Validation of the social interaction anxiety scale in scleroderma

A scleroderma patientcentered intervention network cohort study

Shadi Gholizadeh, Linda Kwakkenbos, Marie Eve Carrier, Sarah D. Mills, Rina S. Fox, Lisa R. Jewett, Karen Gottesman, Scott Roesch, Brett D. Thombs, Vanessa L. Malcarne, Murray Baron, Susan J. Bartlett, Dan Furst, Frank Van Den Hoogen, Maureen D. Mayes, Luc Mouthon, Warren R. Nielson, Serge Poiraudeau, Robert Riggs, Maureen Sauve & 69 others Fredrick Wigley, Shervin Assassi, Isabelle Boutron, Angela Costa Maia, Ghassan El-Baalbaki, Carolyn Ells, Cornelia Van Den Ende, Kim Fligelstone, Catherine Fortune, Tracy Frech, Dominique Godard, Daphna Harel, Marie Hudson, Ann Impens, Yeona Jang, Sindhu R. Johnson, Ann Tyrell Kennedy, Maggie Larche, Catarina Leite, Carlo Marra, Karen Nielsen, Janet Pope, Alexandra Portales, Tatiana Sofia Rodriguez Reyna, Anne A. Schouffoer, Russell J. Steele, Maria E. Suarez-Almazor, Joep Welling, Durhane Wong-Rieger, Alexandra Albert, Guylaine Arsenault, Lyne Bissonnette, Gilles Boire, Alessandra Bruns, Patricia Carreira, Lorinda Chung, Pierre Dagenais, Christopher Denton, Robyn Domsic, James V. Dunne, Paul Fortin, Anna Gill, Jessica Gordon, Genevieve Gyger, Ariane L. Herrick, Monique Hinchcliff, Alena Ikic, Niall Jones, Artur Jose De B. Fernandes, Suzanne Kafaja, Nader Khalidi, Benjamin Korman, Patrick Liang, Joanne Manning, Ariel Masetto, David Robinson, Sophie Roux, Doug Smith, Robert Spiera, Virginia Steen, Evelyn Sutton, Carter Thorne, John Varga, Pearce Wilcox, Vanessa C. Delisle, Claire Fedoruk, Brooke Levis, Mia R. Pepin, Jennifer Persmann

Research output: Contribution to journalArticle

Abstract

Introduction: Individuals with visible differences due to medical conditions, such as systemic sclerosis (SSc; scleroderma), have reported difficulty navigating social situations because of issues such as staring, invasive questions, and rude comments. Fears or anxiety linked to situations in which a person interacts with others is known as social interaction anxiety. However, there exists no validated measurement tool to examine social interaction anxiety in rheumatologic conditions. Methods: The present study examines the reliability (internal consistency) and validity (structural and convergent) of the Social Interaction Anxiety Scale-6 (SIAS-6) in a sample of 802 individuals with SSc, and compares these psychometric properties across limited and diffuse subtypes of the disease. Multi-group confirmatory factor analysis was used to examine the factor structure of the SIAS-6 in patients with both limited and diffuse SSc. Results: A one-factor structure was found to fit well for individuals with SSc with both limited and diffuse disease. The measure demonstrated strong internal consistency reliability and convergent validity with relevant measures in expected magnitudes and directions. Conclusions: The SIAS-6 is a psychometrically robust measure that can confidently be used in SSc populations to examine social interaction anxiety. Moreover, scores can meaningfully be compared between patients with limited and diffuse disease.

Original languageEnglish (US)
Pages (from-to)98-105
Number of pages8
JournalJournal of Scleroderma and Related Disorders
Volume3
Issue number1
DOIs
StatePublished - Oct 24 2017

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Interpersonal Relations
Cohort Studies
Anxiety
Systemic Scleroderma
Psychometrics
Reproducibility of Results
Statistical Factor Analysis
Fear
Population

Keywords

  • Psychometric
  • Psychosocial
  • Scleroderma
  • Social anxiety
  • Systemic sclerosis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Rheumatology
  • Immunology

