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On the practice of dichotomization of quantitative variables.
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The authors examine the practice of dichotomization of quantitative measures, wherein relationships among variables are examined after 1 or more variables have been converted to dichotomous variables by splitting the sample at some point on the scale(s) of measurement. A common form of dichotomization is the median split, where the independent variable is split at the median to form high and low groups, which are then compared with respect to their means on the dependent variable. The consequences of dichotomization for measurement and statistical analyses are illustrated and discussed. The use of dichotomization in practice is described, and justifications that are offered for such usage are examined. The authors present the case that dichotomization is rarely defensible and often will yield misleading results.
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“However, grouping loses information and may reduce statistical power [ 87 ] especially when dichotomization is used [ 82 , 85 , 88 ].”
From Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration (2007) · cites this paper as [85]
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“In another survey, of the psychological literature, dichotomization was justified in only 22 of 110 articles (20%) [ 85 ].”
From Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration (2007) · cites this paper as [85]
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“However, such dichotomisation will result in an unnecessary loss of statistical power and precision if continuous alternatives are available (MacCallum et al., 2002; Royston et al., 2006).”
From Rating norms should be calculated from cumulative link mixed effects models (2022) · cites this paper as MacCallum et al., 2002
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“Artificially dichotomizing continuous measures is rarely conceptually or statistically defensible, and frequently yields misleading results (MacCallum et al., 2002).”
From Do growth mindset interventions impact students’ academic achievement? A systematic review and meta-analysis with recommendations for best practices. (2023) · cites this paper as MacCallum et al., 2002
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“In addition to the flexibility of this method, familiarity can be treated as a continuous variable, as suggested by the specialized literature (MacCallum et al. 2002).”
MethodDichotomizing Continuous Variables in Statistical Analysis
Dawson, N., & Weiss, R. (2012) · Medical decision making · doi:10.1177/0272989x12437605 · Cited by 177
“The problem gets worse when multiple independent variables are split(1); for example, residual confounding is introduced, and spurious interaction effects may be seen.(1,3) Dichotomization of continuous predictors may be viewed as an extreme case of ‘‘‘broad’ or ‘course’ grouping’’(2) or as ‘‘an extreme form of roundi…”
BackgroundMarsh, H. W., Abduljabbar, A. S., Abu-Hilal, M. M., Morin, A. J. S., Abdelfattah, F. A., Leung, K. C., Xu, M. K., Nagengast, B., & Parker, P. D. (2012) · Journal of Educational Psychology · doi:10.1037/a0029907 · Cited by 195
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“We encourage CS users to focus interpretation on psychometrically superior dimensional scores rather than categories formed by artificially dichotomized cut-off scores (see MacCallum, Zhang, Preacher, & Rucker, 2002 ).”
MethodThe Dark Side of Personality and Extreme Leader Behavior
Kaiser, R. B., LeBreton, J. M., & Hogan, J. C. (2013) · Applied Psychology · doi:10.1111/apps.12024 · Cited by 174
Comparison of four scoring methods for the reading span test
Friedman, N. P., & Miyake, A. (2005) · Behavior Research Methods · doi:10.3758/bf03192728 · Cited by 172
“…in multiple regression analyses, such losses are unnecessary, but post hoc dichotomization of quantitative variables is still common practice (MacCallum et al., 2002), particularly in quasi-experimental studies of working memory that include participants’ working memory span capacities as a…”
BackgroundMethodResultInfluentialBacterial vaginosis and risk of pelvic inflammatory disease.
