Social Phobia And Anxiety Inventory Research Articles

Effectiveness of Acceptance Commitment Therapy in Social Anxiety Disorder: Application of a Longitudinal Method to Evaluate the Mediating Role of Acceptance, Cognitive Fusion, and Values.

The aim of the present study was to examine the effectiveness of acceptance and commitment therapy (ACT) on symptom severity, fear of negative evaluation, quality of life (QoL), and the mediating role of acceptance, cognitive fusion, and value among patients with social anxiety disorder (SAD). Thirty patients diagnosed with SAD were randomized in the intervention (n=15) or waiting list groups (n=15). The social phobia and Anxiety inventory (SPAI), brief fear of negative evaluation scale (BFNE), World Health Organization quality of life (WHOQoL) scale, social anxiety-acceptance and action questionnaire (SA-AAQ), cognitive fusion questionnaire (CFQ), and valued living questionnaire (VLQ) were administered before, immediately after, and at a one-month follow-up. Repeated measurement design was used in the intervention group to investigate the changes of mediation and outcomes variables in the pre-test, during treatment, and post-test. Twenty-four patients completed the study. Data were analyzed using one-way analysis of covariance (ANCOVA), multivariate analysis of covariance (MANCOVA), and repeated measurements. There were significant differences between the intervention and waiting list groups in the severity of symptoms (P=0.001), fear of negative evaluation (P=0.002), and QoL (P=0.03), as well as in terms of specific measures of SA-AAQ (P=0.001), cognitive fusion (P=0.001), an important section of VLQ (P=0.001). Repeated measurement results showed that acceptance and action of social anxiety and cognitive fusion had a mediating role in the severity of social anxiety, fear of negative evaluation, and QoL. The results indicated the effectiveness of ACT for SAD and highlighted the mediator role of social anxiety, acceptance and action, and cognitive fusion in the severity of SAD. This study evaluated effectiveness of acceptance commitment therapy(ACT) on social anxiety disorders (SAD).This study evaluated mechanisms of change of ACT in SAD.ACT has effectiveness for SAD.Acceptance and action and cognitive fusion have mediator role in SAD. Social anxiety disorder (SAD) is one of the most psychiatric disorders. Although CBT has been effective for SAD, most patients continue to demonstrate residual symptoms and impairment after treatment. Over the past several years, a third-wave behavioral therapy has been developed within behavioral and cognitive approaches. Some researchers suggest a new generation of psychotherapists termed acceptance and commitment therapy (ACT) that has many evidence in SAD. However, studies have not examined the mechanism of change of ACT in SAD using methods and proper instruments.in the present study ACT have effectiveness for SAD. In addition to, acceptance and action and cognitive fusion have mediator role in SAD.

Academic goals and learning strategies in secondary education Spanish students with social anxiety / Metas académicas y estrategias de aprendizaje en estudiantes españoles de Educación Secundaria Obligatoria con ansiedad social

The purpose of this study was to analyse the relationship between high social anxiety, academic goals and learning strategies in a sample of 2,022 (51.1% male) Spanish adolescents aged 12–16. The Social Phobia and Anxiety Inventory (SPAI), Achievement Goal Tendencies Questionnaire (AGTQ) and Learning and Studies Skills Strategies Inventory — High School Version (LASSI-HS) were used to assess the variables. The results showed no statistically significant differences in goal orientations between students with and without high social anxiety. However, students with high social anxiety used learning strategies significantly less. In addition, the logistic regression results indicated that high social anxiety acts as a significant predictor for setting social reinforcement goals and learning and study strategies.

Effect of Acceptance and Commitment Therapy on Young People with Social Anxiety

Anxiety is among the most common psychological symptoms, which is also the cause of most cognitive-behavioral disorders. Social anxiety disorder is one of these disorders. In this type of disorder, individuals are unable to have effective social communication and their interpersonal communication is impaired. Given the high prevalence of social phobia in youth population and that this population is considered as an active population that is also the main factor for making the effort, growth, and development in any society, this study aimed to determine the effectiveness of acceptance and commitment therapy (ACT) in reducing the symptoms of social anxiety among the young people in Tehran. For this purpose, 16 individuals out of 18-28 year-old young adults, who referred to some of the selected clinics in Tehran, were selected using the convenience sampling method. Then they were randomly divided into experimental and control groups (8 individuals in each group). In this semi-experimental study with a pretest-posttest control group design, the 12-session ACT protocol was used for the subjects in the experimental group, while the subjects in the control group did not receive any intervention. The Social Phobia and Anxiety Inventory (SPAI) were used to measure the symptoms of social anxiety. After the data were collected, ANCOVA test was used for data analysis. The results indicate the effectiveness of ACT in reducing the symptoms of social anxiety among young people. Therefore, ACT can have a significant effect on social anxiety by increasing psychological flexibility.