Cite this

Validation of the social interaction anxiety scale in scleroderma : A scleroderma patientcentered intervention network cohort study. / Gholizadeh, Shadi; Kwakkenbos, Linda; Carrier, Marie Eve; Mills, Sarah D.; Fox, Rina S.; Jewett, Lisa R.; Gottesman, Karen; Roesch, Scott; Thombs, Brett D.; Malcarne, Vanessa L.; Baron, Murray; Bartlett, Susan J.; Furst, Dan; Van Den Hoogen, Frank; Mayes, Maureen D.; Mouthon, Luc; Nielson, Warren R.; Poiraudeau, Serge; Riggs, Robert; Sauve, Maureen; Wigley, Fredrick; Assassi, Shervin; Boutron, Isabelle; Maia, Angela Costa; El-Baalbaki, Ghassan; Ells, Carolyn; Van Den Ende, Cornelia; Fligelstone, Kim; Fortune, Catherine; Frech, Tracy; Godard, Dominique; Harel, Daphna; Hudson, Marie; Impens, Ann; Jang, Yeona; Johnson, Sindhu R.; Kennedy, Ann Tyrell; Larche, Maggie; Leite, Catarina; Marra, Carlo; Nielsen, Karen; Pope, Janet; Portales, Alexandra; Reyna, Tatiana Sofia Rodriguez; Schouffoer, Anne A.; Steele, Russell J.; Suarez-Almazor, Maria E.; Welling, Joep; Wong-Rieger, Durhane; Albert, Alexandra; Arsenault, Guylaine; Bissonnette, Lyne; Boire, Gilles; Bruns, Alessandra; Carreira, Patricia; Chung, Lorinda; Dagenais, Pierre; Denton, Christopher; Domsic, Robyn; Dunne, James V.; Fortin, Paul; Gill, Anna; Gordon, Jessica; Gyger, Genevieve; Herrick, Ariane L.; Hinchcliff, Monique; Ikic, Alena; Jones, Niall; Fernandes, Artur Jose De B.; Kafaja, Suzanne; Khalidi, Nader; Korman, Benjamin; Liang, Patrick; Manning, Joanne; Masetto, Ariel; Robinson, David; Roux, Sophie; Smith, Doug; Spiera, Robert; Steen, Virginia; Sutton, Evelyn; Thorne, Carter; Varga, John; Wilcox, Pearce; Delisle, Vanessa C.; Fedoruk, Claire; Levis, Brooke; Pepin, Mia R.; Persmann, Jennifer.

In: Journal of Scleroderma and Related Disorders, Vol. 3, No. 1, 24.10.2017, p. 98-105.

