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BMC Psychiatry
Published in: BMC Psychiatry 1/2010

Open Access 01-12-2010 | Research article

The Beck Cognitive Insight Scale (BCIS): translation and validation of the Taiwanese version

Authors: Yu-Chen Kao, Yia-Ping Liu

Published in: BMC Psychiatry | Issue 1/2010

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Abstract

Background

Over the last few decades, research concerning the insight of patients with schizophrenia and its relationships with other clinical variables has been given much attention in the clinical setting. Since that time, a series of instruments assessing insight have been developed. The purpose of this study was to examine the reliability and validity of the Taiwanese version of the Beck Cognitive Insight Scale (BCIS). The BCIS is a self-administered instrument designed to evaluate cognitive processes that involves reevaluating patients' anomalous experiences and specific misinterpretations.

Methods

The English language version of the BCIS was translated into Taiwanese for use in this study. A total of 180 subjects with and without psychosis completed the Taiwanese version of the BCIS and additional evaluations to assess researcher-rated insight scales and psychopathology. Psychometric properties (factor structures and various types of reliability and validity) were assessed for this translated questionnaire.

Results

Overall, the Taiwanese version of the BCIS showed good reliability and stability over time. This translated scale comprised a two-factor solution corresponding to reflective attitude and certain attitude subscales. Following the validation of the internal structure of the scale, we obtained an R-C (reflective attitude minus certain attitude) index of the translated BCIS, representing the measurement of cognitive insight by subtracting the score of the certain attitude subscale from that of the reflective attitude subscale. As predicted, the differences in mean reflective attitude, certain attitude and R-C index between subjects with and without psychosis were significant. Our data also demonstrated that psychotic patients were significantly less reflective, more confident in their beliefs, and had less cognitive insight compared with nonpsychotic control groups.

