To obtain accurate, valid, and rich information from the questionnaires for internet addiction, a diagnostic classification test for internet addiction (the DCT-IA) was developed using diagnostic classification models (DCMs), a cutting-edge psychometric theory, based on DSM-5. A calibration sample and a validation sample were recruited in this study to calibrate the item parameters of the DCT-IA and to examine the sensitivity and specificity. The DCT-IA had high reliability and validity based on both CTT and DCMs, and had a sensitivity of 0.935 and a specificity of 0.817 with AUC = 0.919. More important, different from traditional questionnaires, the DCT-IA can simultaneously provide general-level diagnostic information and the detailed symptom criteria-level information about the posterior probability of satisfying each symptom criterion in DMS-5 for each patient, which gives insight into tailoring individual-specific treatments for internet addiction.
Cognitive diagnostic models (CDMs) show great promise in language assessment for providing rich diagnostic information. The lack of a full understanding of second language (L2) listening subskills made model selection difficult. In search of optimal CDM(s) that could provide a better understanding of L2 listening subskills and facilitate accurate classification, this study carried a two-layer model selection. At the test level, A-CDM, LLM, and R-RUM had an acceptable and comparable model fit, suggesting mixed inter-attribute relationships of L2 listening subskills. At the item level, Mixed-CDMs were selected and confirmed the existence of mixed relationships. Mixed-CDMs had better model and person fit than G-DNIA. In addition to statistical approaches, the content analysis provided theoretical evidence to confirm and amend the item-level CDMs. It was found that semantic completeness pertaining to the attributes and item features may influence the attribute relationships. Inexplicable attribute conflicts could be a signal of suboptimal model choice. Sample size and the number of multi-attribute items should be taken into account in L2 listening cognitive diagnostic modeling studies. This study provides useful insights into the model selection and the underlying cognitive process for L2 listening tests.
Internet addiction disorder has become one of the most popular forms of addiction in psychological and behavioral areas, and measuring it is growing increasingly important in practice. This study aimed to develop a computerized adaptive testing to measure and assess internet addiction (CAT-IA) efficiently. Four standardized scales were used to build the original item bank. A total of 59 polytomously scored items were finally chosen after excluding 42 items for failing the psychometric evaluation. For the final 59-item bank of CAT-IA, two simulation studies were conducted to investigate the psychometric properties, efficiency, reliability, concurrent validity, and predictive validity of CAT-IA under different stopping rules. The results showed that (1) the final 59 items met IRT assumptions, had high discrimination, showed good item-model fit, and were without DIF; and (2) the CAT-IA not only had high measurement accuracy in psychometric properties but also sufficient efficiency, reliability, concurrent validity, and predictive validity. The impact and limitations of CAT-IA were discussed, and several suggestions for future research were provided.
Most existing instruments for depression are developed based on classical test theory, factor analysis, or sometimes, item response theory, and focus on the accurate measurement of the severity of depressive disorder. Nevertheless, they tend to be less useful in supporting the decision based on
ICD-10
or
DSM-5
because of the lack of detailed information for symptoms. To gain rich and valid information at the symptom level, this article developed a depression test under the framework of cognitive diagnosis models (CDMs), referred to as CDMs-D. A total of 1,181 individuals were finally recruited and their responses were used to examine the psychometric properties of CDMs-D. After excluding poor items for statistical reasons (e.g., low discrimination, poor model-fit or having DIF), 56 items were included in the CDMs-D. The CDMs-D measures all ten symptom criteria for depression defined in
ICD-10
and covers five domains of depression defined by
Gibbons et al. (2012)
. Comparing with the existing self-report measures (such as PHQ-9, SDS, CES-D and so on), a distinguishing feature of the CDMs-D is that it can provide both overall information about the severity of depressive disorder and the assessment information about specific symptoms, which could be useful for diagnostic and interventional purposes.
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