Optimal Cut-Off Score of Social Phobia and Anxiety Inventory-Brief Form

2018 ◽  
Vol 34 (4) ◽  
pp. 278-282 ◽  
Author(s):  
Luis-Joaquin Garcia-Lopez ◽  
Deborah Beidel ◽  
Jose-Antonio Muela-Martinez ◽  
Lourdes Espinosa-Fernandez
Keyword(s):  
Higher Education ◽  
Young Adults ◽  
Anxiety Disorder ◽  
Social Phobia ◽  
Clinical Utility ◽  
Healthy Controls ◽  
Screening Measure ◽  
Dsm 5 ◽  
The Social ◽  
Heated Debate

Abstract. No cut-off scores for the Social Phobia and Anxiety Inventory-Brief (SPAI-B) are available to screen for young adults with and without social anxiety disorder (SAD). In addition, there is a currently heated debate on the utility of the performance-only specifier in DSM-5. The present study is aimed at covering these gaps. Participants included 124 young adults in higher education with a clinical diagnosis of SAD and 81 healthy controls. The SPAI-B scores revealed a continuum of severity among the nonclinical population, performance-only specifier participants, and those with both performance and social interactional fears. Data suggested to use a rounded cut-off of 24 to screen for patients with both performance and interactional fears, and a rounded cut-off score of 23 for young adults with performance-only specifier. Findings demonstrated that the SPAI-B is particularly useful as a screening measure among young adults in higher education, but the limited discriminative capacity of the performance-only specifier may call into question the clinical utility of this recently established specifier.

scholarly journals Ways of Psychosocial Development During Adolescence (12–20 years)

2015 ◽  
Vol 20 (2) ◽  
pp. 24-33 ◽  
Author(s):  
A.V. Shamne
Keyword(s):  
Higher Education ◽  
Cluster Analysis ◽  
Young Adults ◽  
Social Development ◽  
Psychosocial Development ◽  
Social World ◽  
Questionnaire Data ◽  
The Social ◽  
Different Types ◽  
Psychosocial Transition

We analyze the results of empirical operationalization of options (types) of psychosocial development in adolescent age. We studied a large sample of adolescents and young adults of 12-20 years (N = 1130, 48% male) from different strata of the urban and rural (17%) Ukrainian population (students of secondary, vocational, technical and higher education). We used the author’s method “Psychosocial Questionnaire”. Data were analyzed with K-means cluster analysis. We identified and analyzed five clusters (“internal”, “dominant”, “integrated”, “addict”, “aloof”), which represent individually typical features of modern youth psychosocial transition to a state of maturity. Clusters (types) were also analyzed with the following criteria: 1) productive / prosperous and non¬productive / dysfunctional types of psycho-social development; 2) psychosocial integration / adaptation and disintegration / maladaptation in the social world. We revealed the tasks and conditions of effective psychological support of the youth (correction zone) with different types of psycho-social development.

Obsessive-compulsive and related disorders in DSM-5, ICD-11, and RDoC: Conceptual questions and practical solutions

2017 ◽  
Author(s):  
Dan J. Stein
Keyword(s):  
Anxiety Disorder ◽  
Mental Disorder ◽  
Clinical Utility ◽  
Work Groups ◽  
Integrative Approach ◽  
Evidence Based ◽  
Diagnostic Validity ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Dsm 5

Key nosological questions facing the DSM-5 and ICD-11 work groups on obsessive-compulsive and related disorders (OCRDs) included whether putative OCRDs should be classified together, and whether obsessive-compulsive disorder (OCD) should retain its classification as an anxiety disorder. Given that some of the putative OCRDs were new to the official nosologies, the work groups also had to grapple with the perennial questions of how to decide whether any condition is a mental disorder, and how to draw boundaries between disorder and normality. This chapter reviews some of the conceptual questions that emerged and some of the practical solutions that were suggested. The emphasis on both diagnostic validity and clinical utility is consistent with an integrative approach which holds that nosology should be both evidence-based and values-based.

scholarly journals Social phobia: relevance and perspectives

2019 ◽  
Vol 4 (1) ◽  
pp. e0401151
Author(s):  
Oleksandr Avramchuk
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Phobia ◽  
Social Functioning ◽  
Social Anxiety Disorder ◽  
Clinical Picture ◽  
Clinical Signs ◽  
Public Mental Health ◽  
The Social

