Rytwinski Nina K, Fresco David M, Heimberg Richard G, Coles Meredith E, Liebowitz Michael R, Cissell Shadha, Stein Murray B, Hofmann Stefan G
Department of Psychology, Kent State University, Kent, OH 44242, USA.
Depress Anxiety. 2009;26(1):34-8. doi: 10.1002/da.20503.
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.
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.
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: J 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.
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.
本研究探讨了利博维茨社交焦虑量表的自我报告版本(LSAS-SR)能否准确识别社交焦虑障碍患者以及社交焦虑障碍广泛性亚型患者。此外,该研究还试图确定LSAS-SR用于识别社交焦虑障碍患者及其广泛性亚型的最佳临界值。
291名经临床医生评估患有社交焦虑障碍的患者(其中240名患有广泛性社交焦虑障碍)以及53名目前无轴I障碍的对照参与者完成了LSAS-SR测试。
受试者工作特征分析显示,LSAS-SR在识别社交焦虑障碍患者和广泛性社交焦虑障碍患者方面表现良好。与Mennin等人[2002年:《焦虑障碍杂志》16:661 - 673]对LSAS临床医生施测版本的研究一致,LSAS-SR的临界值30和60分别为对社交焦虑患者和广泛性社交焦虑障碍患者进行分类时提供了最佳的敏感性和特异性平衡。
LSAS-SR可能是一种准确且经济高效的方法,用于识别社交焦虑障碍患者及其亚型,这有助于提高接受这种致残性疾病适当治疗的人数比例。