Liebowitz Social Anxiety Scale
Evaluates social phobia by rating anxiety and avoidance in a range of social interaction and performance situations.
Refer to the text below the calculator for more information about the self-report instrument and its interpretation.
The Liebowitz Social Anxiety Scale (LSAS) is a self-report assessment of social phobia that focuses on a range of social interaction and performance situations. Each of the 24 items are evaluated on two Likert scales, one for Anxiety and one for Avoidance behaviours.
LSAS Score | Interpretation |
0 - 29 | No social anxiety |
30 - 49 | Mild social anxiety |
50 - 64 | Moderate social anxiety |
65 - 79 | Marked social anxiety |
80 - 95 | Severe social anxiety |
> 95 | Very severe social anxiety |
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Liebowitz Social Anxiety Scale Explained
The Liebowitz Social Anxiety Scale (LSAS) is an assessment of social phobia that focuses on a range of social interaction and performance situations, developed by Dr. Michael R Liebowitz. Each of the 24 items are evaluated on two Likert scales, one for Anxiety and one for Avoidance behaviours.
The anxiety subscale asks how anxious or fearful the subject feels in that particular situation.
- None = 0
- Mild = 1
- Moderate = 2
- Severe = 3
The avoidance subscale asks how often the subject avoids the situation.
- Never = 0
- Occasionally (1-33% of the time) = 1
- Often (33-67% of the time) = 2
- Usually (67-100% of the time) = 3
The global score totals anxiety and avoidance for all 24 items and is interpreted as follows:
LSAS score | Interpretation |
0 - 29 | No social anxiety |
30 - 49 | Mild social anxiety |
50 - 64 | Moderate social anxiety |
65 - 79 | Marked social anxiety |
80 - 95 | Severe social anxiety |
> 95 | Very severe social anxiety |
The LSAS focuses on the way that social phobia plays a role in the life of the respondent, in a variety of situations. The respondent is asked to relate to their behaviour in the past week.
The original scale was developed as a clinician-rated measure, where the administrator describes each situation to the respondent and asks them to rate their fear and avoidance. The clinician may then adjust the initial response based upon clinical judgment. Currently, the scale is more often used as patient-rated, for quicker and less costly administration.
If the respondent does not ordinarily experience a particular situation, they should be advised to imagine the situation and rate the degree they would fear the hypothetical situation and how often they think they would tend to avoid it.
The scale has a wide range of uses, from the general public concerned that they may be experiencing signs of a disorder (with the caveat that they should then ask for professional advice) to clinical settings and research studies.
Whilst the LSAS was found by several studies to be an effective and cost-efficient way to identify people with social anxiety (excellent internal consistency or reliability), clinical diagnosis of SAD must be based on an assessment by a trained mental health professional.
Rytwinski et al. found that the self-report version of the scale can be used in screening individuals for social anxiety disorder, with a cut-off score of 30 accurately identifying 90% of the individuals with SAD.
Heimberg et al. found that the scale is sensitive to change so may be used alongside treatment with psychotropic medication to monitor changes in social anxiety and treatment success.
References
Original reference
Liebowitz MR. Social phobia. Modern Problems in Pharmacopsychiatry. 1987.
Other references
Fresco DM. The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine. 2001; 31(6):1025-35.
Rytwinski NK, Fresco DM, Heimberg RG, et al. Screening for social anxiety disorder with the self-report version of the Liebowitz Social Anxiety Scale. Depress Anxiety. 2009; 26(1):34-38.
Heimberg RG, Horner KJ, Juster HR, et al. Psychometric properties of the Liebowitz Social Anxiety Scale. Psychol Med. 1999; 29(1):199-212.
Specialty: Psychiatry
Year Of Study: 1987
Abbreviation: LSAS
Article By: Denise Nedea
Published On: July 8, 2020 · 12:00 AM
Last Checked: July 8, 2020
Next Review: July 8, 2025