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Symptomatic and functional assessment of social anxiety disorder in adults.

Publication ,  Journal Article
Tharwani, HM; Davidson, JR
Published in: Psychiatr Clin North Am
December 2001

There are several old and new tools for assessment of generalized SAD but few for nongeneralized SAD. Scales are available in both self-rated and interviewer-rated formats. Self-rated scales vary in appearance in length and specificity for SAD and psychometric properties. The best-studied self-rated scales are the FQ, FNE, SAAD, SPAI, and SPIN. The FQ is an early scale, with a subscale of social phobia with reasonable psychometric properties and has withstood the test of time. The FNE and SAAD are based on cognitive models of SAD but lack assessment of physiologic arousal symptoms--an important symptom cluster of SAD. The SPIN is a relatively new scale and shows potential especially with its three-item screener for generalized SAD. The two interviewer-rated scales, the LSAS and BSPS, are both widely used and demonstrate sound psychometric properties. Either one can be regarded as a satisfactory scale in the assessment of symptom severity and treatment response. The BSPS also measures several physical symptoms common in SAD. There are fewer validated tools available for nongeneralized SAD. It is a prevalent condition that may account for 25% or more of patients with SAD. More research is required on the epidemiology, recognition, assessment, and treatment of nongeneralized SAD. Education of patients and clinicians, and the use of improved and briefer tools in these settings, may help SAD patients to obtain appropriate help and improve their functioning and productivity. Few tools are available that can reliably assess disability due to SAD, and more research in this area is important and required.

Duke Scholars

Published In

Psychiatr Clin North Am

DOI

ISSN

0193-953X

Publication Date

December 2001

Volume

24

Issue

4

Start / End Page

643 / 659

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Reproducibility of Results
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Phobic Disorders
  • Personality Inventory
  • Interview, Psychological
  • Humans
  • Disability Evaluation
  • Child
 

Citation

APA
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ICMJE
MLA
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Tharwani, H. M., & Davidson, J. R. (2001). Symptomatic and functional assessment of social anxiety disorder in adults. Psychiatr Clin North Am, 24(4), 643–659. https://doi.org/10.1016/s0193-953x(05)70255-0
Tharwani, H. M., and J. R. Davidson. “Symptomatic and functional assessment of social anxiety disorder in adults.Psychiatr Clin North Am 24, no. 4 (December 2001): 643–59. https://doi.org/10.1016/s0193-953x(05)70255-0.
Tharwani HM, Davidson JR. Symptomatic and functional assessment of social anxiety disorder in adults. Psychiatr Clin North Am. 2001 Dec;24(4):643–59.
Tharwani, H. M., and J. R. Davidson. “Symptomatic and functional assessment of social anxiety disorder in adults.Psychiatr Clin North Am, vol. 24, no. 4, Dec. 2001, pp. 643–59. Pubmed, doi:10.1016/s0193-953x(05)70255-0.
Tharwani HM, Davidson JR. Symptomatic and functional assessment of social anxiety disorder in adults. Psychiatr Clin North Am. 2001 Dec;24(4):643–659.
Journal cover image

Published In

Psychiatr Clin North Am

DOI

ISSN

0193-953X

Publication Date

December 2001

Volume

24

Issue

4

Start / End Page

643 / 659

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Reproducibility of Results
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Phobic Disorders
  • Personality Inventory
  • Interview, Psychological
  • Humans
  • Disability Evaluation
  • Child