A preliminary study of the diagnostic accuracy of the Gerontological Personality disorders Scale (GPS)

Alphen, S.P.J. van; Engelen, G. J. J. A.; Kuin, Y.; Hoijtink, Herbert; Derksen, J.J.L.

doi:10.1002/gps.1572

Cited by 60 publications

(69 citation statements)

References 20 publications

(24 reference statements)

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“…In this context, the literature points out the lack of screening measures appropriate for institutional routines that are psychometrically efficient in identifying pathological manifestations, including those related to personality assessment (Alphen, Engelen, Kuin, Hoijtink, & Derksen, 2006;Olssøn et al, 2011;Tyrer et al, 2015). Psychological screening measures for PDs aim to signal the existence of a PD with a reduced number of questions (questionnaires) or items (scales).…”

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confidence: 99%

Development and Diagnostic Accuracy of the Screening of the Dimensional Clinical Personality Inventory

Carvalho

Pianowski

Reis

2017

Psicol. cienc. prof.

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Abstract:The assessment of personality disorders assumes unquestioned clinical relevance when considering the prevalence rates in the general population. Tests assessing the typical pathological traits of these disorders has been adapted to and developed in Brazil. However, there is a gap in the country of screening tools for personality disorders. Screening tools are designed to allow a fast and informative application on the likelihood of a positive diagnosis, where the consequence should be conveyed to a diagnostic assessment. Using as a base the Dimensional Clinical Personality Inventory (IDCP), developed at the national level, the objective of this research was to develop a screening tool for personality disorders, as well as investigate its diagnostic accuracy. The study included 1,196 people, aging between 18 and 73 years (M = 26.32, SD = 8.69), and 64.1% female. The sample was divided into clinical and non-clinical group. We used an empirical approach based on criteria for selection of items similar to those adopted in the development of Minnesota Multiphasic Personality Inventory was used (MMPI). The logistic regression analysis and also the calculation of Cohen´s d indicated the items that best discriminate against people with personality disorders and those without this diagnosis. We achieved a final set of 15 items with satisfactory sensitivity and specificity for screening test. We discusses the strengths and limitations of screening version of the IDCP and guidelines for further study.

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confidence: 99%

Development and Diagnostic Accuracy of the Screening of the Dimensional Clinical Personality Inventory

Carvalho

Pianowski

Reis

2017

Psicol. cienc. prof.

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“…The GPS consists of a patient and an informant version. The sensitivity and specificity of the patient version have been found to be fair (both around 70 %), but the sensitivity and specificity of the informant version are somewhat lower [11].…”

Section: Assessmentmentioning

confidence: 95%

“…Secondly, unhealthy lifestyles, violence, and accidents result in shorter life expectancy among adults with PDs [10]. A more novel explanation that deserves more attention in future research is the hypothesis of a shift towards depressive, somatic, and passive-aggressive behaviors with aging leading to underdiagnosis of cluster B PDs in later life [11,12]. In summary, the age neutrality of a number of the criteria for DSM PDs is debatable.…”

Section: Epidemiology: Prevalence and Coursementioning

confidence: 97%

“…Second, the large numbers of items and the complexity of these items, due to abstract language use, complicate the research. Third, a cluttered layout of self-report score sheets and the use of small font can lead to problems particularly among adults aged 75 and over [11].…”

Section: Assessmentmentioning

confidence: 98%

“…The idea here is to prevent bias resulting from a current psychiatric condition or somatic comorbidity. Finally, a 16-item screener for PDs among older outpatients in mental healthcare has been validated: the Gerontological Personality disorder Scale (GPS) [11]. The GPS consists of a patient and an informant version.…”

Section: Assessmentmentioning

confidence: 99%

See 2 more Smart Citations

Personality Disorders in Older Adults: Emerging Research Issues

Alphen

Dijk

Videler

et al. 2014

Curr Psychiatry Rep

Self Cite

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Empirical research focusing on personality disorders (PDs) among older adults is mainly limited to studies on psychometric properties of age-specific personality tests, the age neutrality of specific items/scales, and validation of personality inventories for older adults. We identified only two treatment studies-one on dialectical behavior therapy and one on schema therapy-both with promising results among older patients despite small and heterogeneous populations. More rigorous studies incorporating age-specific adaptations are needed. Furthermore, in contrast to increasing numbers of psychometric studies, the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 pays little attention to the characteristics of older adults with PDs. Moreover, the constructs "personality change due to another medical condition" and "late-onset personality disorder" warrant further research among older adults. These needs will become even more pressing given the aging society worldwide.

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Personality Disorders in Later Life

Segal

Zweig

Molinari

2012

The Wiley‐Blackwell Handbook of Adulthood and Aging

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Relatively little attention has been paid to how personality disorders develop over time, into later adulthood. A few longitudinal studies have been completed but, those have focused largely on the period ending in young adulthood. The Children in the Community (CIC) study documented the continuity of adolescent personality characteristics from childhood and adolescence and into adulthood. This study started with about 800 participants from whom data were collected at four subsequent periods, wht the latest being when the participants averaged 38 years old (Cohen, 2008). Various types of personality disorder are associated with subsequent development of social impairment as well as the onset of other forms of psychopathology (Cohen, Crawford, Johnson, & Kasen, 2005).

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A preliminary study of the diagnostic accuracy of the Gerontological Personality disorders Scale (GPS)

Abstract: A specific instrument has been developed to diagnose personality disorders in older adults. However, further research is necessary to improve the diagnostic accuracy of the Gerontological Personality disorders Scale (GPS).

Cited by 60 publications

References 20 publications

Development and Diagnostic Accuracy of the Screening of the Dimensional Clinical Personality Inventory

Development and Diagnostic Accuracy of the Screening of the Dimensional Clinical Personality Inventory

Personality Disorders in Older Adults: Emerging Research Issues

Personality Disorders in Later Life

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