Comprehensive Psychiatry
Volume 50, Issue 5 , Pages 424-430 , September 2009

The German version of the Toronto Structured Interview for Alexithymia: factor structure, reliability, and concurrent validity in a psychiatric patient sample

  • Hans Joergen Grabe

      Affiliations

    • Department of Psychiatry and Psychotherapy, University of Greifswald, 17475 Greifswald, Germany
    • Corresponding Author InformationCorresponding author. Department of Psychiatry, Ernst-Moritz-Arndt-University of Greifswald, HANSE-Klinikum Stralsund, 18437 Stralsund, Germany. Tel.: +49 0 3831/45 2106; fax: +49 0 3831/45 2105.
    • Both authors contributed equally to this article.
    • ,
  • Susi Löbel

      Affiliations

    • Department of Psychiatry and Psychotherapy, University of Greifswald, 17475 Greifswald, Germany
    • Both authors contributed equally to this article.
    • ,
  • Daniel Dittrich

      Affiliations

    • Department of Psychiatry and Psychotherapy, University of Greifswald, 17475 Greifswald, Germany
    • ,
  • R. Michael Bagby

      Affiliations

    • Department of Psychiatry, University of Toronto, Toronto, Ontario, M5T 1R8 Canada
    • Centre for Addiction and Mental Health, Toronto, Ontario, M5T 1R8 Canada
    • ,
  • Graeme J. Taylor

      Affiliations

    • Department of Psychiatry, University of Toronto, Toronto, Ontario, M5T 1R8 Canada
    • Department of Psychiatry, Mount Sinai Hospital, Ontario, M5T 1R8 Canada
    • ,
  • Lena C. Quilty

      Affiliations

    • Department of Psychiatry, University of Toronto, Toronto, Ontario, M5T 1R8 Canada
    • Centre for Addiction and Mental Health, Toronto, Ontario, M5T 1R8 Canada
    • ,
  • Carsten Spitzer

      Affiliations

    • Department of Psychosomatic Medicine, University of Hamburg, 20246 Hamburg, Germany
    • ,
  • Sven Barnow

      Affiliations

    • Department of Clinical Psychology, University of Heidelberg, 69117 Heidelberg, Germany
    • ,
  • Fabienne Mathier

      Affiliations

    • Department of Psychiatry, University Hospital of Zurich, 8091 Zurich, Switzerland
    • ,
  • Josef Jenewein

      Affiliations

    • Department of Psychiatry, University Hospital of Zurich, 8091 Zurich, Switzerland
    • ,
  • Harald J. Freyberger

      Affiliations

    • Department of Psychiatry and Psychotherapy, University of Greifswald, 17475 Greifswald, Germany
    • ,
  • Michael Rufer

      Affiliations

    • Department of Psychiatry, University Hospital of Zurich, 8091 Zurich, Switzerland

