Screening for personality disorder in incarcerated adolescent boys

preliminary validation of an adolescent version of the standardised assessment of personality - abbreviated scale (SAPAS-AV)

Erik Simonsen, Mickey Kongerslev, Paul Moran, Sune Bo

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    Resumé

    Background: Personality disorder (PD) is associated with significant functional impairment and an elevated risk of violent and suicidal behaviour. The prevalence of PD in populations of young offenders is likely to be high.
    However, because the assessment of PD is time-consuming, it is not routinely assessed in this population. A brief screen for the identification of young people who might warrant further detailed assessment of PD could be particularly valuable for clinicians and researchers working in juvenile justice settings.

    Method: We adapted a rapid screen for the identification of PD in adults (Standardised Assessment of Personality – Abbreviated Scale; SAPAS) for use with adolescents and then carried out a study of the reliability and validity of the adapted instrument in a sample of 80 adolescent boys in secure institutions. Participants were administered the screen and shortly after an established diagnostic interview for DSM-IV PDs. Nine days later the screen was readministered.

    Results: A score of 3 or more on the screening interview correctly identified the presence of DSM-IV PD in 86% of participants, yielding a sensitivity and specificity of 0.87 and 0.86 respectively. Internal consistency was modest but
    comparable to the original instrument. 9-days test-retest reliability for the total score was excellent. Convergent validity correlations with the total number of PD criteria were large.

    Conclusion: This study provides preliminary evidence of the validity, reliability, and usefulness of the screen in secure institutions for adolescent male offenders. It can be used in juvenile offender institutions with limited
    resources, as a brief, acceptable, staff-administered routine screen to identify individuals in need of further assessment of PD or by researchers conducting epidemiological surveys.
    OriginalsprogEngelsk
    TidsskriftB M C Psychiatry
    Vol/bind12
    Sider (fra-til)94
    ISSN1471-244X
    StatusUdgivet - 2012

    Emneord

    • Personality disorder
    • Personality assessment
    • Screening
    • Psychiatric epidemiology
    • Adolescence
    • Aggression
    • Juvenile offenders

    Citer dette

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    title = "Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality - abbreviated scale (SAPAS-AV)",
    abstract = "Background: Personality disorder (PD) is associated with significant functional impairment and an elevated risk of violent and suicidal behaviour. The prevalence of PD in populations of young offenders is likely to be high.However, because the assessment of PD is time-consuming, it is not routinely assessed in this population. A brief screen for the identification of young people who might warrant further detailed assessment of PD could be particularly valuable for clinicians and researchers working in juvenile justice settings.Method: We adapted a rapid screen for the identification of PD in adults (Standardised Assessment of Personality – Abbreviated Scale; SAPAS) for use with adolescents and then carried out a study of the reliability and validity of the adapted instrument in a sample of 80 adolescent boys in secure institutions. Participants were administered the screen and shortly after an established diagnostic interview for DSM-IV PDs. Nine days later the screen was readministered.Results: A score of 3 or more on the screening interview correctly identified the presence of DSM-IV PD in 86{\%} of participants, yielding a sensitivity and specificity of 0.87 and 0.86 respectively. Internal consistency was modest butcomparable to the original instrument. 9-days test-retest reliability for the total score was excellent. Convergent validity correlations with the total number of PD criteria were large.Conclusion: This study provides preliminary evidence of the validity, reliability, and usefulness of the screen in secure institutions for adolescent male offenders. It can be used in juvenile offender institutions with limitedresources, as a brief, acceptable, staff-administered routine screen to identify individuals in need of further assessment of PD or by researchers conducting epidemiological surveys.",
    keywords = "Personality disorder, Personality assessment, Screening, Psychiatric epidemiology, Adolescence, Aggression, Juvenile offenders",
    author = "Erik Simonsen and Mickey Kongerslev and Paul Moran and Sune Bo",
    year = "2012",
    language = "English",
    volume = "12",
    pages = "94",
    journal = "B M C Psychiatry",
    issn = "1471-244X",
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    Screening for personality disorder in incarcerated adolescent boys : preliminary validation of an adolescent version of the standardised assessment of personality - abbreviated scale (SAPAS-AV). / Simonsen, Erik; Kongerslev, Mickey; Moran, Paul; Bo, Sune.