Subclinical social anxiety and academic performance in adolescence: analysis of theoretical and practical implications / Ansiedad social subclínica y rendimiento académico en la adolescencia: análisis de sus implicaciones teórico-prácticas

This study analyses the relationship between self-reported social anxiety and academic performance in a sample of 1,616 Spanish students (52.1% males) in compulsory secondary education, aged 12 to 16 years old. Social anxiety was assessed by the Social Phobia and Anxiety Inventory (SPAI) and academic performance was measured with school grades and failing grades. Results reveal that adolescents with social anxiety show a similar academic performance to adolescents without social anxiety. Although t tests found some significant differences in academic grades and number of failing grades, the effect size analysis showed that these differences had no empirical relevance. These findings are discussed considering the gender and grade levels and their theoretical and practical implication.

The SPAI-18, a brief version of the Social Phobia and Anxiety Inventory: Reliability and validity in clinically referred and non-referred samples

We developed a new version of the Social Phobia and Anxiety Inventory (SPAI) in order to have a brief instrument for measuring social anxiety and social anxiety disorder (SAD) with a strong conceptual foundation. In the construction phase, a set of items representing 5 core aspects of social anxiety was selected by a panel of social anxiety experts. The selected item pool was validated using factor analysis, reliability analysis, and diagnostic analysis in a sample of healthy participants (N=188) and a sample of clinically referred participants diagnosed with SAD (N=98). This procedure resulted in an abbreviated version of the Social Phobia Subscale of the SPAI consisting of 18 items (i.e. the SPAI-18), which correlated strongly with the Social Phobia Subscale of the original SPAI (both groups r=.98). Internal consistency and diagnostic characteristics using a clinical cut-off score>48 were good to excellent (Cronbach's alpha healthy group=.93; patient group=.91; sensitivity: .94; specificity: .88). The SPAI-18 was further validated in a community sample of parents-to-be without SAD (N=237) and with SAD (N=65). Internal consistency was again excellent (both groups Cronbach's alpha=.93) and a screening cut-off of >36 proved to result in good sensitivity and specificity. The SPAI-18 also correlated strongly with other social anxiety instruments, supporting convergent validity. In sum, the SPAI-18 is a psychometrically sound instrument with good screening capacity for social anxiety disorder in clinical as well as community samples.

Gender Differences in Social Anxiety Symptoms: A novel use of two self-report measures in a Finnish Sample

Background: Social anxiety disorder (SAD) is characterized by a fear of humiliation and/or embarrassment in social situations, which may lead to significant avoidance and distress. A preponderance of research suggests that the prevalence of SAD is higher in females than in males and that gender differences of SAD varies cross-culturally. According to numerous studies, attention to the diagnosis and adequate assessment of anxiety disorders in primary care settings is lacking. A deficiency of easily administered well-validated diagnostic tools and limited time for thorough (i.e., structured clinical interview) evaluation may contribute to the above finding. Procedure: Our principal aims were two-fold: 1) to focus on emergent gender differences in self- reported social anxiety (SA) symptoms, and 2) to evaluate newly translated Finnish versions of the Social Phobia and Anxiety Inventory (SPAI) and Brief Fear of Negative Evaluation Scale -Straightforward Items (BFNE-S) in a general Finnish parent sample (N = 597). Results and Conclusions: Results from our sample using the SPAI estimated that 6.7% of females and 5.0% of males met criteria for a probable diagnosis of SAD. Non socially-anxious females scored significantly higher than did their male counterparts on social interaction and focus of attention fears, whereas socially-anxious males scored higher than socially-anxious females on behavioural avoidance. The SPAI and BFNE-S are useful additions to Finnish screening tools to detect SA symptoms in adults.

Measurement invariance of the Social Phobia and Anxiety Inventory

The Social Phobia and Anxiety Inventory (SPAI) is a commonly used self-report measure of social phobia that has demonstrated adequate reliability, convergent validity, discriminant validity, and criterion-related validity. However, research has yet to address whether this measure functions equivalently in (a) individuals with and without a diagnosis of social phobia and (b) males and females. Evaluating measurement equivalence/invariance is necessary in order to determine that the construct of social anxiety is interpreted similarly across these populations. The results of the current investigation, using a series of nested factorial models proposed by Vandenberg and Lance (2000), provide evidence for strong equivalence across 420 individuals with and without diagnoses of social phobia and across male and female samples. Accordingly, these results provide psychometric justification for comparison of SPAI scores across the symptom continuum and sexes.

