Reliability of clinical judgements of insight in patients with psychoses [journal article]

Authors

Dylan P. Galloghly, Edith Cowan UniversityFollow
Gregory E. Dear, Edith Cowan UniversityFollow
A Jablensky

Document Type

Journal Article

Publisher

Elsevier

Faculty

Faculty of Health, Engineering and Science

School

School of Psychology and Social Science

RAS ID

17532

Comments

Galloghly, D. P., Dear, G. E., & Jablensky, A. (2013). Reliability of clinical judgements of insight in patients with psychoses. Psychiatry Research, 208(3), 291-292. Available here

Abstract

We evaluated the reliability of scaled and binary clinical judgements of insight. Twelve clinicians rated 30 DVD interview recordings of patients diagnosed with a psychotic disorder. Scaled ratings produced an ICC of 0.62. Reliability of categorical (binary) ratings was 0.37 (k). While ordinal ratings are more reliable than binary ratings, reliability across both methods is too low for important decision-making. Clinical judgements of insight are impaired by a lack of standardised diagnostic criteria.

DOI

10.1016/j.psychres.2013.03.016