Single-item screening for agoraphobic symptoms: validation of a web-based audiovisual screening instrument

PLoS One. 2012;7(7):e38480. doi: 10.1371/journal.pone.0038480. Epub 2012 Jul 23.

Abstract

The advent of web-based treatments for anxiety disorders creates a need for quick and valid online screening instruments, suitable for a range of social groups. This study validates a single-item multimedia screening instrument for agoraphobia, part of the Visual Screener for Common Mental Disorders (VS-CMD), and compares it with the text-based agoraphobia items of the PDSS-SR. The study concerned 85 subjects in an RCT of the effects of web-based therapy for panic symptoms. The VS-CMD item and items 4 and 5 of the PDSS-SR were validated by comparing scores to the outcomes of the CIDI diagnostic interview. Screening for agoraphobia was found moderately valid for both the multimedia item (sensitivity.81, specificity.66, AUC.734) and the text-based items (AUC.607-.697). Single-item multimedia screening for anxiety disorders should be further developed and tested in the general population and in patient, illiterate and immigrant samples.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Agoraphobia / diagnosis*
  • Agoraphobia / therapy
  • Diagnostic Equipment*
  • Humans
  • Internet*
  • Male
  • Multimedia*
  • Panic Disorder / diagnosis
  • Panic Disorder / therapy
  • Predictive Value of Tests
  • Randomized Controlled Trials as Topic
  • Self Report
  • Time Factors