Development of the insight scale for affective disorders (ISAD): Modification from the scale to assess unawareness of mental disorder

Olaya, Beatriz; Marsà, Ferrán; Ochoa, Susana; Balanzá‐Martínez, Vicent; Barbeito, Sara; García-Portilla, María Paz; González‐Pinto, Ana; Lobo, Antonio; López-Antón, Raúl; Usall, Judith; Arranz, Belén; Haro, Josep María

doi:10.1016/j.jad.2012.03.041

Cited by 31 publications

(15 citation statements)

References 62 publications

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“…Olaya et al 5 have, for example, developed a multidimensional scale, the Insight Scale for Affective Disorders (ISAD), a hetero-evaluation instrument for patients with mood disorders. The dimensions evaluated include insight into the illness, treatment needs and social consequences.…”

Section: 2mentioning

confidence: 99%

Clinical correlates of loss of insight in bipolar depression

Silva

Mograbi

Camelo

et al. 2017

Trends Psychiatry Psychother.

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Introdução: O estado afetivo pode influenciar o insight, especialmente a mania. No entanto, até o momento os estudos mostram que a depressão parece não prejudicar significativamente o insight. De acordo com o conhecimento dos autores, este estudo é pioneiro em avaliar como as alterações de insight na depressão bipolar se correlacionam com variáveis clínicas. Método: Um grupo de 165 pacientes bipolares, com 52 pacientes apresentando episódios depressivos de acordo com os critérios do DSM-5, foi acompanhado por um ano. Os pacientes foram submetidos a avaliação clínica, e o insight foi avaliado utilizandose a Insight Scale for Affective Disorders (ISAD). Diferenças no insight de acordo com o objeto foram investigadas utilizandose ANOVA de medidas repetidas, comparando os escores dos quatro fatores da ISAD (insight sobre sintomas, sobre sua condição, autoestima e relações sociais). Análises de correlação exploraram quais sintomas clínicos estiveram associados a redução de insight. Resultados: Pior insight total correlacionou-se com ideação/ tentativa de suicídio e com sintomas subsindrômicos de mania (elevação do humor, energia aumentada e interesse sexual). Pior insight sobre autoestima associou-se não somente a ideação/ tentativa de suicídio, mas também a redução de atividade e alentecimento psicomotor. Pior insight sobre sintomas também mostrou correlação com alentecimento psicomotor. Melhor insight sobre ter uma doença afetiva associou-se a sintomas hipocondríacos mais intensos. Finalmente, pior insight sobre a condição esteve associado a sintomas psicóticos. Conclusão: O estudo mostrou que, além da psicose, outros sintomas parecem se correlacionar com prejuízo de insight na depressão bipolar, como ideação suicida, redução de atividade e alentecimento psicomotor. Descritores: Insight, depressão bipolar, transtorno bipolar. AbstractIntroduction: Affective state may influence insight, especially regarding mania. Nevertheless, studies have so far suggested that depression seems not to significantly impair insight. To the best of our knowledge, this study pioneers the evaluation of how insight variations in bipolar depression correlate with clinical variables. Method: A group of 165 bipolar patients, 52 of whom had depressive episodes according to DSM-5 criteria, were followed during a year. All patients underwent clinical assessment, and insight was evaluated through the Insight Scale for Affective Disorders (ISAD). Repeated-measures ANOVA was calculated comparing scores on the four ISAD factors (insight into symptoms, the condition itself, self-esteem and social relationships) in order to investigate differences in insight according to different objects. Correlational analysis explored which clinical symptoms were linked to reduced insight. Results: Worse total insight correlated with suicide attempt/ ideation and fewer subsyndromal manic symptoms such as mood elevation, increased energy and sexual interest. Worse self-esteem insight was associated with not only suicide ideation/attempt but also with activity redu...

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Section: 2mentioning

confidence: 99%

Clinical correlates of loss of insight in bipolar depression

Silva

Mograbi

Camelo

et al. 2017

Trends Psychiatry Psychother.

View full text Add to dashboard Cite

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“…Patients were evaluated using the hetero-evaluation questionnaire ISAD, which was developed by Olaya et al 18 and was translated into Portuguese and adapted for use in Brazil by Silva et al 21 This instrument, which was designed based on the SUMD, 2 is a multidimensional assessment…”

Section: Clinical Evaluationmentioning

confidence: 99%

“…However, evaluation of insight through the use of self-evaluation instruments may result in discrepancies when compared with objective evaluations. 16,17 In light of these different measurement tools, Olaya et al 18 developed the Insight Scale for Affective Disorders (ISAD), which relies on hetero-application for patients with mood disorders.…”

Section: Introductionmentioning

confidence: 99%

Insight in bipolar disorder: a comparison between mania, depression and euthymia using the Insight Scale for Affective Disorders

Silva

Mograbi

Camelo

et al. 2015

Trends Psychiatry Psychother.

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“…SAIQ is a 17-item self-report scale following the format of the PEH but substituting items about hospitalization with similar items about the need for treatment [29]. Olaya et al developed a multidimensional scale, the Insight Scale for Affective Disorders (ISAD), a hetero-evaluation instrument for patients with mood disorders [30]. The scale evaluates dimensions like insight into illness, treatment needs, and social consequences [31].…”

Section: Measurement Of Insightmentioning

confidence: 99%

“…De Assis da Silva et al included in their study from 2015 95 patients with bipolar disorder and divided them into two different groups according to the mood state presented during assessment (i.e., euthymia, mania, and depression) [36]. Insight was evaluated using the heteroevaluation questionnaire ISAD developed by Olaya et al [30]. Patients with bipolar disorder in mania show less insight about their condition than patients in depression or euthymia, and less insight about their symptoms than patients with depression, with the exception of awareness of weight change.…”

Section: The Relationship Of Insight To Episode Subtypes and Symptom mentioning

confidence: 99%

Lack of Insight in Bipolar Disorder: The Impact on Treatment Adherence, Adverse Clinical Outcomes and Quality of Life

Crisan¹

2018

Psychotic Disorders - An Update

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Insight is a multidimensional construct, defined as the awareness of having a mental disorder, of specific symptoms and their attribution to the disorder, the awareness of social consequences, and of need for treatment. Although insight has been studied specifically in schizophrenia and its study in mood disorders has traditionally received limited attention, the evaluation of this concept in mood disorders is also very important because of the impact on treatment compliance and outcome. In bipolar disorder (BD), clinical insight varies substantially over time. Most researchers observed that insight is more impaired during an illness episode than during remission, in mixed than in pure manic episodes, in bipolar II than in bipolar I patients, and in pure mania than in bipolar or unipolar depression. Lack of insight is a consistent factor of non-adherence to medication in bipolar patients, along with severity of BD, side effects of medication, effectiveness, and patient-related factors. Also, impaired insight into treatment and a great number of previous hospitalizations are associated with poorer clinical outcomes (psychiatric hospitalization, emergency room visits, violent or suicidal behavior) among the patients with bipolar I disorder. In the management of bipolar disorder, improving quality of life (QoL) and outcome should be one the most important goals.

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Development of the insight scale for affective disorders (ISAD): Modification from the scale to assess unawareness of mental disorder

Cited by 31 publications

References 62 publications

Clinical correlates of loss of insight in bipolar depression

Clinical correlates of loss of insight in bipolar depression

Insight in bipolar disorder: a comparison between mania, depression and euthymia using the Insight Scale for Affective Disorders

Lack of Insight in Bipolar Disorder: The Impact on Treatment Adherence, Adverse Clinical Outcomes and Quality of Life

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