Faculty of Health Sciences, Centre for Healthy Ageing and Wellness (H-CARE), Speech Sciences Programme, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, 50300, Malaysia.
National Rehabilitation Center for Persons with Disabilities, Research Institute, Department of Rehabilitation for Sensory Functions, 4-1 Namiki, Tokorozawa, Saitama, 359-8555, Japan.
J Fluency Disord. 2020 Sep;65:105767. doi: 10.1016/j.jfludis.2020.105767. Epub 2020 May 21.
Adults who stutter (AWS) often develop social anxiety disorder. This study was to provide comparative data on the Liebowitz Social Anxiety Scale-Japanese version (LSAS-J) from AWS and non-stuttering adult controls.
LSAS-J, a 24-item self-reported survey of social phobia and avoidance across various daily situations, was administered to 130 AWS (Mean Age = 41.5 years, SD = 15.8, 111 males) and 114 non-stuttering adults (Mean Age = 39.5, SD = 14.9, 53 males). The test-retest reliability and internal consistency of the LSAS-J were assessed. A between-subject multivariate analysis of variance (MANOVA) was also conducted to determine whether attitude toward social anxiety differed between AWS and AWNS, or by age (<40 and ≥ 40 years old), or sex (female and male).
AWS reported higher scores on both fear subscales of the LSAS-J. Age had no significant influence on the social anxiety levels reported by either participant group. Sex differences were found in the fear subscales, with females scoring higher on both fear subscales, although these were only marginally significant (p = .06). LSAS-J showed good test-retest reliability and high Cronbach's alpha coefficient, indicating that it is an internally consistent measure of attitudes about social anxiety.
Given the similarly high incidence of social anxiety in adults in Japan who stutter compared with those in other countries, social anxiety should be identified and assessed during clinical decision making and before decisions are made about stuttering treatment. LSAS-J is an easy tool to administer, and showed reliable results of social phobia and avoidance for AWS.
口吃成年人（AWS）通常会发展为社交焦虑症。本研究旨在为 AWS 和非口吃成年对照组提供 Liebowitz 社交焦虑量表-日本版（LSAS-J）的比较数据。
LSAS-J 是一种 24 项自我报告的社交恐惧症和回避量表，用于评估各种日常情况，共对 130 名 AWS（平均年龄=41.5 岁，标准差=15.8，111 名男性）和 114 名非口吃成年人（平均年龄=39.5 岁，标准差=14.9，53 名男性）进行了测试。评估了 LSAS-J 的重测信度和内部一致性。还进行了组间多变量方差分析（MANOVA），以确定 AWS 和 AWNS 之间或年龄（<40 岁和≥40 岁）或性别（女性和男性）之间对社交焦虑的态度是否存在差异。
AWS 报告 LSAS-J 的恐惧分量表得分更高。年龄对两组参与者的社交焦虑水平没有显著影响。在恐惧分量表上发现了性别差异，女性在两个恐惧分量表上的得分都更高，尽管这只是略有显著（p=0.06）。LSAS-J 显示出良好的重测信度和高 Cronbach's alpha 系数，表明它是衡量社交焦虑态度的一种内部一致的测量工具。
鉴于日本口吃成年人的社交焦虑发生率与其他国家相似，因此在临床决策和口吃治疗决策之前，应识别和评估社交焦虑。LSAS-J 是一种易于管理的工具，可用于评估 AWS 的社交恐惧症和回避症状，结果可靠。
