Factorial validity of the 20-item Toronto Alexithymia Scale

The 20-item Toronto Alexithymia Scale (TAS-20) was developed in previous research to measure a general dimension of alexithymia with three inter correlated factors. These three factors reflect distinct facets of the alexithymia construct: (1) difficulty identifying feelings and distinguishing them from the bodily sensations of emotion, (2) difficulty describing feelings to others, and (3) an externally orientated style of thinking. This study tested the three-factor model for the TAS-20, using confirmatory factor analysis, in separate samples of young adults from Germany, Canada, and the United States. The previously established three-factor model was found to be replicable in all three samples. In addition, the full TAS-20 and its three factors demonstrated adequate internal reliability in all three samples. Although evaluation of the convergent, discriminant, and criterion validity of the TAS-20 is required in diverse cultural groups, the present results provide evidence for the factorial validity and internal reliability of the TAS-20.     

A Swedish translation of the 20-item Toronto Alexithymia Scale: cross-validation of the factor structure

The purpose of this study was to develop a new Swedish translation of the twenty-item Toronto Alexithymia Scale (TAS-20) and to examine if the theoretical structure that underlies the factor structure of the English version of the TAS-20 could be recovered in this Swedish translation of the instrument. A sample of 157 undergraduate students of psychology was tested. Using confirmatory factor analysis, the previously established three-factor TAS-20 model was found to be replicable in this sample. In addition, the Swedish translation of the TAS-20 showed adequate internal reliability. The present study also illustrates the importance of using back translation methodology when transposing psychometric instruments from one language to another.     

Factorial validity and measurement invariance of the 20-item Toronto Alexithymia Scale in clinical and nonclinical samples

The most widely used instrument to measure alexithymia is the 20-item Toronto Alexithymia Scale (TAS-20). However, different factor structures have been found in different languages. This study tests six published factor models and metric invariance across clinical and nonclinical samples. It also investigated whether there is a method effect of the negatively keyed items. Second-order models with alexithymia as a higher order factor are tested. Confirmatory factor analyses showed that the original factor model with three factors-difficulty identifying feelings (DIF); difficulty describing feelings (DDF) and externally oriented thinking (EOT)-is the best fitting model. Partial measurement invariance across samples was illustrated but requires further study. A weakness of the model is the low internal consistency of the third factor. Because models with a method factor had a better fit, future reconsideration of the negatively formulated items seems necessary. No evidence was found for the second-order models.     

Psychometric properties of a revised Spanish 20-item Toronto Alexithymia Scale adaptation in multiple sclerosis patients

There have been a small number of investigations of alexithymia in multiple sclerosis (MS) using the 20-item Toronto Alexithymia Scale (TAS-20). However, the TAS-20 factor structure has not yet been evaluated in a MS patient sample, and earlier Spanish translations of this instrument require some improvement. We aimed to evaluate the factorial validity and reliability of an improved Spanish translation of the TAS-20 (the TAS-20-S). The TAS-20-S was completed by 221 MS patients. Confirmatory factor analysis was used to compare the fit of six different factor models. Internal consistency and retest reliability coefficients were also computed. The correlated three-factor model and the higher-order factor model made up of Difficulty Identifying Feelings, Difficulty Describing Feelings, and Externally Oriented Thinking achieved the best fit. Alpha coefficients ranged between .87 and .67; mean inter-item correlations ranged between .48 and .20; and retest correlations after 6 months ranged between .61 and .52. A high degree of alexithymia was present in 18.1% of the sample. Reliability and the traditional three-factor structure were demonstrated for the TAS-20-S, which can now be recommended for assessing an aspect of emotional processing in MS patients.     

Reliability and factorial validity of a Farsi version of the 20-item Toronto Alexithymia Scale with a sample of Iranian students

This study investigated the psychometric properties of the Farsi version of the 20-item Toronto Alexithymia Scale for 587 undergraduate students (349 women and 238 men) at the University of Tehran. All participants were asked to complete the Farsi version of the TAS-20, the Emotional Intelligence Scale, and the Mental Health Inventory. Findings supported the internal consistency, test-retest reliability, concurrent validity, and three-factor structure of the Farsi version of the 20-item Toronto Alexithymia Scale. The factors found in the Farsi version of this scale are similar to the three factors found previously and were accordingly labeled as Difficulty Identifying Feelings, Difficulty Describing Feelings, and Externally Oriented Thinking. The results provide evidence for applicability of the TAS-20 and its cross-cultural validity.     

