Abstract
Zusammenfassung. Die vorliegende Arbeit berichtet erste Analysen zur Reliabilität und Validität sowie klinische cut-off-Werte der deutschen Bearbeitung der Social Interaction Anxiety Scale und der Social Phobia Scale (Mattick & Clarke, 1989). Die Skalen wurden 43 Patienten mit Sozialer Phobie, 69 Patienten mit anderen psychischen Störungen und 24 Kontrollpersonen ohne psychische Störungen vorgelegt. Die ermittelten Werte für die innere Konsistenz und Test-Retest-Korrelation sprechen für eine sehr hohe Reliabilität. Hinweise auf eine konvergente Validität ergaben sich aus hohen Korrelationen mit konstruktnahen Meßinstrumenten zur Sozialen Phobie, während die Korrelationen zu Depressions- und Angstmaßen erwartungsgemäß geringer ausfielen. Die beiden Skalen diskriminieren Soziophobiker sehr gut von Personen ohne psychische Störung und Angstpatienten, während die Diskriminationsleistung von depressiven Patienten geringer ausgeprägt ist. Die ermittelten cut-off-Werte liegen deutlich unter den amerikanischen Werten und sind als vorläufig zu betrachten. Insgesamt sprechen die Ergebnisse für den Einsatz der Instrumente als reliable und spezifische Screening-Instrumente für Soziale Phobie.
Abstract. The psychometric properties of a German version of the Social Interaction Anxiety Scale and the Social Phobia Scale (Mattick & Clarke, 1989) were evaluated in 43 social phobics, 69 patients with other disorders, and 24 normal controls. Internal consistency and retest reliability were very good and comparable to the original versions. Both scales showed high convergent validity as indicated by high correlations with other measures of social phobia. Lower correlations were observed with depression and anxiety measures. Social phobics were significantly discriminated from normal controls as well as patients with other anxiety disorders and depression, but not from patients with mixed anxiety and depression. cut-off scores were significantly lower than obtained with original versions and need further examination. To sum up, our results indicate that both scales are useful as reliable and specific screening instruments for social phobia.
Literatur
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders, 3rd ed., rev. (DSM-III-R). Washington, DC: American Psychiatric Association .Becker, P. (1982). Interaktions-Angst-Fragebogen . Weinheim: Beltz .Beidel, D. C. , Turner, S. M. , Stanley, M. A. , Dancu, C. V. (1989). The Social Phobia and Anxiety Inventory: Concurrent and external validity. Behavior Therapy, 20, 417– 420 .Brown, E. J. , Turovsky, J. , Heimberg, R. J. , Juster, H. R. , Brown, T. A. , Barlow, D. H. (1997). Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale Across the Anxiety Disorders. Psychological Assessment, 9, 21– 27 .Bruch, M. A. , Mattia, J. I. , Heimberg, R. G. , Holt, C. S. (1993). Cognitive specificity in social anxiety and depression: Supporting evidence and qualifications due to affective confounding. Cognitive Therapy and Research, 17, 1– 21 .Fydrich, T. , Scheurich, A. , Kasten, E. (1995). Fragebogen zur sozialen Angst . Deutsche Bearbeitung des Social Phobia and Anxiety Inventory (SPAI) von Turner und Beidel. Unveröffentl. Manuskript, Psychologisches Institut der Universität Heidelberg .Hautzinger, M. , Bailer, M. , Worall, H. , Keller, F. (1991). Das Beck-Depressionsinventar - (BDI) . Bern: Huber .Heimberg, R. G. , Holt, C. S. , Schneier, F. R. , Spitzer, R. L. , Liebowitz, M. R. (1993). The issue of subtypes in the diagnosis of social phobia. Journal of Anxiety Disorders, 7, 249– 269 .Heimberg, R. G. , Hope, D. A. , Rapee, R. M. , Bruch, M. A. (1988). The validity of the social avoidance and distress scale and the fear of negative evaluation scale with social phobic patients. Behaviour Research and Therapy, 26, 407– 410 .Heimberg, R. G. , Mueller, G. , Holt, C. S. , Hope, D. A. , Liebowitz, M. R. (1992). Assessment of anxiety in social interaction and being observed by others: The social interaction anxiety scale and the social phobia scale. Behavior Therapy, 23, 53– 73 .Hiller, W. , Zaudig, M. , v. Bose, M. (1989). The overlap between depression and anxiety on different levels of psychopathology. Journal of Affective Disorders, 16, 223– 231 .Ingram, R. E. (1989). Unique and shared cognitive factors in social anxiety and depression: automatic thinking and self-appraisal. Journal of Social and Clinical Psychology, 8, 198– 208 .Kessler, R. C. , McGonagle , Zhao, S. , Nelson, C. B. , Hughes, M. , Eshelman, S. , Wittchen, H. , Kendler, K. S. (1994). Lifetime and 12-month-prevalence of DSM-III-R-psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8– 19 .Liebowitz, M. R. (1987). Social Phobia. Modern Problems of Pharmacopsychiatry, 22, 141– 173 .Margraf, J. , Ehlers, A. (1997). Das Beck Angstinventar . Bern: Huber-Verlag (im Druck) .Mattick, R. P. , Clarke, J. C. (1989). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety . Unpublished manuscript .Mattick, R. P. , Peters, L. , Clarke, J. C. (1989). Exposure and cognitive restructuring for social phobia: A controlled study. Behavior Therapy, 20, 3– 23 .Peters, L. , Andrews, G. (1995). Procedural validity of the computerized version of the Composite International Diagnostic Interview (CIDI-Auto) in the anxiety disorders. Psychological Medicine, 25, 1269– 1280 .Rapee, R. M. , Sanderson, W. C. , Barlow, D. H. (1988). Social phobia features across the DSM-III-R anxiety disorders. Journal of Psychopathology and Behavioral Assessment, 10, 287– 299 .Stangier, U. , Heidenreich, T. (1997). Diagnostik der Sozialen Phobie. Verhaltenstherapie, 7, 49– 60 .Turner, S. M. , Beidel, D. C. , Dancu, C. V. , Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The social phobia and anxiety inventory (SPAI). Psychological Assessment, 1, 35– 40 .Ullrich de Muynck, R. , Ullrich, R. (1977). Der Unsicherheitsfragebogen (Testmanual U) . München: Pfeiffer .Vormbrock, F. , Neuser, J. (1983). Konstruktion zweier spezifischer Trait-Fragebogen zur Erfassung von Angst in sozialen Situationen. Diagnostica, 29, 165– 182 .Watson, D. , Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448– 457 .Wittchen, H.-U. (1995). Münchener Composite International Diagnostic Interview (MCIDI PC-Version) . München: Max-Planck-Institut für Psychiatrie, Klinische Psychologie .
