tailieunhanh - Báo cáo y học: " Screening for personality disorder with the Standardised Assessment of Personality: Abbreviated Scale (SAPAS): further evidence of concurrent validity"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Screening for personality disorder with the Standardised Assessment of Personality: Abbreviated Scale (SAPAS): further evidence of concurrent validity | Hesse and Moran BMC Psychiatry 2010 10 10 http 1471-244X 10 10 BMC Psychiatry RESEARCH ARTICLE Open Access Screening for personality disorder with the Standardised Assessment of Personality Abbreviated Scale SAPAS further evidence of concurrent validity Morten Hesse1 Paul Moran2 Abstract Background The assessment of personality disorders PD is costly and time-consuming. There is a need for a brief screen for personality disorders that can be used in routine clinical settings and epidemiological surveys. Aims To test the validity of the Standardised Assessment of Personality Abbreviated Scale SAPAS as a screen for PD in a clinical sample of substance abusers. Methods Convergent validity of the SAPAS with both categorical and dimensional representations of personality disorders was estimated. Results In this sample the SAPAS correlated well with dimensional representations of cluster A and C personality disorders even after controlling for ADHD symptoms anxiety depression symptoms and recent substance use. The SAPAS was also significantly associated with total number of PD criteria although correlation with categorical measures of PD was weak. Conclusions The SAPAS is an valid brief screen for PD as assessed dimensionally. Background Personality pathology is common among substance dependent patients 1 . Substance dependent patients display the full range of personality disorders and these diverse disorders predict impairment in different areas of functioning 2 . A growing body of research suggests that a dual focus on both personality disorder and substance use disorder is superior to treatment that focuses only on the substance use disorder itself 3 . The Structured Assessment of Personality Abbreviated Scale SAPAS is an eight-item screening interview for personality disorder 4 . Its purpose is to produce a dimensional score that represents the likelihood that a person has a personality disorder in general rather than to screen for .