Assessing Alexithymia: Psychometric Properties and Factorial Invariance of the 20-Item Toronto Alexithymia Scale in Nonclinical and Psychiatric Samples

The 20-item Toronto Alexithymia Scale (TAS-20) is a self-report questionnaire designed to measure the three components of alexithymia; difficulty identifying feelings in the self (DIF), difficulty describing feelings (DDF), and externally orientated thinking (EOT). We examined the scale’s psychometric properties in Australian nonclinical (N = 428) and psychiatric (N = 156) samples. In terms of factorial validity, confirmatory factor analyses found the traditional 3-factor correlated model (DIF, DDF, EOT) to be the best and most parsimonious solution, but it did not reach adequate levels of goodness-of-fit in either sample. Several EOT items loaded poorly on their intended factor, and a reverse-scored item method factor was present; the factor structure of the scale was invariant across both samples. A higher-order factor model (with a single higher-order factor) was slightly inferior to the correlated models, but still tenable. The total scale score and DIF and DDF subscales displayed sound internal consistency, but the EOT subscale did not. We conclude that the TAS-20 has, for the most part, adequate psychometric properties, though interpretation should focus only on the total scale score and DIF and DDF subscales; we recommend the EOT subscale score not be used. Implications for clinical use and future revision of the scale are discussed.     

Alexithymia and its measurement: confirmatory factor analyses of the 20‐item Toronto Alexithymia Scale and the Bermond–Vorst Alexithymia Questionnaire

Alexithymia refers to the difficulties an individual has in experiencing and expressing feelings. The 20‐item Toronto Alexithymia Scale (TAS‐20) and the Bermond–Vorst Alexithymia Questionnaire (BVAQ) with two parallel versions of 20 items have been constructed to measure it. The present study compared the psychometric properties of these two self‐report questionnaires in English (N=290) and French (N=322) language versions. Confirmatory factor analysis was used to examine the fit between the hypothesized factors and the data. Results revealed a better fit to the data for the second version of the BVAQ (BVAQ‐20B) for both language versions as compared to the TAS‐20, the whole BVAQ, or the first version of the BVAQ (BVAQ‐20A). Additionally, the factor comparison of both language versions indicated that only the factorial structure of the BVAQ‐20B was replicable across languages. Concurrent validity of the questionnaires is discussed. Copyright © 1999 John Wiley & Sons, Ltd.     

The Toronto Alexithymia Scale (TAS-20): A measure of general psychological distress

The Toronto Alexithymia Scale (Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32.) is the most commonly used measure of Alexithymia (= difficulties identifying and describing one’s own feelings). Sixty-three persons (34 psychiatric inpatients, 29 healthy controls) first filled in the TAS-20 and were then interviewed about their interpersonal relationships. Two raters coded the emotional experiences that the participants reported during these interviews. Contrary to expectations, participants with higher TAS-20 scores reported more emotions (particularly negative ones), and more different emotions, questioning the validity of the TAS-20 as a measure of Alexithymia. Based on correlation patterns and a joint factor analysis with two well-established measures of psychopathology, it is concluded that the TAS-20 assesses a general psychological distress factor.     

Reexamining the Factor Structure of the 20-Item Toronto Alexithymia Scale: Commentary on Gignac,Palmer, and Stough

Gignac, Palmer, and Stough (2007/this issue) test a number of different latent factor models for the TAS–20 using a community sample of 355 participants and conclude that this scale is best represented by a “nested factors model,” with five substantive factors and a method factor. Gignac et al. also report that the correlated three-factor model and a comparable higher order model supported by most studies produced poor levels of incremental close fit. In this article, we challenge Gignac et al.'s unheralded and largely unsupported use of nested model fitting and the uncritical acceptance of exceptionally high cutoff levels to assess goodness of fit (GOF). Using more traditional and empirically supported model testing procedures and a more flexible approach to the interpretation of multiple tests of GOF, we interpret Gignac et al.'s results as actually supportive of the traditional three-factor model and one that has been recovered in 17 of the 24 factor analytic studies of the TAS–20.     

