Development of the insight scale for affective disorders (ISAD): Modification from the scale to assess unawareness of mental disorder

摘要: Abstract Background Research on insight in patients with mood disorders has grown recent years. Several instruments to assess have been used, but most of them specifically designed for psychosis and may not appear relevant disorders. The aim the present study is develop a short, multidimensional, reliable valid scale measure disorders, based Amador's Scale Assess Unawareness Mental Disorders (SUMD). Method A Delphi method was used facilitate expert participation ensure face content validity. SUMD structure items were as reference development. new 17 obtained. Internal consistency, test-retest inter-rater reliability validity studied sample 76 outpatients DSM-IV diagnosis major depression or bipolar disorder (type I II). Results consistency general moderate, high symptoms awareness subscale. Scores ISAD correlated other measures some clinical measures, thus supporting its Limitations majority came from community services. Future studies should use inpatients severe broaden range responses. Moreover, rating by same clinician might introduce methodological bias. Conclusion ISAD, multidimensional approach, appears Expert consensus ensures