Cited by 54Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingChild and Adolescent Psychosocial and Emotional Development

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

von Glischinski, M., Willutzki, U., Stangier, U., Hiller, W., Hoyer, J., Leibing, E., Leichsenring, F., Hirschfeld, G.·2018·Clinical Psychology & Psychotherapy

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.

Integrity signals

Registry

Crossref · 10.1002/cpp.2179

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Rates of reliable change on the LSAS were 58.82% in the ACT condition and 65.52% in the tCBT condition, with no significant difference between conditions.

    “Using the established cutoff for reliable change on the LSAS of at least 25.97 points (von Glischinski et al., 2018), 20 of 34 respondents (58.82%) in the ACT condition and 19 of 29 respondents (65.52%) in the tCBT condition achieved reliable change. A generalized linear mixed effects model with a logit link tested whether there was a difference in the probability of achieving reliable change”

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
von Glischinski, M., Willutzki, U., Stangier, U., Hiller, W., Hoyer, J., Leibing, E., Leichsenring, F., & Hirschfeld, G.
Affiliations
  • Department of Psychology Witten/Herdecke University Witten Germany
  • Witten/Herdecke University (DE)
  • Goethe University Frankfurt (DE)
  • Johannes Gutenberg University Mainz (DE)
  • Technische Universität Dresden (DE)
  • University of Göttingen (DE)
  • Justus-Liebig-Universität Gießen (DE)
  • Hochschule Osnabrück (DE)
Venue
Clinical Psychology & Psychotherapy
Publisher
Wiley
Published
2018-02-11
Volume
25
Issue
3
Pages
465-473
ISSN
  • 1063-3995 (ISSN-L)
  • 1099-0879
OpenAlex
W2793576270
Cited by
54
References
45
Citations by year
2026: 14 · 2025: 5 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 9 · 2019: 4 · 2018: 1
FWCI
6.22
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Psychology & Psychotherapy (publishedVersion)
  • PubMed (publishedVersion)
  • Library Osnabrück University (Hochschule Osnabrück) (submittedVersion)
Funders
  • German Federal Ministry of Education and Research (BMBF) (01GV0607)
  • Witten/Herdecke University (IFF2014-14)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
Liebowitz Social Anxiety Scale, social anxiety disorder, cut-off values, treatment response, remission, sensitivity and specificity, psychotherapy, symptom severity assessment
MeSH terms
Phobia, Social, Adult, Female, Germany, Humans, Male, Psychiatric Status Rating Scales, Psychometrics, Psychotherapy, Remission Induction, Sensitivity and Specificity, Reproducibility of Results, Treatment Outcome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review