Department of General Psychiatry, Bali Psychiatric Center, New Taipei City, Taiwan.
Psychiatry Res. 2011 Nov 30;190(1):121-5. doi: 10.1016/j.psychres.2011.03.022. Epub 2011 May 5.
Patients with social phobia commonly resist face-to-face assessments, and a number of alternative assessment methods based on the Internet are being developed. The aim of this study was to identify patients with social phobia on the Internet and characterize their condition, using the Social Phobia Inventory (SPIN). In Stage I, this study recruited 1307 participants from the Internet, most of whom were well-educated young females, who had remained unmarried and unemployed. The Internet-based SPIN demonstrated excellent internal consistency (Cronbach's α=0.937) and good test-retest reliability (intraclass correlation coefficient=0.942). In Stage II, we examined the discriminant validity of the SPIN via structured telephone interviews. The area under the receiver operating characteristic curve used to discriminate social phobia was 0.871 with an optimal cut-off point of 24 on the total score for the SPIN. According to the SPIN scores, 919 of Stage I participants (70.3%) reached the threshold of social phobia, 531 of which (57.8%) had never sought professional help. These results suggest that the Internet is a potential avenue through which to find untreated patients with social phobia.
社交恐惧症患者通常抗拒面对面评估，因此许多基于互联网的替代评估方法正在被开发。本研究旨在通过社交恐惧症清单（SPIN）在互联网上识别社交恐惧症患者并描述他们的病情。在第一阶段，这项研究从互联网上招募了 1307 名参与者，他们大多受过良好教育，是年轻的未婚未就业女性。基于互联网的 SPIN 表现出优异的内部一致性（克朗巴赫 α=0.937）和良好的重测信度（组内相关系数=0.942）。在第二阶段，我们通过结构化电话访谈检查了 SPIN 的判别有效性。用于区分社交恐惧症的受试者工作特征曲线下面积为 0.871，SPIN 总分的最佳截断点为 24。根据 SPIN 评分，第一阶段的 919 名参与者（70.3%）达到了社交恐惧症的阈值，其中 531 名（57.8%）从未寻求过专业帮助。这些结果表明，互联网是发现未经治疗的社交恐惧症患者的潜在途径。