Background Epidemiological studies indicate that social anxiety disorder is one of the most common mental health disorders. However, despite the prevalence of social anxiety disorder, a large amount of information, the possibilities of psychotherapy and medical treatment, many patients for various reasons do not receive or do not seek help. Aim Generalization of actual knowledge and research on the aetiology and pathogenetic mechanisms of social phobias and coverage of the actual issues of low referral of people suffering from social phobia Methods For review, the following databases, such as ScienceDirect, ResearchGate, PubMed and Google Scholar, were used. The search was performed using the keywords: social anxiety disorder, sociophobia, social anxiety, cognitive-behavioral model, neurobiology, mental health. Results The general information about social anxiety disorder, its prevalence and its consequences were covered. The main etiological mechanisms, modern views on the neurobiological and psychological basis of the disorder are considered. In addition, the peculiarities of the clinical picture and its influence on the social functioning of the individual, including the referral of help, were analyzed. The aspects that are useful to consider during the development of recommendations for specialists in general medical practice and centers of public mental health were suggested. Conclusion A social anxiety disorder should be considered as a complex mental health disorder. Recognition of signs of social anxiety disorder in their component often leads to a false interpretation of clinical signs as manifestations of depression or other neurotic disorders among primary care professionals. Informing general practitioners and specialists of public mental health centers about the traits of the clinical picture and the social functioning of patients with this disorder can help to overcome the stigma and improve the referral of qualified assistance.

Factor Structure of the Social Phobia and Anxiety Inventory for Children in an Irish Adolescent Population

2019 ◽  
Vol 35 (3) ◽  
pp. 346-351
Author(s):  
Amanda Fitzgerald ◽  
Caroline Rawdon ◽  
Claire O’Rourke ◽  
Barbara Dooley
Keyword(s):  
Social Anxiety ◽  
Social Phobia ◽  
Factor Structure ◽  
Self Report ◽  
Public Performance ◽  
Dsm 5 ◽  
The Social ◽  
Adolescent Sample ◽  
The Usa ◽  
Social Encounters

Abstract. The Social Phobia and Anxiety Inventory for Children (SPAI-C) is a 26-item, empirically derived, self-report measure, which assesses symptoms of social phobia based on DSM-IV criteria. Previous studies have examined the factor structure of the SPAI-C and suggested three-, four-, and five-factor models. However, differences in the underlying factor structures reported may be due to misuse of analytic methods or use of mixed samples, rather than meaningful differences in the underlying presentation of social anxiety. We tested all previously published factor structures in an Irish community-based adolescent sample. Confirmatory factor analysis (CFA) and DSM-5 criteria supported the five-factor structure proposed by Aune, Stiles, and Svarva (2008) including Assertiveness, Physical/Cognitive Symptoms, Public Performance, Social Encounters, and Avoidance factors. Findings suggest that the Social Phobia and Anxiety Inventory for Children (SPAI-C) is relevant to DSM-5 criteria for social anxiety disorder (SAD) and is appropriate for use with older adolescents outside of the USA.

The Social Phobia Diagnostic Questionnaire: preliminary validation of a new self-report diagnostic measure of social phobia

2003 ◽  
Vol 33 (4) ◽  
pp. 623-635 ◽  
Author(s):  
M. G. NEWMAN ◽  
K. E. KACHIN ◽  
A. R. ZUELLIG ◽  
M. J. CONSTANTINO ◽  
L. CASHMAN-McGRATH
Keyword(s):  
Anxiety Disorder ◽  
Social Phobia ◽  
Discriminant Validity ◽  
Community Sample ◽  
Self Report ◽  
Clinical Validity ◽  
Operating Characteristics ◽  
Convergent And Discriminant Validity ◽  
The Social ◽  
Kappa Agreement

Background. The development and validation of the Social Phobia Diagnostic Questionnaire (SPDQ), a new self-report diagnostic instrument for social phobia is described in three separate studies.Study 1. The participants were 125 undergraduates seeking help for an anxiety disorder of whom 60 had social phobia. Receiver operating characteristics (ROC) analysis was conducted comparing SPDQ diagnoses and clinician-based Anxiety Disorder Interview Schedule-IV (ADIS-IV) diagnoses of social phobia. Diagnoses made by the SPDQ showed an 85% specificity, an 82% sensitivity and kappa agreement with the ADIS-IV of 0·66.Study 2. The participants were 462 undergraduates who completed the SPDQ and a battery of additional questionnaires. The SPDQ had good internal consistency (α=0·95), good split-half reliability (r=0·90) and strong convergent and discriminant validity.Study 3. The participants were 145 undergraduates who completed the SPDQ at two time points separated by 2 weeks as well as several additional questionnaires. Scores on the SAD, FNE and SISST of SPDQ categorized undergraduates were also compared to scores on these measures from 35 clinical community participants to determine the clinical validity of the SPDQ. The SPDQ had strong 2-week test–retest reliability and good convergent and discriminant validity. Undergraduates diagnosed with social phobia by the SPDQ were not significantly different on the SAD, FNE and SISST from the socially phobic community sample, but both groups had significantly higher scores than undergraduates identified by the SPDQ as not meeting criteria for social phobia, demonstrating clinical validity of the SPDQ.Conclusions. These three studies provide preliminary evidence of the strong psychometric properties of the SPDQ as a measure to identify socially phobic participants.

