Development of a computerized adaptive test for Schizotypy assessment

PLoS One. 2013 Sep 3;8(9):e73201. doi: 10.1371/journal.pone.0073201. eCollection 2013.

Abstract

Background: Schizotypal traits in adolescents from the general population represent the behavioral expression of liability for psychotic disorders. Schizotypy assessment in this sector of population has advanced considerably in the last few years; however, it is necessary to incorporate recent advances in psychological and educational measurement.

Objective: The main goal of this study was to develop a Computerized Adaptive Test (CAT) to evaluate schizotypy through "The Oviedo Questionnaire for Schizotypy Assessment" (ESQUIZO-Q), in non-clinical adolescents.

Methods: The final sample consisted of 3,056 participants, 1,469 males, with a mean age of 15.9 years (SD=1.2).

Results: The results indicated that the ESQUIZO-Q scores presented adequate psychometric properties under both Classical Test Theory and Item Response Theory. The Information Function estimated using the Gradual Response Model indicated that the item pool effectively assesses schizotypy at the high end of the latent trait. The correlation between the CAT total scores and the paper-and-pencil test was 0.92. The mean number of presented items in the CAT with the standard error fixed at ≤ 0.30 was of 34 items.

Conclusion: The CAT showed adequate psychometric properties for schizotypy assessment in the general adolescent population. The ESQUIZO-Q adaptive version could be used as a screening method for the detection of adolescents at risk for psychosis in both educational and mental health settings.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Diagnosis, Computer-Assisted*
  • Female
  • Humans
  • Male
  • Psychometrics
  • Schizotypal Personality Disorder / diagnosis*

Grants and funding

This research was funded by the Spanish Ministry of Science and Innovation (MICINN) and by the Instituto Carlos III, Center for Biomedical Research in the Mental Health Network (CIBERSAM). Project references: PSI 2011-28638 and PSI 2011-23818. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.