Copyright © 2008 John Wiley & Sons, Ltd 2: 70–76 (2008)
DOI: 10.1002/pmh
The Self-report Standardized Assessment of
Personality-abbreviated Scale: Preliminary
results of a brief screening test for personality
disorders
Personality and Mental Health
2: 70–76 (2008)
Published online in Wiley InterScience
(www.interscience.wiley.com) DOI: 10.1002/pmh.34
SARA GERMANS
1
, GUUS L. VAN HECK
2
, PAUL MORAN
3
AND PAUL P.G. HODIAMONT
1,2
,
1
GGZ Midden-Brabant, Tilburg, The Netherlands;
2
Department of Psychology and Health, Faculty
of Social Sciences, Tilburg University, Tilburg, The Netherlands;
3
Health Services Research
Department, Institute of Psychiatry at the Maudsley, University of London, UK
ABSTRACT
Objective The internal consistency, test–retest reliability and validity of the Self-report Standardized
Assessment of Personality-abbreviated Scale (SAPAS-SR) as a screening instrument for personality disorders
were studied in a random sample of 195 Dutch psychiatric outpatients, using the Structured Clinical Interviews
for DSM-IV Personality Disorders (SCID-II) as a gold standard.
Method All patients completed a self-report version of the SAPAS. One week later, they were interviewed
with the SCID-II. Two weeks later, the SAPAS-SR was re-administered.
Results According to the SCID-II, 97 patients (50%) were suffering from a personality disorder. The SAPAS-
SR correctly classified 81% of all participants. Sensitivity (0.83) and specificity (0.80) were slightly lower
compared with the original English version. This difference may be explained by the lower prevalence and
severity of personality disorders in the study population.
Conclusion The results provide evidence for the usefulness of the SAPAS as a self-administered instrument
for screening personality disorders in clinical populations. Copyright © 2008 John Wiley & Sons, Ltd.
Introduction
Because the presence of co-morbid personality dis-
order can adversely affect the management of
mental illnesses (Moran et al., 2003b; Newton-
Howes, Tyrer, & Johnson, 2006), assessment of the
personality status of patients should be an essential
part of every psychiatric examination. Although
not perfect (Zimmerman, 1994), a standardized
clinical interview is generally considered to be the
most reliable and valid method available for the
assessment of personality disorders. However,
performing such an interview is quite often very
time consuming and can be exhausting for the
patient. Self-report questionnaires can be useful
research tools, particularly when employed as a
part of a two-stage design for case identification
(Lenzenweger, Loranger, Korfine, & Neff, 1997).
However, self-report questionnaires generally have
poor specificity and can also be tiring for patients
as they require the ability to concentrate on written
questions. A third approach is to conduct a brief