Mini-spin: A brief screening assessment for generalized social anxiety disorder
Mini-spin: A brief screening assessment for generalized social anxiety disorder
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DOI：
10.1002/da.1055
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发表时间：
2001-01-01
影响因子：
7.4
通讯作者：
Davidson, JRT
中科院分区：
文献类型：
--
作者：
Connor, KM;Kobak, KA;Davidson, JRT
本研究的目的是编制一个简明的广泛性社交焦虑障碍（GSAD）自评筛查工具，并检验该工具的有效性。对263名GSAD患者和对照组进行了社交恐惧量表（SPIN）的测试。一个子集的三个项目产生高灵敏度和特异性的诊断GSAD被确定。这个简化版的SPENT（Mini-SPIN）与GSAD的流行病学研究一起被用于一组管理式护理患者。向患者（n = 7，165）发送了一份包括Mini-SPIN和简短抑郁筛选器的问卷。使用DSM-IV结构化临床访谈（SCID）的社交恐惧模块对Mini-SPIN上GSAD筛选阳性的受访者（n = 344）进行访谈，以验证诊断。对在Mini-SPIN上筛选GSAD阴性的随机样本进行类似的访谈，以确定两个无GSAD的对照组进行比较（n = 673）。根据这些信息，确定Mini-SPIN的灵敏度、特异性以及阳性和阴性预测值（加权采样）。使用6分或更高的临界值，Mini-SPIN显示灵敏度为88.7%，特异性为90.0%，阳性预测值为52.5%，阴性预测值为98.5%。该量表在诊断管理护理人群中是否存在GSAD方面具有90%的准确性（效率）。Mini-SPIN显示出良好的效率，支持其作为广泛性社交焦虑障碍筛查工具的实用性。(C)2001 Wiley-Liss，Inc.
The objectives of this study are to develop a brief self-rated screening instrument for generalized social anxiety disorder (GSAD) and to test the efficiency of the instrument. The Social Phobia Inventory (SPIN, a 17-item self-ad-ministered scale for GSAD, was given to 263 individuals with GSAD and controls. A subset of three items yielding high sensitivity and specificity for the diagnosis of GSAD was identified. This abbreviated version of the SPENT (Mini-SPIN) was administered to a group of managed care patients in conjunction with an epidemiological study of GSAD. Patients (n = 7,165) were sent a questionnaire comprising the Mini-SPIN and a brief depression screener Respondents screening positive for GSAD on the Mini-SPIN (n = 344) were interviewed using the social phobia module of the Structured Clinical Interview for DSM-IV (SCID) to verify the diagnosis. A random sample of those who screened negative for GSAD on the Mini-SPIN were administered a similar interview to identify two control groups without GSAD for comparison (n = 673). With this information, the sensitivity, specificity, and positive and negative predictive values for the Mini-SPIN were determined (weighted for sampling). Using a cutoff score of 6 or greater, the Mini-SPIN demonstrated a sensitivity of 88.7 %, specificity of 90.0 %, positive predictive value of 52.5 %, and negative predictive value of 98.5 %. The scale possessed 90 % accuracy (efficiency) in diagnosing the presence or absence of GSAD in a managed care population. The Mini-SPIN demonstrates good efficiency, supporting its utility as a screening tool for generalized social anxiety disorder. (C) 2001 Wiley-Liss, Inc.