Initial evaluation of the Older Adult Social-Evaluative Situations Questionnaire: a measure of social anxiety in older adults

The assessment of social anxiety in late life has been examined in few studies (e.g. Gretarsdottir et al., 2004; Ciliberti et al., 2011). The present study describes the creation and initial psychometric evaluation of a new, content valid measure of social anxiety for older adults, the Older Adult Social-Evaluative Situations Questionnaire (OASES). Psychometric properties of the OASES were evaluated in a community dwelling sample of older adults (N = 137; 70.8% female). Convergent validity was established by examining the relation between the OASES and the Liebowitz Social Anxiety Scale (LSAS), Social Phobia and Anxiety Inventory (SPAI), and Beck Anxiety Inventory (BAI). Discriminant validity was established by examining the relation between the OASES and measures of depression (Geriatric Depression Scale, GDS), perceived health status (Short Form Health Survey, SF-12), and demographic variables. The validity analyses of the OASES were based on a smaller sample with n values ranging from 98 to 137 depending on missing data on each questionnaire. Internal consistency, measured by Cronbach's α, for the OASES total score was 0.96. All items on the OASES were endorsed by participants. Convergent validity was demonstrated by medium to large correlations with the SPAI, LSAS, and BAI. Support for discriminant validity was evidenced by small to medium correlations between the OASES and GDS, SF-12, and demographic variables. Evidence in support of convergent and discriminant validity of the OASES is discussed. Although the results from the present study suggest that this measure may assess anxiety in and avoidance of social situations salient to older adults, future studies are needed to further examine the psychometric properties of the OASES and replicate these results in both clinical and more diverse samples of older adults.

Social Anxiety in Parents of High-Functioning Children with Autism and Asperger Syndrome

We evaluated social anxiety (SA) symptoms in parents of children with autism spectrum disorders (ASDs; N = 131) and community parents (N = 597) using the Social Phobia and Anxiety Inventory (SPAI). SA was significantly more common in ASD than control mothers (15.6 vs. 6.7 %) and more equal between the ASD and control fathers (3.3 vs. 4.8 %). The ASD mothers scored significantly higher than control mothers on all SPAI scales. ASD fathers scored significantly higher than control fathers on the somatic, cognitive, avoidance and agoraphobic symptoms of SA. It is of clinical import to support ASD parents' well-being as their psychiatric features may contribute greatly to their children's emotional development and the well-being of the whole family.

Depression and anxiety symptoms among women who carry the FMR1 premutation: Impact of raising a child with fragile X syndrome is moderated by CRHR1 polymorphisms

The fragile X mental retardation gene, FMR1, contains a polymorphic CGG repeat in the 5'-untranslated region of exon 1. Once unstable, this repeat is capable of expansion across generations. Women who carry a premutation allele (55-199 repeats) are at risk of passing on a full mutation allele (>200 repeats) to their offspring. A full mutation leads to the most common form of inherited intellectual disability, fragile X syndrome (FXS). Mounting evidence suggests that premutation carriers may be vulnerable to symptoms of anxiety and depression. The goal of this study was to test the hypothesis that among women who carry a premutation, the stress of raising a child with FXS would be moderated by genetic factors influencing endogenous cortisol responses, which could in turn modulate anxiety and depression symptoms. To this end, we genotyped single nucleotide polymorphisms (SNPs) at the corticotrophin releasing hormone receptor 1 locus (CRHR1) in 460 women. Participants completed self-report questionnaires assessing symptoms of depression [Centers for Epidemiological Studies Depression Scale (CESD)], anxiety [State-Trait Anxiety Inventory (STAI) and Social Phobia and Anxiety Inventory (SPAI)], and mood [Positive and Negative Affect Schedule (PANAS)]. Results indicate a statistically significant interaction between CRHR1 genotype and the status of raising a child with FXS to predict social anxiety symptoms reported on the SPAI (rs7209436, P = 0.0001). Our data suggest that genetic variants in CRHR1 that associate with differential cortisol activation may also modulate levels of anxiety related to the stress of raising a child with FXS among women who carry an FMR1 premutation.

Brief Form of the Social Phobia and Anxiety Inventory (SPAI-B) for Adolescents

Brief Form of the Social Phobia and Anxiety Inventory (SPAI-B) for Adolescents

Development of an abbreviated Social Phobia and Anxiety Inventory (SPAI) using item response theory: The SPAI-23.

