Validity and reliability of a Spanish version of the Standardised Assessment of Personality-Abbreviated Scale (SAPAS) for personality disorder screening in community mental health settings Muñoz Negro, José Eduardo Gómez Passalacqua, Renata Pumar Alonso, Nerea Cervilla Ballesteros, Jorge Antonio SAPAS Trastorno de Personalidad Cribado Validación Personality Disorder Screening Validity Backgrounds and objectives: Personality disorders (PDs) are an essential public health problem being frequently underdiagnosed in the mental health (MH) services. Methods: This is a cross-sectional study performed in patients attending a community mental health care out-patient clinic. The Standardised Assessment of Personality-Abbreviated Scale (SAPAS) was administered to 59 consecutively agreeing to take part. SAPAS factorial structure was analyzed utilizing principal component analysis with calculation of Cronbach’s ˛ to check for internal consistency. Subsequently, SAPAS criterion validity was established comparing it with the Spanish version of the International Personality Disorder Examination (IPDE) by performing a ROC curve to determine sensitivity, specificity, positive and negative predictive values for different cut-off points. Finally, correlations were estimated between the SAPAS scores and dimensional scores for the different IPDE PD types. Results: Three factors were achieved, each one closely related to the three DSM-5 PD groups (A---C) explaining 64.1% of total variance in the model. SAPAS internal consistency measured with Cronbach’s ˛ was 0.66. The area under the curve (AUC) was found to be 0.89. A cut-off point of 5 showed 84% sensitivity and 79% specificity, correctly classifying 81.5% of the individuals. Conclusions: SAPAS is a valid and reliable PD screening instrument in patients attending com- munity mental health settings. 2025-07-10T11:16:27Z 2025-07-10T11:16:27Z 2020-09-13 journal article J.E. Muñoz-Negro, R. Gómez Passalacqua, N. Pumar Alonso, J.A. Cervilla. Validity and reliability of a Spanish version of the Standardised Assessment of Personality-Abbreviated Scale (SAPAS) for personality disorder screening in community mental health settings, The European Journal of Psychiatry,Volume 34, Issue 4, 2020,Pages 189-194,ISSN 0213-6163, https://doi.org/10.1016/j.ejpsy.2020.06.003 https://hdl.handle.net/10481/105183 10.1016/j.ejpsy.2020.06.003 eng http://creativecommons.org/licenses/by-nc-nd/4.0/ open access Attribution-NonCommercial-NoDerivatives 4.0 Internacional Elsevier