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Psychometric properties of the Social Phobia and Anxiety Inventory-Child version in a Swedish clinical sample
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2013 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 27, no 5, 503-511 p.Article in journal (Refereed) Published
Abstract [en]

The Social Phobia and Anxiety Inventory for Children (SPAI-C) is a 26 item, empirically derived self-report instrument developed for assessing social phobic fears in children. Evidence for satisfactory psychometric properties of the SPAI-C has been found in multiple community studies. Since its development, however, no study has presented an extensive psychometric evaluation of SPAI-C in a sample of carefully diagnosed children with social phobia. The present study sought to replicate and expand previous studies by administrating the SPAI-C to a sample of 59 children that fulfilled DSM-IV criteria for social phobia, and 49 children with no social phobia diagnosis. An exploratory factor analysis resulted in a three factor solution reflecting: (1) fear of social interactions, (2) fear of public performance situations, and (3) physical and cognitive symptoms connected with social phobia. These factors appear to parallel domains of social phobia also evident in adults. The SPAI-C total scale and each factor was found to possess good internal consistency, good test–retest reliability and was generally strongly correlated with both self-report and clinician measures of anxiety and fears. The discriminative properties of the total scale were satisfactory.

Place, publisher, year, edition, pages
2013. Vol. 27, no 5, 503-511 p.
Keyword [en]
Social anxiety, Psychometric properties, Social Phobia Anxiety Inventory for Children, Children and adolescents
National Category
Medical and Health Sciences Psychology
URN: urn:nbn:se:su:diva-93930DOI: 10.1016/j.janxdis.2013.06.004ISI: 000324348600009OAI: diva2:650122
Available from: 2013-09-19 Created: 2013-09-19 Last updated: 2013-10-16Bibliographically approved
In thesis
1. Social anxiety disorder in children and adolescents: assessment, maintaining factors, and treatment
Open this publication in new window or tab >>Social anxiety disorder in children and adolescents: assessment, maintaining factors, and treatment
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The present dissertation consists of three empirical studies on social anxiety disorder (SAD) in a sample of Swedish children and adolescents. Based on findings made in a large behavior treatment study, the thesis contributes to the field of research on childhood SAD by investigating a factor that maintains the disorder, ways to measure and screen for diagnosis, and the treatment of the disorder. Study I investigated whether giving an educational course to the parents of socially anxious children would lead to a better outcome of a behavior-treatment study consisting of individual and group treatment components such as exposure in-vivo and social skills training, compared to a condition where only children were treated and the parents received no educational course.  Another purpose of Study I was to investigate what influence, if any, co-morbidity has on treatment outcome. The results showed that there was no significant difference between the two treatment groups on any of the primary or secondary outcome measures. Further, the comorbid disorders did not impair the SAD treatment but was rather associated with further improvement, and despite the sole focus on SAD, there was significant improvement in the comorbid disorders. Study II tested the psychometric properties of the Social Phobia and Anxiety Inventory for Children in a sample of children with SAD. The results indicated that the instrument is a both valid and reliable measure. Further, a three-factor solution represented the three areas of SAD commonly found in adult studies, i.e. fear of performance, observation, and interaction situations. Study III explored threat perception and interpretation bias by means of an ambiguous stories task. The results showed that children with SAD deviated significantly from a non-anxious control peer group with regard to their interpretations. Post treatment the threat perception bias was altered in a normal direction, and one year after treatment termination, the SAD sample ratings were comparable to those of the non-anxious children.

Place, publisher, year, edition, pages
Stockholm: Department of Psychology, Stockholm University, 2013. 88 p.
Social anxiety disorder, youth, behavior therapy, parent involvement, assessment
National Category
Medical and Health Sciences
Research subject
urn:nbn:se:su:diva-93932 (URN)978-91-7447-764-1 (ISBN)
Public defence
2013-10-18, David Magnussonsalen (U31), hus 8, Frescati Hagväg 8, Stockholm, 13:00 (English)

At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 1: Manuscript.

Available from: 2013-09-26 Created: 2013-09-19 Last updated: 2013-09-20Bibliographically approved

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Cederlund, RioÖst, Lars-Göran
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