Article2004

An Application of Item Response Theory Analysis to Alcohol, Cannabis, and Cocaine Criteria in DSM-IV.

James W. Langenbucher · Erich W. Labouvie · Christopher Stephen Martin · Pilar Margaret Sanjuan · Lawrence Bavly · Levent Kirisci +1 more

193 citations0/0 files storedJournal of Abnormal Psychology

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Psychometric Methodologies and Testing Substance Abuse Treatment and Outcomes Mental Health Research Topics

Abstract

Item response theory (IRT) is supplanting classical test theory as the basis for measures development. This study demonstrated the utility of IRT for evaluating DSM-IV diagnostic criteria. Data on alcohol, cannabis, and cocaine symptoms from 372 adult clinical participants interviewed with the Composite International Diagnostic Interview--Expanded Substance Abuse Module (CIDI-SAM) were analyzed with Mplus (B. Muthen & L. Muthen, 1998) and MULTILOG (D. Thissen, 1991) software. Tolerance and legal problems criteria were dropped because of poor fit with a unidimensional model. Item response curves, test information curves, and testing of variously constrained models suggested that DSM-IV criteria in the CIDI-SAM discriminate between only impaired and less impaired cases and may not be useful to scale case severity. IRT can be used to study the construct validity of DSM-IV diagnoses and to identify diagnostic criteria with poor performance.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1981Diagnostic and Statistical Manual of Mental Disorders, 3rd ed 2000Item response theory for psychologists 1997Structured Clinical Interview for DSM-IV Axis I Disorders 1992Fundamentals of item response theory 2007Structured Clinical Interview for DSM-IV 1990A New Item Response Theory Modeling Approach with Applications to Unidimensionality Assessment and Ability Estimation 1989A New Item Response Theory Modeling Approach with Applications to Unidimensionality Assessment and Ability Estimation

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