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

Khosravani, Vahid; Najafi, Mahmoud; Naragon‐Gainey, Kristin; Mohammadzadeh, Ali

doi:10.1007/s12144-019-00329-3

Cited by 6 publications

(4 citation statements)

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“…Similar to the original TAS‐20, the Persian version measures three subscales of alexithymia including DIF, DDF and EOT. The Persian version had appropriate internal consistency (Cronbach's α s of .86, .83, .67 and .71 for the total TAS‐16, DIF, DDF and EOT, respectively; Khosravani, Najafi, Naragon‐Gainey, & Mohammadzadeh, 2019). In the present study, we also grouped the patients into alexithymic and non‐alexithymic individuals based on the cut‐off scores of the scale so that alexithymic individuals show total scores >61 and those without alexithymia have scores <51 (Bagby et al, 1994).…”

Section: Methodsmentioning

confidence: 99%

“…We explored these effects by controlling for asthma severity because of its associations with negative affect (Richardson et al, 2006), empathy (Witusik et al, 2018) and physical symptoms (Ghorbani et al, 2017). Khosravani, Najafi, Naragon-Gainey, & Mohammadzadeh, 2019). In the present study, we also grouped the patients into alexithymic and non-alexithymic individuals based on the cut-off scores of the scale so that alexithymic individuals show total scores >61 and those without alexithymia have scores <51 (Bagby et al, 1994).…”

Section: Key Practitioner Messagementioning

confidence: 99%

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Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

Khosravani

Ardestani

Alvani

et al. 2020

Clin Psychology and Psychoth

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Although alexithymia has been found to be associated with physical symptoms in psychosomatic disorders such as asthma, mechanisms linking this association are unknown. However, affective alexithymic features may be associated with physical symptoms in the presence of deficits in affective characteristics such as low empathy and high negative affect. This study aimed to assess direct effects of alexithymic traits on physical symptoms and indirect effects of these subscales through empathy and negative affect (e.g. depressive, anxious and stress symptoms) by controlling for asthma severity in patients with asthma. Three hundred patients with asthma completed the Toronto Alexithymia Scale-20 (TAS-20), the Basic Empathy Scale (BES), the Depression Anxiety Stress Scales-21 (DASS-21) and the Physical Symptoms Inventory (PSI). After controlling for asthma severity, the results showed that alexithymia subscales of the TAS-20 had no direct effects on physical symptoms, but the difficulty in identifying feelings (DIF) subscale of the TAS-20 was associated with affective empathy and negative affect. Affective empathy was significantly related to negative affect. Affective empathy and negative affect were associated with physical symptoms. The affective subscale of alexithymia on the TAS-20, that is DIF, indirectly affected physical symptoms through affective empathy and negative affect. Findings suggest that patients with asthma who have high levels of DIF may show high physical symptoms in the presence of low affective empathy and high negative affect.

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Section: Methodsmentioning

confidence: 99%

Section: Key Practitioner Messagementioning

confidence: 99%

Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

Khosravani

Ardestani

Alvani

et al. 2020

Clin Psychology and Psychoth

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“…EOT resembles other constructs such as “emotions to facilitate thought” ( Mayer et al, 2003 ) or “emotional utilization” ( Austin et al, 2004 ). In another three-dimensional model (Model 3c, Khosravani et al, 2019 ; Popp et al, 2008 ), the factors dealing with feelings still collapse into one, while the remaining items are divided into a core factor of EOT and a factor dealing with flattening of emotions. Even though the labeling of the factors is identical, the allocation of items to factors differs considerably in comparison with the original setup (for more information, see also Figure 1 ).…”

Section: The Toronto Alexithymia Scalesmentioning

confidence: 99%

The Structure of the Toronto Alexithymia Scale (TAS-20): A Meta-Analytic Confirmatory Factor Analysis

2021

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Alexithymia is defined as the inability of persons to describe their emotional states, to identify the feelings of others, and a utilitarian type of thinking. The most popular instrument to assess alexithymia is the Toronto Alexithymia Scale (TAS-20). Despite its widespread use, an ongoing controversy pertains to its internal structure. The TAS-20 was originally constructed to capture three different factors, but several studies suggested different factor solutions, including bifactor models and models with a method factor for the reversely keyed items. The present study examined the dimensionality of the TAS-20 using summary data of 88 samples from 62 studies (total N = 69,722) with meta-analytic structural equation modeling. We found support for the originally proposed three-dimensional solution, whereas more complex models produced inconsistent factor loadings. Because a major source of misfit stems from translated versions, the results are discussed with respect to generalizations across languages and cultural contexts.

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“…EOT resembles other constructs such as "emotions to facilitate thought" (Mayer et al, 2003) or "emotional utilization" (Austin et al, 2004). In another three-dimensional model (Model 3c, Khosravani et al, 2019;Popp et al, 2008), the factors dealing with feelings still collapse, while the remaining items are divided into a core factor of EOT and a factor dealing with flattening of emotions. Even though the labeling of the factors is identical, the allocation of items to factors differs considerably in comparison to the original setup (for more information see also Figure 1).…”

Section: The Toronto Alexithymia Scalesmentioning

confidence: 99%

The Structure of the Toronto Alexithymia Scale (TAS-20): A Meta-Analytic Confirmatory Factor Analysis

Schroeders¹,

Kubera²,

Gnambs³

2021

Preprint

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Alexithymia is defined as the inability of persons to describe their emotional states, to identify the feelings of others, and a utilitarian type of thinking. The most popular instrument to assess alexithymia is the Toronto Alexithymia Scale (TAS-20). Despite its widespread use, an ongoing controversy pertains to its internal structure. The TAS-20 was originally constructed to capture three different factors, but several studies suggested different factor solutions including bifactor models and models with a method factor for the reversely keyed items. The present study examined the dimensionality of the TAS-20 using summary data of 88 samples from 62 studies (total N = 69,722) with meta-analytic structural equation modeling. We found support for the originally proposed three-dimensional solution, whereas more complex models produced inconsistent factor loadings. Because a major source of misfit stems from translated versions, the results are discussed with respect to generalizations across languages and cultural contexts.

show abstract

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

Cited by 6 publications

References 43 publications

Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

The Structure of the Toronto Alexithymia Scale (TAS-20): A Meta-Analytic Confirmatory Factor Analysis

The Structure of the Toronto Alexithymia Scale (TAS-20): A Meta-Analytic Confirmatory Factor Analysis

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