stoll AL, Pope HG. Lack of insight in bipolar disorder. The acute manic episode. J. Nerv. Ment. Dis. 1995;183(7):464–467
  18. Ghaemi SN, Hebben N, Stoll A, Pope HG. Neuropsychological aspects of lack of insight in bipolar disorder: a preliminary report. Psychiatry Res. 1996;65:113–120
  19. Ghaemi SN. Insight and psychiatric disorders: a review of the literature, with a focus on its clinical relevance for bipolar disorder. Psychiatr. Ann. 1997;27(12):782–790
  20. Ghaemi SN, Sachs GS, Baldassano CF, Truman CJ. Insight in seasonal affective disorder. Comp. Psychiatry. 1997;38(6):345–348
  21. Ghaemi SN, Boiman E, Goodwin FK. Insight and outcome in bipolar, unipolar, and anxiety disorders. Comp. Psychiatry. 2000;41(3):167–171
  22. Goldberg RW, Green-Paden LD, Lehman AF, Gold JM. Correlates of insight in serous mental illness. J. Nerv. Ment. Dis. 2001;189:137–145
  23. Hamilton M. Development of a rating scale for primary depressive illness. Br. J. Soc. Clin. Psychol. 1967;6:278–296
  24. Harvey NS. The development and descriptive use of the lithium attitudes questionnaire. J. affect. Disord. 1991;22:211–219
  25. Joyce PR. Illness behaviour and rehospitalization in bipolar affective disorder. Psychol. Med. 1985;15:521–525
  26. Kemp R, David A. Psychological predictors of insight and compliance in psychotic patients. Br. J. Psychiatry. 1996;169:444–450
  27. Lam D, Grace W. Prodromes, coping strategies, insight and social functioning in bipolar affective disorders. Psychol. Med. 1997;27(5):1091–1100
  28. Lin IF, Spiga R, Fotsch W. Insight and adherence to medication in chronic schizophrenics. J. Clin. Psychiatry. 1979;40:430–432
  29. Lysaker PH, Bell MD, Bryson GJ, Kaplan E. Insight and interpersonal function in schizophrenia. J. Nerv. Men. Dis. 1998;186(7):432–436
  30. Markova IS, Berrios GE. The assessment of insight in clinical psychiatry: a new scale. Acta Psychiatr. Scand. 1992;86:159–164
  31. McEvoy JP, Apperson LJ, Appelbaum PS, Ortlip P, Brekosky J, Hammill K, et al. Insight in schizophrenia. Its relationship to acute psychopathology. J. Nerv. Ment. Dis. 1989;177:43–47
  32. Michalakeas A, Skoutas C, Charalambous A, Peristeris A, Marinos V, Keramari E, et al. Insight in schizophrenia and mood disorders and its relation to psychopathology. Acta Psychiatr. Scand. 1994;90:46–49
  33. Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of self-reported measure of medication adherence. Med. Care. 1986;24(1):67–74
  34. Pallanti S, Quercioli L, Pazzagli A, Rossi A, Dell’Osso L, Pini S, et al. Awareness of illness and subjective experience of cognitive complaints in patients with bipolar I and bipolar II disorder. Am. J. Psychiatry. 1999;156(7):1094–1096
  35. Peralta V, Cuesta MJ. Lack of insight in mood disorders. J. affect. Disord. 1998;49:55–58
  36. Pini S, Cassano GB, Dell’Osso L, Amador XF. Insight into illness in schizophrenia, schizoaffective disorder, and mood disorders with psychotic features. Am. J. Psychiatry. 2001;158:122–125
  37. Sanz M, Constable G, Lopez-Ibor I, Kemp R, David AS. A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychol. Med. 1998;28:437–446
  38. Schwartz RC. Insight and illness in chronic schizophrenia. Comp. Psychiatry. 1998;39(5):249–254
  39. Smith TE, Hull JW, Santos L. The relationship between symptoms and insight in schizophrenia: a longitudinal perspective. Schizophr. Res. 1998;33:63–67
  40. Smith TE, Hull JW, Goodman M, Hedayat-Harris A, Willson DF, Israel LM, et al. The relative influences of symptoms, insight, and neurocognition on social adjustment in schizophrenia and schizoaffective disorder. J. Nerv. Ment. Dis. 1999;187:102–108
  41. Swanson CL, Freudenreich O, McEvoy JP, Nelson L, Kamaraju L, Wilson WH. Insight in schizophrenia and mania. J. Nerv. Ment. Dis. 1995;183:752–755
  42. Van Putten T, Crumpaton E, Yale C. Drug refusal in schizophrenia and the wish to be crazy. Arch. Gen. Psychiatry. 1976;33:1443–1446
  43. Wong S, Lee S, Wat K. A preliminary communication of an insight scale in the assessment of lithium non-adherence among Chinese patients in Hong Kong. J. affect. Disord. 1999;55:241–244
  44. Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. Br. J. Psychiatry. 1978;133:429–435

PII: S0165-0327(02)00102-7

doi: 10.1016/S0165-0327(02)00102-7

Journal of Affective Disorders
Volume 77, Issue 1 , Pages 21-30 , October 2003