Identification of Social Anxiety in Schools: The Utility of a Two-Step Screening Process.
Identification of Social Anxiety in Schools: The Utility of a Two-Step Screening Process.
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学校社交焦虑的识别：两步筛选过程的实用性。
DOI：
10.1007/s40688-015-0055-9
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
McGrath,RobertE
中科院分区：
文献类型：
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作者：
Sweeney,Corinne;Warner,CarrieMasia;Brice,Chad;Stewart,Catherine;Ryan,Julie;Loeb,KatharineL;McGrath,RobertE
社交焦虑障碍（SAD）在青少年中非常普遍，但尽管有有效的治疗方法，但在很大程度上未被发现和治疗。在学校实施干预措施可以提高对SAD的认识和获得治疗的机会。然而，如果没有可靠的手段来准确识别需要服务的青年，以学校为基础的干预措施是不可可行的。本研究的目的是评估两步，以学校为基础的筛查方法在识别患有SAD的青少年中的效用。三所公立高中的学生通过自我报告问卷或由学校工作人员提名进行筛选。随后，与学生家长一起完成了对学生症状的简短电话评估。结果表明，使用问卷调查和电话评估都产生了可接受的检出率，而学校工作人员提名则没有好处。本研究支持使用两步筛选程序，包括学生自我报告和简短的家长电话访谈，以确定临床损害性社交焦虑的青少年。讨论了加强学校对社交焦虑青少年的检测和干预的意义。
Social anxiety disorder (SAD) is highly prevalent yet largely undetected and untreated in adolescents despite the availability of effective treatments. Implementing interventions in schools enhances recognition and access to treatment for SAD. However, without reliable means to accurately identify youth in need of services, school-based interventions are not feasible. The purpose of this study is to evaluate the utility of a two-step, school-based screening approach to identify youth with SAD. Students at three public high schools were screened with self-report questionnaires or nominated by school personnel. Subsequently, a brief telephone assessment of student symptoms was completed with students’ parents. Results showed that using both questionnaires and telephone assessments yielded acceptable detection rates, while school staff nominations were not beneficial. This study provides support for the use of a two-step screening procedure consisting of student self-reports followed by brief parent telephone interviews to identify youth with clinically impairing social anxiety. Implications for enhancing school-based detection of and intervention for socially anxious adolescents are discussed.