A new instrument for measuring insight: the Beck Cognitive Insight Scale
Section snippets
Sample
The sample was composed of 150 adult (18 years old and above) inpatients who were consecutively admitted to the adult psychiatric unit of a general hospital located in Cherry Hill, NJ, who were diagnosed with schizophrenia, schizoaffective disorder, major depressive disorder without psychosis, or major depression with psychotic features (who will be referred to as psychotic depressives for the remainder of this paper). All of the patients were required to have a Global Assessment of Functioning
Factor analysis
A variety of principal factor analyses with both orthogonal (varimax) and nonorthogonal (promax) rotations were first conducted with the 15 BCIS ratings for not only the total sample of 150 inpatients together, but also separately for the 75 (50%) patients diagnosed with schizophrenia or schizoaffective disorder and the 75 (50%) patients diagnosed with an MDD. Although these analyses indicated that one or two items might shift from loading on one dimension to another, all of the factor analyses
Discussion
The Beck Cognitive Insight Scale (BCIS) was developed in order to increase the understanding of patients' perspectives about their anomalous experiences, their attributions, and their aberrant interpretations of specific life events. The BCIS showed adequate convergent validity and discriminant validity. The moderate correlations with the Scale to Assess Unawareness of Mental Disorder (Amador et al., 1994) suggest that the BCIS has relevance to the patients' objectivity regarding their
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