Ness, R. B., Hillier, S. L., Kip, K. E., Soper, D. E., Stamm, C. A., McGregor, J. A., Bass, D. C., Sweet, R. L., Rice, P., & Richter, H. E. (2004) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000139512.37582.17 · Cited by 169
“Tests of bacterial vaginosis as a 3-3-level ordinal variable and as a continuous variable in Cox regression analyses afforded greater power.(30)”
Berger, P. K., Plows, J. F., Jones, R. B., Alderete, T. L., Yonemitsu, C., Poulsen, M. K., Ryoo, J. H., Peterson, B. S., Bode, L., & Goran, M. I. (2020) · PLoS ONE · doi:10.1371/journal.pone.0228323 · Cited by 169
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BackgroundDetecting and Correcting the Lies That Data Tell
Schmidt, F. (2010) · Perspectives on Psychological Science · doi:10.1177/1745691610369339 · Cited by 163
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“MacCallum et al. (2002) provide an excellent review.”
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A two-dimensional model that employs explicit and implicit attitudes to characterize prejudice.
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“These anxiety scores were entered separately as a parametric variable in the analyses (MacCallum et al. 2002).”
MethodMiu, A. S., & Yeager, D. S. (2015) · Clinical Psychological Science · doi:10.1177/2167702614548317 · Cited by 164
Sex Differences in Autonomic Correlates of Conduct Problems and Aggression
Beauchaine, T. P., Hong, J., & Marsh, P. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.ob013e318172ef4b · Cited by 168
“For sample sizes such as the one used here, dichotomizing a continuous outcome variable in multiple regression can reduce effect sizes by almost half, resulting in considerably reduced power.(32) Alternatively, aggressive symptoms of CD may be more closely”
Brain-based individual differences in online L2 grammatical comprehension
Tanner, D., Inoue, K., & Osterhout, L. (2013) · Bilingualism Language and Cognition · doi:10.1017/s1366728913000370 · Cited by 158
Risk prediction and aversion by anterior cingulate cortex
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“Because the study used monetary incentive for correct answers, our primary focus was on the group of participants (“low-gambling participants”) who were the most averse to financial gambling (DOSPERT gambling subscore � 6, n � 8). Although the use of a threshold to dichotomize groups can be controversial (Farrington &…”
MethodPollack, J. M., VanEpps, E. M., & Hayes, A. F. (2012) · Journal of Organizational Behavior · doi:10.1002/job.1794 · Cited by 173
Taxometrics and developmental psychopathology
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Dong, Y., & Dumas, D. (2020) · Personality and Individual Differences · doi:10.1016/j.paid.2020.109956 · Cited by 177
The Internal/External Frame of Reference Model of Self-Concept and Achievement Relations
Marsh, H. W., Abduljabbar, A. S., Parker, P. D., Morin, A. J. S., Abdelfattah, F. A., Nagengast, B., Møller, J., & Abu-Hilal, M. M. (2014) · American Educational Research Journal · doi:10.3102/0002831214549453 · Cited by 174
Shannon, K. E., Beauchaine, T. P., Brenner, S. L., Neuhaus, E., & Gatzke‐Kopp, L. M. (2007) · Development and Psychopathology · doi:10.1017/s0954579407000351 · Cited by 167
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“For example, artificially dichotomizing a continuous variable can lead to dramatic drops in statistical power to detect effects on that variable (MacCallum et al. 2002; Van der Sluis et al. 2013).”
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Fan, A., Wu, L., & Mattila, A. S. (2016) · Journal of Services Marketing · doi:10.1108/jsm-07-2015-0225 · Cited by 155
Norris, C. J., Creem, D., Hendler, R. A., & Hedy Kober, A. (2018) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2018.00315 · Cited by 180
Curran, P. J., McGinley, J. S., Bauer, D. J., Hussong, A. M., Burns, A., Chassin, L., Sher, K. J., & Zucker, R. A. (2014) · Multivariate Behavioral Research · doi:10.1080/00273171.2014.889594 · Cited by 153
Distress and rumor exposure on social media during a campus lockdown
Jones, N. M., Thompson, R. R., Schetter, C. D., & Silver, R. C. (2017) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1708518114 · Cited by 151
“Responses were summed (range, 0–56) to create a continuous score for acute stress symptoms and to capture maximum variability in potential responses (37).”