Investigation of the factorial structure and psychometric properties of the Persian version of the Toronto Alexithymia Scale-20 in patients with psychiatric disorders

The aims of this study were to assess the factor structure, validity, and reliability of the Persian translation of the Toronto Alexithymia Scale-20 (TAS-20) and to examine different models of the TAS-20 in Iranian patients with various psychiatric disorders. Participants were 839 patients with psychiatric disorders, including obsessive-compulsive disorder (OCD) (n = 80), schizophrenia (n = 82), bipolar disorder (BD) (n = 100), alcohol dependence (n = 81), major depressive disorder (MDD) (n = 95), psychosomatic disorders (n = 92), anxiety disorders (n = 85), post-traumatic stress disorder (PTSD) (n = 90), attention deficit hyperactivity disorder (ADHD) (n = 55), and suicide attempts (n = 79). Results indicated that the three-factor TAS-16 fit the data well, after removing four items from the externally-oriented thinking (EOT) subscale. In addition, the total score and subscales had strong internal consistency and concurrent validity. An alternative three-factor model and a four-factor model, which both allow the reverse-coded EOT items to load on a separate factor, also had an acceptable fit. The results suggest that after deleting four items from the EOT subscale, the 16-item TAS is a reliable scale among Iranian psychiatric patients. Moreover, the alternative three-factor and four-factor structures may be appropriate to apply among Iranian patients.

     

The Last-Weiss Rorschach Ego-Strength Scale as a prognostic measure for psychiatric outpatients

This study tested the hypothesis that the Last and Weiss (1976) Rorschach Ego-Strength Scale (sigma E) would predict outcome among a representative sample of never-hospitalized psychiatric outpatients. 78 patients were assessed with structured symptom, psychiatric history, and social data interviews at the time of initial clinic contact and at 2-yr. follow-up. Outcome measures included the Menninger Health-Sickness Scale, a multidimensional variable involving social and work functioning and recent symptom level, symptom measures, and an index of diagnostic severity. sigma E, controlled for number of responses, correlated significantly with Health-Sickness, neurotic symptoms, diagnostic severity, and psychotic symptomatology. Among the components of sigma E, M+, and FC+ had significant relationships or contributed to significant relations with outcome variables. Considered with an earlier study of inpatients, in which S+ sigma E component correlated inversely with outcome, this study suggested that sigma E components have differing prognostic significance, depending on adaptational level of the patient.     

Assessing reliability and validity of the Farsi version of the Toronto Alexithymia Scale in a sample of substance-using patients

The aim of this study was to estimate reliability and factorial validity of the Farsi version of the Toronto Alexithymia Scale-20 (TAS-20) for 321 substance-abusing patients (187 men and 134 women). All were asked to complete the Farsi version of the Toronto Alexithymia Scale-20, the Emotional Intelligence Scale, and The Mental Health Inventory. Analysis supported the internal consistency, test-retest reliability, concurrent validity, and three-factor structure of the Farsi version of the TAS-20 for substance users. The factors are similar to the three reported previously and were labeled as Difficulty Identifying Feelings, Difficulty Describing Feelings, and Externally oriented Thinking. These results provide evidence for applicability of the TAS-20 and its cross-cultural validity.     

Reexamining the factor structure of the 20-item Toronto alexithymia scale: commentary on Gignac, Palmer, and Stough

Gignac, Palmer, and Stough (2007/this issue) test a number of different latent factor models for the TAS-20 using a community sample of 355 participants and conclude that this scale is best represented by a "nested factors model," with five substantive factors and a method factor. Gignac et al. also report that the correlated three-factor model and a comparable higher order model supported by most studies produced poor levels of incremental close fit. In this article, we challenge Gignac et al.'s unheralded and largely unsupported use of nested model fitting and the uncritical acceptance of exceptionally high cutoff levels to assess goodness of fit (GOF). Using more traditional and empirically supported model testing procedures and a more flexible approach to the interpretation of multiple tests of GOF, we interpret Gignac et al.'s results as actually supportive of the traditional three-factor model and one that has been recovered in 17 of the 24 factor analytic studies of the TAS-20.     

