Standardised Assessment of Personality – Abbreviated Scale (SAPAS): Preliminary validation of a brief screen for personality disorder

Moran, Paul; Leese, Morven; Lee, Tennyson; Walters, Paul; Thornicroft, Graham; Mann, Anthony

doi:10.1192/bjp.183.3.228

Cited by 384 publications

(418 citation statements)

References 24 publications

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“…The SAPAS is a brief, simple screening tool for personality disorders, comprising eight questions with yes/no answers (Moran et al, 2003). The higher the score, the more evidence there is of personality disorder.…”

Section: Instrumentsmentioning

confidence: 99%

Distinguishing between adjustment disorder and depressive episode in clinical practice: The role of personality disorder

Doherty

Jabbar

Kelly

et al. 2014

Journal of Affective Disorders

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Section: Instrumentsmentioning

confidence: 99%

Distinguishing between adjustment disorder and depressive episode in clinical practice: The role of personality disorder

Doherty

Jabbar

Kelly

et al. 2014

Journal of Affective Disorders

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“…The Portuguese version of the BDI is validated 26 and an adaptation of the DTS was made to our culture. 27 The Standardized Assessment of Personality -Abbreviated Scale (SAPAS) 22 consists of a structured and short interview for personality disorders, to be used in routine clinical care. SAPAS scores of 3 or higher at screening correctly identify the presence of a personality disorder (DSM-IV criteria) in 90% of the participants.…”

Section: Instrumentsmentioning

confidence: 99%

Countertransference in the initial visit of women victims of sexual violence

Eizirik

Schestatsky

Kruel

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: To identify demographic and clinical correlates associated with therapists' countertransference feelings on the first visit of women victims of sexual violence. Method: Forty patients were seen by 26 therapists, during 2 consecutive years, at the Center for the Study and Treatment of Psychological Trauma, Hospital de Clínicas de Porto Alegre, Brazil. After the first visit with the patient, the therapist completed the Assessment of Countertransference Scale and the patient was evaluated with the Davidson Trauma Scale, the Standardized Assessment of Personality -Abbreviated Scale, the Beck Depression Inventory, and the Defense Style Questionnaire. Results: The therapists showed a predominance of feelings of closeness (Mean = 5.42, SD = 1.25) in relation to the feelings of indifference (Mean = 1.82, SD = 1.22) and distance (Mean = 1.57, SD = 1.08) [p < 0.001]. Multivariate analyses did not present significant associations between countertransference feelings and clinical characteristics of patients. The gender of the therapists did not influence the pattern of countertransference feelings. In the subgroup of female therapists, we detected an inverse correlation between a higher probability of patients' personality disorders and feelings of closeness in the therapists. Conclusion: We did not detect a differential pattern of countertransference feelings associated with specific clinical characteristics. Therapists of both genders presented a similar pattern of feelings of empathy towards women victims of sexual violence, although the gender of the therapist may moderate the feelings evoked by patients with increased likelihood of personality disorders. Descriptors

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“…The alpha coefficient for the total score of the SAPAS was 0.68. Employing a cut-off score of three on the SAPAS correctly classified over 80% of the patients with a sensitivity of 0.94 and a specificity of 0.85 [12] . The SAPAS-SR is also an instrument with eight items that measure three broader domains, reflecting personality disorders in clusters A, B and C. Psychometric properties were studied, showing a test-retest coefficient of 0.89 for the total score.…”

Section: Sapas-infmentioning

confidence: 99%

“…The authors translated the items of the original SAPAS, a structured interview, and created a self-report questionnaire, the SAPAS-SR [12,19] . The original SAPAS consists of eight dichotomously rated items, which the original authors had taken from the opening section of the informant-based semi-structured interview, the Standardised Assessment of Personality [15,31] .…”

Section: Sapas-infmentioning

confidence: 99%

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Validation of two informant-based screening instruments for personality disorders in a psychiatric outpatient population

Heck

Hodiamont

Elshoff

et al. 2013

JHA

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Purpose: The predictive validity of two informant-based screening instruments for personality disorders (PDs), the Standardized Assessment of Personality (SAP) and a short eight-item version (SAPAS-INF), were studied in 103 Dutch psychiatric outpatients, using the SCID-II as the 'gold standard'.Methods: All patients and their informants were interviewed separately and independently by different interviewers who were unaware of the results in the other conditions.Results: According to the SCID-II, 66 patients had at least one personality disorder (PD). The SAP correctly classified 72% of all participants in the category PD present/absent. The sensitivity and specificity were 69% and 76%, respectively. The positive and negative predictive values were 84% and 58%. The SAPAS-INF, using a cut-off score of 3, correctly classified 70%; the sensitivity and specificity were 76% and 58%, respectively. The positive and the negative predictive values were 77% and 57%. Conclusion:These results show that the informant-based SAP as well as the shorter informant-based SAPAS-INF are adequate; though rather moderate screening instruments for identifying PD. The SAP and the SAPAS-INF, however, both performed worse than the SAPAS-SR, which is based on the patient's self-report. Therefore, it is concluded that the SAP or the SAPAS-INF can be used as a satisfactory screening instruments for the presence/absence of PD in those cases where patients themselves are unable to provide the required information.

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Standardised Assessment of Personality – Abbreviated Scale (SAPAS): Preliminary validation of a brief screen for personality disorder

Abstract: The study provides preliminary evidence of the usefulness of the screen in routine clinical settings.

Cited by 384 publications

References 24 publications

Distinguishing between adjustment disorder and depressive episode in clinical practice: The role of personality disorder

Distinguishing between adjustment disorder and depressive episode in clinical practice: The role of personality disorder

Countertransference in the initial visit of women victims of sexual violence

Validation of two informant-based screening instruments for personality disorders in a psychiatric outpatient population

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