Department of Psychiatry and Behavioral Sciences, Duke University, Medical Center, Durham, NC
University of Pennsylvania
Declaration of interest Supported in part by Social Phobia Grant IR10-MH49339 to J.R.T.D. and by a grant from Smith Kline Beecham.
Correspondence: Kathryn M. Connor, MD, Box 3812, Duke University Medical Center, Durham, NC 27710, USA. Tel: (919) 684-5849; Fax: (919) 684-8866; e-mail: kathryn.connor{at}duke.edu
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 testretest 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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