Evaluating insight in psychiatric patients

Oleg Lapshin, Kalisankar Mallik, Joseph Finkelstein

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Background. Insight (self-awareness of mental disorder) is an important predictor of treatment adherence and outcomes in psychiatric patients. The issue of insight assessment can be difficult in both research and clinical practice. We have created the Short Insight Checklist (SIC) and conducted a pilot study to evaluate its psychometric properties. Methods. We enrolled 38 consecutive patients from an outpatient clinic in downtown Baltimore. We used the Short Insight Checklist (SIC) and self-rated Insight Scale (IS) as another tool to assess insight. Results and discussion. The scale has good psychometric properties with Cronbach alpha 0.83 and the mean inter-item correlation of 0.50. The majority of the patients had either good (36.8%, 14 subjects) or satisfactory (42.1%, 16) levels of insight. Patients with schizophrenia had a lower level of insight than patients with major depressive disorder (14.7 vs. 20.2, p=0.06). The total SIC score and total score of the Insight Scale were correlated at r=0.43, p>0.01 which is acceptable for establishing the criterion validity. Conclusion. The Short Insight Checklist shows good initial psychometric properties in this pilot study and can be used for insight assessment in psychiatric patients.

Original languageEnglish (US)
Title of host publicationBridging Eastern and Western Psychiatry
Pages17-21
Number of pages5
Volume3
Edition1
StatePublished - 2005
Externally publishedYes

Fingerprint

Psychiatry
Checklist
Psychometrics
Baltimore
Major Depressive Disorder
Ambulatory Care Facilities
Mental Disorders
Schizophrenia
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Lapshin, O., Mallik, K., & Finkelstein, J. (2005). Evaluating insight in psychiatric patients. In Bridging Eastern and Western Psychiatry (1 ed., Vol. 3, pp. 17-21)

Evaluating insight in psychiatric patients. / Lapshin, Oleg; Mallik, Kalisankar; Finkelstein, Joseph.

Bridging Eastern and Western Psychiatry. Vol. 3 1. ed. 2005. p. 17-21.

Research output: Chapter in Book/Report/Conference proceedingChapter

Lapshin, O, Mallik, K & Finkelstein, J 2005, Evaluating insight in psychiatric patients. in Bridging Eastern and Western Psychiatry. 1 edn, vol. 3, pp. 17-21.
Lapshin O, Mallik K, Finkelstein J. Evaluating insight in psychiatric patients. In Bridging Eastern and Western Psychiatry. 1 ed. Vol. 3. 2005. p. 17-21
Lapshin, Oleg ; Mallik, Kalisankar ; Finkelstein, Joseph. / Evaluating insight in psychiatric patients. Bridging Eastern and Western Psychiatry. Vol. 3 1. ed. 2005. pp. 17-21
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