Child Psychiatry & Human Development

, Volume 43, Issue 4, pp 574–591 | Cite as

Social Anxiety Scale for Adolescents (SAS-A): Measuring Social Anxiety Among Finnish Adolescents

  • Klaus Ranta
  • Niina Junttila
  • Eero Laakkonen
  • Anni Uhmavaara
  • Annette M. La Greca
  • Päivi M. Niemi
Original Article

Abstract

The aim of this study was to investigate symptoms of social anxiety and the psychometric properties of the Social Anxiety Scale for Adolescents (SAS-A) among Finnish adolescents, 13–16 years of age. Study 1 (n = 867) examined the distribution of SAS-A scores according to gender and age, and the internal consistency and factor structure of the SAS-A. In a subsample (n = 563; Study 2) concurrent and discriminant validity of the SAS-A were examined relative to the Social Phobia Inventory and the Beck Depression Inventory. Test–retest stability was examined over a 30-month period by repeated measures every 6 months in another subsample (n = 377; Study 3). Results mostly revealed no gender differences in social anxiety, except that boys reported more general social avoidance and distress than girls. Older adolescents (14–16-year-olds) reported higher social anxiety than younger adolescents (12–13-year-olds). Internal consistency for the SAS-A was acceptable for both genders and for all three SAS-A subscales. Confirmatory factor analysis replicated the original 18-item three-factor structure of the SAS-A, accounting for 61% of the variance between items. Evidence for concurrent and discriminant validity was found. Test–retest stability over 6 months was satisfactory. Results support the reliability and validity of the Finnish adaptation of the SAS-A, and further indicate that gender differences in adolescents’ social anxiety may vary across Western countries.

Keywords

Reliability Factor structure Adolescents Social anxiety 

Notes

Acknowledgments

Mika Helminen, M.Sc., School of Public Health, University of Tampere is thanked for statistical consultation. Hanna-Riitta Ståhl, M.Ed., Department of Teacher Education, University of Turku is thanked for help in data collection and processing.

