The 14-item short health anxiety inventory (SHAI-14) used as a screening tool: appropriate interpretation and diagnostic accuracy of the Swedish version

• DOI: 10.1186/s12888-022-04367-3
• Publication Date: 2022-11-14T19:04:44Z
• Authors: Susanna Österman; Erland Axelsson; Nils Lindefors; Erik Hedman-Lagerlöf; Maria Hedman-Lage...; Dorian Kern; Cecilia Svanborg; Volen Z. Ivanov
• Keywords: Psychiatry; Sweden; Psychiatric Status Rating Scales; Psychometrics; Research; RC435-571; Reproducibility of Results; Anxiety; Anxiety Disorders; Sensitivity and Specificity; ROC curve; Hypochondriasis; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; ROC Curve; Short health anxiety inventory; Health anxiety; Screening; Humans; Mass Screening

The 14-item Short Health Anxiety Inventory (SHAI-14) is a common measure of health anxiety but its screening properties have not been studied. aims this study were to evaluate the SHAI-14 as instrument, identify cut-offs for clinically significant and investigate which scores correspond different severity levels. included 1729 psychiatric patients 85 healthy controls. Participants completed underwent diagnostic interview. Cut-off evaluated in three scenarios approximate 1) clinic, 2) low prevalence setting and, 3) volunteers (cut-off remission). Receiver operating characteristics used. Classification was based on distribution reported by with anxiety. area under curve (AUC) values high all (above 0.95). optimal cut-off 22 context, 29 disorders 18 versus 0-27 represented no or mild anxiety, 28-32 moderate 33-42 substantial Brief self-report measures used instruments are simple way gathering information about presence specific symptoms thus detect likelihood diagnosis. shows evidence good utility both clinical non-clinical settings. However, score be used, depends intended purpose where