Skip to main content
Top
Published in: BMC Psychiatry 1/2008

Open Access 01-12-2008 | Research article

Standardised assessment of personality – a study of validity and reliability in substance abusers

Authors: Morten Hesse, Joachim Rasmussen, Mads Kjær Pedersen

Published in: BMC Psychiatry | Issue 1/2008

Login to get access

Abstract

Background

Brief screening instruments for co-morbid personality disorders could potentially have great value in substance abuse treatment settings.

Methods

We assessed the psychometric properties of the 8-item Standardised Assessment of Personality – Abbreviated Scale (SAPAS) in a sample of 58 methadone maintenance patients.

Results

Internal consistency was modest, but similar to the original value (alpha = 0.62), and test-retest correlation at four months follow-up was moderately encouraging for a short instrument such as this (n = 31, test retest intraclass correlation = 0.58), and change at the mean level was minimal, but marginally significant (from an average of 3.3 to 3.8, p = 0.06). Analyses of nurse ratings of patients' behaviour at the clinic showed that SAPAS was significantly correlated with nurse ratings of externalizing behaviour (r = 0.42, p = 0.001), and Global Assessment of Functioning (r = -0.36, p = 0.006), but unrelated to intoxication (r = 0.02, NS), or withdrawal (r = 0.20, NS).