References

  1. 1.
    Rapee RM, Spence SH (2004) The etiology of social phobia: empirical evidence and an initial model. Clin Psychol Rev 24:737–767PubMedCrossRefGoogle Scholar
  2. 2.
    Westenberg PM, Drewes MJ, Goedhart AW, Siebelink BM, Treffers PD (2004) A developmental analysis of self-reported fears in late childhood through mid-adolescence: social-evaluative fears on the rise? J Child Psychol Psychiatry 45:481–495PubMedCrossRefGoogle Scholar
  3. 3.
    Parker JG, Rubin KH, Erath SA, Wojslawowicz JC, Buskirk AA (2006) Peer relationships, child development, and adjustment: a developmental psychopathology perspective. In: Cicchetti D, Cohen DJ (eds) Developmental psychopathology, vol 1, 2nd edn. Wiley, Hoboken, NJ, pp 419–493Google Scholar
  4. 4.
    Wittchen HU, Fehm L (2003) Epidemiology and natural course of social fears and social phobia. Acta Psychiatr Scand Suppl 417:4–18PubMedCrossRefGoogle Scholar
  5. 5.
    Essau CA, Conradt J, Petermann F (1999) Frequency and comorbidity of social phobia and social fears in adolescents. Behav Res Ther 37:831–843PubMedCrossRefGoogle Scholar
  6. 6.
    Wittchen H-U, Stein MB, Kessler RC (1999) Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity. Psychol Med 29:309–323PubMedCrossRefGoogle Scholar
  7. 7.
    La Greca AM, Lopez N (1998) Social anxiety among adolescents: linkages with peer relations and friendships. J Abnorm Child Psychol 26:83–94PubMedCrossRefGoogle Scholar
  8. 8.
    Erath SA, Flanagan KS, Bierman KL (2007) Social anxiety and peer relations in early adolescence: behavioral and cognitive factors. J Abnorm Child Psychol 35:405–416PubMedCrossRefGoogle Scholar
  9. 9.
    Ranta K, Kaltiala-Heino R, Rantanen P, Marttunen M (2009) Social phobia in Finnish general adolescent population: prevalence, comorbidity, individual and family correlates, and service use. Depress Anxiety 26:528–536PubMedGoogle Scholar
  10. 10.
    Sumter SR, Bokhorst CL, Westenberg PM (2009) Social fears during adolescence: is there an increase in distress and avoidance? J Anxiety Disord 23:897–903PubMedCrossRefGoogle Scholar
  11. 11.
    Rapee R, Heimberg RG (1997) A cognitive-behavioral model of anxiety in social phobia. Behav Res Ther 35:741–756PubMedCrossRefGoogle Scholar
  12. 12.
    Rao PA, Beidel DB, Turner SM, Ammerman RT, Crosby LE, Sallee FR (2007) Social anxiety disorder in childhood and adolescence: descriptive psychopathology. Behav Res Ther 45:1181–1191PubMedCrossRefGoogle Scholar
  13. 13.
    La Greca AM, Stone WL (1993) The Social Anxiety Scale for Children-Revised: factor structure and concurrent validity. J Clin Child Psychol 22:17–27CrossRefGoogle Scholar
  14. 14.
    La Greca AM (1999) Manual for the Social Anxiety Scales for Children and Adolescents. University of Miami, MiamiGoogle Scholar
  15. 15.
    Inderbitzen-Nolan H, Davies CA, McKeon ND (2004) Investigating the validity of the SPAI-C: comparing the sensitivity and specificity of the SPAI-C and the SAS-A. J Anxiety Disord 18:547–560PubMedCrossRefGoogle Scholar
  16. 16.
    Inderbitzen-Nolan HM, Walters KS (2000) Social Anxiety Scale for Adolescents: normative data and further evidence of construct validity. J Clin Child Psychol 29:360–371PubMedCrossRefGoogle Scholar
  17. 17.
    La Greca AM, Harrison HM (2005) Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression? J Clin Child Adolesc Psychol 34:49–61PubMedCrossRefGoogle Scholar
  18. 18.
    Myers MG, Stein MB, Aarons GA (2002) Cross validation of the Social Anxiety Scale for Adolescents in a high school sample. J Anxiety Disord 16:221–232PubMedCrossRefGoogle Scholar
  19. 19.
    Siegel RS, La Greca AM, Harrison HM (2009) Peer victimization and social anxiety in adolescents: prospective and reciprocal relationships. J Youth Adolesc 38:1096–1109PubMedCrossRefGoogle Scholar
  20. 20.
    Storch EA, Masia-Warner C, Dent HC, Roberti JW, Fisher PH (2004) Psychometric evaluation of the Social Anxiety Scale for Adolescents and the Social Phobia and Anxiety Inventory for Children: construct validity and normative data. J Anxiety Disord 18:665–679PubMedCrossRefGoogle Scholar
  21. 21.
    Garcia-Lopez LJ, Olivares J, Hidalgo MD, Beidel DC, Turner SM (2001) Psychometric properties of the Social Phobia and Anxiety Inventory, the Social Anxiety Scale for Adolescents, the Fear of Negative Evaluation Scale, and the Social Avoidance and Distress Scale in an adolescent spanish-speaking sample. J Psychopathol Behav Assess 23:51–59CrossRefGoogle Scholar
  22. 22.
    Ingles CJ, La Greca AM, Marzo JC, Garcia-Lopez LJ, Garcia-Fernandez JM (2010) Social Anxiety Scale for Adolescents: factorial invariance and latent mean differences across gender and age in Spanish adolescents. J Anxiety Disord 24:847–855PubMedCrossRefGoogle Scholar
  23. 23.
    Olivares J, Ruiz J, Hidalgo MD, Garcia-Lopez LJ, Rosa AI, Piqueras JA (2005) Social Anxiety Scale for Adolescents (SAS-A): psychometric properties in a Spanish-speaking population. Int J Clin Health Psychol 5:85–97Google Scholar
  24. 24.
    Cunha M, Gouveia J, Alegre S, Salvador M (2004) Assessment of social anxiety in adolescence: the Portuguese version of the SAS-A. Psychol 35:249–263Google Scholar
  25. 25.
    Zhou X, Xu Q, Ingles CJ, Hidalgo MD, La Greca AM (2008) Reliability and validity of the Chinese version of the Social Anxiety Scale for Adolescents. Child Psychiatry Hum Dev 39:185–200PubMedCrossRefGoogle Scholar
  26. 26.
    Cakin Memik NC, Sismanlar SG, Yildiz O, Karakaya I, Isik C, Agaoglu B (2010) Social anxiety level in Turkish adolescents. Eur Child Adolesc Psychiatry 19:765–772PubMedCrossRefGoogle Scholar
  27. 27.
    Junttila N, Laakkonen E, Niemi PM, Ranta K (2010) Modeling the interrelations of adolescent loneliness, social anxiety and social phobia. Sci Ann Psychol Soc North Greece 8:69–99Google Scholar
  28. 28.
    Beidel DC, Turner SM, Morris TL (1995) A new inventory to assess childhood social anxiety and phobia: the Social Phobia and Anxiety Inventory for Children. Psychol Assess 7:73–79CrossRefGoogle Scholar
  29. 29.
    Statistics Finland (2007) Statistical yearbook of Finland 2007. Statistics Finland, JyväskyläGoogle Scholar
  30. 30.
    Connor KM, Davidson JRT, Churchill LE, Sherwood A, Foa E, Weisler RH (2000) Psychometric properties of the Social Phobia Inventory (SPIN): new self-rating scale. Br J Psychiatry 176:379–386PubMedCrossRefGoogle Scholar
  31. 31.
    Beck AT, Beck RW (1972) Screening depression patients in family practice. A Rapid Technic Postgrad Med 52:81–85Google Scholar
  32. 32.
    Johnson HS, Inderbitzen-Nolan HM, Anderson ER (2006) The Social Phobia Inventory: validity and reliability in an adolescent community sample. Psychol Assess 18:269–277PubMedCrossRefGoogle Scholar
  33. 33.
    Vilete L, Coutinho E, Figueira I (2004) Reliability of the Portuguese-language version of the Social Phobia Inventory (SPIN) among adolescent students in the city of Rio de Janeiro. Cad Saude Publica 20:89–99PubMedCrossRefGoogle Scholar
  34. 34.
    Ranta K, Kaltiala-Heino R, Rantanen P, Tuomisto MT, Marttunen M (2007) Screening social phobia in adolescents from general population: the validity of the Social Phobia Inventory (SPIN) against a clinical interview. Eur Psychiatry 22:244–251PubMedCrossRefGoogle Scholar
  35. 35.
    Bennett DS, Ambrosini PJ, Bianchi M, Barnett D, Metz C, Rabinovich H (1997) Relationship of Beck Depression Inventory factors to depression among adolescents. J Affect Disord 45:127–134PubMedCrossRefGoogle Scholar
  36. 36.
    Raitasalo R (2007) Mood questionnaire. Finnish modification of the short form of the Beck Depression Inventory. The Social Insurance Institution, HelsinkiGoogle Scholar
  37. 37.
    Kaltiala-Heino R, Rimpelä M, Rantanen P, Laippala P (1999) Finnish modification of the 13-item Beck Depression Inventory in screening an adolescent population for depressiveness and positive mood. Nord J Psychiatry 53:451–457CrossRefGoogle Scholar
  38. 38.
    Beck AT, Rial WY, Rickels K (1974) Short form of depression inventory: cross-validation. Psychol Rep 34:1184–1186PubMedGoogle Scholar
  39. 39.
    Cohen J (1988) Statistical power analysis for the behavioral sciences. Academic Press, San DiegoGoogle Scholar
  40. 40.
    Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334CrossRefGoogle Scholar
  41. 41.
    Olsson UH, Foss T, Troye SV, Howell RD (2000) The performance of ML, GLS, and WLS estimation in structural equation modeling under conditions of misspecification and nonnormality. Struct Equ Modeling 7:557–595CrossRefGoogle Scholar
  42. 42.
    Hu L, Bentler PM (1998) Fit indices in covariance structure modeling: sensitivity to underparameterized model misspesification. Psychol Methods 3:424–453CrossRefGoogle Scholar
  43. 43.
    Hu L, Bentler PM (1999) Cutoff criteria for fit indices in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 6:1–55CrossRefGoogle Scholar
  44. 44.
    Cohen J, Cohen P (1983) Applied multiple regression/correlation analysis for the behavioural sciences. Lawrence Erlbaum Associates, HillsdaleGoogle Scholar
  45. 45.
    Muthen LK, Muthen BO (2010) Mplus User’s Guide, 6th edn. Author, Los AngelesGoogle Scholar
  46. 46.
    Furmark T (2002) Social phobia: overview of community surveys. Acta Psychiatr Scand 105:84–93PubMedCrossRefGoogle Scholar
  47. 47.
    Pirkola SP, Isometsä E, Suvisaari J, Aro H, Joukamaa M, Koskinen S et al (2005) DSM-IV mood-, anxiety- and alcohol use disorders and their comorbidity in the Finnish general population: results from the health 2000 Study. Soc Psychiatry Psychiatr Epidemiol 40:1–10PubMedCrossRefGoogle Scholar
  48. 48.
    Kuusikko S, Pollock-Wurman R, Ebeling H, Hurtig T, Joskitt L, Mattila M-L et al (2009) Psychometric evaluation of Social Phobia and Anxiety Inventory for Children (SPAI-C) and Social Anxiety Scale for Children-Revised (SASC-R). Eur Child Adolesc Psychiatry 18:116–124PubMedCrossRefGoogle Scholar
  49. 49.
    Ranta K, Kaltiala-Heino R, Koivisto A-M, Tuomisto MT, Pelkonen M, Marttunen M (2007) Age and gender differences in social anxiety symptoms during adolescence: the Social Phobia Inventory (SPIN) as a measure. Psychiatry Res 153:261–270PubMedCrossRefGoogle Scholar
  50. 50.
    Sebastian C, Burnett S, Blakemore S (2008) Development of the self-concept during adolescence. Trends Cogn Sc 12:441–446CrossRefGoogle Scholar
  51. 51.
    Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 6:284–290CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Klaus Ranta
    • 1
  • Niina Junttila
    • 2
    • 3
  • Eero Laakkonen
    • 2
  • Anni Uhmavaara
    • 2
  • Annette M. La Greca
    • 4
  • Päivi M. Niemi
    • 2
  1. 1.Department of Adolescent PsychiatryTampere University HospitalTampereFinland
  2. 2.Department of Teacher EducationUniversity of TurkuTurkuFinland
  3. 3.Department of PsychologyUniversity of TurkuTurkuFinland
  4. 4.Department of PsychologyUniversity of MiamiCoral GablesUSA

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