SCREENING FOR SOCIAL ANXIETY DISORDER WITH THE SELF-REPORT VERSION OF THE LIEBOWITZ SOCIAL ANXIETY SCALE

SCREENING FOR SOCIAL ANXIETY DISORDER WITH THE SELF-REPORT VERSION OF THE LIEBOWITZ SOCIAL ANXIETY SCALE
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DOI:
10.1002/da.20503
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发表时间:
2009-01-01
影响因子:
7.4
通讯作者:
Hofmann, Stefan G.
Hofmann, Stefan G.
中科院分区:
医学1区
文献类型:
--
作者:
Rytwinski, Nina K.;Fresco, David M.;Hofmann, Stefan G.

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目的:探讨利博维茨社交焦虑量表(LSAS-SR)的自我报告版本是否能准确区分社交焦虑障碍个体和社交焦虑障碍泛化亚型个体。此外,这项研究试图确定LSAS-SR用于识别社交焦虑障碍患者及其一般亚型的最佳分界点。方法:对291例经临床医生评定的社交焦虑症患者(广泛性社交焦虑症)和53例对照受试者进行LSAS-SR测试。结果:受试者操作特征分析表明,LSAS-SR在识别社交焦虑障碍和广泛性社交焦虑障碍方面表现良好。与Mennin等人[2002年:1焦虑症16:661-673]对LSAS临床版的研究一致,LSAS-SR的临界值为30和60,分别为社交焦虑和广泛性社交焦虑障碍患者的分类提供了敏感度和特异度的最佳平衡。结论:LSAS-SR可能是一种准确且经济有效的方法来识别社交焦虑障碍患者并对其进行分型,这有助于增加接受适当治疗的人的比例。
Objective: This study examined whether the self-report version of the Liebowitz Social Anxiety Scale (LSAS-SR) could accurately identify individuals with social anxiety disorder and individuals with the generalized subtype of social anxiety disorder. Furthermore, the study sought to determine the optimal cutoffs for the LSAS-SR for identifying patients with social anxiety disorder and its generalized subtype. Methods: Two hundred and ninety-one patients with clinician-assessed social anxiety disorder (240 with generalized social anxiety disorder) and 53 control participants who were free from current Axis-1 disorders completed the LSAS-SR. Results: Receiver Operating Characteristic analyses revealed that the LSAS-SR performed well in identifying participants with social anxiety disorder and generalized social anxiety disorder. Consistent with Mennin et al.'s [2002: 1 Anxiety Disord 16:661-673] research on the clinician-administered version of the LSAS, cutoffs of 30 and 60 on the LSAS-SR provided the best balance of sensitivity and specificity for classifying participants with social anxiety and generalized social anxiety disorder; respectively. Conclusions: The LSAS-SR may be an accurate and cost-effective way to identify and subtype patients with social anxiety disorder, which could help increase the percentage of people who receive appropriate treatment for this debilitating disorder. Depression and Anxiety 26:34-38, 2009. (c) 2008 Wiley-Liss, Inc.