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Year : 2020  |  Volume : 34  |  Issue : 4  |  Page : 188-195

The Validity of Inventory of Depressive Symptomatology, Self-report and the Association of Depression with Professional Help-seeking among Individuals with Social Anxiety Disorder

1 Department of General Psychiatry, Bali Psychiatric Center; Seed of Hope Clinic, Taipei, Taiwan
2 Department of Psychiatry, National Taiwan University Hospital; Department of Biomedical Engineering, National Taiwan University, Taipei, Taiwan
3 Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine; Institute of Behavioral Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
4 Department of General Psychiatry, Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan City, Taiwan
5 Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
6 Department of Psychiatry, Taipei Veterans General Hospital; Department of Psychiatry, College of Medicine, National Yang-Ming University, Taipei, Taiwan
7 Department of Psychiatry, National Taiwan University College of Medicine; Yujie Clinic, Taipei, Taiwan; Department of Psychology, University of Otago, Dunedin, New Zealand

Correspondence Address:
Chao- Cheng Lin
9F, No 202-3, Section 3, Xinyi Road, Taipei 10658

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/TPSY.TPSY_37_20

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Objectives: Patients with social anxiety disorder (SAD) often have a fear of seeking professional help. In this study, we intended to validate the Taiwanese version of the Inventory of Depressive Symptomatology, Self-report (IDS-SR), and to investigate whether severity of depression and/or social anxiety is associated with professional help-seeking among Internet users with SAD. Methods: In the study part I, we recruited volunteers through the internet, assessed their social anxiety and depression, and examined the Taiwanese version of the IDS-SR. In study Part II, we again recruited volunteers from the Internet and outpatient clinic, and did the telephone or face-to-face interview to establish the validity of the IDS-SR. Finally, the results of both parts were integrated to analyze help-seeking behaviors. Results: We included 2,079 participants in study part I, which showed that the IDS-SR was reliable. In the Part II study, the IDS-SR was found to be valid from 104 participants. Among the study Part I participants who reached the threshold of SAD, a high prevalence (52.9%) of major depressive disorder was found. Multiple logistic regression analysis of scores of the participants who met the threshold of SAD (n = 1,483) revealed that the IDS-SR total score was significantly associated with professional help-seeking (p < 0.001), whereas the severity of social anxiety was not. Conclusion: The Taiwanese version of IDS-SR was valid and reliable. The severity of depression, rather than that of social anxiety, was associated with professional help-seeking behaviors among Internet users with SAD. Screening depression in people with SAD has the potential in identifying those who may seek professional help.

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