Psychometric properties of the Social Phobia Inventory (SPIN). New self-rating scale.
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).


OBJECTIVE
To establish psychometric validation of the SPIN.


METHODS
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 test-retest 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.
Connor
K M
KM
Department of Psychiatry and Behavioral Sciences, Duke University, Medical Center, Durham, NC 27710, USA. kathryn.connor@duke.edu
Davidson
J R
JR
Churchill
L E
LE
Sherwood
A
A
Foa
E
E
Weisler
R H
RH
D000328:Adult; D002985:Clinical Protocols; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010698:Phobic Disorders / Q000175:diagnosis*; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics / Q000379:methods; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index