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      Psychometric properties of the Social Phobia Inventory (SPIN) : New self-rating scale

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          Abstract

          Background

          Of available self-rated social phobia scales, none assesses the spectrum of fear, avoidance, and physiological symptoms, all of which are clinically important. Because of this limitation, we developed the Social Phobia Inventory (SPIN).

          Aims

          To establish psychometric validation of the SPIN.

          Method

          Subjects from three clinical trials and two control groups were given the 17-item, self-rated SPIN. Validity was assessed against several established measures of social anxiety, global assessments of severity and improvement, and scales assessing physical health and disability.

          Results

          Good test – retest reliability, internal consistency, convergent and divergent validity were obtained. A SPIN score of 19 distinguished between social phobia subjects and controls. The SPIN was responsive to change in symptoms over time and reflected different responses to active drugs v. placebo. Factorial analysis identified five factors.

          Conclusions

          The SPIN demonstrates solid psychometric properties and shows promise as a measurement for the screening of, and treatment response to, social phobia.

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          Most cited references9

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          An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory.

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            Assessment of anxiety in social interaction and being observed by others: The social interaction anxiety scale and the Social Phobia Scale

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              Psychopharmacological treatment of social phobia; a double blind placebo controlled study with fluvoxamine.

              Previous studies have shown selective and nonselective monoamine oxidase inhibitors (MAOIs) to be effective in the treatment of social phobia. In this study we investigated the efficacy of selective serotonin reuptake inhibitors (SSRIs) in social phobia. Thirty patients with social phobia (DSM-IIIR) were treated with the SS-RI fluvoxamine (150 mg daily) using a 12-week double-blind placebo controlled design. A substantial improvement was observed in seven (46%) patients on fluvoxamine and in one (7%) on placebo. Statistically significant effects were seen on measures of social anxiety and general (or anticipatory) anxiety in patients treated with fluvoxamine compared with placebo. The level of phobic avoidance decreased also but the difference at endpoint between fluvoxamine and placebo failed to reach statistical significance. It is concluded that treatment with the SSRI fluvoxamine has beneficial effects in patients suffering from social phobia, suggesting that serotonergic mechanisms might be implicated in social anxiety.
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                Author and article information

                Journal
                British Journal of Psychiatry
                Br J Psychiatry
                Royal College of Psychiatrists
                0007-1250
                1472-1465
                April 2000
                January 02 2018
                April 2000
                : 176
                : 4
                : 379-386
                Article
                10.1192/bjp.176.4.379
                10827888
                328b14cb-2565-450c-8a9d-4bc872762a11
                © 2000

                https://www.cambridge.org/core/terms

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