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Journal of Pediatric Psychology Advance Access originally published online on July 20, 2005
Journal of Pediatric Psychology 2006 31(5):512-521; doi:10.1093/jpepsy/jsj044
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Brief Measures to Screen for Social Phobia in Primary Care Pediatrics

Kelly A. Bailey, MA1, Denise A. Chavira, PhD2, Martin T. Stein, MD2 and Murray B. Stein, MD, MPH2

1 San Diego State University and 2 University of California at San Diego

All correspondence concerning this article should be addressed to Murray B. Stein, MD, MPH, Professor of Psychiatry and Family and Preventive Medicine in Residence, UCSD and Adjunct Professor of Psychology, San Diego State University, 8950 Villa La Jolla Drive, Suite C-207, La Jolla, California 92037. E-mail: mstein{at}ucsd.edu.

Received October 3, 2004; revisions received February 4, 2005, April 27, 2005, and May 29, 2005; accepted June 9, 2005

Objective To evaluate the usefulness of screening measures to detect social phobia among youth in a primary care setting. Methods Families recruited from a pediatric primary care setting completed by mail the Social Anxiety Scale (SAS), the Social Worries Questionnaire (SWQ), and the social phobia subscale of the Screen for Child Related Anxiety Disorders (SCARED). Diagnoses were obtained from 190 parent interviews. Receiver operating characteristic (ROC) analyses were used to determine the utility of the measures as screening instruments. Results Most of the parent report measures, including the single item ("My child is shy") from the SCARED, were at least moderately accurate screeners and performed best for the generalized subtype of social phobia. Conclusion The use of valid, brief screening instruments can significantly improve the feasibility of detecting social phobia among youth in primary care pediatric settings.

Key words: anxiety; primary care; screening; social anxiety.


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