HAIS (Hanil Alcohol Insight Scale): validation of an insight-evaluation instrument for practical use in alcoholism.

Kim, Jong Sung; Kim, Gap Jung; Lee, Jong Min; Lee, Chung Suk; Oh, Jang Kyun

doi:10.15288/jsa.1998.59.52

Cited by 34 publications

(32 citation statements)

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“…Those with intellectual nature of insight involve questions 1, 2, 3, 4, 5, 11, 12, 13, 14, 15 and emotional, questions 6, 7, 8, 9, 10, 16, 17, 18, 19, 20. Concurrent validity study (21) of HAIS showed high correlation (r=0.79, p <0.001) with 3 clinicians' judgments, and the sensitivity of 76.9-100% and specificity of 83.3-94.9% for the classification of the insight state of 44 male patients who were labeled as having the same level (poor, fair and good) of insight from interviews by three clinicians in charge of the alcoholism treatment programs. Considering the mean and standard deviation of insight scores of 3 groups classified by insight level, it was recommended that the patients with scores of -20 to 3 should be interpreted as having poor insight, 4 to 15 as fair and 16 to 20 as good on the basis of total score (21).…”

Section: Methodsmentioning

confidence: 98%

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The Role of Alcoholics' Insight in Abstinence from Alcohol in Male Korean Alcohol Dependents

Kim

Park

Kim³

et al. 2007

J Korean Med Sci

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This study was performed to examine the relationship between the abstinence results of alcohol dependents after discharge and the level of insight at the time of discharge. 117 male Korean alcohol dependents discharged from a community-based alcohol treatment center were followed up to determine the initial months of abstinence on a successive basis (IMA), total months of abstinence during 12-month period (TMA), and complete abstinence for one full year after discharge. Analyses of abstinence results with adjustment for the differences in baseline characteristics were performed for subjects' insight levels (poor, fair and good). The mean IMA of patients with good insight was significantly (p<0.01) longer than that of patients with poor insight and TMA of patients with good insight was significantly (p<0.001) longer than that of others. Using patients with good insight as the reference, patients with poor insight showed an adjusted odds ratio (OR) of 0.07 (95% confidence interval [CI]=0.01-0.75, p<0.05) for complete abstinence for one full year after discharge and patients with fair insight, adjusted OR of 0.17 (95% CI=0.03-0.81, p<0.05). These results suggest that alcohol dependents' insight could be regarded as a factor related with abstinence.

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Section: Methodsmentioning

confidence: 98%

“…The 20-item Hanil Alcohol Insight Scale (HAIS) (21) was used for evaluation of patients' insight state. The HAIS (Table 1) was designed to ask four times in different combinations about each of the areas of insight to get quantitative and qualitative information of insight.…”

Section: Methodsmentioning

confidence: 99%

The Role of Alcoholics' Insight in Abstinence from Alcohol in Male Korean Alcohol Dependents

Kim

Park

Kim³

et al. 2007

J Korean Med Sci

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“…We excluded any patients who were undergoing detoxification treatment or had cognitive deficits. Insight level was rated as 'poor', 'fair' or 'good' based on the Hanil Alcohol Insight Scale (HAIS) (13). Among the 68 patients who had been admitted consecutively during the research period, a total of 41 patients whose insight level was rated as 'poor' or 'fair' were included as subjects.…”

Section: Methodsmentioning

confidence: 99%

“…Insight score was measured using the HAIS (13). Sociodemographic characteristics included age, sex, occupation, religion, academic career, family function based on Family APGAR score (14), and cohabitation with spouse.…”

Section: Methodsmentioning

confidence: 99%

“…It has a sensitivity of 76.9%-100.0%, and, specificity, 83.3%-94.9% for the insight assessment by psychiatrists' interviews with a patient (13). On the basis of total score, individuals who score from -20 to 3 are classified as having poor insight, scores from 4-15 indicate a fair level of insight, and scores from 16-20 indicate a good level of insight.…”

Section: Methodsmentioning

confidence: 99%

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Brief Insight-enhancement Intervention among Patients with Alcohol Dependence

