Validation of the Psychological Insight Scale: A new scale to assess psychological insight following a psychedelic experience
Open accessAbstract
Introduction: As their name suggests, ‘psychedelic’ (mind-revealing) compounds are thought to catalyse processes of psychological insight; however, few satisfactory scales exist to sample this. This study sought to develop a new scale to measure psychological insight after a psychedelic experience: the Psychological Insight Scale (PIS). Methods: The PIS is a six- to seven-item questionnaire that enquires about psychological insight after a psychedelic experience (PIS-6) and accompanied behavioural changes (PIS item 7). In total, 886 participants took part in a study in which the PIS and other questionnaires were completed in a prospective fashion in relation to a planned psychedelic experience. For validation purposes, data from 279 participants were analysed from a non-specific ‘global psychedelic survey’ study. Results: Principal components analysis of PIS scores revealed a principal component explaining 73.57% of the variance, which displayed high internal consistency at multiple timepoints throughout the study (average Cronbach’s α = 0.94). Criterion validity was confirmed using the global psychedelic survey study, and convergent validity was confirmed via the Therapeutic-Realizations Scale. Furthermore, PIS scores significantly mediated the relationship between emotional breakthrough and long-term well-being. Conclusion: The PIS is complementary to current subjective measures used in psychedelic studies, most of which are completed in relation to the acute experience. Insight – as measured by the PIS – was found to be a key mediator of long-term psychological outcomes following a psychedelic experience. Future research may investigate how insight varies throughout a psychedelic process, its underlying neurobiology and how it impacts behaviour and mental health.
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The Psychological Insight Scale was developed to quantify psychological insight gained in the time following a psychedelic experience, rather than during a psychedelic experience, as the PIQ does.
“The Psychological Insight Scale (Peill et al., 2022) was developed to quantify psychological insight gained in the time following a psychedelic experience, rather than during a psychedelic experience, as the PIQ does.”
From Assessment of the acute subjective psychedelic experience: A review of patient-reported outcome measures in clinical research on classical psychedelics (2024) · cites this paper as Peill et al., 2022
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Self-citationEffects of psilocybin versus escitalopram on rumination and thought suppression in depression
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Pattern breaking: a complex systems approach to psychedelic medicine
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Effects of DMT on mental health outcomes in healthy volunteers
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Psilocybin and Other Classic Psychedelics in Depression
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Classic psychedelics, health behavior, and physical health
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5-MeO-DMT: An atypical psychedelic with unique pharmacology, phenomenology & risk?
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Self-citationDo psychedelics facilitate emergence of unconscious psychological processes
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Validation of the imperial psychedelic predictor scale
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Self-citationClassic Psychedelic Use and Current Meditation Practice
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Aesthetic quality of psychedelic experience is linked to insight and psychological outcomes
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Exploring the importance of bodyset for the psychedelic experience and beyond
Uthaug, M. V., Allocca, G., Havenith, M. N., Szabó, A., Rosas, F. E., & Ramaekers, J. G. (2025) · Journal of Psychedelic Studies · doi:10.1556/2054.2025.00418 · Cited by 1 · see citing works
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- Authors
- Peill, J. M., Trinci, K. E., Kettner, H., Mertens, L. J., Roseman, L., Timmermann, C., Rosas, F. E., Lyons, T., & Carhart-Harris, R. L.
- Affiliations
- Imperial College London (GB)
- University College London (GB)
- University of California, San Francisco (US)
- Corresponding author
- Trinci, Katie E
- ORCID
- Venue
- Journal of Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2022-01
- Volume
- 36
- Issue
- 1
- Pages
- 31-45
- ISSN
- 0269-8811 (ISSN-L)
- 1461-7285
- PMC
- PMC8801624
- OpenAlex
- W4206700491
- Cited by
- 141
- References
- 96
- Citations by year
- 2026: 23 · 2025: 22 · 2024: 36 · 2023: 47 · 2022: 13
- FWCI
- 26.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Psychopharmacology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Spiral (Imperial College London) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Social Sciences › Psychology › Social Psychology › Paranormal Experiences and Beliefs
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- psychological insight, psychedelic experience, scale validation, long-term well-being, subjective outcome measures
- MeSH terms
- Adult, Aged, Awareness, Female, Hallucinogens, Humans, Male, Middle Aged, Prospective Studies, Psychometrics, Surveys and Questionnaires, Principal Component Analysis, Young Adult
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