| Summary: | 碩士 === 國立臺灣大學 === 護理學研究所 === 87 === The purpose of this study was to examine Chinese version of “Scale to assess Unawareness of Mental Disorder” as an effective instrument for clinical workers. In addition to establish the validity and reliability of the Chinese version of thie scale, we also intend to find the relationship between the score of “Scale to assess Unawareness of Mental Disorder” and the Continuous Performance Test in schizophrenic patients.
The study subjects included schizophrenic patients who were admitted to the acute psychiatric ward and rehabilitation ward of a teaching hospital in Taipei. The data were collected by semi-structured interviews with patients: 31 patients were interviewed to confirm inter-rater and test-retest reliability. To verify convergent validity, we have interviewed 49 patients while G12 item of PANSS（Positive And Negative Syndrome Scale）” Lack of judgement and insight” and the score of “Scale to assess Unawareness of Mental Disorder” were compared. Furthermore, we also investigated the performance of our samples on two sessions of the Continuous Performance Test 1-9( undegraded and 25% degraded).
The results showed that the Chinese version of “Scale to assess Unawareness of Mental Disorder” was a effective instrument in evaluating Taiwanese schizophrenic patients’ lack of awareness of the deficits, social consequences of the disorder, and effect of medication. The scales also effectively evaluated the awareness and the attribution of his (her) psychotic symptoms. The test-retest reliability and inter-rater reliability of this Chinese version was rather good. In addition, G12 item in PANSS and subscales in the “Scale to assess Unawareness of Mental Disorder” showed rather high correlations. However, we could not find any statistical relationship between the subscales and the Adjusted z score of d’ & lnβ in Continuous Performance Test.
The results of this study suggest that the Chinese version of the scale was a rather excellent scales for the evaluation of multiple aspects of insight in schizophrenia.
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