TY - JOUR
T1 - Insight and personal narratives of illness in schizophrenia
AU - Lysaker, Paul H.
AU - Clements, Catherine A.
AU - Plascak-Hallberg, Cynthia D.
AU - Knipscheer, Stacy J.
AU - Wright, Dustin E.
N1 - Funding Information:
Research for this article was funded by the Institute for Psychiatric Research, Indiana University School of Medicine, Indianapolis, Indiana, USA.
PY - 2002/9
Y1 - 2002/9
N2 - Insight in schizophrenia tends to be assessed as the degree to which one possesses specific knowledge. It therefore often fails to account for the fact that awareness of illness is an inextricable part of a personal narrative and may be incoherent or incomplete for many different narrative reasons. Accordingly, we have developed a means of eliciting narratives of illness: the Indiana Psychiatric Illness Interview, and a method for rating the coherence of those narratives: the Narrative Coherence Rating Scale. In this article we describe these methods and present data on their reliability and validity in a study of the illness narratives of 33 outpatients with schizophrenia or schizoaffective disorder. Results suggest our measures possess sufficient internal consistency and good to excellent interrater reliability. Additionally, as predicted, our measures of narrative coherence were significantly correlated with traditional measures of insight and with measures of cognitive impairment and hopelessness gathered earlier.
AB - Insight in schizophrenia tends to be assessed as the degree to which one possesses specific knowledge. It therefore often fails to account for the fact that awareness of illness is an inextricable part of a personal narrative and may be incoherent or incomplete for many different narrative reasons. Accordingly, we have developed a means of eliciting narratives of illness: the Indiana Psychiatric Illness Interview, and a method for rating the coherence of those narratives: the Narrative Coherence Rating Scale. In this article we describe these methods and present data on their reliability and validity in a study of the illness narratives of 33 outpatients with schizophrenia or schizoaffective disorder. Results suggest our measures possess sufficient internal consistency and good to excellent interrater reliability. Additionally, as predicted, our measures of narrative coherence were significantly correlated with traditional measures of insight and with measures of cognitive impairment and hopelessness gathered earlier.
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U2 - 10.1521/psyc.65.3.197.20174
DO - 10.1521/psyc.65.3.197.20174
M3 - Article
C2 - 12405078
AN - SCOPUS:0036750860
SN - 2158-8333
VL - 65
SP - 197
EP - 206
JO - Psychiatry
JF - Psychiatry
IS - 3
ER -
