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Social Phobia Inventory (SPIN):
Scoring and Interpretation

The Social Phobia Inventory (SPIN) is a 17-item self-report measure of social anxiety symptoms over the past week, covering fear, avoidance and physiological symptoms, with a total from 0 to 68 (Connor et al., 2000). The cut-off of 19 does not transfer to every sample. Adding the 17 answers is the easy part of SPIN scoring; the cut-off's origin, how to report it, and one scoring script each for SPSS and R need more care.

ITEMS17
SUBSCALESNone in routine scoring
RESPONSE SCALE0 to 4, how much symptoms bothered
SCORE RANGE0 to 68
DEVELOPEDConnor et al., 2000

What the SPIN Measures

The SPIN is a 17-item self-report measure developed to capture social anxiety symptoms, including fear, avoidance and physiological manifestations. Connor et al. (2000) sought a brief instrument that covered all three types of experience relevant to social phobia, now generally described as social anxiety disorder.

The SPIN has been studied as both a screening measure and a symptom-change endpoint in social anxiety research. Its practical advantage is a simple 0 to 68 total. However, a total above a research threshold is a positive screening result, not an individual clinical diagnosis.

Structure of the SPIN

  • Items: seventeen symptom ratings, each scored 0 to 4, with no standard reverse-coded items.
  • Recall period: the past week in the standard self-report form.
  • Total: the 17 responses are summed to a 0 to 68 total; higher totals mean greater social anxiety symptom burden.
  • Subscales: the original developers investigated symptom facets, and the original factor analysis identified five factors, but no universal five-subscale scoring procedure is implied for routine clinical use. The commonly reported primary score is the 17-item total.
  • Short form: do not conflate the full 17-item SPIN with the three-item Mini-SPIN, a separate short screener.
  • Translations: translated and age-group adaptations require separate verification.

The instrument itself is available from the original British Journal of Psychiatry publication and NHS social phobia instrument information.

How to Score the SPIN

  1. Verify that the administered instrument contains all 17 SPIN items coded 0 to 4 and in the original order (spin1 to spin17).
  2. Sum all 17 responses to form spin_total, which ranges from 0 to 68. No reversal is needed.
  3. Optionally define spin_pos for a total of 19 or more, if using the original overall clinical-versus-control screening comparison.
  4. Use complete-case scoring in the sample. The cited sources set no single prorating rule for incomplete forms, so pre-specify any other procedure.
SPSS SYNTAX

* Illustrative syntax: variables must already be valid item scores (0 to 4).
COMPUTE spin_total=SUM.17(spin1,spin2,spin3,spin4,spin5,spin6,spin7,spin8,spin9,spin10,spin11,spin12,spin13,spin14,spin15,spin16,spin17).
EXECUTE.
IF (NOT MISSING(spin_total)) spin_pos=(spin_total>=19).
EXECUTE.
R

# data: one row per respondent; items spin1 to spin17 coded 0 to 4.
data$spin_total <- rowSums(data[paste0("spin",1:17)],na.rm=FALSE)
data$spin_pos <- ifelse(is.na(data$spin_total),NA,data$spin_total>=19)

Interpreting SPIN Scores

Score band Interpretation
0 to 68 Continuous SPIN symptom total
0 to 18 Below the original 19-point threshold in the pooled control comparison
19 to 68 At or above the original SPIN screening threshold

Source: Connor et al. (2000), original study, ROC comparisons.

In the original clinical social-phobia versus pooled-control comparison, a score of 19 produced sensitivity 0.725 and specificity 0.843. Different comparison samples yielded different optimal thresholds (15 against nonpsychiatric controls and 16 against psychiatric non-social-phobia controls), illustrating why 19 is not universal.

A SPIN screen cannot diagnose social anxiety disorder. Screening thresholds and accuracy depend on the recruitment setting and age distribution; examine performance against the intended diagnostic reference standard where available.

Psychometric Properties

Property Published finding Source
Internal consistency Cronbach’s α .87 to .94 in social phobia groups and .82 to .90 in controls Connor et al. (2000)
Test-retest Spearman r = .89 (n = 64) and .78 (n = 54) in two social phobia groups Connor et al. (2000)
Convergent and discriminant validity Related as expected to established social anxiety and impairment measures Connor et al. (2000)
Original ROC AUC 0.845 comparing social-phobia clinical cases with all non-social-phobia controls Connor et al. (2000)
Sensitivity and specificity at 19 Sensitivity .725; specificity .843 comparing 148 social phobia subjects with 115 controls Connor et al. (2000), Table 4
Factor structure Five exploratory factors identified in original research; no universal subscale total derived here Connor et al. (2000)

These are source-specific results and cannot be assumed to hold as reliability or accuracy estimates in a new sample.

Using the SPIN in a Study

For treatment studies, the 0 to 68 score can be a continuous primary symptom outcome. Use a baseline-adjusted Multiple Linear Regression, or Linear Mixed Models (Multilevel Modeling) across repeated visits, standardize the recall period and consider baseline severity when interpreting group differences.

For screening datasets, describe the threshold and its source comparison group, then report Sensitivity & Specificity (Diagnostic Accuracy) with confidence intervals only if you have a diagnosis or structured interview reference, and use ROC Curve Analysis to examine alternative thresholds in that sample. Reliability estimated in the current sample is preferable to quoting original studies alone, and the factor structure of a translated version can be examined with Exploratory Factor Analysis (EFA). No universal minimal clinically important difference is established in the original abstract.

Reporting the SPIN

Social anxiety symptoms were assessed with the 17-item Social Phobia Inventory (SPIN; Connor et al., 2000). Responses regarding the past week were scored 0 to 4 and summed to produce a 0 to 68 total, with higher scores reflecting more severe social anxiety symptoms. The sample’s internal consistency was [α = XX], and missing values were handled by [method]. For screening analyses, a SPIN score of 19 or more was treated as a positive screen, not a diagnosis.

References

Connor, K. M., Davidson, J. R. T., Churchill, L. E., Sherwood, A., Foa, E., & Weisler, R. H. (2000). Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry, 176(4), 379-386. https://doi.org/10.1192/bjp.176.4.379

National Health Service Digital. (2018). Social Phobia Inventory Questionnaire. https://archive.datadictionary.nhs.uk/DD%20Release%20July%202018/data_dictionary/nhs_business_definitions/s/social_phobia_inventory_questionnaire_de.asp%40shownav%3D1.html

Frequently Asked Questions

Seventeen items scored 0 to 4 give a total from 0 to 68.

It meets a screening threshold supported by Connor et al. (2000) in one clinical-versus-control comparison. It is not a diagnosis.

No. It is a different three-item instrument with its own scoring.

Yes. The total can be used for severity and symptom change, with the model chosen according to the data distribution and the design.

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