title: Reliability of clinical judgements of insight in patients with psychoses.
abstract: We evaluated the reliability of scaled and binary clinical judgements of insight. Twelve clinicians rated 30 DVD interview recordings of patients diagnosed with a psychotic disorder. Scaled ratings produced an ICC of 0.62. Reliability of categorical (binary) ratings was 0.37 (k). While ordinal ratings are more reliable than binary ratings, reliability across both methods is too low for important decision-making. Clinical judgements of insight are impaired by a lack of standardised diagnostic criteria.
authors: School of Psychology and Social Sciences, Edith Cowan University, Perth, WA, Australia. Dylan.galloghly@health.wa.gov.au
authors: Dylan P
authors: DP
authors: Galloghly
authors: Greg E
authors: GE
authors: Dear
authors: Assen
authors: A
authors: Jablensky
mesh_terms: D000293:Adolescent; D000328:Adult; D002986:Clinical Trials as Topic; D003657:Decision Making; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014741:Video Recording; D055815:Young Adult
keywords: Clinical judgement; Reliability; Schizophrenia