Standardised assessment of personality – a study of validity and reliability in substance abusers

Hesse, Morten; Rasmussen, Joachim; Pedersen, Mads Kjær

doi:10.1186/1471-244x-8-7

Cited by 32 publications

(40 citation statements)

References 20 publications

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“…The internal consistency of the SAPAS-AV was somewhat low (alpha = 0.62), albeit comparable to the original instrument in adult samples [44,47], considering that alpha values are generally required to be at least 0.70 in order for a scale to be considered reliable [71]. However, it should be taken into account that alpha values depend on the number of scale items and the dimensionality of the construct being measured [72].…”

Section: Discussionmentioning

confidence: 99%

“…The Standardised Assessment of Personality–Abbreviated Scale: Adolescent Version (SAPAS–AV; see Appendix 1) was adapted from the Danish version of the SAPAS [44,47]. Initial refinement of the language used in the SAPAS-AV took place after piloting the SAPAS on 10 adolescent boys and girls from a secure institution and a psychiatric outpatient clinic.…”

Section: Methodsmentioning

confidence: 99%

“…The SAPAS was developed from the semi-structured interview Standardised Assessment of Personality [45,46], and validated in a sample of psychiatric patients, where it was found to have good psychometric properties, correctly identifying the presence of personality disorder in 90% of the patients, with a sensitivity and specificity of 0.94 and 0.85 respectively [44]. Subsequently the SAPAS has been validated in samples consisting of patients with substance abuse [47,48], depression [49,50], and probationers [51], confirming the findings from the original validation study. Based on this, we hypothesised that with minor adaptations the SAPAS might be a useful screen for PDs in juvenile justice settings.…”

Section: Introductionmentioning

confidence: 99%

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Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality – abbreviated scale (SAPAS-AV)

Kongerslev

Moran

Bo³

et al. 2012

BMC Psychiatry

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BackgroundPersonality disorder (PD) is associated with significant functional impairment and an elevated risk of violent and suicidal behaviour. The prevalence of PD in populations of young offenders is likely to be high. However, because the assessment of PD is time-consuming, it is not routinely assessed in this population. A brief screen for the identification of young people who might warrant further detailed assessment of PD could be particularly valuable for clinicians and researchers working in juvenile justice settings.MethodWe adapted a rapid screen for the identification of PD in adults (Standardised Assessment of Personality – Abbreviated Scale; SAPAS) for use with adolescents and then carried out a study of the reliability and validity of the adapted instrument in a sample of 80 adolescent boys in secure institutions. Participants were administered the screen and shortly after an established diagnostic interview for DSM-IV PDs. Nine days later the screen was readministered.ResultsA score of 3 or more on the screening interview correctly identified the presence of DSM-IV PD in 86% of participants, yielding a sensitivity and specificity of 0.87 and 0.86 respectively. Internal consistency was modest but comparable to the original instrument. 9-days test-retest reliability for the total score was excellent. Convergent validity correlations with the total number of PD criteria were large.ConclusionThis study provides preliminary evidence of the validity, reliability, and usefulness of the screen in secure institutions for adolescent male offenders. It can be used in juvenile offender institutions with limited resources, as a brief, acceptable, staff-administered routine screen to identify individuals in need of further assessment of PD or by researchers conducting epidemiological surveys.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality – abbreviated scale (SAPAS-AV)

Kongerslev

Moran

Bo³

et al. 2012

BMC Psychiatry

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“…Nevertheless, it is important to mention that the specific validation among depressive patient [50] yielded poorer results (73.1% correct identification; sensitivity of 80%; specificity of 70%; n= 394). 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].…”

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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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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“…The sensitivity and specificity of the scale has been found to be 0.94 and 0.85 respectively when validated against a clinical diagnosis of personality assessed in a standardized diagnostic interview [99]. Further evidence of the concurrent and construct validity of the scale has been demonstrated in several studies [100–102]. …”

Section: Methodsmentioning

confidence: 99%

Copenhagen infant mental health project: study protocol for a randomized controlled trial comparing circle of security –parenting and care as usual as interventions targeting infant mental health risks

2016

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BackgroundInfant mental health is a significant public health issue as early adversity and exposure to early childhood stress are significant risk factors that may have detrimental long-term developmental consequences for the affected children. Negative outcomes are seen on a range of areas such as physical and mental health, educational and labor market success, social network and establishing of family. Secure attachment is associated with optimal outcomes in all developmental domains in childhood, and both insecure and disorganized attachment are associated with a range of later problems and psychopathologies. In disadvantaged populations insecure and disorganized attachment are common, which points to the need of identifying early risk and effective methods of addressing such problems. This protocol describes an experimental evaluation of an indicated group-based parental educational program, Circle of Security–Parenting (COS-P), currently being conducted in Denmark.Methods/designIn a parallel randomized controlled trial of two intervention groups this study tests the efficacy of COS-P compared to Care as Usual (CAU) in enhancing maternal sensitivity and child attachment in a community sample in the City of Copenhagen, Denmark. During the project a general population of an estimated 17.600 families with an infant aged 2–12 months are screened for two known infant mental health risks, maternal postnatal depression and infant social withdrawal. Eligible families (N = 314), who agree to participate, will be randomly allocated with a ratio of 2:1 into the COS-P intervention arm and into CAU. Data will be obtained at inclusion (baseline) and at follow-up when the child is 12–16 months. The primary outcome is maternal sensitivity. Secondary outcomes include quality of infant attachment, language, cognitive and socioemotional development, family functioning, parental stress, parental mentalizing and maternal mental wellbeing.DiscussionThe potential implications of the experimental evaluation of an indicated brief group-based parenting educational program to enhance parental sensitivity and attachment are discussed.Trial registrationClinicalTrials.govID: NCT02497677. Registered July 15 2015

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Standardised assessment of personality – a study of validity and reliability in substance abusers

Abstract: Background: Brief screening instruments for co-morbid personality disorders could potentially have great value in substance abuse treatment settings.

Cited by 32 publications

References 20 publications

Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality – abbreviated scale (SAPAS-AV)

Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality – abbreviated scale (SAPAS-AV)

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

Copenhagen infant mental health project: study protocol for a randomized controlled trial comparing circle of security –parenting and care as usual as interventions targeting infant mental health risks

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