title: Spanish adaptation of the Beck Cognitive Insight Scale (BCIS) for schizophrenia.
abstract: BACKGROUND
  The Beck Cognitive Insight Scale has been designed to evaluate the cognitive insight capacity, that is to say, the practice of self-reflectiveness as a meta-cognitive mechanism for examining and analysing the disorder's symptoms, it also permits a continuous re-evaluation of inadequate interpretations.
  
  
  METHODS
  The aim of this study is to examine the psychometric properties, the dimensional structure and the internal validity of the Spanish version of Beck's Cognitive Scale of Insight (BCIS). In this paper we also analyse its relation with the Positive and Negative Symptoms Scale (PANSS). The Cognitive Insight Scale was translated and adapted to Spanish with 129 in- and out-schizophrenic patients.
  
  
  RESULTS
  Principal component analysis showed a two-factor structure that was similar to the original one, recognizable as self-reflectiveness (R) and self-certainty (C) with similar reliability as the American version. Self-reflectiveness and the R-C index correlated with loss of insight of the PANSS scale. In general, BCIS showed significant associations with the PANSS subscales. Out patients scored self-reflectiveness and R-C index signicantly higher than in-patients and lower in self-certainty.
  
  
  CONCLUSIONS
  Psychometric properties obtained with the adapted Spanish version of BCIS guarantee the adequate evaluation of cognitive insight.
authors.affiliation: Hospital Universitari Psiquiatric Institut Pere Mata i IISPV, Universitat Rovira i Virgili, Reus, Tarragona, España. gutierreza@peremata.com
authors.forename: José A
authors.initials: JA
authors.lastname: Gutiérrez-Zotes
authors.forename: Joaquín
authors.initials: J
authors.lastname: Valero
authors.forename: María J
authors.initials: MJ
authors.lastname: Cortés
authors.forename: Antonio
authors.initials: A
authors.lastname: Labad
authors.forename: Susana
authors.initials: S
authors.lastname: Ochoa
authors.forename: Maribel
authors.initials: M
authors.lastname: Ahuir
authors.forename: Janina
authors.initials: J
authors.lastname: Carlson
authors.forename: Miguel
authors.initials: M
authors.lastname: Bernardo
authors.forename: Silvia
authors.initials: S
authors.lastname: Cañizares
authors.forename: Gemma
authors.initials: G
authors.lastname: Escartin
authors.forename: José
authors.initials: J
authors.lastname: Cañete
authors.forename: Pedro
authors.initials: P
authors.lastname: Gallo
authors.forename: Manel
authors.initials: M
authors.lastname: Salamero
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000175:diagnosis*; D014177:Translations