An abbreviated version of the Social Phobia and Anxiety Inventory (SPAI) was developed using methods based in nonparametric item response theory. Participants included a nonclinical sample of 1,482 undergraduates (52% female, mean age = 19.4 years) as well as a clinical sample of 105 individuals (56% female, mean age = 36.4 years) diagnosed with either generalized (73%) or specific social phobia (27%). Twenty-three of the 45 SPAI items demonstrated good discrimination along the social anxiety continuum. In addition, option characteristic curves (OCCs) indicated that the SPAI's 7-point scale may generate errors in ranking individuals. Thus, options were collapsed to improve item performance. No gender differences emerged between any of the items' OCCs, suggesting that items function similarly among men and women. The abbreviated version also correlated highly with the original 45-item SPAI and exhibited similar patterns of correlations with measures of social anxiety. The SPAI-23 has considerable practical benefits, including a screening of both social and agoraphobic anxiety as well as decreased assessment and scoring time.

Psychophysiological correlates of face processing in social phobia

Social phobia has been associated with abnormal processing of angry faces, which directly signal disapproval—a situation that social phobics fear. This study investigated the electrophysiological correlates of emotional face processing in socially phobic and non-phobic individuals. Subjects identified either the gender (modified emotional Stroop task) or the expression of angry, happy, or neutral faces. Social phobics showed no deviations from controls in reaction times, heart rates, P1, or P2 amplitudes in response to angry faces, although elevated FSS scores were associated with higher P1 amplitudes in social phobic persons. In addition, social phobic persons showed enhanced right temporo-parietal N170 amplitudes in response to angry faces in the emotion identification task. Furthermore, higher scores on the Social Phobia and Anxiety Inventory (SPAI) were associated as a trend with larger N170 amplitudes in response to angry faces in the emotion identification task. Thus, the present results suggest that social phobics show abnormalities in the early visual processing of angry faces, as reflected by the enhanced right-hemispheric N170 when the emotion of the angry face was the focus of attention, while behavioral responses and heart rates showed no evidence for preferred processing of angry facial expressions.

Is Social Anxiety Disorder Unrecognized in Patients With Substance Dependence?

ObjectiveTo examine the missed diagnosis of social anxiety disorder (SAD) in patients presenting for substance dependence (SD) evaluation.MethodsSubjects being seen for SD evaluation provided SD history and were screened for SAD by completing the Social Phobia and Anxiety Inventory (SPAI). SPAI scor

Reliability of the Social Phobia and Anxiety Inventory (SPAI) Portuguese version in a heterogeneous sample of Brazilian university students

To evaluate internal consistency and temporal stability trough test re-test reliability of the Portuguese version of the Social Phobia and Anxiety Inventory (SPAI) in a heterogeneous Brazilian sample. After informed consent, the translated and adapted version of the SPAI Portuguese was tested and re-tested at a 14-day interval in a sample of 225 university students, both genders, from 4 different undergraduate courses. After double data entry, statistical analysis included Cronbach's alphas, Pearson and intra-class correlation coefficients. The studied sample consisted of 213 students from 4 sub-samples: 95 law students, 31 social communication students, 54 civil engineering students and 33 dental medicine students. The mean age was 23 (+/-6) years and 110 (51.6%) were female. The Cronbach' alpha was 0.96, no difference for both genders. The differential (total) score of the SPAI Portuguese showed Pearson coefficient 0.83 (95% CI 0.78-0.87) and Intra-class coefficient 0.83 (95% CI 0.78-0.86). There was no statistical difference in Pearson coefficients between genders (p = 0.121) and the 4 sub-samples (p = 0.258). The results do not ensure validity, however, the SPAI Portuguese version presented a good content homogeneity with satisfactory level of internal consistency. The temporal stability evaluated was substantial. The results showed that the Portuguese SPAI presents perfectly acceptable reliability for both genders and suggest that it can be used in Brazilian populations.

The association between social anxiety and social functioning in first episode psychosis

The purpose of the study was to examine the relationship between social anxiety and social functioning in first episode psychosis, and to determine whether those with psychosis have any maladaptive or irrational beliefs regarding social situations. A sample of 60 first episode patients (41 males, 19 females) participated in the study. The presence of social phobia was determined using the Structured Clinical Interview for DSM-IV (SCID-I). Measures included The Social Phobia and Anxiety Inventory (SPAI), the Social Functioning Scale (SFS), the Quality of Life Scale (QLS) and the Social Interaction Self-Statement Test. Thirty-two percent of the sample met SCID-I criteria for social phobia and approximately 60% of participants were experiencing elevated levels of social anxiety according to the SPAI ( M=69.57, S.D.=27.42). Results were that negative symptoms and negative self-statements, but not social anxiety, were significant predictors of social functioning. This has implications for addressing these negative cognitions in early psychosis.