Jung

Kim

Kim³

et al. 2011

J Korean Med Sci

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Patients' insight has a critical role in the recovery from problematic behavior. The aim of this study was to evaluate the effects of a brief intervention to promote insight among alcohol-dependent patients. A total of 41 alcohol-dependent patients (30 males, 11 females) in an insight-deficient state who had been admitted to a community-based alcohol treatment center, were randomized into two groups based on their admission order: an intervention group (IG) (n = 20) and a control group (CG) (n = 21). Patients in both the IG and CG participated in an identical treatment program with one exception: patients in the IG were required to undergo five sessions of brief individual intervention focusing on insight enhancement. Changes in insight state were assessed after the intervention. The IG exhibited significant (P < 0.05) changes in the distribution of insight level, while the CG did not exhibit any significant changes in the distribution of insight level. The insight score after intervention was significantly (P < 0.05) greater for the IG than the CG with adjustment for the baseline characteristics. The results suggest that a brief individual intervention focused on insight enhancement may be an effective tool to improve insight among alcohol-dependent patients.

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Identification of Quantifiable Predictors of Relapse in Patients with Alcohol‐Associated Liver Disease

et al. 2021

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Abstinence in patients with alcohol-associated liver disease (ALD) reduces mortality. Most predictors of relapse are not quantifiable, preventing objective analysis of relapse risk and targeted intervention to improve clinical outcomes. We prospectively enrolled patients with ALD from November 2016 to December 2019 and administered a survey with two previously published scales to assess insight into alcohol-use disorder (Hanil Alcohol Insight Scale [HAIS]) and social support (Community Assessment Inventory Scale [CAIS]). Relapse was assessed using surveys and metabolite testing. Unadjusted and prespecified adjusted regression analyses identified predictors of relapse. We enrolled 81% of eligible patients (n = 136), of whom 58 had follow-up data available at the time of analysis. Over a median follow-up of 1 year (interquartile range: 0.5-1.4), 10 patients relapsed (17%). Patients who relapsed were more likely to continue drinking despite either a diagnosis of liver disease or a decompensating event, and were less likely to have been transplanted (all P < 0.05). In unadjusted regression, the HAIS and the "support inside the home" subcategory of the CAIS were predictive of relapse, with odds ratio (OR) = 0.84 (95% confidence interval 0.72-0.97) and 0.85 (0.74-0.97). In adjusted regression, the HAIS was no longer significant, with adjusted OR = 0.70 (0.49-1.00, P = 0.05), whereas the "support inside the home' subcategory of CAIS remained significant, with adjusted OR = 0.69 (0.51-0.92, P = 0.01). Conclusions: Risk factors for relapse in patients with ALD were identified and quantified prospectively, suggesting opportunities to objectively identify patients at risk for relapse as well as to intervene to prevent relapse. (Hepatology Communications 2021;0:1-9).A lcohol-associated liver disease (ALD) is the leading cause of gastrointestinal-related death among women and men, with a crude mortality rate of 6.8 per 100,000. (1) ALD can be defined clinically as evidence of liver damage that occurs in the setting of high-risk drinking. The NIAAA has defined high-risk drinking to include the consumption of four or more drinks on any day or eight or more drinks per week for women (five or more drinks on any day or 15 or more drinks per week for men), (2,3) but these thresholds are not particular to ALD. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) defines alcohol addiction by the diagnosis of alcohol use disorder (AUD), which is often co-morbid with ALD and predicts high-risk drinking. (4,5

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HAIS (Hanil Alcohol Insight Scale): validation of an insight-evaluation instrument for practical use in alcoholism.

Cited by 34 publications

References 0 publications

The Role of Alcoholics' Insight in Abstinence from Alcohol in Male Korean Alcohol Dependents

The Role of Alcoholics' Insight in Abstinence from Alcohol in Male Korean Alcohol Dependents

Brief Insight-enhancement Intervention among Patients with Alcohol Dependence

Identification of Quantifiable Predictors of Relapse in Patients with Alcohol‐Associated Liver Disease

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