D'El Rey Gustavo José Fonseca, Matos Cláudia Wilmor
Programa de Fobia Social, Centro de Pesquisas e Tratamento de Transtornos de Ansiedade, São Paulo.
Cien Saude Colet. 2009 Sep-Oct;14(5):1681-6. doi: 10.1590/s1413-81232009000500009.
Social phobia (also known as social anxiety disorder) is a severe mental disorder that brings distress and disability. The aim of this study was validate to the Portuguese language the Mini-Social Phobia Inventory (Mini-SPIN) in a populational sample. We performed a discriminative validity study of the Mini-SPIN in a sample of 644 subjects (Mini-SPIN positive group: n = 218 and control/negative group: n = 426) of a study of anxiety disorders' prevalence in the city of Santo André-SP. The Portuguese version of the Mini-SPIN (with score of 6 points, suggested in the original English version) demonstrated a sensitivity of 95.0%, specificity of 80.3%, positive predictive value of 52.8%, negative predictive value of 98.6% and incorrect classification rate of 16.9%. With score of 7 points, was observed an increase in the specificity and positive predictive value (88.6% and 62.7%), while the sensitivity and negative predictive value (84.8% and 96.2%) remained high. The Portuguese version of the Mini-SPIN showed satisfactory psychometric qualities in terms of discriminative validity. In this study, the cut-off of 7, was considered to be the most suitable to screening of the generalized social phobia.
社交恐惧症（也称为社交焦虑障碍）是一种会带来痛苦和功能障碍的严重精神障碍。本研究的目的是在一个人群样本中对葡萄牙语版的社交恐惧症简易量表（Mini-SPIN）进行效度验证。我们在圣保罗州圣安德烈市一项焦虑症患病率研究的644名受试者样本中（Mini-SPIN阳性组：n = 218；对照组/阴性组：n = 426）进行了Mini-SPIN的区分效度研究。葡萄牙语版的Mini-SPIN（采用原始英文版建议的6分评分标准）显示灵敏度为95.0%，特异度为80.3%，阳性预测值为52.8%，阴性预测值为98.6%，错误分类率为16.9%。采用7分评分标准时，特异度和阳性预测值有所提高（分别为88.6%和62.7%），而灵敏度和阴性预测值（分别为84.8%和96.2%）仍保持较高水平。葡萄牙语版的Mini-SPIN在区分效度方面显示出令人满意的心理测量学特性。在本研究中，7分的临界值被认为最适合用于广泛性社交恐惧症的筛查。
