On the practice of dichotomization of quantitative variables.

Abstract
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. We consider here some simple statistical proce- dures for studying relationships of one or more inde- pendent variables to one dependent variable, where all variables are quantitative in nature and are measured on meaningful numerical scales. Such measures are often referred to as individual-differences measures, meaning that observed values of such measures are interpretable as reflecting individual differences on the attribute of interest. It is of course straightforward to analyze such data using correlational methods. In the case of a single independent variable, one can use simple linear regression and/or obtain a simple corre- lation coefficient. In the case of multiple independent variables, one can use multiple regression, possibly including interaction terms. Such methods are rou- tinely used in practice. However, another approach to analysis of such data is also rather widely used. Considering the case of one independent variable, many investigators begin by converting that variable into a dichotomous variable by splitting the scale at some point and designating individuals above and below that point as defining