The VAGUS insight into psychosis scale - Self-report and clinician-rated versions

被引:42
作者
Gerretsen, Philip [1 ,3 ,4 ,6 ]
Remington, Gary [2 ,4 ,6 ]
Borlido, Carol [2 ]
Quilty, Lena [4 ,6 ]
Hassan, Sabrina [2 ]
Polsinelli, Gina [2 ]
Teo, Celine [2 ]
Mar, Wanna [1 ]
Simon, Regina [3 ]
Menon, Mahesh [1 ,2 ,4 ]
Pothier, David D. [5 ,6 ]
Nakajima, Shinichiro [1 ,3 ]
Caravaggio, Fernando [1 ,4 ]
Mamo, David C. [3 ,4 ,7 ,8 ]
Rajji, Tarek K. [3 ,4 ,7 ,8 ]
Mulsant, Benoit H. [3 ,4 ,6 ]
Deluca, Vincenzo [3 ,4 ,7 ,8 ]
Ganguli, Rohan [2 ,4 ,6 ]
Pollock, Bruce G. [3 ,4 ,6 ]
Graff-Guerrero, Ariel [1 ,3 ,4 ,6 ]
机构
[1] Ctr Addict & Mental Hlth, Res Imaging Ctr, Multimodal Imaging Grp, Toronto, ON M5T 1R8, Canada
[2] Ctr Addict & Mental Hlth, Schizophrenia Program, Toronto, ON M5T 1R8, Canada
[3] Ctr Addict & Mental Hlth, Div Geriatr Psychiat, Toronto, ON M5T 1R8, Canada
[4] Univ Toronto, Toronto, ON, Canada
[5] Univ Hlth Network, Toronto, ON, Canada
[6] Ctr Addict & Mental Hlth, Campbell Family Mental Hlth Res Inst, Toronto, ON M5T 1R8, Canada
[7] Univ Malta, Fac Med, Dept Psychiat, Msida, Malta
[8] Univ Malta, Fac Hlth Sci, Dept Psychiat, Msida, Malta
基金
加拿大健康研究院;
关键词
Insight; Illness Awareness; Schizophrenia; Schizoaffective disorder; Symptom assessment; SCHIZOPHRENIA; ILLNESS; NUMBER; RTMS;
D O I
10.1016/j.psychres.2014.08.005
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The aim of this study was to develop self-report and clinician-rated versions of an insight scale that would be easy to administer, sensitive to small changes, and inclusive of the core dimensions of clinical insight into psychosis. Ten-item self-report (VAGUS-SR) and five-item clinician-rated (VAGUS-CR) scales were designed to measure the dimensions of insight into psychosis and evaluated in 215 and 140 participants, respectively (www.vagusonline.com). Tests of reliability and validity were performed. Both the VAGUS-SR and VAGUS-CR showed good internal consistency and reliability. They demonstrated good convergent and discriminant validity. Both versions were strongly correlated with one another and with the Schedule for the Assessment of Insight and Birchwood Insight Scale. Exploratory factor analyses identified three possible latent components of insight. The VAGUS-CR and VAGUS-SR are valid, reliable and easy to administer. They are build on previous insight scales with separate clinician-rated and self-report versions. The VAGUS-SR exhibited a multidimensional factor structure. Using a 10-point Likert scale for each item, the VAGUS has the capacity to detect small, temporally sensitive changes in insight, which is essential for intervention studies with neurostimulation or rapidly acting medications. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:1084 / 1089
页数:6
相关论文
共 28 条
[1]  
AMADOR XF, 1993, AM J PSYCHIAT, V150, P873
[2]   Psychopathologic domains and insight in schizophrenia [J].
Amador, XF ;
Gorman, JM .
PSYCHIATRIC CLINICS OF NORTH AMERICA, 1998, 21 (01) :27-+
[3]  
[Anonymous], 1998, STRUCTURED CLIN INTE
[4]   A new instrument for measuring insight: the Beck Cognitive Insight Scale [J].
Beck, AT ;
Baruch, E ;
Balter, JM ;
Steer, RA ;
Warman, DM .
SCHIZOPHRENIA RESEARCH, 2004, 68 (2-3) :319-329
[5]   A SELF-REPORT INSIGHT SCALE FOR PSYCHOSIS - RELIABILITY, VALIDITY AND SENSITIVITY TO CHANGE [J].
BIRCHWOOD, M ;
SMITH, J ;
DRURY, V ;
HEALY, J ;
MACMILLIAN, F ;
SLADE, M .
ACTA PSYCHIATRICA SCANDINAVICA, 1994, 89 (01) :62-67
[6]   Lack of insight in schizophrenia - Impact on treatment adherence [J].
Buckley, Peter F. ;
Wirshing, Donna A. ;
Bhushan, Prameet ;
Pierre, Joseph M. ;
Resnick, Seth A. ;
Wirshing, William C. .
CNS DRUGS, 2007, 21 (02) :129-141
[7]   WHAT IS COEFFICIENT ALPHA - AN EXAMINATION OF THEORY AND APPLICATIONS [J].
CORTINA, JM .
JOURNAL OF APPLIED PSYCHOLOGY, 1993, 78 (01) :98-104
[8]   Reappraising insight in psychosis - Multi-scale longitudinal study [J].
Cuesta, MJ ;
Peralta, V ;
Zarzuela, A .
BRITISH JOURNAL OF PSYCHIATRY, 2000, 177 :233-240
[9]   THE ASSESSMENT OF INSIGHT IN PSYCHOSIS [J].
DAVID, A ;
BUCHANAN, A ;
REED, A ;
ALMEIDA, O .
BRITISH JOURNAL OF PSYCHIATRY, 1992, 161 :599-602
[10]   Contralateral neglect induced by right posterior parietal rTMS in healthy subjects [J].
Fierro, B ;
Brighina, F ;
Oliveri, M ;
Piazza, A ;
La Bua, V ;
Buffa, D ;
Bisiach, E .
NEUROREPORT, 2000, 11 (07) :1519-1521