The Social Phobia Inventory: Screening and Cross-Cultural Validation in Spanish Adolescents

2010 ◽  
Vol 13 (2) ◽  
pp. 970-980 ◽  
Author(s):  
Luis Joaquín Garcia-Lopez ◽  
Rosa Mª Bermejo ◽  
Mª Dolores Hidalgo
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Phobia ◽  
Social Anxiety Disorder ◽  
Screening Tool ◽  
Cross Cultural ◽  
Self Report ◽  
Principal Diagnosis ◽  
Lack Of Information ◽  
The Social

Availability of brief, self-report measures to be used as screening instruments is crucial to detect correctly youth with social anxiety disorder and therefore, reach those otherwise under-detected and under-treated. A previous study revealed that the Social Phobia Inventory (SPIN) was potentially an appropriate measure for screening social anxiety among US adolescents. However, there is a lack of information concerning its properties as a screening test in other cultures and languages. This is the main objective of this study, although further validity of the scale is provided as well. The sample consisted of 192 adolescents (a sample composed of 114 subjects with a principal diagnosis of social anxiety disorder; and a group consisting of 78 subjects with no diagnosis of social phobia). Results suggest that the Social Phobia Inventory has demonstrated good psychometric properties and indeed may be used as a screening tool in Spanish-speaking adolescents.

Selective Mutism

2018 ◽  
pp. 363-380
Author(s):  
Charu Kriti
Keyword(s):  
Anxiety Disorder ◽  
Case Studies ◽  
Diagnostic Criteria ◽  
Selective Mutism ◽  
Potential Threat ◽  
Dsm 5 ◽  
Social Settings ◽  
The Social ◽  
Long Time ◽  
The Individual

Selective mutism is a disorder that is characterized by a failure to speak in certain social settings, like the school, while speaking normally in other settings, like home. The settings in which the failure to speak occur are those where speech is expected from the individual. It is a disorder that onsets in childhood, and if left untreated, may go well into adolescence. For a very long time, this disorder has been overlooked and understudied. Though rare, the disorder may pose a potential threat to the social and academic development of a child suffering from it. The DSM-5 has classified selective mutism as an anxiety disorder. The present chapter intends to cover the psychosocial approach to the disorder, the diagnostic criteria, the etiology, the treatment of the disorder, and the management by respective caregivers. An analysis of case studies has also been given in the chapter.

Brief Form of the Social Phobia and Anxiety Inventory (SPAI-B) for Adolescents

2008 ◽  
Vol 24 (3) ◽  
pp. 150-156 ◽  
Author(s):  
Luis Joaquin Garcia-Lopez ◽  
Maria D. Hidalgo ◽  
Deborah C. Beidel ◽  
Jose Olivares ◽  
Samuel Turner†
Keyword(s):  
Social Phobia ◽  
Psychometric Properties ◽  
Common Mental Disorders ◽  
Somatic Symptoms ◽  
Future Research ◽  
Assessment Instruments ◽  
Age Group ◽  
Screening Measure ◽  
The Social ◽  
Valid Assessment

Although social phobia is one of the most common mental disorders in adolescents, there are few reliable and valid assessment instruments for this age group. This study examined the factor structure and psychometric properties of a brief version of the Social Phobia and Anxiety Inventory (SPAI; Turner, Beidel, Dancu, & Stanley, 1989 ) in a sample of adolescents. Although the original 45-item SPAI has excellent psychometric properties, its utility is limited by its length. We developed and piloted a brief, 16-item version of the SPAI that has good psychometric properties, assesses cognitive, behavioral, and somatic symptoms, consistent with the original scale, which may be particularly useful as a screening measure. Limitations and suggestions for future research are discussed.

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