Research output: Contribution to journalArticle

Gholizadeh, S, Kwakkenbos, L, Carrier, ME, Mills, SD, Fox, RS, Jewett, LR, Gottesman, K, Roesch, S, Thombs, BD, Malcarne, VL, Baron, M, Bartlett, SJ, Furst, D, Van Den Hoogen, F, Mayes, MD, Mouthon, L, Nielson, WR, Poiraudeau, S, Riggs, R, Sauve, M, Wigley, F, Assassi, S, Boutron, I, Maia, AC, El-Baalbaki, G, Ells, C, Van Den Ende, C, Fligelstone, K, Fortune, C, Frech, T, Godard, D, Harel, D, Hudson, M, Impens, A, Jang, Y, Johnson, SR, Kennedy, AT, Larche, M, Leite, C, Marra, C, Nielsen, K, Pope, J, Portales, A, Reyna, TSR, Schouffoer, AA, Steele, RJ, Suarez-Almazor, ME, Welling, J, Wong-Rieger, D, Albert, A, Arsenault, G, Bissonnette, L, Boire, G, Bruns, A, Carreira, P, Chung, L, Dagenais, P, Denton, C, Domsic, R, Dunne, JV, Fortin, P, Gill, A, Gordon, J, Gyger, G, Herrick, AL, Hinchcliff, M, Ikic, A, Jones, N, Fernandes, AJDB, Kafaja, S, Khalidi, N, Korman, B, Liang, P, Manning, J, Masetto, A, Robinson, D, Roux, S, Smith, D, Spiera, R, Steen, V, Sutton, E, Thorne, C, Varga, J, Wilcox, P, Delisle, VC, Fedoruk, C, Levis, B, Pepin, MR & Persmann, J 2017, 'Validation of the social interaction anxiety scale in scleroderma: A scleroderma patientcentered intervention network cohort study', Journal of Scleroderma and Related Disorders, vol. 3, no. 1, pp. 98-105. https://doi.org/10.5301/jsrd.5000264
Gholizadeh, Shadi ; Kwakkenbos, Linda ; Carrier, Marie Eve ; Mills, Sarah D. ; Fox, Rina S. ; Jewett, Lisa R. ; Gottesman, Karen ; Roesch, Scott ; Thombs, Brett D. ; Malcarne, Vanessa L. ; Baron, Murray ; Bartlett, Susan J. ; Furst, Dan ; Van Den Hoogen, Frank ; Mayes, Maureen D. ; Mouthon, Luc ; Nielson, Warren R. ; Poiraudeau, Serge ; Riggs, Robert ; Sauve, Maureen ; Wigley, Fredrick ; Assassi, Shervin ; Boutron, Isabelle ; Maia, Angela Costa ; El-Baalbaki, Ghassan ; Ells, Carolyn ; Van Den Ende, Cornelia ; Fligelstone, Kim ; Fortune, Catherine ; Frech, Tracy ; Godard, Dominique ; Harel, Daphna ; Hudson, Marie ; Impens, Ann ; Jang, Yeona ; Johnson, Sindhu R. ; Kennedy, Ann Tyrell ; Larche, Maggie ; Leite, Catarina ; Marra, Carlo ; Nielsen, Karen ; Pope, Janet ; Portales, Alexandra ; Reyna, Tatiana Sofia Rodriguez ; Schouffoer, Anne A. ; Steele, Russell J. ; Suarez-Almazor, Maria E. ; Welling, Joep ; Wong-Rieger, Durhane ; Albert, Alexandra ; Arsenault, Guylaine ; Bissonnette, Lyne ; Boire, Gilles ; Bruns, Alessandra ; Carreira, Patricia ; Chung, Lorinda ; Dagenais, Pierre ; Denton, Christopher ; Domsic, Robyn ; Dunne, James V. ; Fortin, Paul ; Gill, Anna ; Gordon, Jessica ; Gyger, Genevieve ; Herrick, Ariane L. ; Hinchcliff, Monique ; Ikic, Alena ; Jones, Niall ; Fernandes, Artur Jose De B. ; Kafaja, Suzanne ; Khalidi, Nader ; Korman, Benjamin ; Liang, Patrick ; Manning, Joanne ; Masetto, Ariel ; Robinson, David ; Roux, Sophie ; Smith, Doug ; Spiera, Robert ; Steen, Virginia ; Sutton, Evelyn ; Thorne, Carter ; Varga, John ; Wilcox, Pearce ; Delisle, Vanessa C. ; Fedoruk, Claire ; Levis, Brooke ; Pepin, Mia R. ; Persmann, Jennifer. / Validation of the social interaction anxiety scale in scleroderma : A scleroderma patientcentered intervention network cohort study. In: Journal of Scleroderma and Related Disorders. 2017 ; Vol. 3, No. 1. pp. 98-105.
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T1 - Validation of the social interaction anxiety scale in scleroderma

T2 - A scleroderma patientcentered intervention network cohort study

AU - Gholizadeh, Shadi

AU - Kwakkenbos, Linda

AU - Carrier, Marie Eve

AU - Mills, Sarah D.

AU - Fox, Rina S.

AU - Jewett, Lisa R.

AU - Gottesman, Karen

AU - Roesch, Scott

AU - Thombs, Brett D.

AU - Malcarne, Vanessa L.

AU - Baron, Murray

AU - Bartlett, Susan J.

AU - Furst, Dan

AU - Van Den Hoogen, Frank

AU - Mayes, Maureen D.

AU - Mouthon, Luc

AU - Nielson, Warren R.

AU - Poiraudeau, Serge

AU - Riggs, Robert

AU - Sauve, Maureen

AU - Wigley, Fredrick

AU - Assassi, Shervin

AU - Boutron, Isabelle

AU - Maia, Angela Costa

AU - El-Baalbaki, Ghassan

AU - Ells, Carolyn

AU - Van Den Ende, Cornelia

AU - Fligelstone, Kim

AU - Fortune, Catherine

AU - Frech, Tracy

AU - Godard, Dominique

AU - Harel, Daphna

AU - Hudson, Marie

AU - Impens, Ann

AU - Jang, Yeona

AU - Johnson, Sindhu R.

