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West London Mental Health NHS Trust
West London Mental Health NHS Trust, Southall, Middlesex
Broadmoor Hospital, West London Mental Health NHS Trust, Crowthorne
*Academic Centre, West London Mental Health NHS Trust, Uxbridge Road, Southall, Middlesex UB1 3EU, email: michael.maier{at}wlmht.nhs.uk
AIMS AND METHOD
To improve the level of insight (measured using standardised instruments) using a video interview and self-observation. Changes in levels of insight were measured using the Schedule for Assessing Insight (SAI) at the time of admission, at the time of discharge (both prior to and following the viewing of the videotape) and at follow-up a few months later.
RESULTS
The comparison of the SAI scores indicated a significant improvement in insight at the time of discharge (P<0.005), with a further significant improvement after watching the video (P<0.006). This appeared to be sustained at 3- to 6-month follow-up.
CLINICAL IMPLICATIONS
Video self-observation is a simple, inexpensive procedure that can be used to improve insight in psychosis. This study provides further support for the clinical utility of video self-observation in improving clients insight.
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