BackgroundRethinking multilingual experience through a Systems Framework of Bilingualism
Titone, D. A., & Tiv, M. (2022) · Bilingualism Language and Cognition · doi:10.1017/s1366728921001127 · Cited by 151
Maternal Chronological Age, Prenatal and Perinatal History, Social Support, and Parenting of Infants
Bornstein, M. H., Putnick, D. L., Suwalsky, J. T. D., & Gini, M. (2006) · Child Development · doi:10.1111/j.1467-8624.2006.00908.x · Cited by 159
Effect of Risk Communication Formats on Risk Perception Depending on Numeracy
Keller, C., & Siegrist, M. (2009) · Medical Decision Making · doi:10.1177/0272989x09333122 · Cited by 149
Pavone, E. F., Tieri, G., Rizza, G., Tidoni, E., Grisoni, L., & Aglioti, S. M. (2016) · Journal of Neuroscience · doi:10.1523/jneurosci.0494-15.2016 · Cited by 146
“To try and tease apart the effect of participant’s perspective from sense of embodiment, we used a median-split procedure to separate low and high reports of sense of embodiment in the different perspective and avatar accuracy conditions (MacCallum et al., 2002).”
MethodGlöckner-Rist, A., & Hoijtink, H. (2003) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1207/s15328007sem1004_4 · Cited by 146
Understanding statistical power in the context of applied research
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Predictors of the emergence of transformational leadership in virtual decision teams
Balthazard, P. A., Waldman, D. A., & Warren, J. E. (2009) · The Leadership Quarterly · doi:10.1016/j.leaqua.2009.06.008 · Cited by 168
Kircanski, K., LeMoult, J., Ordaz, S. J., & Gotlib, I. H. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.08.006 · Cited by 156
“…studying only individuals who lie at the extremes of symptom dimensions may lead researchers to misconstrue the true nature of population-level effects and reduce statistical power relative to a more dimensional recruitment and measurement strategy (MacCallum et al., 2002; Preacher et al., 2005).”
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Judd, C. M., & Kenny, D. A. (2010) · Handbook of Social Psychology · doi:10.1002/9780470561119.socpsy001004 · Cited by 151
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McGue, M. K., Iacono, W. G., & Krueger, R. F. (2006) · Behavior Genetics · doi:10.1007/s10519-006-9061-z · Cited by 148
Hedenius, M., Persson, J., Tremblay, A., Adi‐Japha, E., Veríssimo, J., Dye, C. D., Alm, P. A., Jennische, M., Tomblin, J. B., & Ullman, M. T. (2011) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2011.07.026 · Cited by 158
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“Moreover, this method can exaggerate small differences between interventions such as antidepressants and placebo [28], and statisticians note that it can distort data and should be avoided [29,30].”
MethodCan confidence come too soon? Collective efficacy, conflict and group performance over time
Goncalo, J. A., Polman, E., & Maslach, C. (2010) · Organizational Behavior and Human Decision Processes · doi:10.1016/j.obhdp.2010.05.001 · Cited by 154
Identity in young adulthood: Links with mental health and risky behavior
Schwartz, S. J., Hardy, S. A., Zamboanga, B. L., Meca, A., Waterman, A. S., Picariello, S., Luyckx, K., Crocetti, E., Kim, S. Y., Loyd, A. B., et al. (2015) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2014.10.001 · Cited by 142
Statistical procedures for analyzing mental health services data
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“Problems inherent in reducing dimensional variables to discrete categories are discussed in detail elsewhere (MacCallum et al., 2002).”
BackgroundMalhotra, M. K., Singhal, C., Shang, G., & Ployhart, R. E. (2014) · Journal of Operations Management · doi:10.1016/j.jom.2014.01.003 · Cited by 148
“…this practice affords one a more simplified form of analysis, it is generally not encouraged (Edwards and Lambert, 2007) because it discards useful information regarding the impact of the moderator, and at times yields biased parameter estimates (MacCallum et al., 2002; Maxwell and Delaney, 1993).”
BackgroundZamboanga, B. L., Schwartz, S. J., Jarvis, L. H., & Tyne, K. V. (2009) · The Journal of Primary Prevention · doi:10.1007/s10935-009-0182-z · Cited by 140
“had we used only dichotomous indicators for each of these drugs, we would likely have obtained largely nonsignificant results—given that analyses using dichotomous variables tend to be low in power ( MacCallum et al. 2002 ).”
ResultAcculturation and Health: The Moderating Role of Sociocultural Context
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“The emotion and delusion variables were also negatively skewed, but there was no conceptually meaningful cut off point from which to transform these into binary form (MacCallum et al. 2002 ; Altman & Royston, 2006).”
BackgroundTóth‐Király, I., Bőthe, B., Rigó, A., & Orosz, G. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01968 · Cited by 152
“However, one limitation of this statistical approach is that items need to be transformed into a smaller number of categories which is particularly problematic for continuous variables such as age (MacCallum et al., 2002).”
Backgroundvan Bakel, H. J. A., & Riksen‐Walraven, J. M. (2004) · Developmental Psychobiology · doi:10.1002/dev.20001 · Cited by 137
Ciani, K. D., Middleton, M., Summers, J. J., & Sheldon, K. M. (2009) · Contemporary Educational Psychology · doi:10.1016/j.cedpsych.2009.11.001 · Cited by 155
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“the introduction, this approach reduces statistical power and assumes linear scaling of the effects under investigation, which experimenters should bear in mind (Cohen, 1983; MacCallum et al., 2002; Baayen, 2004).”
BackgroundResultInfluentialNg, S. K. S., & Leung, W. K. (2006) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2006.00282.x · Cited by 137
“001 Subjects (total of 767, from healthy/low mean CAL or high/severe mean CAL categories) were stratified into "high" and "low" trait depression, trait anxiety, problem-focused coping, or emotion-focused coping groups by median-split (35); trait dispositions detected by The Depression Anxiety Stress Scale - Trait (30,…”
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Transparent Meta-Analysis of Prospective Memory and Aging
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“Clearly, dichotomous measurement substantially underestimates the true population effect size and such underestimation is much more severe as the proportion of successes to failures is more extreme [41].”
BackgroundSuicidal Ideation Among American Indian Youths
Yoder, K. A., Whitbeck, L. B., Hoyt, D. R., & LaFromboise, T. D. (2006) · Archives of Suicide Research · doi:10.1080/13811110600558240 · Cited by 133
“Novins and colleagues assessed both Indian and White cultural identity and divided the scales at the median (which can hide significant relationships; see MacCallum, Zhang, Preacher et al, 2002 ), but they also used a better measure of suicidal ideation.”
Ruge, H., & Wolfensteller, U. (2009) · Cerebral Cortex · doi:10.1093/cercor/bhp228 · Cited by 131
“For the statistical assessment of the relationship between performance and brain activation, the results from the regression analyses are preferable (MacCallum et al. 2002).”
MethodHepatic Steatosis, Insulin Resistance, and Adipose Tissue Disorders
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Witkiewitz, K. A., Kranzler, H. R., Hallgren, K. A., O’Malley, S. S., Falk, D. E., Litten, R. Z., Hasin, D. S., Mann, K. F., & Anton, R. F. (2018) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.13897 · Cited by 135
“The EMA-approved intermediate end points of reductions in total alcohol consumption and heavy drinking days are continuous measures and provide more statistical power to detect treatment effects than binary outcomes such as abstinence or no heavy drinking days (MacCallum et al., 2002; Yoo, 2010).”
Renzaho, A. M. N., Swinburn, B. A., & Burns, C. M. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.2 · Cited by 135
“To identify the four types of acculturation, a median split for each subscal”
BackgroundThe neural correlates of implicit and explicit self-relevant processing
Rameson, L. T., Satpute, A. B., & Lieberman, M. D. (2010) · NeuroImage · doi:10.1016/j.neuroimage.2009.12.098 · Cited by 130
“it utilizes the observed variance in self-reported identification (MacCallum et al., 2002).”
