Title

Reliability of clinical judgements of insight in patients with psychoses

Document Type

Journal Article

Publisher

Elsevier

Faculty

Faculty of Health, Engineering and Science

School

School of Psychology and Social Science

RAS ID

17532

Comments

This article was originally published as: 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. Original article 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.

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