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The British Journal of Psychiatry (2003) 183: 228-232
© 2003 The Royal College of Psychiatrists

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

PAUL MORAN, MD, MORVEN LEESE, PhD, TENNYSON LEE, MRCPsych, PAUL WALTERS, MRCPsych and GRAHAM THORNICROFT, PhD

Health Services Research Department, Institute of Psychiatry

ANTHONY MANN, MD

Section of Epidemiology, Institute of Psychiatry, London, UK

Correspondence: Dr Paul Moran, Health Services Research Department, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. Tel: 020 7848 0568; fax: 020 7 848 0333; e-mail: paul.moran{at}iop.kcl.ac.uk

Declaration of interest None. Funding detailed in Acknowledgements.

Background There is a need for a brief and simple screen for personality disorders that can be used in routine psychiatric assessments.

Aims To test the concurrent validity and test–retest reliability of a brief screen for personality disorder.

Method Sixty psychiatric patients were administered a brief screening interview for personality disorder. On the same day, they were interviewed with an established assessment for DSM–IV personality disorder. Three weeks later, the brief screening interview was repeated in order to examine test–retest reliability.

Results A score of 3 on the screening interview correctly identified the presence of DSM–IV personality disorder in 90% of participants. The sensitivity and specificity were were 0.94 and and 0.85 respectively.

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


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