Relationship between ADIS clinician's severity rating and self-report measures among social phobics

Abstract

Although global clinical rating scales have been a mainstay of clinical research, little is known about the relationship between these measures and other assessment modalities. The present study examined the Clinician's Severity Rating (CSR) from the Anxiety Disorders Interview Schedule in a sample of 186 social phobics. It was hypothesized that the CSR would be related to higher fear of negative evaluation, behavioral avoidance, social anxiety, and dysphoria, and that four self‐report measures reflecting each of these common features of social phobia would contribute individually to predict clinicians' judgments of clinical severity using the CSR. Multiple regression analyses supported these hypotheses, accounting for nearly 33% of the variance in the CSR. The role of subtype of social phobia was also investigated. Overall, these results support the utility of the CSR for use with social phobics, but the relatively low proportion of variance accounted for raises further questions. Directions for future research are also discussed. Depression and Anxiety 4:120–125, 1996/1997.© 1997 Wiley‐Liss, Inc.

Generalized anxiety disorder in older adults: Examining the relation between clinician severity ratings and patient self-report measures

“…Comparisons were made among patients' self-reported social anxiety [Fear of Negative Evaluation Scale: Watson and Friend, 1969; Social Avoidance and Distress Scale: Watson and Friend, 1969; Fear Questionnaire-Social Phobia Subscale (FQSP): Marks and Mathews, 1979], depression (BDI), and clinical ratings of social phobia severity. Correlations ranging from .21 to .46 were reported [Hope et al, 1997]. Regression analyses revealed that the self-report instruments accounted for 30% of the variance in CSR, with the FQSP considered the best predictor.…”

“…In addition to the findings here, Hope et al [1997] concluded that the BDI accounted for significant variance in predicting clinician-rated social phobia severity. They reported, however, that the BDI accounted for the least variance of the four measures entered into the regression equation.…”

“…It is certainly true, however, that consistency among self-report instruments and clinician ratings of problem severity traditionally have been difficult to attain [Cone, 1978;Lang, 1968;Nietzel et al, 1988]. Moreover, little is known about the relations among clinician severity ratings and other measures of psychopathology [Hope et al, 1997]. This situation is problematic in that construct validation is achieved only to the extent that two independent methods of inferring an attribute lead to similar ends [Nunnaly and Bernstein, 1994].…”

Evaluation of the Clinical Global Impression Scale among individuals with social anxiety disorder

“…The independent contribution of depressed mood and impairment to the assessment of social anxiety severity is supported by findings from a study that examined the Clinician's Severity Rating (CSR), a severity rating included in the Anxiety Disorders Interview Schedule (ADIS) (Hope et al 1997). The CSR for social anxiety disorder is a clinician rating of distress and interference associated with social anxiety disorder symptoms.…”

Assessment and diagnosis of social phobia in the clinic and the community

“…It remains for future research to examine whether this is true for disorders other than social phobia or whether this would be the case without the specific rating instructions used in this study. It is interesting that Hope et al (1997) came to a similar conclusion in a study of ratings of distress and impairment associated with a specific diagnosis that are a part of the Anxiety Disorders Interview Schedule. In addition to social anxiety symptoms, behavioural avoidance and dysphoria accounted for significant variance in these ratings.…”