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
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References
1.
American Psychiatric Association. (2000) Diagnostic and statistical manual of mental disorders. (4th ed., Text rev.) Washington, DC: Author.
2.
ApfelR. J.SifneosP. E. (1979) Alexithymia: concept and measurement. Psychotherapy and Psychosomatics, 32, 180–190.
3.
ArbuckleJ. L.WothkeW. (1999) AMOS 40 users guide.Chicago, IL: Small Waters.
4.
ArimuraT.KomakiG.MurakamiS. (2002) Development of the Japanese version of the structured interview by the modified Beth Israel Hospital Psychosomatic Questionnaire (SIBIQ) to assess alexithymia. Japanese Journal of Psychosomatic Medicine, 42, 259–269.
5.
AustinE. J.SaklofskeD. H.HuangS. H. S.McKenneyD. (2004) Measurement of trait emotional intelligence: testing and cross-validating a modified version of Schutte, et al.'s (1998) measure. Personality and Individual Differences, 36, 555–562.
6.
BagbyR. M.ParkerJ. D. A.TaylorG. 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.
7.
BagbyR. M.TaylorG. J. (1997) Affect dysregulation and alexithymia. In TaylorG. J.BagbyR. M., & ParkerJ. D. A. (Eds.), Disorders of affect regulation: alexithymia in medical and psychiatric illness.Cambridge, UK: Cambridge Univer. Press. Pp. 26–45.
8.
BagbyR. M.TaylorG. J.ParkerJ. D. A. (1994) The Twenty-item Toronto Alexithymia Scale: II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38, 33–40.
9.
BermondB.VorstH. C. M.VingerhoetsA. J.GerritsenW. (1999) The Amsterdam Alexithymia Scale: its psychometric values and correlations with other personality traits. Psychotherapy and Psychosomatics, 68, 241–251.
10.
BesharatM. A. (2007a) Psychometric properties of Farsi version of the Emotional Intelligence Scale–41 (FEIS–41). Personality and Individual Differences, 43, 991–1000.
11.
BesharatM. A. (2007b) Reliability and factorial validity of Farsi version of the Toronto Alexithymia Scale with a sample of Iranian students. Psychological Reports, 101, 209–220.
12.
BrecklerS. J. (1990) Applications of covariance structure modeling in psychology: cause for concern?Psychological Bulletin, 107, 260–273.
13.
ClelandC.MaguraS.FooteJ.RosenblumA.KosankeN. (2005) Psychometric properties of the Toronto Alexithymia Scale (TAS-20) for substance users. Journal of Psychosomatic Research, 58, 299–306.
14.
ColeD. A. (1987) Utility of confirmatory factor analysis in test validation research. Journal of Consulting and Clinical Psychology, 55, 584–594.
15.
CulhaneS. E.WatsonP. J. (2003) Alexithymia, irrational beliefs, and the rational-emotive explanation of emotional disturbance. Journal of Rational Emotive and Cognitive Behavior Therapy, 21, 57–73.
16.
DawdaD.HartS. D. (2000) Assessing emotional intelligence: reliability and validity of the Bar-On Emotional Quotient Inventory (EQ–i) in university students. Personality and Individual Differences, 28, 797–812.
17.
ErniT.LotscherK.ModestinJ. (1997) Two-factor solution of the 20-item Toronto Alexithymia Scale confirmed. Psychopathology, 30, 335–340.
18.
FukunishiI.NakagawaT.NakamuraH.KikuchiM.TakuboM. (1997) Is alexithymia a culture-bound construct? Validity and reliability of the Japanese version of the 20-item Toronto Alexithymia Scale and Modified Beth Israel Hospital Psychosomatic Questionnaire. Psychological Reports, 80, 787–799.
19.
HandelsmanL.SteinJ.BernsteinD. P.OppenheimS. E.RosenblumA. B.MaguraS. (2000) A latent variable analysis of coexisting emotional deficits in substance abusers: alexithymia, hostility, and PTSD. Addictive Behavior, 25, 423–428.