Social anxiety and agoraphobia in the eating disorders: Associations with eating attitudes and behaviours

Background While eating disorders have a high comorbidity with anxiety disorders, little is presently known about how anxiety links to eating attitudes and behaviours and other related characteristics of eating-disordered individuals. The present study aimed to determine whether social anxiety and agoraphobia in eating-disordered individuals are linked to different eating attitudes and behaviours and levels of ego functioning. Method The participants were 70 women who met DSM-IV criteria for an eating disorder. The Eating Disorder Inventory (EDI) was used as a measure of eating attitudes and ego-functioning characteristics, while the Social Phobia and Anxiety Inventory (SPAI) was used as a measure of levels of social anxiety and agoraphobia. Results High scores on the eating attitude scales of the EDI were associated with higher levels of social anxiety in eating-disordered individuals. High scores on the ego-dysfunction scales of the EDI were associated with higher levels of social anxiety and agoraphobia. Conclusions. The present findings suggest that eating-related attitudes and behaviours are associated with high levels of social anxiety, while psychological characteristics not specifically related to eating are associated with anxiety more broadly. The results highlight the importance of identifying and addressing comorbid anxiety in eating-disordered individuals, and suggestions are made for the treatment of such cases. Implications for future research are also discussed.

Relationships Among Social Anxiety Measures and Their Invariance1

Summary: Social phobia is becoming increasingly recognized as an important disorder among adolescents. The body of research on assessment measures in adolescents with social phobia has grown considerably. Unfortunately, little is known about the relationship among these measures and its invariance across clinical and community samples. The objective of the present study is to examine this issue. Results show that all of these measures are invariant among samples and assess a single higher-order factor, labeled as “social anxiety,” although each measure appears to tap a specific symptom (cognitive, behavioral, and somatic). Further, results do support the Social Phobia and Anxiety Inventory (SPAI) and the Social Anxiety Scale for Adolescents (SAS-A) as first-line assessment measures for adolescents' social anxiety.

Validität und Reliabilität der Social Interaction Anxiety Scale (SIAS) und der Social Phobia Scale (SPS)

Validity and Reliability of the Social Interaction Anxiety Scale (SIAS) and the Social Phobia Scale (SPS) Background: The Social Interaction Anxiety Scale (SIAS) and the Social Phobia Scale (SPS) are commonly used self-report instruments for social anxiety. Disorder-specific measures for social phobia are urgently needed considering the high prevalence of this anxiety disorder. The present study reports validity and reliability properties of the German version of both scales. Methods: 76 participants diagnosed with social phobia, 199 participants with panic disorder with/without agoraphobia or agoraphobia without a history of panic disorder, and 82 participants with other clinical disorders were included in the analyses. The patients were seeking treatment in the Christoph-Dornier Foundation for Clinical Psychology. The assessment procedure at the Foundation comprised a structured clinical interview and a battery of questionnaires. SPS und SIAS were part of this battery. Results: The results indicate that the scales have good internal consistency, adequate convergent, but inadequate discriminant validity with similar/different measures of anxiety and mood disturbances and they sensitively measure treatment change. Both scales discriminated between the clinical samples. However, the classification performance decreased significantly when all three samples were considered. A factor analysis did not support the originally theoretically derived uniformity of the scales. Conclusions: These findings confirm the utility of the questionnaires only in part. It is recommended to complete the assessment of social anxiety with other questionnaires like the Social Phobia and Anxiety Inventory (SPAI).

Psychometric properties of the social phobia and anxiety inventory, the Social Anxiety Scale for Adolescents, the Fear of Negative Evaluation Scale, and the Social Avoidance and Distress Scale in an adolescent Spanish-speaking sample.

The relationship among several social anxiety measures and a semistructured interview in an adolescent Spanish-speaking sample is examined. Construct validity and test-retest reliability were tested. A principal axis factor analysis was also explored. Results revealed good construct validity and alpha coefficients for the assessment instruments such as the Social Phobia and Anxiety Inventory (SPAI), the Social Anxiety Scale for Adolescents (SAS-A), the Fear of Negative Evaluation Scale (FNES) and the Social Avoidance Distress Scale (SADS). Among these, data strongly support the validity of the Social Phobia and Difference measures of the SPAI and Total SAS-A score as assessment measures in the adolescent population even in non-American cultures and languages. Furthermore, results appear to support the presence of a single higher-order dimension, “social anxiety,” as measured by the instruments used in this study.