Conclusion

There is evidence that the SAPAS is a modestly valid and relatively reliable brief screening measure of personality disorders in patients with ongoing substance abuse undergoing methadone maintenance. It can be used in situations where limited resources are available, and researchers or others wish to get an impression of the degree of personality pathology in a clinical population, as well as for screening purposes.
Literature
1.
go back to reference Grant BF, Stinson FS, Dawson DA, Chou PS, June Ruan W, Pickering R: Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States. Results from the National Epidemiologic Survey of Alcohol and Related Conditions. Archives of General Psychiatry. 2004, 61: 361-368. 10.1001/archpsyc.61.4.361.CrossRefPubMed Grant BF, Stinson FS, Dawson DA, Chou PS, June Ruan W, Pickering R: Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States. Results from the National Epidemiologic Survey of Alcohol and Related Conditions. Archives of General Psychiatry. 2004, 61: 361-368. 10.1001/archpsyc.61.4.361.CrossRefPubMed
2.
go back to reference Verheul R: Co-morbidity of personality disorders in individuals with substance use disorders. European Psychiatry. 2001, 16: 274-282. 10.1016/S0924-9338(01)00578-8.CrossRefPubMed Verheul R: Co-morbidity of personality disorders in individuals with substance use disorders. European Psychiatry. 2001, 16: 274-282. 10.1016/S0924-9338(01)00578-8.CrossRefPubMed
3.
go back to reference Betan E, Heim AK, Zittel Conklin C, Westen D: Countertransference phenomena and personality pathology in clinical practice: an empirical investigation. American Journal of Psychiatry. 2005, 162: 890-898. 10.1176/appi.ajp.162.5.890.CrossRefPubMed Betan E, Heim AK, Zittel Conklin C, Westen D: Countertransference phenomena and personality pathology in clinical practice: an empirical investigation. American Journal of Psychiatry. 2005, 162: 890-898. 10.1176/appi.ajp.162.5.890.CrossRefPubMed
4.
go back to reference Grella CE, Joshi V, Hser YI: Followup of cocaine-dependent men and women with antisocial personality disorder. Journal of Substance Abuse Treatment. 2003, 25: 155-164. 10.1016/S0740-5472(03)00127-2.CrossRefPubMed Grella CE, Joshi V, Hser YI: Followup of cocaine-dependent men and women with antisocial personality disorder. Journal of Substance Abuse Treatment. 2003, 25: 155-164. 10.1016/S0740-5472(03)00127-2.CrossRefPubMed
5.
go back to reference Galen LW, Brower KJ, Gillespie BW, Zucker RA: Sociopathy, gender, and treatment outcome among outpatient substance abusers. Drug Alcohol Depend. 2000, 61: 23-33. 10.1016/S0376-8716(00)00125-3.CrossRefPubMed Galen LW, Brower KJ, Gillespie BW, Zucker RA: Sociopathy, gender, and treatment outcome among outpatient substance abusers. Drug Alcohol Depend. 2000, 61: 23-33. 10.1016/S0376-8716(00)00125-3.CrossRefPubMed
6.
go back to reference Kranzler HR, Tennen H, Babor TF, Kadden RM, Rounsaville BJ: Validity of the longitudinal, expert, all data procedure for psychiatric diagnosis in patients with psychoactive substance use disorders. Drug Alcohol Depend. 1997, 45: 93-104. 10.1016/S0376-8716(97)01349-5.CrossRefPubMed Kranzler HR, Tennen H, Babor TF, Kadden RM, Rounsaville BJ: Validity of the longitudinal, expert, all data procedure for psychiatric diagnosis in patients with psychoactive substance use disorders. Drug Alcohol Depend. 1997, 45: 93-104. 10.1016/S0376-8716(97)01349-5.CrossRefPubMed
7.
go back to reference Kokkevi A, Stefanis N, Anastasopoulou E, Kostogianni C: Personality disorders in drug abusers: prevalence and their association with AXIS I disorders as predictors of treatment retention. Addictive Behaviors. 1998, 23: 841-853. 10.1016/S0306-4603(98)00071-9.CrossRefPubMed Kokkevi A, Stefanis N, Anastasopoulou E, Kostogianni C: Personality disorders in drug abusers: prevalence and their association with AXIS I disorders as predictors of treatment retention. Addictive Behaviors. 1998, 23: 841-853. 10.1016/S0306-4603(98)00071-9.CrossRefPubMed
8.
go back to reference Conrod PJ, Stewart SH, Pihl RO, Cote S, Fontaine V, Dongier M: Efficacy of brief coping skills interventions that match different personality profiles of female substance abusers. Psychology of Addictive Behaviors. 2000, 14: 231-242. 10.1037/0893-164X.14.3.231.CrossRefPubMed Conrod PJ, Stewart SH, Pihl RO, Cote S, Fontaine V, Dongier M: Efficacy of brief coping skills interventions that match different personality profiles of female substance abusers. Psychology of Addictive Behaviors. 2000, 14: 231-242. 10.1037/0893-164X.14.3.231.CrossRefPubMed
9.
