title: Is there a reliable factorial structure in the 20-item Toronto Alexithymia Scale? A comparison of factor models in clinical and normal adult samples.
abstract: OBJECTIVE
  The 20-item Toronto Alexithymia Scale (TAS-20) is the most widely used instrument for measuring alexithymia. However, different studies did not always yield identical factor structures of this scale. The present study aims at clarifying some discrepant results.
  
  
  METHODS
  Maximum likelihood confirmatory factor analyses of a German version of the TAS-20 were conducted on data from a clinical sample (N=204) and a sample of normal adults (N=224). Five different models with one to four factors were compared.
  
  
  RESULTS
  A four-factor model with factors (F1) "Difficulty identifying feelings" (F2), "Difficulty describing feelings" (F3), "Low importance of emotion" and (F4) "Pragmatic thinking" and a three-factor model with the combined factor "Difficulties in identifying and describing feelings" described the data best. Factors related to "externally oriented thinking" provided no acceptable level of reliability.
  
  
  CONCLUSIONS
  Results from the present and other studies indicate that the factorial structure of the TAS-20 may vary across samples. Whether factor structures different from the common three-factor structure are an exception in some mainly clinical populations or a common phenomenon outside student populations has still to be determined. For a further exploration of the factor structure of the TAS-20 in different populations, it would be important not only to test the fit of the common three-factor model, but also to consider other competing solutions like the models of the present study.
authors.affiliation: Institute for Psychology (I), University of Würzburg, Marcusstr. 9-11, 97070, Würzburg, Germany. j.mueller@psychologie.uni-wuerzburg.de
authors.forename: Jochen
authors.initials: J
authors.lastname: Müller
authors.forename: Markus
authors.initials: M
authors.lastname: Bühner
authors.forename: Heiner
authors.initials: H
authors.lastname: Ellgring
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis* / Q000523:psychology; D000437:Alcoholism / Q000175:diagnosis / Q000523:psychology*; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology; D015897:Comorbidity; D005163:Factor Analysis, Statistical; D005260:Female; D005858:Germany; D006785:Hospitals, University; D006801:Humans; D007389:Internal-External Control; D016013:Likelihood Functions; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D010343:Patient Admission; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011594:Psychometrics / Q000706:statistics & numerical data; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000523:psychology*; D012016:Reference Values; D015203:Reproducibility of Results; D012307:Risk Factors; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology*