Skip to main content
Top
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Mini - social phobia inventory (mini-SPIN): psychometric properties and population based norms of the German version

Authors: Jörg Wiltink, Sören Kliem, Matthias Michal, Claudia Subic-Wrana, Iris Reiner, Manfred E. Beutel, Elmar Brähler, Rüdiger Zwerenz

Published in: BMC Psychiatry | Issue 1/2017

Login to get access

Abstract

Background

A short screening for social anxiety disorder is useful in clinical and epidemiological contexts. However, the German version of the short form of the Social Phobia Inventory (mini-SPIN) has not been evaluated yet. Therefore, our aim was to determine reliability, validity and population based norms of the German mini-SPIN.

Methods

The mini-SPIN was evaluated in a clinical (N = 1254) and in a representative community sample (N = 1274). Clinical diagnoses, the Patient Health Questionnaire depression (PHQ-9) and somatization modules (PHQ-15), the Generalized Anxiety Disorder Scale (GAD-7), the Liebowitz Social Anxiety Scale (LSAS), and the Short-Form-12 Health Survey (SF-12) were used in the clinical sample. In the community sample, participants filled out socio-demographic and health related questions and short versions of the PHQ (PHQ-2, GAD-2, panic item). Internal consistency, test-retest reliability, sensitivity to change, discriminant validity, and convergent validity were examined. Receiver operating characteristic curve analyses were performed to determine cut-off scores. Population based norms were computed from the community sample.

Results

We found internal consistencies between 0.80 and 0.83. Test-retest correlation was Rho = 0.61; sensitivity to change was comparable to the LSAS. Correlations indicated good convergent and discriminant validity of the mini-SPIN. Strict measurement invariance can be assumed regarding age and gender. Receiver operating characteristic curve analysis suggested a cut-off of 6 or higher for a probable diagnosis of SAD.

Conclusions

The German version of the mini-SPIN is a reliable and valid instrument. Its brevity makes it valuable for screening and assessing changes of social anxiety in clinical and epidemiological studies.
Literature
1.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA, American Psychiatric Publishing; 2013. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA, American Psychiatric Publishing; 2013.
2.
go back to reference Wittchen HU, Jacobi F. Die Versorgungssituation psychischer Störungen in Deutschland. Eine klinisch-epidemiologische Abschätzung anhand des Bundes-Gesundheitssurveys 1998. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2001;44:993–1000.CrossRef Wittchen HU, Jacobi F. Die Versorgungssituation psychischer Störungen in Deutschland. Eine klinisch-epidemiologische Abschätzung anhand des Bundes-Gesundheitssurveys 1998. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2001;44:993–1000.CrossRef
3.
go back to reference Fehm L, Beesdo K, Jacobi F, Fiedler A. Social anxiety disorder above and below the diagnostic threshold: prevalence, comorbidity and impairment in the general population. Soc Psychiatry Psychiatr Epidemiol. 2008;43:257–65. doi:10.1007/s00127-007-0299-4.CrossRefPubMed Fehm L, Beesdo K, Jacobi F, Fiedler A. Social anxiety disorder above and below the diagnostic threshold: prevalence, comorbidity and impairment in the general population. Soc Psychiatry Psychiatr Epidemiol. 2008;43:257–65. doi:10.​1007/​s00127-007-0299-4.CrossRefPubMed
4.
5.
go back to reference Wittchen HU, Fehm L. Epidemiology and natural course of social fears and social phobia. Acta Psychiatr Scand. 2003;108(Suppl):4–18.CrossRef Wittchen HU, Fehm L. Epidemiology and natural course of social fears and social phobia. Acta Psychiatr Scand. 2003;108(Suppl):4–18.CrossRef
7.
go back to reference Keller MB. The lifelong course of social anxiety disorder: a clinical perspective. Acta Psychiatr Scand. 2003;108(Suppl):85–94.CrossRef Keller MB. The lifelong course of social anxiety disorder: a clinical perspective. Acta Psychiatr Scand. 2003;108(Suppl):85–94.CrossRef
8.
go back to reference Wiltink J, Haselbacher A, Knebel A, Tschan R, Zwerenz R, Michal M, Subic-Wrana C, Beutel ME. Soziale Phobie – eine im psychosomatischen Ambulanz- und Konsildienst unterdiagnostizierte Angsterkrankung? Psychother Psychosom Med Psychol. 2010;60:111–7. doi:10.1055/s-0029-1220692.CrossRefPubMed Wiltink J, Haselbacher A, Knebel A, Tschan R, Zwerenz R, Michal M, Subic-Wrana C, Beutel ME. Soziale Phobie – eine im psychosomatischen Ambulanz- und Konsildienst unterdiagnostizierte Angsterkrankung? Psychother Psychosom Med Psychol. 2010;60:111–7. doi:10.​1055/​s-0029-1220692.CrossRefPubMed
9.
go back to reference Mennin DS, Fresco DM, Heimberg RG, Schneier FR, Davies SO, Liebowitz MR. Screening for social anxiety disorder in the clinical setting: using the Liebowitz social anxiety scale. J Anxiety Disord. 2002;16:661–73.CrossRefPubMed Mennin DS, Fresco DM, Heimberg RG, Schneier FR, Davies SO, Liebowitz MR. Screening for social anxiety disorder in the clinical setting: using the Liebowitz social anxiety scale. J Anxiety Disord. 2002;16:661–73.CrossRefPubMed
10.
go back to reference Stangier U, Heidenreich T. Die Liebowitz Soziale Angst- Skala (LSAS). In Collegium Internationale Psychiatriae Scalarum (Hrsg.), Internationale Skalen für Psychiatrie. Weinheim, Beltz; 2004. Stangier U, Heidenreich T. Die Liebowitz Soziale Angst- Skala (LSAS). In Collegium Internationale Psychiatriae Scalarum (Hrsg.), Internationale Skalen für Psychiatrie. Weinheim, Beltz; 2004.
11.
go back to reference Heimberg RG, Horner KJ, Juster HR, Safren SA, Brown EJ, Schneier FR, Liebowitz MR. Psychometric properties of the Liebowitz social anxiety scale. Psychol Med. 1999;29:199–212.CrossRefPubMed Heimberg RG, Horner KJ, Juster HR, Safren SA, Brown EJ, Schneier FR, Liebowitz MR. Psychometric properties of the Liebowitz social anxiety scale. Psychol Med. 1999;29:199–212.CrossRefPubMed
13.
go back to reference Connor KM, Kobak KA, Churchill LE, Katzelnick D, Davidson JR. Mini-SPIN: A brief screening assessment for generalized social anxiety disorder. Depress Anxiety 2001; 14:137–140. Connor KM, Kobak KA, Churchill LE, Katzelnick D, Davidson JR. Mini-SPIN: A brief screening assessment for generalized social anxiety disorder. Depress Anxiety 2001; 14:137–140.
14.
go back to reference Connor KM, Davidson JRT, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the social phobia inventory (SPIN): new self-rating scale. Brit J Psychiatr. 2000;176:379–86.CrossRef Connor KM, Davidson JRT, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the social phobia inventory (SPIN): new self-rating scale. Brit J Psychiatr. 2000;176:379–86.CrossRef
15.
go back to reference Stangier U, Steffens M. Social Phobia Inventory (SPIN) – Deutsche Fassung. Frankfurt am Main: Psychologisches Institut der Universität Frankfurt am Main; 2002. Stangier U, Steffens M. Social Phobia Inventory (SPIN) – Deutsche Fassung. Frankfurt am Main: Psychologisches Institut der Universität Frankfurt am Main; 2002.
17.
20.
21.
23.
go back to reference Dilling H, Mombour W, Schmidt MH. Internationale Klassifikation psychischer Störungen ICD 10 Kapitel V (F). Bern, Huber: Klinisch-diagnostische Leitlinien; 1991. Dilling H, Mombour W, Schmidt MH. Internationale Klassifikation psychischer Störungen ICD 10 Kapitel V (F). Bern, Huber: Klinisch-diagnostische Leitlinien; 1991.
24.
go back to reference Löwe B, Gräfe K, Zipfel S, Witte S, Loerch B, Herzog W. Diagnosing ICD-10 depressive episodes: superior criterion validity of the patient health questionnaire. Psychother Psychosom. 2004;73:386–90. doi:10.1159/000080393.CrossRefPubMed Löwe B, Gräfe K, Zipfel S, Witte S, Loerch B, Herzog W. Diagnosing ICD-10 depressive episodes: superior criterion validity of the patient health questionnaire. Psychother Psychosom. 2004;73:386–90. doi:10.​1159/​000080393.CrossRefPubMed
26.
go back to reference Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA. 1999;282(18):1737–44.CrossRefPubMed Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA. 1999;282(18):1737–44.CrossRefPubMed
27.
go back to reference Gräfe K, Zipfel S, Herzog W, Löwe B. Screening psychischer Störungen mit dem "Gesundheitsfragebogen für Patienten (PHQ-D)". Ergebnisse der deutschen Validierungsstudie. Diagnostica. 2004;50:171–81.CrossRef Gräfe K, Zipfel S, Herzog W, Löwe B. Screening psychischer Störungen mit dem "Gesundheitsfragebogen für Patienten (PHQ-D)". Ergebnisse der deutschen Validierungsstudie. Diagnostica. 2004;50:171–81.CrossRef
28.
go back to reference Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef
31.
go back to reference Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146:317–25.CrossRefPubMed Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146:317–25.CrossRefPubMed
32.
33.
go back to reference Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64:258–66.CrossRefPubMed Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64:258–66.CrossRefPubMed
34.
go back to reference van Ravesteijn H, Wittkampf K, Lucassen P, van de Lisdonk E, van den Hoogen H, van Weert H, Huijser J, Schene A, van Weel C, Speckens A. Detecting somatoform disorders in primary care with the PHQ-15. Ann Fam Med. 2009;7:232–8. doi:10.1370/afm.985.CrossRefPubMedPubMedCentral van Ravesteijn H, Wittkampf K, Lucassen P, van de Lisdonk E, van den Hoogen H, van Weert H, Huijser J, Schene A, van Weel C, Speckens A. Detecting somatoform disorders in primary care with the PHQ-15. Ann Fam Med. 2009;7:232–8. doi:10.​1370/​afm.​985.CrossRefPubMedPubMedCentral
35.
go back to reference Bullinger M, Kirchberger I. Der SF-36 Fragebogen zum Gesundheitszustand. Göttingen, Hogrefe Verlag: Handbuch für die deutschsprachige Fragebogenversion; 1998. Bullinger M, Kirchberger I. Der SF-36 Fragebogen zum Gesundheitszustand. Göttingen, Hogrefe Verlag: Handbuch für die deutschsprachige Fragebogenversion; 1998.
36.
go back to reference Wiltink J, Tschan R, Michal M, Subic-Wrana C, Eckhardt-Henn A, Dieterich M, Beutel ME. Dizziness: anxiety, health care utilization and health behaviour. Results from a representative German community survey J Psychosom Res. 2009;66:417–24. doi:10.1016/j.jpsychores.2008.09.012.PubMed Wiltink J, Tschan R, Michal M, Subic-Wrana C, Eckhardt-Henn A, Dieterich M, Beutel ME. Dizziness: anxiety, health care utilization and health behaviour. Results from a representative German community survey J Psychosom Res. 2009;66:417–24. doi:10.​1016/​j.​jpsychores.​2008.​09.​012.PubMed
37.
