@article{2997454,
    title = "Development and validation of the schedule for the assessment of insight in eating disorders (SAI-ED)",
    author = "Konstantakopoulos, G. and Georgantopoulos, G. and Gonidakis, F. and Michopoulos, I. and Stefanatou, P. and David, A.S.",
    journal = "Psychiatry Research",
    year = "2020",
    volume = "292",
    publisher = "Elsevier Ireland Ltd",
    issn = "0165-1781",
    doi = "10.1016/j.psychres.2020.113308",
    keywords = "adult;  anorexia nervosa;  Article;  awareness;  body mass;  Brown Assessment of Beliefs Scale;  bulimia;  clinical feature;  controlled study;  convergent validity;  demography;  disease duration;  disease severity;  eating disorder assessment;  female;  hierarchical clustering;  human;  interrater reliability;  interview;  major clinical study;  obsession;  priority journal;  psychometry;  Schedule for the Assessment of Insight in Eating Disorder;  test retest reliability;  validation study;  eating disorder;  procedures;  psychological interview;  psychology;  reproducibility;  young adult, Adult;  Anorexia Nervosa;  Bulimia Nervosa;  Feeding and Eating Disorders;  Female;  Humans;  Interview, Psychological;  Psychometrics;  Reproducibility of Results;  Young Adult",
    abstract = "This study examined the reliability, validity and internal structure of the newly developed, interview-based Schedule for the Assessment of Insight in Eating Disorders (SAI-ED) and the relationships of insight with demographic and clinical characteristics in EDs. Ninety-four female patients – 44 with anorexia nervosa (AN) and 50 with bulimia nervosa (BN) – were assessed with SAI-ED. The Brown Assessment of Beliefs Scale was used to evaluate convergent validity of SAI-ED. Hierarchical cluster analysis and multidimensional scaling were used to identify insight components and assess their inter-relationships. The final 8-item SAI-ED demonstrated good psychometric properties. Inter-rater and test-retest reliabilities were high. Three subscales of SAI-ED were identified which measure major insight components: awareness of illness, awareness of symptoms, and treatment engagement. Patients with AN had significant lower score on SAI-ED than patients with BN. Impaired insight was associated with: (a) lower current and lowest lifetime BMI and more severe dietary restrain in AN, (b) illness duration, severity of overall ED symptoms, body-related concerns and obsessionality in BN. Insight is a multidimensional construct in EDs associated with different clinical aspects in AN and BN. The SAI-ED is a valid and reliable tool for the assessment of insight in EDs patients. © 2020 Elsevier B.V."
}