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Factorial Validity and Measurement Invariance of the 20-Item Toronto Alexithymia Scale in Clinical and Nonclinical Samples

Reitske Meganck

Ghent University, Reitske.Meganck{at}UGent.be

Stijn Vanheule

Ghent University

Mattias Desmet

Ghent University

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.

Key Words: Alexithymia • factorial validity • 20-item Toronto Alexithymia Scale • measurement invariance

Assessment, Vol. 15, No. 1, 36-47 (2008)
DOI: 10.1177/1073191107306140


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