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The Liebowitz Social Anxiety Scale (Lsas) Is A Well-known And Standardized Self-report Questionnaire For Assessing Social Anxiety Disorder (Sad) And Social Phobia. The Lsas, Created By Dr. Michael R. Liebowitz In 1987,
Is A Systematic Tool For Assessing The Intensity Of Social Anxiety Symptoms As Well As The Amount To Which Social Circumstances Cause Dread And Avoidance. The Lsas Will Be Thoroughly Examined In This Comprehensive Guide, Including Its Purpose, Structure, Administration, Interpretation, And Function In Diagnosing And Treating Social Anxiety Disorder.
The LSAS serves several key purposes:
The LSAS consists of two subscales:
The total score on the LSAS ranges from 0 to 144, with higher scores indicating more severe social anxiety symptoms and avoidance behavior.
The LSAS is typically administered as a self-report questionnaire. Respondents are asked to rate the level of fear and avoidance for each of the 48 social situations. To calculate the total score, the fear and avoidance ratings for each item in both subscales are summed.
Interpreting the LSAS scores can be done as follows:
The Liebowitz Social Anxiety Scale Is A Useful Instrument For Diagnosing And Treating Social Anxiety Disorder. It Offers A Systematic And Dependable Method Of Assessing The Intensity Of Social Anxiety Symptoms And Avoidance Actions.
The Lsas Has Made Major Contributions To Our Knowledge Of Social Anxiety And The Development Of Successful Treatment Techniques, Thereby Improving The Lives Of Persons Afflicted By This Illness.
Based On The Adult Lsas, The Liebowitz Social Anxiety Scale For Children And Adolescents (Lsas-ca) Was Developed To Measure A Variety Of Social Circumstances And Performance Interactions That Children And Adolescents May Dread (Masia-warner Et Al., 2003). The Scale Consists Of 24 Items, Which Are Scored On A 0-3 Likert Scale:
12 Social Encounters And 12 Performance Situations. Fear And Avoidance Evaluations Are Evaluated Separately. Total Anxiety, Social Anxiety, Performance Anxiety, Total Avoidance, Social Avoidance, And Performance Avoidance Are The Six Subscale Scores Calculated. Masia-warner Et Al. (2003) Found That The Lsas-ca Has Strong Internal Consistency And Test-retest Reliability.
However, Component Studies Show That The Best Explanation For Anxiety And Avoidance Ratings Is A Two-factor Solution: Social And School Performance (Storch Et Al., 2006). The Lsas-ca Has Been Utilized In Various Treatment Outcome Studies With Children And Adolescents, And It Has Been Shown To Be Sensitive To Treatment Effects (Masia-warner Et Al., 2004).
The Instrument Has Also Been Utilized With Non-english Speaking Groups, Where It Demonstrated Strong Psychometric Qualities While Being Praised For Its Simplicity Of Scoring And Interpretation (Olivares, Sánchez-garca, & López-pina, 2009). Simon Et Al. (2010) Used Open-label Duloxetine 60 Mg/day For Six Weeks To Treat 39 People With Social Anxiety Disorder.
Those Having An Lsas Score Greater Than 30 At Week 6 Were Randomly Assigned To Either Duloxetine 60 Mg/day Or Duloxetine 120 Mg/day For A Further 18 Weeks. Duloxetine Was Linked With A Substantial Decrease In Lsas At Week 6, And Randomized Participants Improved Overall At Week 24, But There Were No Differences Between Persons Whose Dosage Was Raised To 120 Mg/day Vs Those Who Remained To Take 60 Mg/day.
Although These Findings Are Encouraging, Further Research Is Required To Determine The Effectiveness Of Duloxetine For Social Anxiety Disorder. To Summarize, A Vast Number Of Randomized Controlled Studies Have Shown The Effectiveness Of Both Ssris And Snris In The Treatment Of Generalized Social Anxiety Disorder, While They Have Not Been Proved To Be Superior Than Other Drugs Or Psychotherapy Alone In Direct Comparisons.
Although No Ssris Or Snris Have Been Shown To Be Superior In Effectiveness Or Acceptability Than The Others, Published Data On Fluoxetine (Clark Et Al., 2003; Davidson Et Al., 2004b; Kobak Et Al., 2002) Suggest That It Is The Least Recommended Medicine In This Class.
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