AU - Kennedy, Ann Tyrell

AU - Larche, Maggie

AU - Leite, Catarina

AU - Marra, Carlo

AU - Nielsen, Karen

AU - Pope, Janet

AU - Portales, Alexandra

AU - Reyna, Tatiana Sofia Rodriguez

AU - Schouffoer, Anne A.

AU - Steele, Russell J.

AU - Suarez-Almazor, Maria E.

AU - Welling, Joep

AU - Wong-Rieger, Durhane

AU - Albert, Alexandra

AU - Arsenault, Guylaine

AU - Bissonnette, Lyne

AU - Boire, Gilles

AU - Bruns, Alessandra

AU - Carreira, Patricia

AU - Chung, Lorinda

AU - Dagenais, Pierre

AU - Denton, Christopher

AU - Domsic, Robyn

AU - Dunne, James V.

AU - Fortin, Paul

AU - Gill, Anna

AU - Gordon, Jessica

AU - Gyger, Genevieve

AU - Herrick, Ariane L.

AU - Hinchcliff, Monique

AU - Ikic, Alena

AU - Jones, Niall

AU - Fernandes, Artur Jose De B.

AU - Kafaja, Suzanne

AU - Khalidi, Nader

AU - Korman, Benjamin

AU - Liang, Patrick

AU - Manning, Joanne

AU - Masetto, Ariel

AU - Robinson, David

AU - Roux, Sophie

AU - Smith, Doug

AU - Spiera, Robert

AU - Steen, Virginia

AU - Sutton, Evelyn

AU - Thorne, Carter

AU - Varga, John

AU - Wilcox, Pearce

AU - Delisle, Vanessa C.

AU - Fedoruk, Claire

AU - Levis, Brooke

AU - Pepin, Mia R.

AU - Persmann, Jennifer

PY - 2017/10/24

Y1 - 2017/10/24

N2 - Introduction: Individuals with visible differences due to medical conditions, such as systemic sclerosis (SSc; scleroderma), have reported difficulty navigating social situations because of issues such as staring, invasive questions, and rude comments. Fears or anxiety linked to situations in which a person interacts with others is known as social interaction anxiety. However, there exists no validated measurement tool to examine social interaction anxiety in rheumatologic conditions. Methods: The present study examines the reliability (internal consistency) and validity (structural and convergent) of the Social Interaction Anxiety Scale-6 (SIAS-6) in a sample of 802 individuals with SSc, and compares these psychometric properties across limited and diffuse subtypes of the disease. Multi-group confirmatory factor analysis was used to examine the factor structure of the SIAS-6 in patients with both limited and diffuse SSc. Results: A one-factor structure was found to fit well for individuals with SSc with both limited and diffuse disease. The measure demonstrated strong internal consistency reliability and convergent validity with relevant measures in expected magnitudes and directions. Conclusions: The SIAS-6 is a psychometrically robust measure that can confidently be used in SSc populations to examine social interaction anxiety. Moreover, scores can meaningfully be compared between patients with limited and diffuse disease.

AB - Introduction: Individuals with visible differences due to medical conditions, such as systemic sclerosis (SSc; scleroderma), have reported difficulty navigating social situations because of issues such as staring, invasive questions, and rude comments. Fears or anxiety linked to situations in which a person interacts with others is known as social interaction anxiety. However, there exists no validated measurement tool to examine social interaction anxiety in rheumatologic conditions. Methods: The present study examines the reliability (internal consistency) and validity (structural and convergent) of the Social Interaction Anxiety Scale-6 (SIAS-6) in a sample of 802 individuals with SSc, and compares these psychometric properties across limited and diffuse subtypes of the disease. Multi-group confirmatory factor analysis was used to examine the factor structure of the SIAS-6 in patients with both limited and diffuse SSc. Results: A one-factor structure was found to fit well for individuals with SSc with both limited and diffuse disease. The measure demonstrated strong internal consistency reliability and convergent validity with relevant measures in expected magnitudes and directions. Conclusions: The SIAS-6 is a psychometrically robust measure that can confidently be used in SSc populations to examine social interaction anxiety. Moreover, scores can meaningfully be compared between patients with limited and diffuse disease.

KW - Psychometric

KW - Psychosocial

KW - Scleroderma

KW - Social anxiety

KW - Systemic sclerosis

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