The Beck Cognitive Insight Scale (BCIS): translation and validation of the Taiwanese version

Yu-Chen Kao; Yia-Ping Liu
January 2010
BMC Psychiatry;2010, Vol. 10, p27
Academic Journal
Background: Over the last few decades, research concerning the insight of patients with schizophrenia and its relationships with other clinical variables has been given much attention in the clinical setting. Since that time, a series of instruments assessing insight have been developed. The purpose of this study was to examine the reliability and validity of the Taiwanese version of the Beck Cognitive Insight Scale (BCIS). The BCIS is a self-administered instrument designed to evaluate cognitive processes that involves reevaluating patients' anomalous experiences and specific misinterpretations. Methods: The English language version of the BCIS was translated into Taiwanese for use in this study. A total of 180 subjects with and without psychosis completed the Taiwanese version of the BCIS and additional evaluations to assess researcher-rated insight scales and psychopathology. Psychometric properties (factor structures and various types of reliability and validity) were assessed for this translated questionnaire. Results: Overall, the Taiwanese version of the BCIS showed good reliability and stability over time. This translated scale comprised a two-factor solution corresponding to reflective attitude and certain attitude subscales. Following the validation of the internal structure of the scale, we obtained an R-C (reflective attitude minus certain attitude) index of the translated BCIS, representing the measurement of cognitive insight by subtracting the score of the certain attitude subscale from that of the reflective attitude subscale. As predicted, the differences in mean reflective attitude, certain attitude and R-C index between subjects with and without psychosis were significant. Our data also demonstrated that psychotic patients were significantly less reflective, more confident in their beliefs, and had less cognitive insight compared with nonpsychotic control groups. Conclusions: In light of these findings, we believe that the Taiwanese version of BCIS is a valid and reliable instrument for the assessment of cognitive insight in psychotic patients.


Related Articles

  • Offspring and the frequency of intergenerational contacts influence depression among elderly. Kirchengast, Sylvia; Haslinger, Beatrix // Archives: The International Journal of Medicine;Oct-Dec2008, Vol. 1 Issue 4, p163 

    Aim of the study To evaluate the impact of intergenerational contact frequency and number of offspring on the prevalence of depression. Material- Methods The impact of intergenerational contact frequency and number of offspring on the prevalence of depression was tested among 159 healthy...

  • The classification of depression: are we still confused? Cole, James; McGuffin, Peter; Farmer, Anne E. // British Journal of Psychiatry;Feb2008, Vol. 192 Issue 2, p83 

    Recent developments in the classification of major depressive disorder are reviewed in light of the predictions made by Kendell in the 1970s. Particularly, the institution of operational diagnoses along with the contentious issues of subdividing major depressive disorder and its characterisation...

  • Depresif Duygu Durum ile Giden Uyum BozukluÄŸunun Klinik Açıdan Majör Depresif Bozuklukla KarşılaÅŸtırılması. Temiz, Semiha Tufan; Güleç, Gülcan; Kaptanoğlu, Cem // Klinik Psikofarmakoloji Bulteni;Mar2009 Supplement, Vol. 19, pS282 

    Objective: We aimed to evaluate the differences between the symptom profiles of the depressive mood with major depressive disorder and the symptom profiles of first attack major depression according to DSM IV criteria, in addition to that we aimed to investigate whether the severity of the stres...

  • Prevalence of depressive disorders in Rasht, Iran: A community based study. Modabernia, Mohamad Jafar; Tehrani, Hossein Shodjai; Fallahi, Mahnaz; Shirazi, Maryam; Modabbernia, Amir Hossein // Clinical Practice & Epidemiology in Mental Health;2008, Vol. 4, Special section p1 

    Introduction: Depression is a well known health problem worldwide. Prevalence of depressive disorders varies in different societies. Aim: to determine the prevalence of depressive disorders and some associated factors in Rasht City (Northern part of Iran). Materials and methods: 4020 subjects...

  • OD REDAKCJI. Aleksandrowicz, Jerzy; Marek, Katarzyna // Psychiatria Polska;2011, Vol. 45 Issue 4, p643 

    No abstract available.

  • HERB MATCHES ANTIDEPRESSANT.  // Better Nutrition;May2005, Vol. 67 Issue 5, p15 

    The article presents information about a new clinical study which shows that a proprietary standardized extract of Saint John's wort was as effective as a common prescription antidepressant in reducing the symptoms of depression. The results were published February 11, 2005 in the "British...

  • 'Virtual therapist' to help depressed pupils.  // CPJ: Counselling & Psychotherapy Journal;Aug2004, Vol. 15 Issue 7, p22 

    Depressed pupils in Edinburgh's schools will be able to access a virtual psychologist in a bid to tackle exam stress and teenage angst. Mental health experts Cathy Richards, Nicky Cannon and Eileen Scott from the Young Peoples Unit of the Royal Edinburgh Hospital are developing a specialist...

  • Psychosocial functioning in patients with treatment-resistant depression after group cognitive behavioral therapy. Matsunaga, Miki; Okamoto, Yasumasa; Suzuki, Shin-ichi; Kinoshita, Akiko; Yoshimura, Shinpei; Yoshino, Atsuo; Kunisato, Yoshihiko; Yamawaki, Shigeto // BMC Psychiatry;2010, Vol. 10, p22 

    Background: Although patients with Treatment Resistant Depression (TRD) often have impaired social functioning, few studies have investigated the effectiveness of psychosocial treatment for these patients. We examined whether adding group cognitive behavioral therapy (group-CBT) to medication...

  • Recruiting participants for interventions to prevent the onset of depressive disorders: Possibile ways to increase participation rates. Cuijpers, Pim; van Straten, Annemieke; Warmerdam, Lisanne; van Rooy, Marie José // BMC Health Services Research;2010, Vol. 10, p181 

    Background: Although indicated prevention of depression is available for about 80% of the Dutch population at little or no cost, only a small proportion of those with subthreshold depression make use of these services. Methods: A narrative review is conducted of the Dutch preventive services in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics