Biomedical subjects

S P Reise

Publications and source records attributed to S P Reise.

11 recordsLinked to original sources

PubMed2000

Factor analysis and scale revision.

This article reviews methodological issues that arise in the application of exploratory factor analysis (EFA) to scale revision and refinement. The authors begin by discussing how the appropriate use of EFA in scale revision is influenced by both the hierarchical nature of psychological constructs and the motivations underlying the revision. Then they specifically address (a) important issues that arise prior to data collection (e.g., selecting an appropriate sample), (b) technical aspects of factor analysis (e.g., determining the number of factors to retain), and (c) procedures used to evaluate the outcome of the scale revision (e.g., determining whether the new measure functions equivalently for different populations).

Factor Analysis, Statistical↗

PubMed2000

Evaluating the equivalence of health care ratings by whites and Hispanics.

PURPOSE: This study was designed to assess the equivalence of a health care ratings scale administered to non-Hispanic white and Hispanic survey respondents. METHODS: We sent 18,840 questionnaires to a random sample of patients receiving medical care from a physician group association concentrated in the western United States; 7,093 were returned (59% adjusted response rate). Approximately 90% of survey respondents self-identified as white/Caucasian (n = 5,508) or Hispanic/Latino (n = 713). Interpersonal and technical aspects of medical care were assessed with 9 items, all administered with a 7-point response format: the best, excellent, very good, good, fair, poor, and very poor, with a "not applicable" option. Item response theory procedures were used to test for differential item functioning between white and Hispanic respondents. RESULTS: Hispanics were found to be significantly more dissatisfied with care than whites (effect size=0.27; P <0.05). Of the 9 test items, 2 had statistically significant differential item functioning (P <0.05): reassurance and support offered by your doctors and staff and quality of examinations received. However, summative scale scores and test characteristic curves for whites and Hispanics were similar whether or not these items were included in the scale. CONCLUSIONS: Despite some differences in item functioning, valid satisfaction-with-care comparisons between whites and Hispanics are possible. Thus, disparities in satisfaction ratings between whites and Hispanics should not be ascribed to measurement bias but should be viewed as arising from actual differences in experiences with care.

Adult↗

PubMed2000

Item response theory and health outcomes measurement in the 21st century.

Item response theory (IRT) has a number of potential advantages over classical test theory in assessing self-reported health outcomes. IRT models yield invariant item and latent trait estimates (within a linear transformation), standard errors conditional on trait level, and trait estimates anchored to item content. IRT also facilitates evaluation of differential item functioning, inclusion of items with different response formats in the same scale, and assessment of person fit and is ideally suited for implementing computer adaptive testing. Finally, IRT methods can be helpful in developing better health outcome measures and in assessing change over time. These issues are reviewed, along with a discussion of some of the methodological and practical challenges in applying IRT methods.

Activities of Daily Living↗

PubMed2000

Computerization and adaptive administration of the NEO PI-R.

This study asks, how well does an item response theory (IRT) based computerized adaptive NEO PI-R work? To explore this question, real-data simulations (N = 1,059) were used to evaluate a maximum information item selection computerized adaptive test (CAT) algorithm. Findings indicated satisfactory recovery of full-scale facet scores with the administration of around four items per facet scale. Thus, the NEO PI-R could be reduced in half with little loss in precision by CAT administration. However, results also indicated that the CAT algorithm was not necessary. We found that for many scales, administering the "best" four items per facet scale would have produced similar results. In the conclusion, we discuss the future of computerized personality assessment and describe the role IRT methods might play in such assessments.

Algorithms↗

PubMed1998

Gender differences on negative affectivity: an IRT study of differential item functioning on the Multidimensional Personality Questionnaire Stress Reaction Scale.

Item response theory methods were used to study differential item functioning (DIF) between gender groups on a measure of stress reaction. Results revealed that women were more likely to endorse items describing emotional vulnerability and sensitivity, whereas men were more likely to endorse items describing tension, irritability, and being easily upset. Item factor analysis yielded 5 correlated factors, and the DIF analysis, in turn, revealed differential gender mean differences on these factors. This finding illustrates how even in an essentially unidimensional scale, comparison of group mean differences can be affected by multidimensionality caused by item clusters that share similar content. Results do not support arguments that measures of negative affective dispositions "artificially" produce gender mean differences by focusing on specific selected content areas.

Adult↗

PubMed1996

A California Q-set alexithymia prototype and its relationship to ego-control and ego-resiliency.

The primary purposes of the present study were to use the Q-sort method to develop a measure of alexithymia and to locate the construct within a two-dimensional (ego-control and ego-resiliency) model of personality. Thirteen professional judges described the characteristics of the alexithymic personality with the 100-item California Q-set. Scores from the sorts were aggregated to form the Alexithymia Prototype, which had a Spearman-Brown reliability of 0.99. Alexithymic people were described as having difficulties experiencing and expressing emotion, lacking imagination, and being literal, socially conforming, and utilitarian; they lack insight, are humorless, and experience meaninglessness; and anxiety and tension find outlet in bodily symptoms. This description is consistent, for the most part, with modern formulations of the alexithymia construct. In the language of the two-dimensional personality model, alexithymic individuals appear to be overcontrolling and lacking ego-resiliency (i.e., constricted, anxious, rigid, and withdrawn). We, therefore, compared the Alexithymia Prototype with two independently developed prototypes, Overcontrol and Ego-Resiliency. The Q-correlations between alexithymia and overcontrol and between alexithymia and ego-resiliency were 0.45 and -0.70, respectively. Although item analyses confirmed moderate overlap between alexithymia and overcontrol and considerable overlap between alexithymia and lacking ego-resiliency (ego-brittle), item differences suggest that alexithymia, indeed, is a unique personality construct.

Adaptation, Psychological↗

PubMed1996

Structure of the twenty-item Toronto Alexithymia Scale.

The 20-item Toronto Alexithymia Scale (TAS-20) purportedly measures 3 intercorrelated dimensions of the alexithymia construct: (a) difficulties identifying feelings (DIF), (b) difficulties describing feelings (DDF), and (c) externally oriented thinking (EOT). The primary purpose of this study was to evaluate the factor structure of the TAS-20 with full-information item factor analysis in 2 diverse samples: medical students (n = 219) and psychiatric (psychoactive substance dependent-abusing) inpatients (n = 204). In each group, we estimated the parameters of 1-, 2-, 3-, and 4-factor models. None of the various factor solutions resulted in clean, simple structures in either sample. In the student sample, the data were best represented (although not well) by a 3-dimensional model: DIF, DDF, and EOT. In the psychiatric sample, however, the 3-dimensional solution was quite different; DIF and DDF formed 1 "emotional awareness deficits" factor, and EOT split into 2 unrelated factors. We concluded that alexithymia, as measured by the TAS-20, is multidimensional and not well-represented by a global severity score. Our recommendations include checking the factor structure of the TAS-20 when practicable, computing subscale scores, and exercising caution in interpreting TAS-20 EOT scores, particularly in psychoactive substance dependent-abusing inpatient samples.

Adolescent↗

PubMed1995

Developmental status, gender, age, and self-reported decision-making influences on students' risky and preventive health behaviors.

This study used decision-making theory to analyze the developmental changes associated with children's and adolescents' health behavior. High school and elementary school children completed surveys concerning (1) the extent to which they engage in a variety of preventive and risky health behaviors, and (2) influence sources used in decision making concerning the enactment of these behaviors. Multiple regression analysis revealed that the sources of influence children and adolescents report considering in making health-related decisions change developmentally and as a function of gender. Moreover, within and across age, children's sources of influence with respect to health decision making are dependent on the health domains being considered. The findings are discussed in relation to decision-making theory and the implications for the content and timing of health education initiatives for adolescents.

Adolescent↗

PubMed1994

Development of a California Q-set indicator of primary psychopathy.

Seven judges described the personality characteristics of the primary psychopath by sorting the 100 items of the California Q-set in a forced-normal distribution. Item scores resulting from these sorts were aggregated across judges to form a Psychopathy Prototype. The reliability of the seven-judge aggregate prototype was .90. To examine the reliability of scores derived from the prototype, the personalities of 65 target subjects were described by two peer judges using the California Q-set (Block, 1961). For each subject, Psychopathy Prototype scores were derived by correlating each judge's Q-sort profile with the Psychopathy Prototype. Findings indicated that the peer-generated psychopathy scores correlated r = .61 between judges. Using the Spearman-Brown formula, Psychopathy Prototype scores have reliabilities of .75, .82, and .86 when aggregated over two, three, and four peer judges, respectively. To further explore properties of the measure, the Psychopathy Prototype was compared with independently developed California Q-set prototypes describing the narcissist and the female hysteric. The results revealed some interesting contrasts among these concepts and serve to support our contention that the Psychopathy Prototype has utility in regard to distinguishing between pathologies with overlapping features.

Antisocial Personality Disorder↗

PubMed1992

Genetic and environmental influences on item response pattern scalability.

Numerous studies have examined how genetic and environmental factors determine individual differences on multi-item personality scales. Few studies, however, have examined how genes and the environment influence the route by which individuals obtain their scores on these scales. Specifically, on a multi-item test, dozens of item response patterns result in equivalent total scores, though some response patterns are more likely to be observed than others. For many scales it may be of interest to determine the genetic and environmental influences on the item response patterns, as well as the sum of the item responses. We discuss a latent trait measure of item response pattern scalability, called Zl (Levine and Drasgow, 1982), and investigate the properties of this index from a behavioral genetics perspective. Using a large sample of identical and fraternal twins from the Minnesota Twin Registry (Lykken et al., 1990), item response pattern scalability is shown to be moderately heritable. On the four scales of the Multidimensional Personality Questionnaire (Tellegen, 1982) that were investigated, approximately 20% of the variation in scalability was due to genetic diversity between subjects of our sample. Follow-up analyses, using a factor-analytically based, genotype-environment model of item response behavior, indicated that specific genetic and environmental factors play a substantial role in determining item response pattern variation.

Adult↗

PubMed1989

Computerized adaptive personality assessment: an illustration with the Absorption scale.

This article introduces the theory behind and applications of adaptive personality assessment based on the item response theory. Two adaptive testing strategies were compared: (a) fixed test length and (b) clinical decision. Real-data simulations, based on the item responses from 1,000 subjects who had previously taken the 34-item Absorption scale (Tellegen, 1982) by means of paper-and-pencil format, were used to illustrate these strategies. Results suggest that computerized adaptive personality assessment works impressively well. With the fixed-test-length strategy, a 50% savings in administered items was achieved with little loss of measurement precision. In the clinical-decision testing strategy, individuals who were extreme on the Absorption trait were identified with perfect accuracy using, on average, 25% of the available items. The implications of these results for personality research and assessment are discussed.

Adult↗