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Originalia

Selbstmedikation und Sozialphobie

Eigenschaften des Fragebogens „Trinken wegen sozialer Angst”

Published Online:April 21, 2009https://doi.org/10.1026/1616-3443.38.2.118

Abstract

Zusammenfassung.Hintergrund: Der Fragebogen „Trinken wegen sozialer Angst” (TWSA; Wagner, Stangier, Heidenreich & Schneider, 2004) erfasst das Motiv, Alkohol zur Reduktion sozialer Angst einzusetzen. Das Instrument wurde bisher nur bei Alkoholabhängigen untersucht. Hier sollen Reliabilität und konvergente Validität in einer sozialphobischen sowie einer gesunden Stichprobe geprüft werden. Methode: 120 Patienten mit Sozialphobie und 120 Gesunde bearbeiteten den TWSA. Zur Überprüfung der Konstruktvalidität wurden Maße zur Psychopathologie, die Alkoholwirkungserwartungen und die Höhe des Alkoholkonsums erfasst. Ergebnisse: Der TWSA hat eine gute Reliabilität (Cronbachs α = .96). Es zeigen sich bedeutsame Korrelationen mit Maßen zur sozialen Angst. Ebenfalls ergeben sich Zusammenhänge zu Alkoholwirksamkeitserwartungen sowie zur konsumierten Alkoholmenge. Teilnehmer mit Sozialphobie erzielten höhere Werte als Gesunde. Diskussion: Die Ergebnisse belegen, dass der TWSA auch bei Patienten mit Sozialphobie und gesunden Personen reliabel und valide eingesetzt werden kann. Die für Patienten mit Sozialphobie erhöhten Werte unterstreichen die Notwendigkeit der Diagnostik komorbider substanzbezogener Störungen.


Self-medication and social phobia: psychometric properties of the questionnaire ”Drinking Due to Social Anxiety”

Abstract.Background: The questionnaire ”Drinking due to social anxiety” (Wagner, Stangier, Heidenreich & Schneider, 2004) measures the motive to use alcohol to reduce social anxiety. Psychometric properties are restricted to alcohol addicted individuals. We examined construct validity and reliability of the questionnaire in a sample of individuals with social phobia and healthy controls. Method: 120 individuals with social phobia and 120 controls took part in the study. For testing construct validity, we measured relevant aspects of psychopathology, alcohol expectations and the amount of alcohol consumed. Results: The questionnaire was highly reliable (Cronbachs Alpha=.96). We found high correlations with social anxiety, with alcohol expectancies and with the amount of alcohol consumed. Participants with social phobia scored higher compared to controls. Discussion: The questionnaire „Drinking due to social anxiety” is reliable and has good construct validity in a sample of individuals with social phobia and healthy controls. Heightened scores underline the importance of thorough diagnosis of alcohol disorders patients with social phobia.

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