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Item response theory and the measurement of psychiatric constructs: some empirical and conceptual issues and challenges

Published online by Cambridge University Press:  08 April 2016

S. P. Reise*
Affiliation:
University of California, Los Angeles, USA
A. Rodriguez
Affiliation:
University of California, Los Angeles, USA
*
*Address for correspondence: S. P. Reise, Ph.D., Department of Psychology, UCLA, Franz Hall, Los Angeles, CA 90095, USA. (Email: reise@psych.ucla.edu)
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Abstract

Item response theory (IRT) measurement models are now commonly used in educational, psychological, and health-outcomes measurement, but their impact in the evaluation of measures of psychiatric constructs remains limited. Herein we present two, somewhat contradictory, theses. The first is that, when skillfully applied, IRT has much to offer psychiatric measurement in terms of scale development, psychometric analysis, and scoring. The second argument, however, is that psychiatric measurement presents some unique challenges to the application of IRT – challenges that may not be easily addressed by application of conventional IRT models and methods. These challenges include, but are not limited to, the modeling of conceptually narrow constructs and their associated limited item pools, and unipolar constructs where the expected latent trait distribution is highly skewed.

Information

Type
Review Article
Copyright
Copyright © Cambridge University Press 2016 
Figure 0

Table 1. Eysenck Impulsivity subscale item content

Figure 1

Table 2. Classical test statistic, factor loadings, and 2PL model item parameters

Figure 2

Fig. 1. Item response curves for items with the highest and lowest slopes (top two plots) and items with the highest and lowest location (bottom two plots).

Figure 3

Fig. 2. Item information curves for items with highest and lowest discrimination and location.

Figure 4

Fig. 3. Test information curve and standard error for Eysenck Impulsiveness subscale.

Figure 5

Fig. 4. Rest-score functions for all 19 items. Items in order (1–19) from left to right.

Figure 6

Table 3. Item parameter estimates for the 3PLU, 3PL, and log-logistic models

Figure 7

Fig. 5. Item fit plots for the best (item 4) and worst (item 1) items.

Figure 8

Fig. 6. Test response curves for English and Spanish speakers.

Figure 9

Fig. 7. Item response curves for the EY19 items in the log-logistic model.