[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-spin":3,"all-assessments-nav":135,"related-assessments-query":782},{"id":4,"title":5,"body":6,"category":117,"categoryTitle":118,"clinicalCitations":119,"copyright":117,"description":123,"disclaimer":117,"downloadLink":117,"extension":124,"faqs":117,"featured":125,"i18nReady":125,"icon":117,"interpreter":117,"lastReviewed":126,"meta":127,"navigation":128,"path":129,"permissionsNote":117,"published":125,"recommendedFrequency":117,"relatedCodes":117,"relatedConditions":117,"reviewedBy":117,"seo":130,"slug":131,"stem":132,"summary":123,"takeaways":117,"timeline":117,"type":133,"usedToDiagnose":117,"__hash__":134},"assessments\u002Fassessments\u002Fspin.md","SPIN: Social Phobia Inventory",{"type":7,"value":8,"toc":100},"minimark",[9,13,18,21,24,27,32,35,38,41,45,48,52,55,59,62,66,69,73,76,80,83,87,90,93,96],[10,11,12],"p",{},"The SPIN (Social Phobia Inventory) is a 17-item self-report measure for social anxiety disorder. Items assess fear, avoidance, and physiological arousal across social and performance situations, producing a total score from 0 to 68.",[14,15,17],"h2",{"id":16},"what-is-the-spin","What is the SPIN?",[10,19,20],{},"The SPIN (Social Phobia Inventory) is a 17-item self-report screening tool for\nsocial anxiety disorder developed by Connor et al. (2000) at Duke University Medical Center.\nIt measures the core symptom domains of social phobia: fear of social situations, avoidance\nof social and performance contexts, and physiological symptoms (e.g., blushing, trembling, sweating).",[10,22,23],{},"Each item is rated on a 0–4 Likert scale (0 = not at all, 4 = extremely) reflecting\ndistress over the past week. Scores are summed across all 17 items, yielding a total score\nof 0–68. Higher scores indicate greater social anxiety severity. The commonly used clinical\ncutoff is ≥19, which demonstrated sensitivity and specificity in the original validation",[10,25,26],{},"The SPIN is widely used in both research and clinical settings to screen for social anxiety\ndisorder (SAD), monitor treatment response, and differentiate social phobia from generalized\nanxiety disorder. It is one of the most frequently cited social anxiety measures in the\nliterature and is in the public domain for clinical use.",[28,29,31],"h3",{"id":30},"three-symptom-domains","Three Symptom Domains",[10,33,34],{},"The SPIN covers Fear (items related to embarrassment and judgment), Avoidance (situations\navoided due to anxiety), and Physiological symptoms (physical reactions to social\nexposure). This three-factor structure supports differentiated clinical assessment.",[10,36,37],{},"Response scale: 0 = Not at all  ·  1 = A little bit  ·  2 = Somewhat  ·  3 = Very much  ·  4 = Extremely",[10,39,40],{},"Educational and screening purposes only. Not a substitute for professional clinical evaluation.",[28,42,44],{"id":43},"spin-scoring-severity-levels","SPIN Scoring & Severity Levels",[10,46,47],{},"Total score = sum of all 17 items (0–4 each). Score range: 0–68.",[28,49,51],{"id":50},"clinical-cutoff-context","Clinical Cutoff Context",[10,53,54],{},"The ≥19 cutoff was established in the original Connor et al. (2000) validation study in\noutpatient clinical and community samples. As with all screening tools, positive screens\nrequire clinical follow-up, the SPIN identifies individuals who warrant further evaluation,\nnot a definitive diagnosis.",[14,56,58],{"id":57},"spin-subscales","SPIN Subscales",[10,60,61],{},"The SPIN has three subscales capturing distinct aspects of social anxiety.",[28,63,65],{"id":64},"fear-6-items","Fear (6 items)",[10,67,68],{},"Distress about embarrassment, negative evaluation, and being judged in social or\nperformance situations. Core cognitive component of social anxiety.",[28,70,72],{"id":71},"avoidance-7-items","Avoidance (7 items)",[10,74,75],{},"Behavioural avoidance of social situations, parties, public speaking, eating in front\nof others. Avoidance maintains the anxiety cycle and impairs functioning.",[28,77,79],{"id":78},"physiological-4-items","Physiological (4 items)",[10,81,82],{},"Physical reactions including blushing, sweating, trembling, and racing heartbeat\ntriggered by social exposure. Differentiates social anxiety from generalized worry.",[14,84,86],{"id":85},"spin-vs-gad-7-for-anxiety-screening","SPIN vs GAD-7 for Anxiety Screening",[10,88,89],{},"Both screen for anxiety, but they target different constructs. Choosing the right tool\ndepends on what you need to measure.",[10,91,92],{},"Documenting SPIN scores in clinical notes?",[10,94,95],{},"SPIN scores belong in the Objective section of your note. See our\nSOAP notes guide\nand Intake Notes guide\nfor templates and examples.",[14,97,99],{"id":98},"spin-frequently-asked-questions","SPIN Frequently Asked Questions",{"title":101,"searchDepth":102,"depth":102,"links":103},"",2,[104,110,115,116],{"id":16,"depth":102,"text":17,"children":105},[106,108,109],{"id":30,"depth":107,"text":31},3,{"id":43,"depth":107,"text":44},{"id":50,"depth":107,"text":51},{"id":57,"depth":102,"text":58,"children":111},[112,113,114],{"id":64,"depth":107,"text":65},{"id":71,"depth":107,"text":72},{"id":78,"depth":107,"text":79},{"id":85,"depth":102,"text":86},{"id":98,"depth":102,"text":99},null,"Anxiety",[120],{"text":121,"link":122},"Connor KM, Davidson JR, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the Social Phobia Inventory (SPIN). New self-rating scale. Br J Psychiatry. 2000;176:379-386.","https:\u002F\u002Fdoi.org\u002F10.1192\u002Fbjp.176.4.379","17-item self-report measure for social anxiety disorder. 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