Social Anxiety Disorder Diagnosis Mini-Social Phobia Inventory (Mini-SPIN) By Arlin Cuncic Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." Learn about our editorial process Updated on January 22, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Peerawat Kamklay / Getty Images The Mini-Social Phobia Inventory (Mini-SPIN) is a 3-item, self-rated scale originally developed to screen for generalized social anxiety disorder. The Mini-SPIN was developed by Dr. Jonathan Davidson of Duke University Medical Center, based on the longer 17-item social phobia inventory (SPIN). As professionals no longer distinguish between different types of social anxiety disorder (generalized vs. specific), this scale would now be used for the assessment of social anxiety disorder of all types. Previously, the "generalized" subtype referred to people who experienced trouble with many social and performance situations, while the "specific" subtype referred to people who had trouble with only one (often public speaking). How the Mini-SPIN Is Administered The Mini-SPIN is generally used as a screening instrument for social anxiety disorder. Your doctor may use the questions on the Mini-SPIN to determine whether you are at risk for this disorder. Because experts now recommend anxiety screening during routine exams for all women and girls over age 13, the Mini-SPIN is one type of assessment you might encounter during a doctor's visit. A score on this instrument can't determine whether you meet the criteria for a SAD diagnosis. Rather, it is the first step that your doctor might use to see whether further testing and evaluation is needed. The Mini-SPIN contains three items about avoidance and fear of embarrassment that you rate based on the past week. Fear of embarrassment causes me to avoid doing things or speaking to people.I avoid activities in which I am the center of attention.Being embarrassed or looking stupid are among my worst fears. The items are rated using a 5-point Likert scale: 0 = Not at all1 = A little bit2 = Somewhat3 = Very much4 = Extremely Scales such as this are often also used for research purposes when scientists want to determine the level of a problem in a large group or assess change over time in a particular problem. In this case, they might use the Mini-SPIN to assess for risk of social anxiety disorder or change in social anxiety symptoms over time. Generally, however, a short assessment like this is used as a screening test to tell your doctor whether to move on or to ask more questions. It's important that you answer as honestly as possible, even though it might feel embarrassing at the time. Information Provided by the Mini-SPIN The Mini-SPIN is scored by summing the item ratings. Scores of 6 or higher on the Mini-SPIN indicate possible problems with social anxiety. Scores this high would generally be followed up with a full diagnostic interview for SAD with a trained mental health professional. The Accuracy of the Mini-SPIN With a cutoff score of 6 or greater, the Mini-SPIN showed 90% accuracy in diagnosing the presence or absence of generalized social anxiety disorder in a managed care population. Results from a 2016 study published in the journal Cognitive Behavioral Therapy demonstrated that the Mini-SPIN had an excellent ability to distinguish between people with and without social anxiety disorder in a clinical sample of individuals with other disorders. How to Compute Your Mini-SPIN Score Rate each of the three items above from 0 to 4. Add up the scores to compute your total score. For example, if you answered 4 (extremely) to question 1, 3 (very much) to question 2, and 4 (extremely) to question 3, your total score would be 11. Next, compare your score to the cutoff score of 6. In this case, the score of 11 is well above the score of 6. When used as a screening tool, scores of 6 or higher indicate possible problems with social anxiety. A Word From Verywell If you have a Mini-SPIN score that indicates a possible problem with social anxiety or you feel that your social anxiety is a hindrance, it is best to contact your doctor or a mental health professional for advice. While social anxiety can feel overwhelming, there are effective treatments that could help, such as cognitive-behavioral therapy and medication, depending on your individual circumstances. If you or a loved one are struggling with social anxiety disorder, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. 3 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Gregory KD, Chelmow D, Nelson HD, et al. Screening for anxiety in adolescent and adult women: A recommendation from the Women's Preventive Services Initiative. Ann Intern Med. 2020. doi:10.7326/M20-0580 Connor KM, Kobak KA, Churchill LE, Katzelnick D, Davidson JR. Mini-SPIN: A brief screening assessment for generalized social anxiety disorder. Depress Anxiety. 2001;14(2):137-40. doi:10.1002/da.1055 Fogliati VJ, Terides MD, Gandy M, et al. Psychometric properties of the Mini-Social Phobia Inventory (Mini-SPIN) in a large online treatment-seeking sample. Cogn Behav Ther. 2016;45(3):236-57. doi:10.1080/16506073.2016.1158206 Additional Reading Ranta K, Kaltiala-Heino R, Rantanen P, Marttunen M. The Mini-Social Phobia Inventory: Psychometric properties in an adolescent general population sample. Compr Psychiatry. 2012;53(5):630-637. doi:10.1016/j.comppsych.2011.07.007 Seeley-Wait E, Abbott MJ, Rapee RM. Psychometric properties of the mini-social phobia inventory. Prim Care Companion J Clin Psychiatry. 2009;11(5):231-236. doi:10.1016/j.comppsych.2011.07.007 By Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Social Anxiety Disorder Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.