Application of the Double Monotonicity Model to Polytomous Items
Abstract
Abstract. This paper investigates the item scalability of the Beck Depression Inventory (BDI) in 252 subjects; 126 with and 126 without eating disorders. To do so, an order was established regarding the BDI items according to the clinical characteristics of the subjects with eating disorders. The nonparametric Item Response Theory (NIRT) model was applied to evaluate Monotone Homogeneity and Double Monotonicity of items, as well as the reliability of the scale in both groups. The results show that the order of the items is satisfied in the group with eating disorders, but not in the control group. Therefore, the results obtained allow the ordering of depression scores of subjects with eating disorders according to their clinical characteristics. This order is not valid for the depression scores of subjects who did not have eating disorders. It should be noted that the application of the Double Monotonicity model to polytomous items provides new and relevant information when compared to the data provided by the Classical Test Model. In addition, it is very useful for other items and subjects having certain characteristics.
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