Driving factors of innovation in family and non-family SMEs
Werner, A., Schröder, C. A., & Chlosta, S. (2017) · Small Business Economics · doi:10.1007/s11187-017-9884-4 · Cited by 132
“Because categorizing quantitative variables may be criticized for several reasons (Maxwell and Delaney 1993; McCallum et al. 2002), we also tested the robustness of our results by using two different cutoff points for our firm size variable (up to 50 and up to 100 employees).”
MethodStructural Equation Models of Latent Interaction and Quadratic Effects
Marsh, H. W., Wen, Z., Hau, K., & Nagengast, B. (2013) · Emerald Group Publishing Limited eBooks · doi:10.1108/978-1-62396-246-320251010 · Cited by 131
Armitage, C. J., Harris, P. R., Hepton, G., & Napper, L. (2008) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.22.1.88 · Cited by 130
Ruscio, J., & Ruscio, A. M. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.1.24 · Cited by 130
“Much of the variability along this continuum might represent measurement error around the mean scores of socially phobic and normally shy individuals, thereby reducing statistical power and increasing the likelihood that important effects will be missed (Cohen, 1983; MacCallum et al., 2002).”
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“based on median or tertile split), since post hoc splits are statistically inferior to continuous analyses in virtually all respects [17].”
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“Categorization should therefore be avoided whenever possible.(19)”
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“MacCallum et al. (2002) contend that, although dichotomizing continuous variables is generally not warranted, such circumstances may constitute an exception.”
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“Although the dichotomization of continuous variables is generally admonished in the research literature ( MacCallum, Zhang, Preacher, & Rucker, 2002 ), MacCallum et al. (2002, p. 38) note that dichotomization may still be justified in those cases in which it is grounded on some theoretical or practical distinction or…”
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“Specifically, comparison of groups defined by clinical diagnosis may generate groups that are clinically different, but symptomatically and functionally similar, particularly when parent symptoms are high, but fail to reach a clinical threshold (see also MacCallum et al. 2002 ).”
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Asthma score: predictive ability and risk factors
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“The correlations for each level of the median split only have descriptive value (see MacCallum, Zhang, Preacher, & Rucker, 2002 ).”
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Multiple regression and correlation techniques: Recent controversies and best practices.
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Personality assessment across selection and development contexts: Insights into response distortion.
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The effect of pre‐operative information in relieving anxiety in oral surgery patients
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Metadata
- Authors
- MacCallum, R. C., Zhang, S., Preacher, K. J., & Rucker, D. D.
- Affiliations
- The Ohio State University (US)
- Venue
- Psychological Methods
- Published
- 2002
- Volume
- 7
- Issue
- 1
- Pages
- 19-40
- ISSN
- 1082-989X (ISSN-L)
- 1939-1463
- OpenAlex
- W2108096958
- Semantic Scholar
- 67646d3def337c40bbfa2476f0f1ff785ae18242
- Cited by
- 3,538
- References
- 42
- Citations by year
- 2026: 282 · 2025: 170 · 2024: 149 · 2023: 134 · 2022: 183 · 2021: 211 · 2020: 204 · 2019: 179 · 2018: 180 · 2017: 223 · 2016: 208 · 2015: 208 · 2014: 184 · 2013: 187 · 2012: 138
- FWCI
- 55.97
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- Psychological Methods (publishedVersion)
- PubMed (publishedVersion)
- KU ScholarWorks (The University of Kansas) (submittedVersion, other-oa)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods and Applications
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods and Bayesian Inference
- Keywords
- dichotomization, quantitative variables, statistical analysis, change of variables, measurement error
- MeSH terms
- Humans, Models, Psychological, Psychology
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