Screening social phobia in adolescents from general population: The validity of the Social Phobia Inventory (SPIN) against a clinical interview
| Autor: | Mauri Marttunen, Riittakerttu Kaltiala-Heino, Päivi Rantanen, Klaus Ranta, Martti T. Tuomisto |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Social Phobia Inventory medicine.medical_specialty Adolescent Psychometrics Population Sensitivity and Specificity Severity of Illness Index Phobic disorder 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Interview Psychological medicine Humans Mass Screening 030212 general & internal medicine Child Psychiatry education Finland Mass screening education.field_of_study Mood Disorders Panic disorder Reproducibility of Results medicine.disease 030227 psychiatry Psychiatry and Mental health Phobic Disorders ROC Curve Mood disorders Population Surveillance Schizophrenia Panic Disorder Female Psychology Anxiety disorder |
| Zdroj: | European Psychiatry. 22:244-251 |
| ISSN: | 1778-3585 0924-9338 |
| DOI: | 10.1016/j.eurpsy.2006.12.002 |
| Popis: | Social phobia (SP) has onset during early adolescence, and is associated with significant impairment in social and educational functioning of adolescents. Therefore, valid and easy-to-use tools for screening and identification of SP among adolescent community populations are needed. We investigated both construct and discriminative validity, and screening properties of the 17-item Social Phobia Inventory (SPIN) relative to SP diagnoses based on a semi-structured clinical interview (K-SADS-PL), in a sample of 752 12 to 17-year-old Finnish students from general population. The SPIN demonstrated good properties to differentiate adolescents with SP and those with sub-clinical SP symptoms (SSP), from adolescents without SP. The SPIN also differentiated adolescents with SP from those with depressive and disruptive disorders. In this sample 27% of participants scored above the previously suggested SPIN cut-off (15 points) for adolescent SP. We suggest using a somewhat higher cut-off score, 24 points, when using the SPIN as a screen for SP in general adolescent populations. This cut-off score resulted in a sensitivity of 81.2%, a specificity of 85.1%, a positive predictive value of 26.9%, and a negative predictive value of 98.6% in relation to the SP diagnosis in our sample. To screen for both SP and SSP, 19 points as a cut-off score produced satisfactory diagnostic efficiency statistics. The SPIN appears to have good properties for screening and identification of adolescent SP. |
| Databáze: | OpenAIRE |
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