    I: B M C Psychiatry, Bind 12, 2012, s. 94.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    TY - JOUR

    T1 - Screening for personality disorder in incarcerated adolescent boys

    T2 - preliminary validation of an adolescent version of the standardised assessment of personality - abbreviated scale (SAPAS-AV)

    AU - Simonsen, Erik

    AU - Kongerslev, Mickey

    AU - Moran, Paul

    AU - Bo, Sune

    PY - 2012

    Y1 - 2012

    N2 - Background: Personality disorder (PD) is associated with significant functional impairment and an elevated risk of violent and suicidal behaviour. The prevalence of PD in populations of young offenders is likely to be high.However, because the assessment of PD is time-consuming, it is not routinely assessed in this population. A brief screen for the identification of young people who might warrant further detailed assessment of PD could be particularly valuable for clinicians and researchers working in juvenile justice settings.Method: We adapted a rapid screen for the identification of PD in adults (Standardised Assessment of Personality – Abbreviated Scale; SAPAS) for use with adolescents and then carried out a study of the reliability and validity of the adapted instrument in a sample of 80 adolescent boys in secure institutions. Participants were administered the screen and shortly after an established diagnostic interview for DSM-IV PDs. Nine days later the screen was readministered.Results: A score of 3 or more on the screening interview correctly identified the presence of DSM-IV PD in 86% of participants, yielding a sensitivity and specificity of 0.87 and 0.86 respectively. Internal consistency was modest butcomparable to the original instrument. 9-days test-retest reliability for the total score was excellent. Convergent validity correlations with the total number of PD criteria were large.Conclusion: This study provides preliminary evidence of the validity, reliability, and usefulness of the screen in secure institutions for adolescent male offenders. It can be used in juvenile offender institutions with limitedresources, as a brief, acceptable, staff-administered routine screen to identify individuals in need of further assessment of PD or by researchers conducting epidemiological surveys.

    AB - Background: Personality disorder (PD) is associated with significant functional impairment and an elevated risk of violent and suicidal behaviour. The prevalence of PD in populations of young offenders is likely to be high.However, because the assessment of PD is time-consuming, it is not routinely assessed in this population. A brief screen for the identification of young people who might warrant further detailed assessment of PD could be particularly valuable for clinicians and researchers working in juvenile justice settings.Method: We adapted a rapid screen for the identification of PD in adults (Standardised Assessment of Personality – Abbreviated Scale; SAPAS) for use with adolescents and then carried out a study of the reliability and validity of the adapted instrument in a sample of 80 adolescent boys in secure institutions. Participants were administered the screen and shortly after an established diagnostic interview for DSM-IV PDs. Nine days later the screen was readministered.Results: A score of 3 or more on the screening interview correctly identified the presence of DSM-IV PD in 86% of participants, yielding a sensitivity and specificity of 0.87 and 0.86 respectively. Internal consistency was modest butcomparable to the original instrument. 9-days test-retest reliability for the total score was excellent. Convergent validity correlations with the total number of PD criteria were large.Conclusion: This study provides preliminary evidence of the validity, reliability, and usefulness of the screen in secure institutions for adolescent male offenders. It can be used in juvenile offender institutions with limitedresources, as a brief, acceptable, staff-administered routine screen to identify individuals in need of further assessment of PD or by researchers conducting epidemiological surveys.

    KW - Personality disorder

    KW - Personality assessment

    KW - Screening

    KW - Psychiatric epidemiology

    KW - Adolescence

    KW - Aggression

    KW - Juvenile offenders

    M3 - Journal article

    VL - 12

    SP - 94

    JO - B M C Psychiatry

    JF - B M C Psychiatry

    SN - 1471-244X

    ER -