{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:20Z","timestamp":1787762000764,"version":"build-2784847793"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":266,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Depression and Anxiety"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    There is a growing interest in understanding insight or illness awareness in anxiety; however, most assessment instruments were designed for psychosis. The unique features of anxiety highlight the need for tailored measures to accurately evaluate insight. The aim of this study was to develop and validate the Schedule for the Assessment of Insight in Anxiety (SAI\u2010A), a clinician\u2010rated scale for assessing insight in anxiety disorders. We interviewed 46 participants diagnosed with anxiety disorders, conducted SAI\u2010A interviews, and administered self\u2010report measures. Using correlation and principal component analysis (PCA), we identified and assessed scale components, ensuring their reliability and consistency. The SAI\u2010A demonstrated acceptable psychometric properties, including convergent validity with an established self\u2010report measure (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009\u22120.39,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.008) and internal consistency (Cronbach\u2019s \u03b1\u2009=\u20090.70). It showed moderate to strong agreement, interrater reliability (weighted kappa\u2009=\u20090.53, intraclass correlation coefficient [ICC]\u2009=\u20090.67), and test\u2013retest reliability (ICC\u2009=\u20090.65). Two distinct insight components emerged: awareness of disorder and need for treatment. Higher overall SAI\u2010A scores correlated with symptom severity and impairment (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.56,\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.51,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001, respectively) and medication usage. The SAI\u2010A is a valid and reliable assessment tool, providing a comprehensive framework for understanding and addressing insight in the context of anxiety disorders.\n                  <\/jats:p>","DOI":"10.1155\/da\/8843975","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T04:55:19Z","timestamp":1758776119000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Development and Validation of the Schedule for the Assessment of Insight in Anxiety Disorders (SAI\u2010A)"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6144-8867","authenticated-orcid":false,"given":"Asala","family":"Halaj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0537-4701","authenticated-orcid":false,"given":"Jonathan D.","family":"Huppert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5206-4263","authenticated-orcid":false,"given":"George","family":"Konstantakopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0967-774X","authenticated-orcid":false,"given":"Anthony 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