References 

  1. Nemiah JC, Freyberger H, Sifneos PE. Alexithymia: a view of the psychosomatic process. In:  Hill OW editors. Modern trends in psychosomatic medicine. vol. 3:London: Butterworths; 1976;p. 430–439
  2. Marty P, de M'Uzan M. La “pensée opératoire”. Rev Fr Psychanal. 1963;27:1345–1356
  3. Taylor GJ, Bagby RM. New trends in alexithymia research. Psychother Psychosom. 2004;73:68–77
  4. Zackheim L. Alexithymia: the expanding realm of research. J Psychosom Res. 2007;63:345–347
  5. Taylor GJ. Alexithymia: twenty-five years of theory and research. In:  Nyklicek I,  Vingerhoets AJM,  Temoshok LR editor. Emotional expression and health: advances in theory, assessment, and clinical applications. London: Brunner-Routledge; 2004;p. 137–153
  6. Porcelli P, Bagby RM, Taylor GJ, De Carne M, Leandro G, Todarello O. Alexithymia as predictor of treatment outcome in patients with functional gastrointestinal disorders. Psychosom Med. 2003;65:911–918
  7. McCallum M, Pipere WE, Ogrodniczuk JS, Joyce AS. Relationships among psychological mindedness, alexithymia and outcome in four forms of short-term psychotherapy. Psychol Psychother Theor Res Pract. 2003;76:133–144
  8. Viinamaki H, Hintikka J, Tanskanen A, Honkalampi K, Antikainen R, Koivumaa-Honkanen H, et al. Partial remission in major depression: a two-phase, 12-month prospective study. Nordic J Psychiatry. 2002;56:33–37
  9. Lumley MA, Neely LC, Burger AJ. The assessment of alexithymia in medical settings: implications for understanding and treating health problems. J Pers Assess. 2007;89:230–246
  10. Lane RD, Sechrest L, Riedel R. Sociodemographic correlates of alexithymia. Compreh Psychiat. 1998;39:377–385
  11. Lundh L-G, Johnsson A, Sundquist K, Olsson H. Alexithymia, memory of emotion, emotional awareness, and perfectionism. Emotion. 2002;2:361–379
  12. Sifneos PE. Alexithymia: past and present. Am J Psychiatry. 1996;153:137–142
  13. Vorst HCM, Bermond B. Validity and reliability of the Bermond-Vorst Alexithymia Questionnaire. Pers Indiv Diff. 2001;30:413–434
  14. Bagby RM, Taylor GJ, Parker JDA. The 20-Item Toronto Alexithymia Scale: II. Convergent, discriminant, and concurrent validity. J Psychosom Res. 1994;38:33–40
  15. Bagby RM, Taylor GJ. Measurement and validation of the alexithymia construct. In:  Taylor GJ,  Bagby RM,  Parker JDA editor. Disorders of affect regulation: alexithymia in medical and psychiatric illness. Cambridge: Cambridge University Press; 1997;p. 46–66
  16. Beresnevaite M, Taylor GJ, Bagby RM. Assessing alexithymia and type A behavior in coronary heart disease patients: a multimethod approach. Psychother Psychsom. 2007;76:186–192
  17. Bagby RM, Taylor GJ, Parker JDA, Dickens SE. The development of the Toronto Structured Interview for Alexithymia: item selection, factor structure, reliability and concurrent validity. Psychother Psychosom. 2006;75:25–39
  18. Franke GH. SCL-90-R. Die Symptom-Checkliste von Derogatis. Deutsche Version—Manual. 2nd ed.. Auflage, Weinheim: Beltz; 2002;
  19. Bagby RM, Taylor GJ. Affect dysregulation and alexithymia. In:  Taylor GJ,  Bagby RM,  Parker JDA editor. Disorders of affect regulation: alexithymia in medical and psychiatric illness. Cambridge: Cambridge University Press; 1997;p. 26–45
  20. Bach M, Bach D, de Zwann M, Serim M, Böhmer F. Validierung der deutschen Version der 20-item Toronto-Alexithymie-Skala bei Normalpersonen und psychiatrischen Patienten. Psychother Psychosom Med Psychol. 1996;46:23–28
  21. Arbuckle JL. Amos 6.0 User's Guide. Chicago: SPSS Inc.; 2005;
  22. Ullman J. Structural equation modelling. In:  Tabachnik B,  Fidell L editor. Using multivariate statistics. New York: Harper Collins; 1996;p. 709–811
  23. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariant structure analysis: conventional criteria versus new alternatives. Structural Equation Model. 1999;6:1–55
  24. Fleiss JL, Shrout PE. The effects of measurement errors on some multivariate procedures. Am J Public Health. 1997;67:1188–1191
  25. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1997;33:159–174
  26. Clark LA, Watson D. Constructing validity: basic issues in objective scale development. Psychol Assess. 1995;7:309–319
  27. Nemiah JC, Sifneos PE. Psychosomatic illness: a problem in communication. Psychother Psychosom. 1970;18:154–160

PII: S0010-440X(08)00174-0

doi: 10.1016/j.comppsych.2008.11.008

Comprehensive Psychiatry
Volume 50, Issue 5 , Pages 424-430 , September 2009

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