Screening for social anxiety disorder with the self-report version of the Liebowitz Social Anxiety Scale
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OBJECTIVE: This study examined whether the self-report version of the Liebowitz Social Anxiety Scale (LSAS-SR) could accurately identify individuals with social anxiety disorder and individuals with the generalized subtype of social anxiety disorder. Furthermore, the study sought to determine the optimal cutoffs for the LSAS-SR for identifying patients with social anxiety disorder and its generalized subtype. METHODS: Two hundred and ninety-one patients with clinician-assessed social anxiety disorder (240 with generalized social anxiety disorder) and 53 control participants who were free from current Axis-1 disorders completed the LSAS-SR. RESULTS: Receiver Operating Characteristic analyses revealed that the LSAS-SR performed well in identifying participants with social anxiety disorder and generalized social anxiety disorder. Consistent with Mennin et al.'s [2002: J Anxiety Disord 16:661-673] research on the clinician-administered version of the LSAS, cutoffs of 30 and 60 on the LSAS-SR provided the best balance of sensitivity and specificity for classifying participants with social anxiety and generalized social anxiety disorder, respectively. CONCLUSIONS: The LSAS-SR may be an accurate and cost-effective way to identify and subtype patients with social anxiety disorder, which could help increase the percentage of people who receive appropriate treatment for this debilitating disorder.
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LSAS > 60 is a validated clinical cutoff for severe social anxiety.
“using validated clinical cutoff scores (Rytwinski et al., 2009).”
From Examining the Role of Implicit Emotional Judgments in Social Anxiety and Experiential Avoidance (2017) · cites this paper as Rytwinski et al., 2009
The Abstract and the “Generalized Social Anxiety Disorder Versus Nongeneralized Social Anxiety Disorder” section identify an LSAS-SR cutoff of 60 for distinguishing generalized from nongeneralized social anxiety disorder. They do not validate a score above 60 as a cutoff for *severe* social anxiety; the severity interpretation is unsupported. (LLM, conf=0.90)
Experimental — accuracy not yet measuredHighly socially anxious participants were identified by the Liebowitz Social Anxiety Scale using a cut-off score that identifies participants meeting DSM criteria for Social Anxiety Disorder with 93.9% accuracy.
“The HSAs were identified by the Liebowitz Social Anxiety Scale (LSAS) using a cut-off score that identifies participants who meet DSM criteria for Social Anxiety Disorder with 93.9% accuracy (Fresco, Coles, Heimberg, Liebowitz et al. 2001; Rytwinski, Fresco, Heimberg, Coles et al. 2009).”
From Advancing the treatment of anxiety disorders in transition‐age youth: a review of the therapeutic effects of unconscious exposure. (2025) · cites this paper as Rytwinski, Fresco, Heimberg, Coles et al. 2009
The LSAS-SR has good reliability and construct validity.
“The LSAS-SR has good reliability and construct validity (Rytwinski et al., 2009)”
From Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. (2016) · cites this paper as Rytwinski et al., 2009
The Liebowitz Social Anxiety Scale (LSAS) is a reliable and valid measure of social anxiety, and the self-report version compares well to the clinician-administered version.
“The LSAS has been shown to be a reliable and valid measures of social anxiety (Rytwinski et al., 2009), and evidence suggests the self-report version of the LSAS compares well to the clinician-administered version (Dos Santos et al., 2013; Fresco et al., 2001)”
From Acceptability and Co-Development of an Online Cognitive Bias Modification Intervention for Emerging Adults With Hazardous Alcohol Use and Social Anxiety: A Mixed Methods Study (2020) · cites this paper as Rytwinski et al., 2009
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- Authors
- Rytwinski, N. K., Fresco, D. M., Heimberg, R. G., Coles, M. E., Liebowitz, M. R., Cissell, S., Stein, M. B., & Hofmann, S. G.
- Affiliations
- Kent State University (US)
- Temple University (US)
- Binghamton University (US)
- New York State Psychiatric Institute (US)
- University of California San Diego (US)
- Boston University (US)
- Corresponding author
- Fresco, David M.
- ORCID
- Venue
- Depression and Anxiety
- Publisher
- Wiley
- Published
- 2009-01
- Volume
- 26
- Issue
- 1
- Pages
- 34-38
- ISSN
- 1091-4269 (ISSN-L)
- 1520-6394
- OpenAlex
- W2120203492
- Cited by
- 432
- References
- 19
- Citations by year
- 2026: 20 · 2025: 29 · 2024: 34 · 2023: 29 · 2022: 26 · 2021: 36 · 2020: 32 · 2019: 63 · 2018: 16 · 2017: 23 · 2016: 23 · 2015: 25 · 2014: 22 · 2013: 13 · 2012: 19
- FWCI
- 10.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- social anxiety disorder, generalized social anxiety disorder, Liebowitz Social Anxiety Scale, self-report screening, diagnostic thresholds, sensitivity and specificity, screening accuracy, subtyping
- MeSH terms
- Adolescent, Adult, Aged, Anxiety Disorders, Cross-Sectional Studies, Depressive Disorder, Diagnosis, Differential, Female, Humans, Male, Mass Screening, Middle Aged, Pennsylvania, Personality Inventory, Phobic Disorders, Psychometrics, Reference Values, Reproducibility of Results, Comorbidity, Young Adult
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