评估精神病洞察力的工具:对心理测量属性的系统审查
Hadar Hazan1,2, Sümeyra N Tayfur2, Sneha Karmani2
1Community & Behavioral Health Program, https://ror.org/000fxgx19SUNY Polytechnic Institute, Utica, NY, USA.
Psychological medicine
|November 26, 2025
概括
评估精神病的洞察力需要更好的工具. 这次审查发现,许多尺度缺乏响应能力和跨文化验证,突出了对临床使用和研究的多维,可靠的仪器的需求.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床测量 临床测量
背景情况:
- 对精神病的洞察力是复杂的,涉及到疾病意识,症状归因和治疗需求.
- 概念化和洞察力测量的变化阻碍了临床评估和研究可比性.
研究的目的:
- 系统地审查和评估用于评估精神分裂症谱系障碍洞察力的仪器的心理测量特性.
- 确定强大的,多维的工具,以改善临床评估和研究.
主要方法:
- 按照PRISMA指南对五个数据库 (n=2,184) 进行系统搜索.
- 包括29项研究 (15项规模开发,10项验证) 评估洞察力工具.
- 使用COSMIN偏差风险检查清单评估心理测量领域.
主要成果:
- 确定了15个不同的洞察力尺度 (9个临床医生评级,5个自我报告,1个混合).
- 大多数尺度显示出足够的内容/结构有效性和良好的可靠性;4具有最强的心理测量支持.
- 响应度和跨文化验证是有限的;自我报告和临床医生的评分之间的差异是常见的.
结论:
- 目前的洞察力尺度在心理测量强度,响应能力和文化适用性方面有所不同.
- 需要多维,心理测量学上健全和情境敏感的工具来评估精神疾病的洞察力.
- 评估工具的进步对于临床实践和研究进步都至关重要.
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