Screening for personality disorder with the Standardised Assessment of Personality: Abbreviated Scale (SAPAS): further evidence of concurrent validity

Hesse, Morten; Moran, Paul

doi:10.1186/1471-244x-10-10

Cited by 77 publications

(69 citation statements)

References 17 publications

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“…Above, we discussed the association of the SAPAS with DSM-IV PDs and the results obtained by Hesse and Moran [52]. In their sample, these authors found that the SAPAS did not have the same capacity of association for PDs within each of the 3 DSM-IV PD Clusters (A-B-C), with the association being weaker for Cluster B.…”

Section: Discussionmentioning

confidence: 93%

“…In addition, a study conducted in a substance abuser population [51] showed that the SAPAS correlated well with clinicians' ratings for "externalizing behavior" and "global assessment of functioning". Finally, the SAPAS exhibits robust PD associations for Cluster A and C but only an acceptable association for Cluster B [52]. In 2008, a Dutch translation, validation and adaptation of the SAPAS as a self-report (SAPAS-SR: [30]) yielded lower values than the initial SAPAS (cut-off score of 4; 81% correct identification; sensitivity of 82.5%; specificity of 79.6%).…”

Section: Introductionmentioning

confidence: 99%

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Adaptation and Validation of the Standardized Assessment of Personality – Abbreviated Scale as a Self-Administered Screening Test (SA-SAPAS)

Merlhiot¹

2014

J Psychol Psychother

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Personality disorder assessments are time-intensive and require trained interviewers. They are unlikely to be performed on a routine basis. In clinical and general populations, there is a requirement for short and robust self-administered screening tests for personality disorders. We first translated the original form of the SAPAS into French and validated it in a clinical sample (n=28). This adaptation revealed properties similar to those of the original version. The first and second studies validated the adaptation of the SA-SAPAS as a self-administered questionnaire in clinical (n=45) and general (n=186) populations. We were able to use the same cut-off (score ≥ 2) in both the clinical and general populations and this permitted correct identification in 89% of the clinical subjects (sensitivity of 97.3%; specificity of 50%) and 86% in the general population (sensitivity of 87.5%; specificity of 85.7%). These results suggest possible applications for researchers and clinicians, either as a routine screening test or as a selection tool in both general and clinical populations.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Adaptation and Validation of the Standardized Assessment of Personality – Abbreviated Scale as a Self-Administered Screening Test (SA-SAPAS)

Merlhiot¹

2014

J Psychol Psychother

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“…Co-morbid PD is often unrecognised yet, as shown by our data, it is an important prognostic variable. This highlights the importance of routinely assessing personality status in individuals presenting to secondary mental health services [43] with Axis 1 disorders. Patients with SMI and co-morbid PD are likely to require tailored interventions that target both the underlying personality pathology as well as the Axis I disorder.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

The impact of co-morbid personality disorder on use of psychiatric services and involuntary hospitalization in people with severe mental illness

Fok

Stewart

Hayes

et al. 2014

Soc Psychiatry Psychiatr Epidemiol

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Purpose:To examine the impact of co-morbid personality disorder (PD), on inpatient and community-based service use and risk of involuntary hospitalization, amongst patients with severe mental illness (SMI). Methods:We identified SMI cases (schizophrenia, schizoaffective and bipolar disorder) with and without comorbid PD, and PD cases, aged ≥18 years, in a large secondary mental healthcare case register. Using multivariable logistic regression, we examined the association between co-morbid PD and high level of inpatient and community-based service use (defined as the top decile of service use), and involuntary hospitalization, respectively, adjusting for socio-demographics, clinical symptoms and social functioning. Results:SMI patients with co-morbid PD (SMI-PD) (n=961) had more severe symptoms and social functioning problems compared to SMI patients without PD (n=10,963) and patients who had PD but no concurrent SMI (n=2,309). A greater proportion of SMI-PD patients were high inpatient service users (22.4% vs. 10.1%). This association was attenuated but remained significant, after adjustment (fully adjusted odds ratio, OR: 2.31, 95% CI 1.88 -2.84). The association between SMI-PD and high community-based service use was confounded by symptoms and social functioning. Compared to patients with SMI, SMI-PD patients were significantly more likely to experience involuntary hospitalization (fully adjusted OR 1.56, 95% CI 1.31 -1.85). Conclusions:In SMI patients, co-morbidity with PD is robustly associated with both high use of inpatient psychiatric services and an increased likelihood of involuntary hospitalization. Patients with SMI and 3 co-morbid PD are likely to require tailored interventions that target both the underlying personality pathology as well as the Axis I disorder.

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“…The benefit of such a short interview is that it can be used in clinical environments when pressed for time. Hesse and Moran (2010) compared SAPAS scores with a variety of comprehensive personality inventories and found that SAPAS scores did regress on most DSM-IV PDs when controlling for demographic variables, suggesting convergent validity. However SAPAS scores were less likely to be associated with cluster B disorders (Antisocial, Histrionic and Borderline).…”

Section: Continuedmentioning

confidence: 99%

A Review of the Measures Designed to Assess DSM-5 Personality Disorders

Furnham

Milner

Akhtar

et al. 2014

PSYCH

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The definition, classification and assessment of personality disorders (PDs) have attracted considerable debate for nearly 50 years. This paper attempts a comprehensive review of the instruments to assess all, or specific, individual disorders as described in DSM-5, including structured interviews and inventories. The review should be helpful for clinicians, researchers and also industrial and organizational psychologists, to screen and assess the personality pathology spectrum from subclinical manifestations to full blown personality pathology. A decision tree helpful to choose among the different measures is also provided.

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Screening for personality disorder with the Standardised Assessment of Personality: Abbreviated Scale (SAPAS): further evidence of concurrent validity

Cited by 77 publications

References 17 publications

Adaptation and Validation of the Standardized Assessment of Personality – Abbreviated Scale as a Self-Administered Screening Test (SA-SAPAS)

Adaptation and Validation of the Standardized Assessment of Personality – Abbreviated Scale as a Self-Administered Screening Test (SA-SAPAS)

The impact of co-morbid personality disorder on use of psychiatric services and involuntary hospitalization in people with severe mental illness

A Review of the Measures Designed to Assess DSM-5 Personality Disorders

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