Conclusions

In light of these findings, we believe that the Taiwanese version of BCIS is a valid and reliable instrument for the assessment of cognitive insight in psychotic patients.
Appendix
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Literature
1.
Greenfield D, Strauss JS, Bowers MB, Mandelkern M: Insight and interpretation of illness in recovery from psychosis. Schizophr Bull. 1989, 15: 245-252.CrossRef
2.
3.
Carpenter WT, Strauss JS, Bartko JJ: Flexible system for the diagnosis of schizophrenia: report from the WHO International Pilot study of schizophrenia. Science. 1973, 182: 1275-1278. 10.1126/science.182.4118.1275.CrossRefPubMed
4.
World Health Organization: Report of the International Pilot Study of Schizophrenia. 1973, Geneva, Switzerland: World Health Organization
5.
Lysaker P, Bell M, Milstein R, Bryson G, Beam-Goulet J: Insight and psychosocial treatment compliance in schizophrenia. Psychiatry. 1994, 57: 307-315.PubMed
6.
Smith TE, Hull JW, Goodman M, Hedayat-Harris A, Wilson DF, Israel LM, Munich RL: The relative influences of symptoms, insight, and neurocognition on social adjustment in schizophrenia and schizoaffective disorder. J Ner Ment Dis. 1999, 187 (2): 102-108. 10.1097/00005053-199902000-00006.CrossRef
7.
Lysaker PH, Bell MD, Bryson GL, Kaplan E: Insight and interpersonal function in schizophrenia. J Ner Ment Dis. 1998, 186: 432-436. 10.1097/00005053-199807000-00008.CrossRef
8.
Young DA, Davila R, Scher H: Unawareness of illness and neuropsychological performance in chronic schizophrenia. Schizophr Res. 1993, 10: 117-124. 10.1016/0920-9964(93)90046-L.CrossRefPubMed
9.
Beck AT, Baruch E, Balter JM, Steer AS, Warman DM: A new instrument for measuring insight: The Beck Cognitive Insight Scale. Schizophr Res. 2004, 68: 319-329. 10.1016/S0920-9964(03)00189-0.CrossRefPubMed
10.
Pedrelli P, McQuaid JR, Granholm E, Patterson TL, McClure F, Beck AT, Jeste DV: Measuring cognitive insight in middle-aged and older patients with psychotic disorders. Schizophr Res. 2004, 71: 297-305. 10.1016/j.schres.2004.02.019.CrossRefPubMed
11.
Engh JA, Friss S, Birkenaes AB: Measuring cognitive insight in schizophrenia and bipolar disorder: A comparative study. BMC Psychiatry. 2007, 7: 71-10.1186/1471-244X-7-71.CrossRefPubMedPubMedCentral
12.
Warman DM, Martin JM: Cognitive insight and delusion proneness: An investigation using the Beck Cognitive Insight Scale. Schizophr Res. 2006, 84: 297-304. 10.1016/j.schres.2006.02.004.CrossRefPubMed
13.
Warman DM, Lysaker PH, Martin JM: Cognitive insight and psychotic disorder: The impact of active delusions. Schizophr Res. 2007, 90: 325-333. 10.1016/j.schres.2006.09.011.CrossRefPubMed
14.
Bora E, Erkan A, Kayahan B, Veznedaroglu B: Cognitive insight and acute psychosis in schizophrenia. Psychiatry Clin Neurosci. 2007, 61: 634-639. 10.1111/j.1440-1819.2007.01731.x.CrossRefPubMed
15.
Goldberg RW, Green-Paden LD, Lehman AF: Correlates of insight in serious mental illness. J Ner Ment Dis. 2001, 189: 137-145. 10.1097/00005053-200103000-00001.CrossRef
16.
American Psychiatric Association: Diagnostic and statistical manual of mental disorders. 2000, Washington, DC: APA, 4
17.
Bell MD, Lysaker PH, Beam-Goulet JL, Milstein RM, Linden-mayer JP: Five-component model of schizophrenia: assessing the factorial invariance of the positive and negative syndrome scale. Psychiatry Res. 1994, 52: 295-303. 10.1016/0165-1781(94)90075-2.CrossRefPubMed
18.
Emsley R, Rabinowitz J, Torreman M: The factor structure for the Positive and Negative Syndrome Scale (PANSS) in recent-onset psychosis. Schizophr Res. 2003, 61: 47-57. 10.1016/S0920-9964(02)00302-X.CrossRefPubMed
19.
Amador XF, Flaum M, Andreasen NC, Strauss DH, Yale SA, Clark SC, Gorman JM: Awareness of illness in schizophrenia and schizoaffective and mood disorders. Arch Gen Psychiatry. 1994, 51: 826-836.CrossRefPubMed
20.
Gilbert DT: How mental systems believe. Am J Psychology. 1991, 46: 107-119. 10.1037/0003-066X.46.2.107.CrossRef
21.
Lazarus RS: Cognition and emotion. Am J Psychol. 1991, 46: 352-367. 10.1037/0003-066X.46.4.352.CrossRef
22.
Beck AT, Rush AJ, Shaw BF, Emery G: Cognitive Therapy of Depression. 1979, New York Guildford Press
23.
Cortina JM: What is coefficient alpha? An examination of theory and application. J Appl Psychol. 1993, 78: 98-104. 10.1037/0021-9010.78.1.98.CrossRef
24.
Holden RR, Fekken GC, Cotton DHG: Assessment psychopathology using structured test-item response latencies. Psychology Assessment. 1991, 3: 111-118. 10.1037/1040-3590.3.1.111.CrossRef
25.
Uchida T, Matsumoto K, Kikuchi A, Miyakoshi T, Ito F, Ueno T, Matsuoka H: Psychometric properties of the Japanese version of the Beck Cognitive Insight Scale: Relation of cognitive insight to clinical insight. Psychiatry Clin Neurosci. 2009, 63: 291-297. 10.1111/j.1440-1819.2009.01946.x.CrossRefPubMed
26.
Carroll A, Fattah S, Clyde Z, Coffey I, Owens DG, Johnstone EC: Correlates of insight and insight changes in schizophrenia. Schizophr Res. 1999, 35: 247-253. 10.1016/S0920-9964(98)00142-X.CrossRefPubMed
27.
Mintz AR, Dobson KS, Romney DM: Insight in schizophrenia: a meta-analysis. Schizophr Res. 2003, 61: 75-88. 10.1016/S0920-9964(02)00316-X.CrossRefPubMed
28.
29.
Smith TE, Hull JW, Willson DF, Israel LM: Insight, symptoms, and neurocognition in schizophrenia and schizoaffective disorder. Schizophr Bull. 2000, 26: 193-200.CrossRefPubMed
30.
Young DA, Davila R, Scher H: Unawareness of illness and neuropsychological performance in schizophrenia. Schizophr Res. 1993, 10: 117-124. 10.1016/0920-9964(93)90046-L.CrossRefPubMed
31.
Green MF, Kern RS, Braff DF, Mintz J: Neurocognitivedeficits and functional outcome in schizophrenia: Are we measuring the right stuff?. Schizophr Bull. 2002, 26: 119-136.CrossRef
32.
Harvey PD, Keefe RSE: Studies of cognitive change in patients with schizophrenia following novel antipsychotic treatment. Am J Psychiatry. 2001, 158: 176-184. 10.1176/appi.ajp.158.2.176.CrossRefPubMed
Metadata
Title
The Beck Cognitive Insight Scale (BCIS): translation and validation of the Taiwanese version
Authors
Yu-Chen Kao
Yia-Ping Liu
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2010
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-10-27

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