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Mood disorders insight scale: Validation of Persian version
Hajar Ahmadi Vazmalaei1, Atefeh Ghanbari Jolfaei, Amir Shabani
1Psychiatrist, Tehran University of Medical Sciences, Tehran, Iran.
Background:
Lack of insight in patients with bipolar I disorder has been associated with poor course and clinical outcome and compromised therapeutic compliance. Therefore, it is important to evaluate insight and use more specialized scales such as Mood Disorder Insight Scale (MDIS) in these patients. Our objective in this study was to assess validity and reliability of Persian version of MDIS.
Materials And Methods:
A hundred forty five bipolar patients were selected from Iran Hospital of Psychiatry. They were interviewed by The Persian Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorder, 4th edition's (DSM-IV) axis I disorders (SCID-I) and the Scale to Assess Unawareness of Mental Disorder (SUMD). The translated version of MDIS in Persian was subsequently completed by patients.
Results:
The internal consistency was satisfactory (Cronbach alpha coefficients = 0.8). The test-retest reliability (coefficient alpha) was 0.95 (p < 0.01). Construct validity and concurrent validity were supported by factor analysis and Spearman rank correlation between MDIS and SUMD (0.85).
Conclusions:
Persian version of the MDIS could be a useful instrument for assessing insight in patients with bipolar I disorder.
Insights
The Persian version of the Mood Disorder Insight Scale (MDIS) is a reliable tool for assessing insight in bipolar I disorder patients. This validated scale aids in understanding patient awareness, crucial for treatment adherence and outcomes.
Area of Science:
- Psychiatry
- Psychological Assessment
Background:
- Impaired insight in bipolar I disorder correlates with poor prognosis and treatment adherence.
- Specialized scales are needed to accurately evaluate insight in these patients.
- The Mood Disorder Insight Scale (MDIS) is a potential tool for this assessment.
Purpose of the Study:
- To evaluate the validity and reliability of the Persian version of the Mood Disorder Insight Scale (MDIS).
Main Methods:
- 145 bipolar I disorder patients from Iran Hospital of Psychiatry participated.
- Patients completed the Persian MDIS after undergoing the Persian Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and the Scale to Assess Unawareness of Mental Disorder (SUMD).
Main Results:
- The Persian MDIS demonstrated satisfactory internal consistency (Cronbach's alpha = 0.8).
- Excellent test-retest reliability was observed (0.95, p < 0.01).
- Factor analysis and correlation with SUMD (0.85) supported construct and concurrent validity.
Conclusions:
- The Persian version of the MDIS is a valid and reliable instrument.
- It can be effectively used for assessing insight in individuals with bipolar I disorder.
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