Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response
M. von Glischinski, U. Willutzki, F. Leichsenring, W. Hiller, E. Leibing, U. Stangier, J. Hoyer, G. Hirschfeld, Clinical Psychology & Psychotherapy 25 (2018) 465–473.
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von Glischinski, M.;
Willutzki, U.;
Leichsenring, F.;
Hiller, W.;
Leibing, E.;
Stangier, U.;
Hoyer, J.;
Hirschfeld, Gerrit
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.
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Zeitschriftentitel
Clinical Psychology & Psychotherapy
Band
25
Zeitschriftennummer
3
Seite
465-473
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von Glischinski, M. ; Willutzki, U. ; Leichsenring, F. ; Hiller, W. ; Leibing, E. ; Stangier, U. ; Hoyer, J. ; Hirschfeld, Gerrit: Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response. In: Clinical Psychology & Psychotherapy Bd. 25 (2018), Nr. 3, S. 465–473
von Glischinski M, Willutzki U, Leichsenring F, et al. Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response. Clinical Psychology & Psychotherapy. 2018;25(3):465-473. doi:10.1002/cpp.2179
von Glischinski, M., Willutzki, U., Leichsenring, F., Hiller, W., Leibing, E., Stangier, U., … Hirschfeld, G. (2018). Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response. Clinical Psychology & Psychotherapy, 25(3), 465–473. https://doi.org/10.1002/cpp.2179
@article{von Glischinski_Willutzki_Leichsenring_Hiller_Leibing_Stangier_Hoyer_Hirschfeld_2018, title={Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response}, volume={25}, DOI={10.1002/cpp.2179}, number={3}, journal={Clinical Psychology & Psychotherapy}, author={von Glischinski, M. and Willutzki, U. and Leichsenring, F. and Hiller, W. and Leibing, E. and Stangier, U. and Hoyer, J. and Hirschfeld, Gerrit}, year={2018}, pages={465–473} }
Glischinski, M. von, U. Willutzki, F. Leichsenring, W. Hiller, E. Leibing, U. Stangier, J. Hoyer, and Gerrit Hirschfeld. “Liebowitz Social Anxiety Scale (LSAS): Optimal Cut Points for Remission and Response.” Clinical Psychology & Psychotherapy 25, no. 3 (2018): 465–73. https://doi.org/10.1002/cpp.2179.
M. von Glischinski et al., “Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response,” Clinical Psychology & Psychotherapy, vol. 25, no. 3, pp. 465–473, 2018.
von Glischinski, M., et al. “Liebowitz Social Anxiety Scale (LSAS): Optimal Cut Points for Remission and Response.” Clinical Psychology & Psychotherapy, vol. 25, no. 3, 2018, pp. 465–73, doi:10.1002/cpp.2179.