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Social Threat-Safety Test Uncovers Psychosocial Stress-Related Phenotypes
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Finding social phobia patients from the Internet.

Jian-Ting Chen1, Chao-Cheng Lin, Sheng-Chang Wang

  • 1Department of General Psychiatry, Bali Psychiatric Center, New Taipei City, Taiwan.

Psychiatry Research
|May 7, 2011
PubMed
Summary

The Social Phobia Inventory (SPIN) effectively identifies social phobia online. This internet-based assessment found many undiagnosed individuals, suggesting online screening potential.

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Area of Science:

  • Psychiatry
  • Internet-based mental health assessment
  • Social phobia research

Background:

  • Social phobia patients often avoid in-person evaluations.
  • Internet-based assessment tools are emerging as alternatives.
  • Identifying and characterizing social phobia online is crucial.

Purpose of the Study:

  • To identify individuals with social phobia using the internet.
  • To characterize the condition of these individuals.
  • To validate an internet-based Social Phobia Inventory (SPIN).

Main Methods:

  • Recruited 1307 participants online for Stage I.
  • Administered the internet-based Social Phobia Inventory (SPIN).
  • Conducted telephone interviews for discriminant validity in Stage II.

Main Results:

  • Internet-based SPIN showed high internal consistency (Cronbach's α=0.937) and test-retest reliability (ICC=0.942).
  • Optimal SPIN score cutoff of 24 discriminated social phobia with an AUC of 0.871.
  • 70.3% of participants met social phobia criteria, with 57.8% untreated.

Conclusions:

  • The internet is a viable method for identifying patients with social phobia.
  • A significant proportion of individuals with social phobia remain undiagnosed and untreated.
  • Internet-based assessments like SPIN can facilitate early detection and intervention.