SUMDScale to Assess Unawareness of Mental Disorder (psychology)
SUMDSingle Use Medical Devices
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A multiple regression analysis with the expanded growth stage of recovery scale (STORI) as the criterion variable with insight (SUMD), experienced stigma and the no stigma factors (Stigma Scale), and their interactions simultaneously entered as predictors was utilized.
The mean scores on the shortened SUMD were 4.81 for awareness of their mental disorder, 3.42 for level of awareness of positive symptoms, and 3.79 for level of awareness of negative symptoms.
SUMD. The SUMD (Amador et al., 1991) is a 20-item instrument used to evaluate a client's current degree of self-awareness (or lack thereof) related to aspects of his or her mental disorder.
Ten independent variables were initially tested in this study: ratings of psychotic symptoms, anxiety, depressive symptoms, manic symptoms, cognitive problems, recent trauma-related stress (all measured by the EARS), insight into having a mental disorder, insight into the social consequences of the disorder, insight into the need for treatment (as measured by the SUMD), and total years of treatment.
Descriptive statistics revealed that a full range of psychosocial symptoms (range = 1-9 on all FARS items) and insight into illness (range = 1-5 on all SUMD items) was observed in the sample population.
There are no published studies analyzing this extraordinarily interesting and important question, but comparison of the MacCAT-T test and the Scale to Assess Unawareness of Mental Disorder (SUMD), the most widely used insight-assessment scale, suggests that the explanation probably lies in varying assessment procedures.
By contrast, the SUMD involves a semi-structured interview that "evaluates insight as a multidimensional phenomenon" based on a seventy-two-item questionnaire; each item is rated on a five-point scale: (155) "the SUMD allows for the independent assessment of current and retrospective awareness of having a mental disorder, awareness of particular signs and symptoms, benefit from treatment, and the psychosocial consequences of having a mental disorder." (156) Although the SUMD does not rate beliefs about whether treatment is needed, it does provide a "detailed assessment of patients' awareness of, and attribution for, a wide range of signs and symptoms." (157)
It would be useful to have interview transcripts or other detailed comparative accounts to get a fuller comparative picture of the MacCAT-T and SUMD assessment processes, but I could find none in the research literature.
(256) Insight scales range from the seventy-four-item SUMD to the one-item Present State Exam (PSE).
Market-level deposit data are available, however, from the SUMD data.
Constructed at the market level using branch level deposit data from the SUMD database, HERF provides a measure of concentration, and presumably the competitiveness, of the local banking market.