Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Criminological Research Institute of Lower Saxony, Hannover, Germany.
BMC Psychiatry. 2017 Nov 25;17(1):377. doi: 10.1186/s12888-017-1545-2.
A short screening for social anxiety disorder is useful in clinical and epidemiological contexts. However, the German version of the short form of the Social Phobia Inventory (mini-SPIN) has not been evaluated yet. Therefore, our aim was to determine reliability, validity and population based norms of the German mini-SPIN.
The mini-SPIN was evaluated in a clinical (N = 1254) and in a representative community sample (N = 1274). Clinical diagnoses, the Patient Health Questionnaire depression (PHQ-9) and somatization modules (PHQ-15), the Generalized Anxiety Disorder Scale (GAD-7), the Liebowitz Social Anxiety Scale (LSAS), and the Short-Form-12 Health Survey (SF-12) were used in the clinical sample. In the community sample, participants filled out socio-demographic and health related questions and short versions of the PHQ (PHQ-2, GAD-2, panic item). Internal consistency, test-retest reliability, sensitivity to change, discriminant validity, and convergent validity were examined. Receiver operating characteristic curve analyses were performed to determine cut-off scores. Population based norms were computed from the community sample.
We found internal consistencies between 0.80 and 0.83. Test-retest correlation was Rho = 0.61; sensitivity to change was comparable to the LSAS. Correlations indicated good convergent and discriminant validity of the mini-SPIN. Strict measurement invariance can be assumed regarding age and gender. Receiver operating characteristic curve analysis suggested a cut-off of 6 or higher for a probable diagnosis of SAD.
The German version of the mini-SPIN is a reliable and valid instrument. Its brevity makes it valuable for screening and assessing changes of social anxiety in clinical and epidemiological studies.
在临床和流行病学环境中,简短的社交焦虑障碍筛查是有用的。然而,社交恐惧症清单短式量表(mini-SPIN)的德文版尚未得到评估。因此,我们的目的是确定德国 mini-SPIN 的信度、效度和基于人群的常模。
在临床样本(N=1254)和代表性社区样本(N=1274)中评估了 mini-SPIN。在临床样本中使用了临床诊断、患者健康问卷抑郁(PHQ-9)和躯体化模块(PHQ-15)、广泛性焦虑障碍量表(GAD-7)、Liebowitz 社交焦虑量表(LSAS)和健康调查简表 12 项(SF-12)。在社区样本中,参与者填写了社会人口统计学和与健康相关的问题以及 PHQ 的简短版本(PHQ-2、GAD-2、惊恐症状)。检验了内部一致性、重测信度、变化敏感性、判别效度和聚合效度。进行了受试者工作特征曲线分析以确定截断分数。从社区样本中计算了基于人群的常模。
我们发现内部一致性在 0.80 到 0.83 之间。重测相关系数为 Rho=0.61;变化敏感性与 LSAS 相当。相关性表明 mini-SPIN 具有良好的聚合和判别效度。可以假设年龄和性别方面存在严格的测量不变性。受试者工作特征曲线分析建议将 6 或更高作为社交焦虑障碍可能诊断的截断值。
德文版的 mini-SPIN 是一种可靠且有效的工具。其简洁性使其在临床和流行病学研究中用于筛查和评估社交焦虑的变化具有价值。