한글판 Birchwood Insight Scale의 표준화 연구

• 영문명: Reliability and Validity of the Korean Version of the Birchwood Insight Scale
• 발행기관: 대한신경정신의학회
• 저자명: 장진혁(Jin-Hyeok Jang) 이남영(Nam-Young Lee) 김용식(Yong-Sik Kim) 박상원(Sang-Won Park)
• 간행물 정보: 『신경정신의학』제58권 제1호, 55~63쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2019.02.28

영문 초록

Objectives: In the treatment of schizophrenia, treatment compliance is an important prognostic factor. As insight has a significant impact on treatment compliance, an appropriate assessment of insight is essential in the treatment of schizophrenia. This study examined the reliability and validity of the Korean version of Birchwood Insight Scale (BIS). Methods: Fifty seven adult patients diagnosed with schizophrenia according to DSM-5 were recruited from a university hospital. They were evaluated using the Positive and Negative Syndrome Scale (PANSS), The Scale to Assessment Unawareness of Mental Disorder (SUMD) and BIS. Explorative factor analysis was performed to examine the construct validity of the Korean version of BIS. Concurrent validity was evaluated by a comparison with the PANSS G12 item and SUMD. The test-retest correlation was evaluated to examine the test-retest reliability. Multiple regression analysis was performed to examine the variables affecting insight. Results: Explorative factor analysis showed that the Korean version of BIS was composed of 2 factors, which are ‘Awareness of symptoms’ and ‘Awareness of illness and need for treatment.’ The Korean version of BIS was reliable in terms of the internal consistency. Concurrent validity with the PANSS G 12 item and SUMD was statistically significant. The test-retest reliability was also statistically significant. Multiple regression analysis showed that the PANSS negative factor affects the BIS score, indicating that negative symptoms of schizophrenia may impair insight of the illness. Conclusions: This study suggests that the Korean version of BIS is a valid and reliable tool for assessing the insight of patients with schizophrenia.

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키워드

Schizophrenia Insight Psychopathology Negative symptom Self-Rating Scale