PMID- 17343920
OWN - NLM
STAT- MEDLINE
DCOM- 20070809
LR  - 20220410
IS  - 0165-1781 (Print)
IS  - 0165-1781 (Linking)
VI  - 151
IP  - 1-2
DP  - 2007 May 30
TI  - Are self-reports valid for schizophrenia patients with poor insight? Relationship 
      of unawareness of illness to psychological self-report instruments.
PG  - 37-46
AB  - This investigation aimed to determine whether impaired insight influences the 
      validity of self-report test scores in schizophrenia and schizoaffective 
      disorder. 274 outpatients enrolled in work rehabilitation completed the Beck 
      Depression Inventory (BDI), Eysenck Personality Questionnaire (EPQ), Bell Object 
      Relations and Reality Testing Inventory (BORRTI), and NEO-Five Factor Inventory 
      (NEO-FFI). Self-report scores were compared to clinician's ratings on comparable 
      personality and symptom dimensions on the Positive and Negative Syndrome Scale 
      (PANSS), the Work Behavior Inventory (WBI), and the Quality of Life Scale (QLS). 
      The influence of insight was determined using the Scale for Unawareness of Mental 
      Disorder (SUMD). In the first analysis, clinician SUMD ratings of patient insight 
      were associated with self-report accuracy. In a second analysis, patients were 
      categorized into good and poor insight groups based on SUMD ratings and compared 
      on self-report and clinician report variables. Results suggest that poor insight 
      patients accurately report less Neuroticism and Agreeableness, and more 
      Psychoticism than good insight patients, but individuals with poor insight wish 
      to present themselves as more extraverted than they actually are, and they are 
      likely to be more certain of their perceptions than they should be. It appears 
      that self-report measures may be valid for most personality and symptom domains.
FAU - Bell, Morris
AU  - Bell M
AD  - VA Connecticut Healthcare System, West Haven, CT and the Yale University School 
      of Medicine, New Haven, CT 06516, United States. morris.bell@yale.edu
FAU - Fiszdon, Joanna
AU  - Fiszdon J
FAU - Richardson, Randall
AU  - Richardson R
FAU - Lysaker, Paul
AU  - Lysaker P
FAU - Bryson, Gary
AU  - Bryson G
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20070306
PL  - Ireland
TA  - Psychiatry Res
JT  - Psychiatry research
JID - 7911385
SB  - IM
MH  - Adult
MH  - *Awareness
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Personality Inventory
MH  - Psychotic Disorders/*diagnosis/psychology
MH  - Rehabilitation, Vocational
MH  - Schizophrenia/*diagnosis
MH  - *Schizophrenic Psychology
MH  - *Self Disclosure
MH  - Self-Assessment
MH  - *Sick Role
MH  - Veterans/psychology
EDAT- 2007/03/09 09:00
MHDA- 2007/08/10 09:00
CRDT- 2007/03/09 09:00
PHST- 2005/10/24 00:00 [received]
PHST- 2006/03/09 00:00 [revised]
PHST- 2006/04/20 00:00 [accepted]
PHST- 2007/03/09 09:00 [pubmed]
PHST- 2007/08/10 09:00 [medline]
PHST- 2007/03/09 09:00 [entrez]
AID - S0165-1781(06)00111-9 [pii]
AID - 10.1016/j.psychres.2006.04.012 [doi]
PST - ppublish
SO  - Psychiatry Res. 2007 May 30;151(1-2):37-46. doi: 10.1016/j.psychres.2006.04.012. 
      Epub 2007 Mar 6.