20.
HavilandM. G.HendryxM.ShawD. G.HenryJ. P. (1994) Alexithymia in women and men hospitalized for psychoactive substance dependence. Comprehensive Psychiatry, 35, 124–128.
21.
HavilandM. G.ReiseS. P. (1996) Structure of the Twenty-item Toronto Alexithymia Scale. Journal of Personality Assessment, 66, 116–125.
22.
HendryxM. S.HavilandM. G.ShawD. G. (1991) Dimensions of alexithymia and their relationships to anxiety and depression. Journal of Personality Assessment, 56, 227–237.
23.
HuL.BentlerP. M. (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus alternatives. Structural Equation Modeling, 6, 1–55.
24.
KauhanenJ.JulkunenJ.SalonenJ. T. (1992) Coping with inner feelings and stress: heavy alcohol use in the context of alexithymia. Behavior Medicine, 18, 121–126.
25.
KleigerJ. H.KinsmanR. A. (1980) The development of a MMPI alexithymia scale. Psychotherapy and Psychosomatics, 34, 17–24.
26.
KojimaM.Frasure-SmithN.LesperanceF. (2001) Alexithymia following myocardial infarction: psychometric properties and correlates of the Toronto Alexithymia Scale. Journal of Psychosomatic Research, 51, 487–495.
27.
KokkonenP.KartonenJ. T.VeijolaJ.LaksyK.JokelainenJ.JarvelinM.JoukamaaM. (2001) Prevalence and sociodemographic correlates of alexithymia in a population sample of young adults. Comprehensive Psychiatry, 42, 471–476.
28.
KooimanC. G.SpinhovenP.TrijsburgR. W. (2002) The assessment of alexithymia: a critical review of the literature and a psychometric study of the Toronto Alexithymia Scale-20. Journal of Psychosomatic Research, 53, 1083–1090.
29.
KronerD. G.ForthA. E. (1995) The Toronto Alexithymia Scale with incarcerated offenders. Personality and Individual Differences, 19, 625–634.
30.
LaneR. D.AhernG. L.SchwartzG. E.KaszniakA. W. (1997) Is alexithymia the emotional equivalent of blindsight?Biological Psychiatry, 42, 834–844.
31.
LaneR. D.SechrestL.RiedelR. G.WeldonV.KaszniakA. W.SchwartzE. G. (1996) Impaired verbal and nonverbal emotion recognition in alexithymia. Psychosomatic Medicine, 58, 203–210.
32.
LoasG.CorcosM.StephanP.PelletJ.BizouardP.VenisseJ. L.Perez-DiazF.GuelfiJ. D.FlamenrM.JeammetP. (2001) Factorial structure of the 20-item Toronto Alexithymia Scale: confirmatory factorial analyses in nonclinical and clinical samples. Journal of Psychosomatic Research, 50, 255–261.
33.
LoasG.OtmaniO.VerrierA.FremauxD.MarchandM. P. (1996) Factor analysis of the French version of the 20-item Toronto Alexithymia Scale (TAS-20). Psychopathology, 29, 139–144.
34.
ManneS.SchnollR. (2001) Measuring cancer patients' psychological distress and well-being: a factor analytic assessment of the Mental Health Inventory. Psychological Assessment, 13, 99–109.
35.
PalmerB. R.GignacG.ManochaR.StoughC. (2004) A psychometric evaluation of the Mayer-Salovey-Caruso Emotional Intelligence Test Version 2.0. Intelligence, 33, 285–305.
36.
PandeyR.MandalM. K.TaylorG. J.ParkerJ. D. A. (1996) Cross-cultural alexithymia: development and validation of Hindi translation of the Twenty-item Toronto Alexithymia Scale. Journal of Clinical Psychology, 52, 173–176.
37.
