Further Validation and Test-Retest Reliability of the Spanish Version of the Standardised Assessment of Personality - Abbreviated Scale (SAPAS) for Personality Disorder Screening in Community Mental Health Settings.

IF 1 4区医学 Q4 NEUROSCIENCES

Actas espanolas de psiquiatria Pub Date : 2025-03-01 DOI:10.62641/aep.v53i2.1895

Andrés Arroyo-Sánchez, Renata Gómez Passalacqua, Jorge A Cervilla, José Eduardo Muñoz-Negro

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引用次数: 0

Abstract

Background: Personality Disorders (PDs) are a critical public health issue frequently misdiagnosed and underdiagnosed in mental health services. The purpose of this study is to demonstrate the reliability, validity and repeatability of the Spanish version of the Standardised Assessment of Personality - Abbreviated Scale (SAPAS), a short and self-administered scale for PD diagnosis and screening.

Methods: This longitudinal study was performed using a 107-patient sample who attended community mental health services and outpatient clinics. A Receiver Operating Characteristic (ROC) curve was utilized to determine concurrent validity by comparing the SAPAS with the International Personality Disorder Examination (IPDE), thus establishing sensitivity, specificity, and predictive value for several cut-off points. Repeatability was measured by calculating an Intraclass Correlation Coefficient (ICC) between an initial SAPAS administration and a second one carried out 30 days later.

Results: The Area Under the Curve (AUC) was found to be 0.84. A cut-off point of 3 provided 90% sensitivity and 52% specificity and correctly classified 71% of the cases. The ICC for the two SAPAS measures was 0.88.

Conclusion: Our Spanish translation for the SAPAS proves to be a reliable, valid and consistent PD screening tool in mental health settings.

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社区精神卫生机构人格障碍筛查的西班牙语版人格标准化评估-简化量表（SAPAS）的进一步验证和重测信度

背景：人格障碍（pd）是一个严重的公共卫生问题，在精神卫生服务中经常被误诊和漏诊。本研究的目的是证明西班牙语版人格标准化评估-简化量表（SAPAS）的信度、效度和可重复性，SAPAS是一种用于PD诊断和筛查的简短自我管理量表。方法：本纵向研究采用107例参加社区精神卫生服务和门诊诊所的患者样本进行。通过比较SAPAS与国际人格障碍检查（IPDE），采用受试者工作特征（ROC）曲线来确定并发效度，从而建立敏感性、特异性和几个截止点的预测值。通过计算第一次SAPAS给药与30天后第二次给药之间的类内相关系数（ICC）来测量重复性。结果：曲线下面积（AUC）为0.84。截断点3提供90%的敏感性和52%的特异性，并正确分类71%的病例。SAPAS两项措施的ICC为0.88。结论：我们对SAPAS的西班牙语翻译证明是一种可靠、有效和一致的PD筛查工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Actas espanolas de psiquiatria 医学-精神病学

CiteScore

1.70

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Actas Españolas de Psiquiatría publicará de manera preferente trabajos relacionados con investigación clínica en el área de la Psiquiatría, la Psicología Clínica y la Salud Mental.