Examining measures of schizotypy for gender and racial bias using item response theory and differential item functioning

Schizophr Res. 2024 Oct:272:120-127. doi: 10.1016/j.schres.2024.08.015. Epub 2024 Aug 29.

Abstract

Schizotypy involves schizophrenia-like traits and symptoms, with the Wisconsin Schizotypy Scales (WSS) being frequently used in previous research. There is some evidence that schizophrenia-spectrum symptom levels, including when using the WSS, might vary both by gender and by race and ethnicity. However, previous research has rarely examined to what extent the WSS show gender and racial bias. Further, this has not been previously examined for the Cognitive Slippage Scale, a measure of disorganized schizotypy. In this study, we examined biases for a subset of items from the WSS in a large sample of undergraduate students (n = 21,829). Using item response theory to test for levels of differential item functioning (DIF), we found some evidence of problematic DIF for all scales, including for negative, positive, and disorganized schizotypy scales. There was evidence of problematic DIF especially by gender and for Black and Multiracial participants. Overall, the current results suggest that gender and/or racial bias on these scales should be an important consideration in using these scales and our results could have implications for assessment of schizophrenia-spectrum symptoms.

Keywords: Assessment bias; Differential item functioning; Gender bias; Item response theory; Racial bias; Schizotypy.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Male
  • Psychiatric Status Rating Scales / standards
  • Psychometrics / standards
  • Racism
  • Schizotypal Personality Disorder* / diagnosis
  • Schizotypal Personality Disorder* / ethnology
  • Schizotypal Personality Disorder* / physiopathology
  • Young Adult