Hunt Elena, Vachon Geneviève, Côté Gilles
Ecole des sciences infirmières Université Laurentienne, Sudbury, Ontario, Canada.
Rech Soins Infirm. 2009 Jun(97):74-84.
Poor insight into mental illness is associated with treatment non-compliance, relapse and re-hospitalization. Measuring insight becomes therefore important in assessing risk of non-compliance. A few reliable insight instruments are available in English. Self Appraisal of Illness Questionnaire (SAIQ) (Marks & al., 2000) was translated in French and validation analysis was performed. The 17 items French version is called Questionnaire d'autoévaluation de l'introspection (QAI). Cronbach's alpha showed 0.78 for internal consistency (N = 124). Factor analysis generated three factors explaining 49.8 % of the variance. They were: Need for treatment (Awareness of), Worry and Presence/Outcome of mental disorder. Concurrent validity analysis of QAI and Insight Scale (IS) (Markova & al., 2003) resulted in a coefficient of 0.37. QAI demonstrated solid psychometric properties and should be further reassessed in research and clinical practice. It is well adapted for use in hospital and clinical setti
对精神疾病缺乏洞察力与治疗依从性差、复发及再次住院有关。因此,评估洞察力对于评估不依从风险很重要。有一些可靠的英文洞察力评估工具。《疾病自我评估问卷》(SAIQ)(马克斯等人,2000年)已被翻译成法语并进行了效度分析。17项的法语版本称为《内省自我评估问卷》(QAI)。克朗巴哈系数显示内部一致性为0.78(N = 124)。因子分析产生了三个因子,解释了49.8%的方差。它们是:对治疗的需求(意识)、担忧以及精神障碍的存在/结果。QAI与洞察力量表(IS)(马尔科娃等人,2003年)的同时效度分析得出系数为0.37。QAI表现出可靠的心理测量特性,应在研究和临床实践中进一步重新评估。它非常适合在医院和临床环境中使用。