go back to reference Löwe B, Spitzer RL, Zipfel S, Herzog W. PHQ-D Gesundheitsfragebogen für Patienten (German Version of the Patient Health Questionnaire). Pfizer: Karlsruhe; 2002. Löwe B, Spitzer RL, Zipfel S, Herzog W. PHQ-D Gesundheitsfragebogen für Patienten (German Version of the Patient Health Questionnaire). Pfizer: Karlsruhe; 2002.
38.
go back to reference Löwe B, Grafe K, Zipfel S, Spitzer RL, Herrmann-Lingen C, Witte S, Herzog W. Detecting panic disorder in medical and psychosomatic outpatients: comparative validation of the hospital anxiety and depression scale, the patient health questionnaire, a screening question, and physicians diagnosis. J Psychosom Res. 2003;55:515–9.CrossRefPubMed Löwe B, Grafe K, Zipfel S, Spitzer RL, Herrmann-Lingen C, Witte S, Herzog W. Detecting panic disorder in medical and psychosomatic outpatients: comparative validation of the hospital anxiety and depression scale, the patient health questionnaire, a screening question, and physicians diagnosis. J Psychosom Res. 2003;55:515–9.CrossRefPubMed
40.
go back to reference Byrne BM, Shavelson RJ, Muthén B. Testing for the equivalence of factor covariance and mean structures: the issue of partial measurement invariance. Psychol Bull. 1989;105(3):456–66.CrossRef Byrne BM, Shavelson RJ, Muthén B. Testing for the equivalence of factor covariance and mean structures: the issue of partial measurement invariance. Psychol Bull. 1989;105(3):456–66.CrossRef
41.
go back to reference Satorra A, Bentler PMA. Scaled difference chi-square test statistic for moment structure analysis. Psychometrika. 2001;66(4):507–14.CrossRef Satorra A, Bentler PMA. Scaled difference chi-square test statistic for moment structure analysis. Psychometrika. 2001;66(4):507–14.CrossRef
42.
go back to reference Chen FF. Sensitivity of goodness of fit indexes to lack of measurement invariance. Struct Equ Model. 2007;14(3):464–504.CrossRef Chen FF. Sensitivity of goodness of fit indexes to lack of measurement invariance. Struct Equ Model. 2007;14(3):464–504.CrossRef
43.
go back to reference LT H, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.CrossRef LT H, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.CrossRef
45.
go back to reference Rosseel Y. Lavaan: an R package for structural equation modeling. J Stat Softw. 2012;48(2):1–36.CrossRef Rosseel Y. Lavaan: an R package for structural equation modeling. J Stat Softw. 2012;48(2):1–36.CrossRef
46.
go back to reference Fogliati VJ, Terides MD, Gandy M, Staples LG, Johnston L, Karin E, Rapee RM, Titov N, Dear BF. Psychometric properties of the mini-social phobia inventory (mini-SPIN) in a large online treatment-seeking sample. Cogn Behav Ther. 2016;45(3):236–57. doi:10.1080/16506073.2016.1158206.CrossRefPubMed Fogliati VJ, Terides MD, Gandy M, Staples LG, Johnston L, Karin E, Rapee RM, Titov N, Dear BF. Psychometric properties of the mini-social phobia inventory (mini-SPIN) in a large online treatment-seeking sample. Cogn Behav Ther. 2016;45(3):236–57. doi:10.​1080/​16506073.​2016.​1158206.CrossRefPubMed
48.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates; 1988. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates; 1988.
49.
go back to reference Jacobi F, Höfler M, Strehle J, Mack S, Gerschler A, Scholl L, Busch MA, Maske U, Hapke U, Gaebel W, Maier W, Wagner M, Zielasek J, Wittchen HU. Mental disorders in the general population: study on the health of adults in Germany and the additional module mental health (DEGS1-MH). Nervenarzt. 2014;85(1):77–87. doi:10.1007/s00115-013-3961-y. CrossRefPubMed Jacobi F, Höfler M, Strehle J, Mack S, Gerschler A, Scholl L, Busch MA, Maske U, Hapke U, Gaebel W, Maier W, Wagner M, Zielasek J, Wittchen HU. Mental disorders in the general population: study on the health of adults in Germany and the additional module mental health (DEGS1-MH). Nervenarzt. 2014;85(1):77–87. doi:10.​1007/​s00115-013-3961-y.​ CrossRefPubMed
Metadata
Title
Mini - social phobia inventory (mini-SPIN): psychometric properties and population based norms of the German version
Authors
Jörg Wiltink
Sören Kliem
Matthias Michal
Claudia Subic-Wrana
Iris Reiner
Manfred E. Beutel
Elmar Brähler
Rüdiger Zwerenz
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1545-2

Other articles of this Issue 1/2017

BMC Psychiatry 1/2017 Go to the issue