{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:52:17Z","timestamp":1789480337092,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,11]],"date-time":"2018-02-11T00:00:00Z","timestamp":1518307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"German Federal Ministry of Education and Research (BMBF)","award":["01GV0607"],"award-info":[{"award-number":["01GV0607"]}]},{"name":"Witten\/Herdecke University","award":["IFF2014-14"],"award-info":[{"award-number":["IFF2014-14"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>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\u2010reported (LSAS\u2010SR) and a clinician\u2010administered (LSAS\u2010CA) version are available. The aim of the present study was to define optimal cut\u2010off (OC) scores for remission and response to treatment for the LSAS in a German sample.<\/jats:p><jats:p>Data of <jats:italic>N<\/jats:italic>\u00a0=\u00a0311 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.<\/jats:p><jats:p>Using diagnosis of SAD (present vs. absent) as a criterion, results for remission indicated cut\u2010off values of 35 for the LSAS\u2010SR and 30 for the LSAS\u2010CA, with acceptable sensitivity (LSAS\u2010SR: .83, LSAS\u2010CA: .88) and specificity (LSAS\u2010SR: .82, LSAS\u2010CA: .87). For detection of response to treatment, assessed by a 1\u2010point reduction in the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition, rating, a reduction of 28% for the LSAS\u2010SR and 29% for the LSAS\u2010CA yielded the best balance between sensitivity (LSAS\u2010SR: .75, LSAS\u2010CA: .83) and specificity (LSAS\u2010SR: .76, LSAS\u2010CA: .80).<\/jats:p><jats:p>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.<\/jats:p>","DOI":"10.1002\/cpp.2179","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T02:46:34Z","timestamp":1518403594000},"page":"465-473","source":"Crossref","is-referenced-by-count":55,"title":["Liebowitz Social Anxiety Scale (LSAS): Optimal cut points for remission and response in a German sample"],"prefix":"10.1002","volume":"25","author":[{"given":"M.","family":"von Glischinski","sequence":"first","affiliation":[{"name":"Department of Psychology Witten\/Herdecke University  Witten Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Willutzki","sequence":"additional","affiliation":[{"name":"Department of Psychology Witten\/Herdecke University  Witten Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Stangier","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Hiller","sequence":"additional","affiliation":[{"name":"Institute of Psychology University of Mainz  Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Hoyer","sequence":"additional","affiliation":[{"name":"Institute of Clinical Psychology and Psychotherapy Technische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Leibing","sequence":"additional","affiliation":[{"name":"Center of Psychosocial Medicine University of Goettingen  Goettingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3808-0072","authenticated-orcid":false,"given":"F.","family":"Leichsenring","sequence":"additional","affiliation":[{"name":"Clinic of Psychosomatics and Psychotherapy Justus\u2010Liebig\u2010University Giessen  Giessen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Hirschfeld","sequence":"additional","affiliation":[{"name":"Department of Quantitative Methods Osnabr\u00fcck University of Applied Sciences  Osnabr\u00fcck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00060-2"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v67n0914"},{"issue":"14","key":"e_1_2_9_5_1","first-page":"530","article-title":"Validation of the Spanish version of the Liebowitz Social Anxiety Scale, Social Anxiety and Distress Scale and Sheehan Disability Inventory for the evaluation of social phobia","volume":"112","author":"Bobes J.","year":"1999","journal-title":"Medicina Cl\u00ednica"},{"key":"e_1_2_9_6_1","volume-title":"Anxiety Disorders Interview Schedule, adult version","author":"Brown T.","year":"1994"},{"key":"e_1_2_9_7_1","volume-title":"SOZAS\u2014Skalen zur Sozialen Angstst\u00f6rung","author":"Consbruch K.","year":"2016"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/13651501.2012.710336"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.03.037"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2009.01459.x"},{"key":"e_1_2_9_11_1","volume-title":"Structured Clinical Interview for DSM\u2010IV\u2010TR Axis I Disorders, research version, patient edition. 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