Use of the Chinese (Taiwan) Version of the Social Phobia Inventory (SPIN) Among Early Adolescents in Rural Areas: Reliability and Validity Study

Background: To assess the screening abilities of the Chinese (Taiwan) version of the Social Phobia Inventory (SPIN) for evaluating social phobia in an adolescent community sample. Methods: A total of 3,393 students (1,669 boys, 1,724 girls), aged 13–15, completed the SPIN questionnaire. A total of 144 students were enrolled for validity. The Mini‐International‐Neuropsychiatric‐Interview‐Kid (MINI‐Kid) was used to establish Diagnostic and Statistical Manual of Mental Disorders–IV diagnosis. Results: The mean SPIN total score of all subjects was 14.2 ± 9.4, which was higher in girls than in boys (14.7 ± 9.4 vs. 13.7 ± 9.1; p < 0.01). The 7th graders had the highest SPIN total scores compared with the 8th and 9th graders (15.4 ± 9.7 vs. 13.4 ± 9.1 and 14.0 ± 9.4; p < 0.001). Internal consistency (Cronbach's α = 0.85) and test–retest reliability (r = 0.73) were both good. A cut‐off score of 25 resulted in balanced sensitivity (80%) and specificity (77%). Conclusion: The Chinese (Taiwan) SPIN has good screening abilities. The cut‐offs are different from those in other countries, and highlight the importance of culturally adapted cut‐offs.

[1]  S. Okazaki.  Asian American and White American Differences on Affective Distress Symptoms , 2000 .

[2]  H. Johnson,et al.  The Social Phobia Inventory: validity and reliability in an adolescent community sample. , 2006, Psychological assessment.

[3]  Jonathan W. Roberti,et al.  Psychometric evaluation of the Social Anxiety Scale for Adolescents and the Social Phobia and Anxiety Inventory for Children: construct validity and normative data. , 2004, Journal of anxiety disorders.

[4]  T. Chen,et al.  A 3-year panel study of mental disorders among adolescents in Taiwan. , 2005, The American journal of psychiatry.

[5]  N. Zane,et al.  The use of culturally-based variables in assessment: Studies on loss of face. , 2002 .

[6]  T. Singelis,et al.  Culture, Self-Construal, and Embarrassability , 1995 .

[7]  John G. Oetzel,et al.  Explaining Individual Communication Processes in Homogeneous and Heterogeneous Groups through Individualism-Collectivism and Self-Construal. , 1998 .

[8]  D. Beidel,et al.  Psychopathology of childhood social phobia. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[9]  T. Hergueta,et al.  The mini international neuropsychiatric interview , 1998, European Psychiatry.

[10]  E. Coutinho,et al.  Confiabilidade da versão em Português do Inventário de Fobia Social (SPIN) entre adolescentes estudantes do Município do Rio de Janeiro , 2004 .

[11]  Martti T. Tuomisto,et al.  Age and gender differences in social anxiety symptoms during adolescence: The Social Phobia Inventory (SPIN) as a measure , 2007, Psychiatry Research.

[12]  D. Sheehan,et al.  The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. , 1998, The Journal of clinical psychiatry.

[13]  Min-Sun Kim,et al.  Cross-cultural comparisons of the perceived importance of conversational constraints , 1994 .

[14]  F. Jones,et al.  International Classification of Diseases , 1978 .

[15]  J. A. Boer.  Social anxiety disorder/social phobia: Epidemiology, diagnosis, neurobiology, and treatment , 2000 .

[16]  J. Fuh,et al.  Psychiatric comorbidity and suicide risk in adolescents with chronic daily headache , 2007, Neurology.

[17]  R. Kessler,et al.  Social phobia subtypes in the National Comorbidity Survey. , 1998, The American journal of psychiatry.

[18]  L. García-López,et al.  The Social Phobia and Anxiety Inventory: Reliability and Validity in an Adolescent Spanish Population , 1999 .

[19]  J. Davidson,et al.  Impact of generalized social anxiety disorder in managed care. , 2001, The American journal of psychiatry.

[20]  J M Gorman,et al.  Neurobiological mechanisms of social anxiety disorder. , 2001, The American journal of psychiatry.

[21]  H. Wittchen,et al.  Epidemiology, patterns of comorbidity, and associated disabilities of social phobia. , 2001, The Psychiatric clinics of North America.

[22]  K. Walters,et al.  Social Anxiety Scale for Adolescents: Normative Data and Further Evidence of Construct Validity , 2000, Journal of clinical child psychology.

[23]  S. Woody,et al.  Cultural mediators of self-reported social anxiety. , 2007, Behaviour research and therapy.

[24]  J. D. den Boer,et al.  Social anxiety disorder/social phobia: epidemiology, diagnosis, neurobiology, and treatment. , 2000, Comprehensive psychiatry.

[25]  R. Kaltiala-Heino,et al.  Screening social phobia in adolescents from general population: The validity of the Social Phobia Inventory (SPIN) against a clinical interview , 2007, European Psychiatry.

[26]  J. Davidson,et al.  Psychometric properties of the Social Phobia Inventory (SPIN) , 2000, British Journal of Psychiatry.

[27]  D. Baldwin,et al.  The economic consequences of social phobia. , 2002, Journal of affective disorders.

[28]  J. Hanley,et al.  A method of comparing the areas under receiver operating characteristic curves derived from the same cases. , 1983, Radiology.

[29]  C. Essau,et al.  Frequency and comorbidity of social phobia and social fears in adolescents. , 1999, Behaviour research and therapy.

[30]  S. Kalick,et al.  Culture, Ethnicity, and Emotional Distress Measures , 2002 .

[31]  S. Okazaki,et al.  Asian American-white American differences in expressions of social anxiety: a replication and extension. , 2002, Cultural diversity & ethnic minority psychology.

[32]  S Kasper,et al.  Social phobia: diagnosis and epidemiology, neurobiology and pharmacology, comorbidity and treatment. , 2000, Journal of Affective Disorders.

[33]  A. La Greca,et al.  Social Anxiety Among Adolescents: Linkages with Peer Relations and Friendships , 1998, Journal of abnormal child psychology.

[34]  S. Okazaki,et al.  Cultural Norms and Subjective Disability as Predictors of Symptom Reports among Asian Americans and White Americans , 2002 .

[35]  M. Weissman,et al.  Social Phobia: Comorbidity and Morbidity in an Epidemiologic Sample , 1992 .

[36]  Dan J Stein,et al.  Social Anxiety Disorder , 1999, CNS Spectrums.

[37]  R. Kessler,et al.  Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity , 1999, Psychological Medicine.

[38]  L. Davidson,et al.  The relationship between anxiety and substance use disorders among individuals with severe affective disorders. , 2002, Comprehensive psychiatry.