View in EDS HTML Full Text PDF Full Text

Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response in a German sample.

Saved in:
Bibliographic Details
Title: Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response in a German sample.
Authors: von Glischinski, M., Willutzki, U., Stangier, U., Hiller, W., Hoyer, J., Leibing, E., Leichsenring, F., Hirschfeld, G.
Source: Clinical Psychology & Psychotherapy. May/Jun2018, Vol. 25 Issue 3, p465-473. 9p. 5 Charts, 2 Graphs.
Subjects: Classification of mental disorders, Social anxiety, Psychotherapy, Randomized controlled trials, Treatment effectiveness, Disease remission, Prognosis, Diagnosis, Therapeutics
Geographic Terms: Germany
Abstract: The Liebowitz Social Anxiety Scale (LSAS) is the most frequently used instrument to assess social anxiety disorder (SAD) in clinical research and practice. Both a self‐reported (LSAS‐SR) and a clinician‐administered (LSAS‐CA) version are available. The aim of the present study was to define optimal cut‐off (OC) scores for remission and response to treatment for the LSAS in a German sample. Data of N = 311 patients with SAD were used who had completed psychotherapeutic treatment within a multicentre randomized controlled trial. Diagnosis of SAD and reduction in symptom severity according to the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition, served as gold standard. OCs yielding the best balance between sensitivity and specificity were determined using receiver operating characteristics. The variability of the resulting OCs was estimated by nonparametric bootstrapping. Using diagnosis of SAD (present vs. absent) as a criterion, results for remission indicated cut‐off values of 35 for the LSAS‐SR and 30 for the LSAS‐CA, with acceptable sensitivity (LSAS‐SR: .83, LSAS‐CA: .88) and specificity (LSAS‐SR: .82, LSAS‐CA: .87). For detection of response to treatment, assessed by a 1‐point reduction in the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition, rating, a reduction of 28% for the LSAS‐SR and 29% for the LSAS‐CA yielded the best balance between sensitivity (LSAS‐SR: .75, LSAS‐CA: .83) and specificity (LSAS‐SR: .76, LSAS‐CA: .80). To our knowledge, we are the first to define cut points for the LSAS in a German sample. Overall, the cut points for remission and response corroborate previously reported cut points, now building on a broader data basis. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 130001015
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response in a German sample.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22von+Glischinski%2C+M%2E%22">von Glischinski, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Willutzki%2C+U%2E%22">Willutzki, U.</searchLink><br /><searchLink fieldCode="AR" term="%22Stangier%2C+U%2E%22">Stangier, U.</searchLink><br /><searchLink fieldCode="AR" term="%22Hiller%2C+W%2E%22">Hiller, W.</searchLink><br /><searchLink fieldCode="AR" term="%22Hoyer%2C+J%2E%22">Hoyer, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Leibing%2C+E%2E%22">Leibing, E.</searchLink><br /><searchLink fieldCode="AR" term="%22Leichsenring%2C+F%2E%22">Leichsenring, F.</searchLink><br /><searchLink fieldCode="AR" term="%22Hirschfeld%2C+G%2E%22">Hirschfeld, G.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. May/Jun2018, Vol. 25 Issue 3, p465-473. 9p. 5 Charts, 2 Graphs.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Social+anxiety%22">Social anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+remission%22">Disease remission</searchLink><br /><searchLink fieldCode="DE" term="%22Prognosis%22">Prognosis</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Germany%22">Germany</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The Liebowitz Social Anxiety Scale (LSAS) is the most frequently used instrument to assess social anxiety disorder (SAD) in clinical research and practice. Both a self‐reported (LSAS‐SR) and a clinician‐administered (LSAS‐CA) version are available. The aim of the present study was to define optimal cut‐off (OC) scores for remission and response to treatment for the LSAS in a German sample. Data of N = 311 patients with SAD were used who had completed psychotherapeutic treatment within a multicentre randomized controlled trial. Diagnosis of SAD and reduction in symptom severity according to the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition, served as gold standard. OCs yielding the best balance between sensitivity and specificity were determined using receiver operating characteristics. The variability of the resulting OCs was estimated by nonparametric bootstrapping. Using diagnosis of SAD (present vs. absent) as a criterion, results for remission indicated cut‐off values of 35 for the LSAS‐SR and 30 for the LSAS‐CA, with acceptable sensitivity (LSAS‐SR: .83, LSAS‐CA: .88) and specificity (LSAS‐SR: .82, LSAS‐CA: .87). For detection of response to treatment, assessed by a 1‐point reduction in the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition, rating, a reduction of 28% for the LSAS‐SR and 29% for the LSAS‐CA yielded the best balance between sensitivity (LSAS‐SR: .75, LSAS‐CA: .83) and specificity (LSAS‐SR: .76, LSAS‐CA: .80). To our knowledge, we are the first to define cut points for the LSAS in a German sample. Overall, the cut points for remission and response corroborate previously reported cut points, now building on a broader data basis. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=130001015
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/cpp.2179
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 465
    Subjects:
      – SubjectFull: Classification of mental disorders
        Type: general
      – SubjectFull: Social anxiety
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Disease remission
        Type: general
      – SubjectFull: Prognosis
        Type: general
      – SubjectFull: Diagnosis
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Germany
        Type: general
    Titles:
      – TitleFull: Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response in a German sample.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: von Glischinski, M.
      – PersonEntity:
          Name:
            NameFull: Willutzki, U.
      – PersonEntity:
          Name:
            NameFull: Stangier, U.
      – PersonEntity:
          Name:
            NameFull: Hiller, W.
      – PersonEntity:
          Name:
            NameFull: Hoyer, J.
      – PersonEntity:
          Name:
            NameFull: Leibing, E.
      – PersonEntity:
          Name:
            NameFull: Leichsenring, F.
      – PersonEntity:
          Name:
            NameFull: Hirschfeld, G.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 05
              Text: May/Jun2018
              Type: published
              Y: 2018
          Identifiers:
            – Type: issn-print
              Value: 10633995
          Numbering:
            – Type: volume
              Value: 25
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Clinical Psychology & Psychotherapy
              Type: main
ResultId 1