The Beck Cognitive Insight Scale in outpatients with psychotic disorders: further evidence from a French-speaking sample.
OBJECTIVE
The Beck Cognitive Insight Scale (BCIS) evaluates patients' self-report of their ability to detect and correct misinterpretation. Our study aims to confirm the factor structure and the convergent validity of the original scale in a French-speaking environment.


METHODS
Outpatients (n = 158) suffering from schizophrenia or schizoaffective disorders fulfilled the BCIS. The 51 patients in Montpellier were equally assessed with the Positive and Negative Syndrome Scale (PANSS) by a psychiatrist who was blind of the BCIS scores.


RESULTS
The fit indices of the confirmatory factor analysis validated the 2-factor solution reported by the developers of the scale with inpatients, and in another study with middle-aged and older outpatients. The BCIS composite index was significantly negatively correlated with the clinical insight item of the PANSS.


CONCLUSIONS
The French translation of the BCIS appears to have acceptable psychometric properties and gives additional support to the scale, as well as cross-cultural validity for its use with outpatients suffering from schizophrenia or schizoaffective disorders. The correlation between clinical and composite index of cognitive insight underlines the multidimensional nature of clinical insight. Cognitive insight does not recover clinical insight but is a potential target for developing psychological treatments that will improve clinical insight.
Favrod
Jérôme
J
Community Psychiatry Service, Department of Psychiatry, University Hospital Centre and University of Lausanne, Lausanne, Switzerland. Jerome.Favrod@chuv.ch
Zimmermann
Grégoire
G
Raffard
Stéphane
S
Pomini
Valentino
V
Khazaal
Yasser
Y
D000328:Adult; D000553:Ambulatory Care; D003072:Cognition Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D005163:Factor Analysis, Statistical; D005260:Female; D005602:France; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000453:epidemiology* / Q000628:therapy*; D012559:Schizophrenia / Q000453:epidemiology* / Q000628:therapy*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires