A study of the discriminative validity of a screening tool (MINI-SPIN) for social anxiety disorder applied to Brazilian university students
Abstract
Objective: This study aimed to evaluate the discriminative validity of MINI-SPIN (MS) as a screening tool for social anxiety disorder (SAD) in a group of Brazilian university students. Method: SPIN was collectively applied to 2320 university students. Among them, 656 individuals who fulfilled the criteria for positive MS (N = 473) and negative MS (N = 183) were selected and divided into two groups. The selected subjects were interviewed by telephone using the SAD module of the SCID-IV, used as the gold standard. In order to check interrater reliability, a group of university students (N = 57) was reinterviewed by telephone by a second rater, and another group (N = 100) participated in a face-to-face interview. Results: The Kappa coefficient among the telephone interviews was 0.80, and a coefficient of 0.84 (P < 0.001) was obtained between the telephone interview and the face-to-face one. For a cut-off score of 6, suggested in the original English version of the instrument, sensitivity was 0.94, specificity 0.46, the positive predictive value (PPV) was 0.58, and the negative predictive value (NPV) was 0.92. For a cut-off score of 7, we observed an increase in the specificity and in the PPV (0.68 and 0.65) while the sensitivity and NPV (0.78 and 0.80) remained high. Discussion/Conclusion: MS showed quite satisfactory psychometric qualities. The cut-off score of 6 seemed to be the most suitable to attest the tracking value of the tool. However, the cut-off score of 7 was the most suitable as a minimum parameter for the studied group, with psychometric values more similar to those of the original study.
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MINI-SPIN cut-off score has high sensitivity and specificity for detection of SAD.
“Using this cut-off score, the MINI-SPIN has been previously shown to provide high sensitivity and specificity for the detection of SAD (de Lima Osório et al, 2007; Connor et al, 2001).”
From Cannabidiol Reduces the Anxiety Induced by Simulated Public Speaking in Treatment-Naïve Social Phobia Patients (2011) · cites this paper as de Lima Osório et al, 2007
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Rashtbari, A., Soheilipour, A., Saed, O., & Nazari, E. (2022) · Shenakht Journal of Psychology and Psychiatry · doi:10.32598/shenakht.9.3.57
E. Caballo, V., Salazar, I. C., Irurtia, M. J., Arias, B., Hofmann, S. G., & Cardoso, F. (2012) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)
- Authors
- de Lima Osório, F., Crippa, J. A., & Loureiro, S. R.
- Affiliations
- Universidade de São Paulo (BR)
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2007-05
- Volume
- 22
- Issue
- 4
- Pages
- 239-243
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W1995389136
- Cited by
- 80
- References
- 24
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 8 · 2013: 6 · 2012: 10
- FWCI
- 11.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- 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
- social anxiety disorder, screening tool, discriminative validity, university students, cut-off values, inter-rater reliability, telephone interviews, Brazilian adaptation
- MeSH terms
- Adult, Brazil, Female, Humans, Male, Mass Screening, Phobic Disorders, Psychometrics, ROC Curve, Students, Universities, Reproducibility of Results, Observer Variation
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