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利博维茨社交焦虑量表:自我报告和临床医生施测两种形式的心理测量特性比较

The Liebowitz Social Anxiety Scale: a comparison of the psychometric properties of self-report and clinician-administered formats.

作者信息

Fresco D M, Coles M E, Heimberg R G, Liebowitz M R, Hami S, Stein M B, Goetz D

机构信息

Adult Anxiety Clinic of Temple University, Philadelphia, PA 19122-6085, USA.

出版信息

Psychol Med. 2001 Aug;31(6):1025-35. doi: 10.1017/s0033291701004056.

Abstract

BACKGROUND

The clinician-administered version of the Liebowitz Social Anxiety Scale (LSAS-CA) is a commonly used assessment device for the evaluation of social anxiety disorder and has been shown to have strong psychometric characteristics. Because of its apparently straightforward rating format and potential savings in time and effort, interest in the use of the LSAS as a self-report (LSAS-SR) measure has increased, and the LSAS-SR has been used in a number of studies. However, the psychometric properties of the LSAS-SR have not been well established.

METHODS

This study examined the psychometric properties of the LSAS-SR in comparison to the LSAS-CA in a sample of 99 individuals with a primary diagnosis of social anxiety disorder and 53 individuals with no current psychiatric disorder.

RESULTS

There was little difference between the two versions of the LSAS on any scale or subscale score. Both forms were internally consistent and the subscale intercorrelations for the two forms were essentially identical. Correlations of each LSAS-SR index with its LSAS-CA counterpart were all highly significant. Finally, the convergent and discriminant validity of the two forms of the LSAS was shown to be strong.

CONCLUSION

Results of this study suggest that the self-report version of the LSAS compares well to the clinician-administered version and may be validly employed in the assessment of social anxiety disorder.

摘要

背景

临床医生实施的利博维茨社交焦虑量表(LSAS-CA)是评估社交焦虑障碍常用的测评工具,已显示出较强的心理测量学特征。由于其评分形式看似简单直接,且可能节省时间和精力,将LSAS用作自评(LSAS-SR)工具的兴趣有所增加,并且LSAS-SR已在多项研究中得到应用。然而,LSAS-SR的心理测量学特性尚未得到充分确立。

方法

本研究在99例初步诊断为社交焦虑障碍的个体和53例当前无精神障碍的个体样本中,对比了LSAS-SR与LSAS-CA的心理测量学特性。

结果

两个版本的LSAS在任何量表或分量表得分上差异均很小。两种形式在内部均具有一致性,且两种形式的分量表相互关系基本相同。每个LSAS-SR指标与其LSAS-CA对应指标的相关性均高度显著。最后,两种形式的LSAS的聚合效度和区分效度均表现强劲。

结论

本研究结果表明,LSAS的自评版本与临床医生实施的版本相比效果良好,可有效用于社交焦虑障碍的评估。

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