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 Arroyo Sánchez, Andrés Gómez Passalacqua, Renata Cervilla Ballesteros, Jorge Antonio Muñoz Negro, José Eduardo Trastorno de personalidad Cribado Personality disorder screening 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. 2025-07-09T09:39:38Z 2025-07-09T09:39:38Z 2025-03-05 journal article Arroyo-Sánchez A, Passalacqua RG, Cervilla JA, Muñoz-Negro JE. 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. Actas Esp Psiquiatr. 2025 Mar;53(2):198-207. doi: 10.62641/aep.v53i2.1895. PMID: 40071359; PMCID: PMC11898268 https://hdl.handle.net/10481/105145 10.62641/aep.v53i2.1895 eng http://creativecommons.org/licenses/by-nc-nd/4.0/ open access Attribution-NonCommercial-NoDerivatives 4.0 Internacional Actas Españolas de Psiquiatría