Soziale Phobie – eine im psychosomatischen Ambulanz- und Konsildienst unterdiagnostizierte Angsterkrankung?

Wiltink, Jörg; Haselbacher, Antje; Knebel, Achim; Tschan, Regine; Zwerenz, Rüdiger; Michal, Matthias; Subič-Wrana, Claudia; Beutel, Manfred E.

doi:10.1055/s-0029-1220692

Cited by 4 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reasons for the low specificity might be the relatively seldom (8.3%) clinical diagnosis of SAD (e.g. [ 8 ]) and the lack of a non-clinical comparison group.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical diagnosis of social anxiety was used. Being aware of the relatively low number of diagnoses (8.3%, also see [ 8 ]) we additionally used internationally validated cut-offs of the LSAS as criteria [ 9 ]. A cut-off of 60 indicated a generalized social anxiety and a cut-off of 30 a social anxiety.…”

Section: Methodsmentioning

confidence: 99%

“…Mistaken as shyness, SAD is often not recognized and therefore untreated [ 5 , 7 ]. Because SAD remains undiagnosed – even in psychosomatic outpatient and consultation-liaison services – valid screening instruments are urgently needed [ 8 ]. There are several valid questionnaires available assessing social anxiety (performance anxiety and/or anxiety in interactions); e.g.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2017

Self Cite

View full text Add to dashboard Cite

BackgroundA 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.MethodsThe 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.ResultsWe 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.ConclusionsThe 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.

show abstract

“…The reasons for the low specificity might be the relatively seldom (8.3%) clinical diagnosis of SAD (e.g. [ 8 ]) and the lack of a non-clinical comparison group.…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, service use rates do not fully reflect care and treatment of AD: A substantial fraction of individuals with AD are in contact with help services but present with other problems such as somatic or depressive symptoms (Asp et al 2020;Kirmayer et al 1993;Zimmerman and Chelminski 2003). It is reported that less than half of the potential generalized and social anxiety diagnoses are detected in primary and outpatient psychosomatic services (Wiltink et al 2010;Wittchen et al 2002). Consequently, only 30%-70% of service users with AD receive an anxiety-specific treatment (Fernández et al 2007;Roberge et al 2011;Stein et al 2004).…”

Section: Introductionmentioning

confidence: 99%

Help-Seeking Behavior and Treatment Barriers in Anxiety Disorders: Results from a Representative German Community Survey

Heinig

Wittchen

Knappe

2021

Community Ment Health J

View full text Add to dashboard Cite

Although effective therapies exist, treatment rates of anxiety disorders (AD) are low, raising the question why affected individuals do not receive treatment. We provide data from the nationally representative German Health Interview and Examination Survey-2011 (DEGS1) on the help-seeking behavior and perceived treatment barriers of 650 subjects with Diagnostic and Statistical Manual of Mental Disorders’ (DSM-IV AD). Only 26% of all cases with AD in the community reported having had contact with mental health services because of their anxiety problems in their lifetime. 16% were currently receiving professional help, most frequently by psychotherapists (8%), psychiatrists (5%) and general practitioners (5%). 40% of all cases never even considered seeking help and 31% reported barriers to treatment, such as self-reliance (18%) or beliefs that treatments were ineffective (9%), unavailable (8%) or too stigmatizing (7%). Measures to increase treatment rates should thus target individual as well as public attitudes and health literacy to increase awareness of and access to evidence-based interventions.

show abstract

“…For example, only a small percentage of those affected seek professional help [3]. In addition, SAD often goes unnoticed and is therefore underdiagnosed, even by professionals [31, 36]. Furthermore, CBT (cognitive behavior therapy), which shows the strongest evidence for treating childhood SAD [37], has a success rate of 70% [38].…”

Section: Introductionmentioning

confidence: 99%

Social anxiety disorder and emotion regulation problems in adolescents

Sackl‐Pammer

Jahn

Özlü-Erkilic

et al. 2019

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

Background Social anxiety disorder (SAD) in adolescents may be associated with the use of maladaptive emotion regulation (ER) strategies. The present study examined the use of maladaptive and adaptive ER strategies in adolescents with SAD. Methods 30 adolescents with SAD (CLIN) and 36 healthy adolescents for the control group (CON) aged between 11 and 16 years were assessed with the standardized questionnaires PHOKI (Phobiefragebogen für Kinder und Jugendliche) for self-reported fears as well as FEEL-KJ (Fragebogen zur Erhebung der Emotionsregulation bei Kindern und Jugendlichen) for different emotion regulation strategies. Results Compared to controls, adolescents with SAD used adaptive ER strategies significantly less often, but made use of maladaptive ER strategies significantly more often. There was a significant positive correlation between maladaptive ER and social anxiety in adolescents. Examining group differences of single ER strategy use, the CLIN and CON differed significantly in the use of the adaptive ER strategy reappraisal with CLIN reporting less use of reappraisal than CON. Group differences regarding the maladaptive ER strategies withdrawal and rumination, as well as the adaptive ER strategy problem-solving were found present, with CLIN reporting more use of withdrawal and rumination and less use of problem-solving than CON. Conclusions Promoting adaptive emotion regulation should be a central component of psychotherapy (cognitive behavioral therapy-CBT) for social anxiety in adolescents from the beginning of the therapy process. These findings provide rationale for special therapy programs concentrating on the establishment of different adaptive ER strategies (including reappraisal). As an increased use of maladaptive ER may be associated with SAD in adolescents, it may be paramount to focus on reduction of maladaptive ER (for example withdrawal and rumination) from the beginning of the psychotherapy process. Incorporating more ER components into psychotherapy (CBT) could increase the treatment efficacy. Further investigations of the patterns of emotion regulation in specific anxiety groups like SAD in adolescents is needed to continue to optimize the psychotherapy (CBT) concept.

show abstract

Soziale Phobie – eine im psychosomatischen Ambulanz- und Konsildienst unterdiagnostizierte Angsterkrankung?

Cited by 4 publications

References 15 publications

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

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

Help-Seeking Behavior and Treatment Barriers in Anxiety Disorders: Results from a Representative German Community Survey

Social anxiety disorder and emotion regulation problems in adolescents

Contact Info

Product

Resources

About