Simulative and empirical comparison of health scales’ scores derived by confirmatory factor analysis and sum of items.

Authors

DOI:

https://doi.org/10.54103/2282-0930/29512

Keywords:

Health scales, psychometric scores, sum of items, confirmatory factor analysis, simulation study

Abstract

We focus on how combining questionnaire’s items to derive a score. Data simulation and real data were used to compare questionnaires’ scores derived by sum of items and scores derived from a confirmatory factor analysis. We investigated the equivalence of the sum of items and the latent factor scores from confirmatory factor analysis in simulative and empirical studies. We investigated to what extent the derivation of the score may have influenced the assumptions of linear model analysis.  Deriving the questionnaire’s scores using the sum of items or the application of the confirmatory factor analysis is equivalent. This evidence is confirmed in the simulation settings and by empirical data.

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Published

2026-02-16

How to Cite

1.
Ricci C, Isernia S, Terzoni S, Baglio F, La Vecchia C. Simulative and empirical comparison of health scales’ scores derived by confirmatory factor analysis and sum of items. . ebph [Internet]. 2026 [cited 2026 Feb. 25];21(1). Available from: https://riviste.unimi.it/index.php/ebph/article/view/29512
Received 2025-07-21
Accepted 2025-12-09
Published 2026-02-16