Department of Adolescent Psychiatry, Tampere University Hospital, Box 2000, FI-33521 Tampere, Finland.
Compr Psychiatry. 2012 Jul;53(5):630-7. doi: 10.1016/j.comppsych.2011.07.007. Epub 2011 Sep 22.
Onset of social phobia (SP) typically occurs in adolescence. Short screening instruments for its assessment are needed for use in primary health and school settings. The 3-item Mini-Social Phobia Inventory (SPIN) has demonstrated effectiveness in screening for generalized SP (GSP) in adults. This study examined the psychometrics of the Mini-SPIN in an adolescent general population sample.
Three hundred fifty adolescents aged 12 to 17 years were clinically interviewed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version for identification of SP and other Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Axis I disorders, blind to their Mini-SPIN status. Associations between SP; subclinical SP; other anxiety, depressive, and disruptive disorders; and Mini-SPIN scores were examined, and diagnostic efficiency statistics were calculated. The association between Mini-SPIN scores and the generalized subtype of SP was also examined.
As in adults, the Mini-SPIN items differentiated subjects with SP from those without. A score of 6 points or greater was found optimal in predicting SP with a sensitivity of 86%, specificity of 84%, and positive and negative predictive values of 26% and 99%. The Mini-SPIN also possessed discriminative validity, as scores were higher for adolescents with SP than they were for those with depressive, disruptive, and other anxiety disorders. The Mini-SPIN was also able to differentiate adolescents with GSP from the rest of the sample.
The Mini-SPIN has good psychometrics for screening SP in adolescents from general population and may have value in screening for GSP.
社交恐惧症（SP）通常在青少年时期发作。需要简短的筛查工具来评估其在初级保健和学校环境中的应用。三项目迷你社交恐惧症量表（Mini-SPIN）已被证明在成年人中筛查广泛性社交恐惧症（GSP）方面有效。本研究在青少年一般人群样本中检验了 Mini-SPIN 的心理测量学特性。
对 350 名 12 至 17 岁的青少年进行临床访谈，使用儿童时期情感障碍和精神分裂症谱系及终身版Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version 来识别 SP 及其他《精神障碍诊断与统计手册》第四版轴 I 障碍，对 Mini-SPIN 状态进行盲法评估。研究了 SP；亚临床 SP；其他焦虑、抑郁和破坏性行为障碍；以及 Mini-SPIN 评分之间的相关性，并计算了诊断效率统计数据。还检验了 Mini-SPIN 评分与 GSP 广泛性亚型之间的相关性。
与成年人一样，Mini-SPIN 项目将 SP 患者与非 SP 患者区分开来。发现 6 分或以上是预测 SP 的最佳分数，其灵敏度为 86%，特异性为 84%，阳性和阴性预测值分别为 26%和 99%。Mini-SPIN 还具有鉴别效度，因为 SP 患者的得分高于抑郁、破坏性行为和其他焦虑障碍患者的得分。Mini-SPIN 还能够将 GSP 青少年与样本中的其余部分区分开来。
Mini-SPIN 在一般人群中筛查青少年 SP 具有良好的心理测量学特性，可能在筛查 GSP 方面具有价值。