go back to reference Ball SA, Cobb-Richardson P, Connolly AJ, Bujosa CT, O'Neall T W: Substance abuse and personality disorders in homeless drop-in center clients: symptom severity and psychotherapy retention in a randomized clinical trial. Comprehensive Psychiatry. 2005, 46: 371-379. 10.1016/j.comppsych.2004.11.003.CrossRefPubMed Ball SA, Cobb-Richardson P, Connolly AJ, Bujosa CT, O'Neall T W: Substance abuse and personality disorders in homeless drop-in center clients: symptom severity and psychotherapy retention in a randomized clinical trial. Comprehensive Psychiatry. 2005, 46: 371-379. 10.1016/j.comppsych.2004.11.003.CrossRefPubMed
10.
go back to reference Nielsen P, Røjskjær S, Hesse M: Personality-guided treatment for alcohol dependence: A quasi-randomized experiment. American Journal on Addictions. 2007, 16: 357-364. 10.1080/10550490701525640.CrossRefPubMed Nielsen P, Røjskjær S, Hesse M: Personality-guided treatment for alcohol dependence: A quasi-randomized experiment. American Journal on Addictions. 2007, 16: 357-364. 10.1080/10550490701525640.CrossRefPubMed
11.
go back to reference Craig RJ: Prevalence of Personality Disorders among Cocaine and Heroin Addicts. Substance Abuse. 2000, 21: 87-94. 10.1023/A:1007711112790.PubMed Craig RJ: Prevalence of Personality Disorders among Cocaine and Heroin Addicts. Substance Abuse. 2000, 21: 87-94. 10.1023/A:1007711112790.PubMed
12.
go back to reference Hesse M, Nielsen P, Røjskjær S: Stability and Change in Millon Clinical Multiaxial Inventory II Personality Disorder Scores in Treated Alcohol Dependent Subjects: Relationship to Post-treatment Abstinence. International Journal of Mental Health and Addiction. 2007 Hesse M, Nielsen P, Røjskjær S: Stability and Change in Millon Clinical Multiaxial Inventory II Personality Disorder Scores in Treated Alcohol Dependent Subjects: Relationship to Post-treatment Abstinence. International Journal of Mental Health and Addiction. 2007
13.
go back to reference Calsyn DA, Wells EA, Fleming C, Saxon AJ: Changes in Millon Clinical Multiaxial Inventory scores among opiate addicts as a function of retention in methadone maintenance treatment and recent drug use. American Journal of Drug and Alcohol Abuse. 2000, 26: 297-309. 10.1081/ADA-100100606.CrossRefPubMed Calsyn DA, Wells EA, Fleming C, Saxon AJ: Changes in Millon Clinical Multiaxial Inventory scores among opiate addicts as a function of retention in methadone maintenance treatment and recent drug use. American Journal of Drug and Alcohol Abuse. 2000, 26: 297-309. 10.1081/ADA-100100606.CrossRefPubMed
14.
go back to reference Langbehn DR, Pfohl BM, Reynolds S, Clark LA, Battaglia M, Bellodi L, Cadoret R, Grove W, Pilkonis P, Links P: The Iowa Personality Disorder Screen: development and preliminary validation of a brief screening interview. Journal of Personality Disorder. 1999, 13: 75-89.CrossRef Langbehn DR, Pfohl BM, Reynolds S, Clark LA, Battaglia M, Bellodi L, Cadoret R, Grove W, Pilkonis P, Links P: The Iowa Personality Disorder Screen: development and preliminary validation of a brief screening interview. Journal of Personality Disorder. 1999, 13: 75-89.CrossRef
15.
go back to reference Van Horn E, Manley C, Leddy D, Cicchetti D, Tyrer P: Problems in developing an instrument for the rapid assessment of personality status. European Psychiatry. 2000, 15 Suppl 1: 29-33. 10.1016/S0924-9338(00)90497-8.CrossRefPubMed Van Horn E, Manley C, Leddy D, Cicchetti D, Tyrer P: Problems in developing an instrument for the rapid assessment of personality status. European Psychiatry. 2000, 15 Suppl 1: 29-33. 10.1016/S0924-9338(00)90497-8.CrossRefPubMed
16.
go back to reference Moran P, Leese M, Lee T, Walters P, Thornicroft G, Mann A: Standardised Assessment of Personality - Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. British Journal of Psychiatry. 2003, 183: 228-232. 10.1192/bjp.183.3.228.CrossRefPubMed Moran P, Leese M, Lee T, Walters P, Thornicroft G, Mann A: Standardised Assessment of Personality - Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. British Journal of Psychiatry. 2003, 183: 228-232. 10.1192/bjp.183.3.228.CrossRefPubMed
17.
go back to reference Bodlund O, Kullgren G, Ekselius L, Lindstrom E, von Knorring L: Axis V--Global Assessment of Functioning Scale. Evaluation of a self-report version. Acta Psychiatrica Scandinavica. 1994, 90: 342-347. 10.1111/j.1600-0447.1994.tb01604.x.CrossRefPubMed Bodlund O, Kullgren G, Ekselius L, Lindstrom E, von Knorring L: Axis V--Global Assessment of Functioning Scale. Evaluation of a self-report version. Acta Psychiatrica Scandinavica. 1994, 90: 342-347. 10.1111/j.1600-0447.1994.tb01604.x.CrossRefPubMed
Metadata
Title
Standardised assessment of personality – a study of validity and reliability in substance abusers
Authors
Morten Hesse
Joachim Rasmussen
Mads Kjær Pedersen
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2008
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-8-7

Other articles of this Issue 1/2008

BMC Psychiatry 1/2008 Go to the issue