Evidence map›Paper›PMID 41027630›Full record

ArticleBJPsych open2025

A proxy measure of clinical insight in psychosis: an electronic health records-based validation study.

Álvaro López-Díaz, Javier-David Lopez-Morinigo, Víctor Ortiz-García de la Foz, Helena Marín-Mateo, Maria Dolores Ortíz-Jiménez, Jeff David Huarcaya-Victoria, Gerardo Gutiérrez-Talavera, César González-Blanch, Benedicto Crespo-Facorro, Manuel Jesús Cuesta and 1 more

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Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Álvaro López-DíazMental Health Clinical Management Unit, University Hospital Virgen Macarena, Spain.ORCID https://orcid.org/0000-0002-6478-4807
Javier-David Lopez-MorinigoDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, General University Hospital Gregorio Marañón (IiSGM), Spanish Network for Research in Mental Health, Carlos III Institute (CIBERSAM ISCIII), School of Medicine, Complutense University of Madrid, Spain.ORCID https://orcid.org/0000-0002-4264-2664
Víctor Ortiz-García de la FozDepartment of Psychiatry, University Hospital Marqués de Valdecilla, Valdecilla Health Research Institute (IDIVAL), Spanish Network for Research in Mental Health, Carlos III Institute (CIBERSAM ISCIII), School of Medicine, University of Cantabria, Santander, Spain.ORCID https://orcid.org/0000-0002-0627-1827
Helena Marín-MateoMental Health Clinical Management Unit, University Hospital Virgen Macarena, Spain.
Maria Dolores Ortíz-JiménezMental Health Clinical Management Unit, University Hospital Virgen Macarena, Spain.
Jeff David Huarcaya-VictoriaProfessional School of Human Medicine, San Juan Bautista Private University, Ica, Perú.ORCID https://orcid.org/0000-0003-4525-9545
Gerardo Gutiérrez-TalaveraDepartment of Psychiatry, University Hospital of Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0003-2575-029X
César González-BlanchDepartment of Psychiatry, University Hospital Marqués de Valdecilla, Valdecilla Health Research Institute (IDIVAL), Spanish Network for Research in Mental Health, Carlos III Institute (CIBERSAM ISCIII), School of Medicine, University of Cantabria, Santander, Spain.ORCID https://orcid.org/0000-0002-3181-4731
Benedicto Crespo-FacorroTranslational Psychiatry Research Group (PsyNal), Seville Biomedical Research Centre (IBiS), Spanish Network for Research in Mental Health, Carlos III Institute (CIBERSAM ISCIII), Department of Psychiatry, School of Medicine, University of Seville, Spain.ORCID https://orcid.org/0000-0003-0033-7132
Manuel Jesús CuestaDepartment of Psychiatry, University Hospital of Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0003-0250-5718
Rosa Ayesa-ArriolaDepartment of Psychiatry, University Hospital Marqués de Valdecilla, Valdecilla Health Research Institute (IDIVAL), Spanish Network for Research in Mental Health, Carlos III Institute (CIBERSAM ISCIII), School of Medicine, University of Cantabria, Santander, Spain.ORCID https://orcid.org/0000-0003-0570-5352

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsight assessment in psychosis remains challenging in practice-oriented research.

aimsTo develop and validate a proxy measure for insight based on information from electronic health records (EHR). For that purpose, we used data on the Scale to Assess Unawareness of Mental Disorder (SUMD) and data from EHR notes of patients in an early psychosis intervention programme (Programa de Atención a Fases Iniciales de Psicosis, Santander, Spain).

methodJunior and senior clinicians examined 134 clinical notes from 106 patients to explore criterion and content validity between SUMD and a clinician-rated proxy measure, using three SUMD items.

resultsIn terms of criterion validity, SUMD scores correlated with the proxy (

conclusionsThis SUMD-based proxy measure was shown to have good to excellent validity and reliability, which may offer a reliable and efficient alternative for assessing insight in real-world clinical practice, EHR-based research and management. Future studies should explore its applicability across different healthcare contexts and its potential for automation, using natural language-processing techniques.

Indexed as

electronic health recordsInsight assessmentproxy measurespsychosis

Identifiers

PMID41027630
PMCPMC12529314

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.