French validation of the 7-item Game Addiction Scale for adolescents

IntroductionThe Game Addiction Scale (GAS: Lemmens, Valkenburg, & Peter, 2008, 2009) is a short instrument (7-item) for evaluating video game playing by adolescents.ObjectiveThe aim of the current research was to investigate the psychometric properties of a French version of the 7-item Game Addiction Scale for adolescents.MethodTwo studies were conducted with two samples of French adolescents between the ages of 10 and 18 (study 1: n = 159; study 2: n = 306). First, we examined the factor structure and internal consistency. Second, we added a concurrent validity analysis with estimation of the daily time spent playing video games and an assessment of depression and anxiety.ResultsIn both studies, the factor analysis revealed a one-factor structure that had good psychometric properties and fit the data well. The analysis also confirmed good internal consistency of the scale. Correlation analysis in the second study showed that the GAS score had significant positive relationships with the time spent playing video games, depression, anxiety, and the fact of being a boy, thereby supporting the concurrent validity of the scale.ConclusionThis French version of the GAS seems to be a reliable tool for identifying and assessing problematic use of video games.     

Validity and reliability of the Japanese version of the Emotional Intelligence Scale among college students and psychiatric outpatients

We examined the validity and reliability of the Japanese version of the Emotional Intelligence Scale in two samples of 267 college students and 398 psychiatric outpatients. Suitable validity and reliability of this scale were suggested by high correlations with scores on the NEO Personality Inventory, adequate internal consistency, and relatively high test-retest correlations. The Emotional Intelligence Scale seems suitable for both clinically distressed populations as well as comparative groups such as college students.     

Assessment of Alexithymia With the Rorschach Comprehensive System: The Rorschach Alexithymia Scale (RAS)

The Bene-Anthony Family Relations Test was administered to twenty normal, twenty-seven school disordered, and ten institutionalized emotionally disturbed preadolescent boys. Significant differences were obtained between and within groups. The more disturbed children tended to report more positive perceptions of family relationships, particularly their relationships with their oldest siblings. However, institutionalized children tended to perceive themselves more negatively than normal or school disordered children in the context of family relationships. Normal children, but not institutionalized children, tended to perceive their relationships with their oldest siblings as significantly more negative than their relationships to their parents. The data were interpreted as reflecting sibling rivalry and the operation of psychodynamic defenses.     

Stability of the MCMI among depressed psychiatric outpatients

The Millon Clinical Multiaxial Inventory (MCMI) is a promising, yet somewhat unproven psychometric inventory developed to identify clinical syndromes and personality traits consonant with the Diagnostic and Statistical Manual of Mental Disorders (3rd ed. [DSM-III]; American Psychiatric Association, 1980). The stability of its measures for both the theoretically more stable personality characteristics and the clinical syndromes was investigated in a group of depressed psychiatric outpatients. In this test-retest design with a 3-month interval between tests, clinical syndrome scales of relevance changed significantly as expected. However, many of the personality scales also changed significantly. Only four of the personality scales met a two-fold test of stability. Findings are discussed in terms of characteristics of self-report inventories such as the MCMI, the uniqueness of the depressed population, and characteristics of personality disorders.     

The Construct Validity of the MMPI Alexithymia Scale With Psychiatric Inpatients

Relatively few studies have addressed the issue of the Minnesota Multiphasic Personality Inventory (MMPI) alexithymia scale's construct validity. In this study, the validity of the scale is supported by the finding of a significantly lower percentage of alexithymic individuals in a large sample of psychiatric inpatients than in samples of patients with a variety of physical disorders (i.e., migraine headaches, asthma bronchitis/emphysema, and hypertension). Validity of the scale is further supported through a comparison of the alexithymic and nonalexithymic psychiatric inpatients on a series of Rorschach and MMPI variables. As predicted, alexithymics were less verbally productive, displayed less ability to fantasize, and demonstrated greater defensive pseudonormality. Results suggest the measure may be of value in studies of psychiatric patients as well as those with physical disorders.     

Psychometric properties of the Observer Alexithymia Scale in a clinical sample

The purpose of this study was to evaluate the psychometric properties of the Observer Alexithymia Scale (OAS; Haviland, Warren, & Riggs, 2000) in a clinical setting. Clinical and counseling psychologists used the OAS to rate outpatients (n = 192) with various Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994) diagnoses. Reliability and validity data are similar to the initial nonclinical data (n = 819): OAS scores are reliable (coefficient alpha = .90), and the five-factor structure--Distant, Uninsightful, Somatizing, Humorless, and Rigid--was confirmed. Moreover, the OAS does a relatively good job of differentiating clinical from nonclinical cases. The OAS is psychometrically sound, and it appears to be a useful tool for collecting and evaluating observer data on the clinically relevant, everyday expressions of alexithymia.