ParkerJ. D. A.ShaughnessyP. A.WoodL. M.MajeskiS. A.EastabrookJ. M. (2005) Cross-cultural alexithymia validity of the 20-item Toronto Alexithymia Scale in North American aboriginal populations. Journal of Psychosomatic Research, 58, 83–88.
38.
ParkerJ. D. A.TaylorG. J.BagbyR. M. (1993) Alexithymia and the recognition of facial expression of emotion. Psychotherapy and Psychosomatics, 59, 197–202.
39.
ParkerJ. D. A.TaylorG. J.BagbyR. M. (2001) The relationship between emotional intelligence and alexithymia. Personality and Individual Differences, 30, 107–115.
40.
ParkerJ. D. A.TaylorG. J.BagbyR. M. (2003) The 20-item Toronto Alexithymia Scale: III. Reliability and factorial validity in a community population. Journal of Psychosomatic Research, 55, 269–275.
41.
PorcelliP.De CarneM. (2001) Criterion-related validity of the diagnostic criteria for psychosomatic research for alexithymia in patients with functional gastrosomatic disorders. Psychotherapy and Psychosomatics, 70, 184–188.
42.
RieffeC.OosterveldP.TerwogtM. M. (2006) An alexithymia questionnaire for children: factorial and concurrent validation results. Personality and Individual Differences, 40, 123–133.
43.
SaklofskeD. H.AustinE. J.MinskiP. (2003) Factor structure and validity of a trait emotional intelligence measure. Personality and Individual Differences, 34, 707–721.
44.
SchutteN. S.MalouffJ. M.HallL. E.HaggertyD. J.CooperJ. T.GoldenC. J.DornheimL. (1998) Development and validation of a measure of emotional intelligence. Personality and Individual Differences, 25, 167–177.
45.
SifneosP. E. (1973) The prevalence of alexithymic characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22, 255–262.
46.
SifneosP. E. (1996) Alexithymia: past and present. American Journal of Psychiatry, 153, 137–142.
47.
Simonsson-SarneckiM.LundtL. G.'ForestadB.BagbyR. M.TaylorG. J.ParkerJ. D. A. (2000) A Swedish translation of the 20-item Toronto Alexithymia Scale: cross-validation of the factor structure. Scandinavian Journal of Psychology, 41, 25–30.
48.
SteigerJ. H. (1990) Structural model evaluation and modification: an interval estimation approach. Multivariate Behavioral Research, 25, 173–180.
49.
TaylorG. J.BagbyM. (2000) An overview of the alexithymia construct. In Bar-OnR.ParkerJ. D. A. (Eds.), The handbook of emotional intelligence.San Francisco, CA: Jossey-Bass. Pp. 263–276.
50.
TaylorG. J.BagbyM.ParkerJ. D. A. (1997) Disorders of affect regulation: alexithymia in medical and psychiatric illness.Cambridge, UK: Cambridge Unfver. Press.
51.
TaylorG. J.BagbyM.ParkerJ. D. A. (2003) The 20-item Toronto Alexithymia Scale: IV. Reliability and factorial validity in different languages and cultures. Journal of Psychosomatic Research, 55, 277–283.
52.
TaylorG. J.RyanD. P.BagbyR. M. (1985) Toward the development of a new self-report alexithymia scale. Psychotherapy and Psychosomatics, 44, 191–199.
53.
VeitC. T.WareJ. E. (1983) The structure of psychological distress and well-being in general populations. Journal of Consulting and Clinical Psychology, 51, 730–742.
54.
VorstH. C. M.BermondB. (2001) Validity and reliability of the Bermond-Vorst Alexithymia Questionnaire. Personality and Individual Differences, 30, 413–434.
55.
ZiolkowskiM.GrussT.RybakowskiJ. K. (1995) Does alexithymia in male alcoholics constitute a negative factor for maintaining abstinence?Psychotherapy and Psychosomatics, 63, 169–173.
