Abstract
Zusammenfassung: Eine deutsche Übersetzung der Toronto Alexithymie Skala (TAS) wurde an einer Studentenstichprobe (N = 228) auf ihre Faktorenstruktur und ihre psychometrischen Kennwerte hin überprüft. Anhand einer zweiten Stichprobe (N = 170) wurden die Zusammenhänge der Unterskalen der TAS mit Absorption untersucht, sowie mit Fragebogenskalen zu Beschwerdenäußerung, habitueller Gestimmtheit, Kontrollüberzeugung zu Krankheit und Gesundheit, Ärgerausdruck und defensiver Bewältigung. Die konfirmatorischen Faktorenanalysen (FA) sprachen für eine Mehrdimensionalität der TAS, mit einem Faktor zum Identifizieren, Differenzieren und Beschreiben von Gefühlen (TAS-ID), sowie zwei Faktoren des external orientierten Denkens. Die korrelierten TAS-Unterskalen zum external orientierten Denken, «Mangelnde Wichtigkeit von Emotionen» (TAS-WI) und «pragmatische Haltung» (TAS-PR), zeigten deutlich geringere Konsistenz als die von beiden relativ unabhängige Unterskala zu TAS-ID. Eine hierarchisch-oblique FA ergab keinen Sekundärfaktor im Sinne eines übergreifenden Alexithymiekonstrukts. Es ergaben sich widersprüchliche Zusammenhänge der TAS-Unterskalen mit der Absorption-Skala und weiteren Fragebogeninstrumenten. Es wird geschlossen, daß die TAS-Unterskalen kein einheitliches Alexithymiekonstrukt abbilden und daß weitere Untersuchungen zu Alexithymie auf Untermerkmale konzentriert werden sollten.
Abstract: The psychometric quality and factorial structure of a German version of the Toronto Alexithymia Scale (TAS) was examined in a students sample (N = 228). In an additional student sample (N = 170) we studied the correlations of TAS-subscales with absorption as well as with questionnaires of physical complaints, habitual mood, locus of control concerning health and disease, anger expression, and defensive coping. Results of confirmatory factor analysis favoured a multidimensional structure of the TAS, with one factor for identifying, differentiating and describing emotions (TAS-ID), and two factors of externally oriented thinking, «low importance of emotions» (TAS-WI) and «pragmatical attitude» (TAS-PR). Subscales of the latter two factors were positively correlated and were lower in Internal Consistency than TAS-ID, which was independent of TAS-WI and TAS-PR. No evidence for a secondary alexithymia factor was produced by hierarchical-oblique factor analysis. TAS-subscales showed conflicting correlations with the absorption scale and other questionnaire measures. We conclude that the TAS-subscales do not measure a unified construct of alexithymia. Further research with the present TAS should be restricted to the levels of these subscales.
Literatur
Ahrens, S. (1988). Die instrumentelle Forschung am instrumentellen Objekt. Psyche, 42, 225– 241 .Anagnostopoulos, F. , Vaslamatzis, G. , Markidis, M. , Katsouyanni, K. , Vassilaros, S. , Stefanis, C. (1993). An investigation of hostile and alexithymic characteristics in breast cancer patients. Psychotherapy and Psychosomatics, 59, 179– 189 .Anderson, J. C. , Gerbing, D. W. (1984). The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Psychometrika, 49, 155– 173 .Bach, M. , Bach, D. , de Zwaan, M. , Serim, M. , Böhmer, F. (1996). Validierung der deutschen Version der 20-Item Toronto-Alexithymie-Skala bei Normalpersonen und psychiatrischen Patienten. Psychotherapie, Psychosomatik und Medizinische Psychologie, 46, 23– 28 .Bagby, R. M. , Parker, J. D. A. , Taylor, G. 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 .Bagby, R. M. , Taylor, G. J. , Parker, J. D. A. (1994). The twenty-item Toronto Alexithymia Scale - II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38, 33– 40 .Berenbaum, H. , Irvin, S. (1996). Alexithymia, anger, and interpersonal behavior. Psychotherapy and Psychosomatics, 65, 203– 208 .Berenbaum, H. , James, T. (1993). Correlates and retrospectively reported antecedents of alexithymia. Psychosomatic Medicine, 56, 353– 359 .Bohner, G. , Hormuth, S. E. , Schwarz, N. (1991). Die Stimmungs-Skala: Vorstellung und Validierung einer deutschen Version des «Mood Survey». Diagnostica, 37, 135– 148 .Bressi, C. , Taylor, G. , Parker, J. , Bressi, S. , Brambilla, V. , Aguglia, E. , Allegranti, I. , Bongiorno, A. , Giberti, F. , Bucca, M. , Todarello, O. , Callegari, C. , Vender, S. , Gala, C. , Invernizzi, G. (1996). Cross validation of the factor structure of the 20-Item Toronto Alexithymia Scale: An Italian multicenter study. Journal of Psychosomatic Research, 41, 551– 559 .Browne, M. W. , Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation model fit (pp. 136-162). Newbury Park, CA: Sage .Cole, D. A. (1987). Utility of confirmatory factor analysis in test validation research. Journal of Consulting and Clinical Psychology, 55, 584– 594 .Crowne, D. P. , Marlowe, D. (1964). The approval motive. Studies in evaluative dependence . New York: Wiley .Frankel, F. H. , Apfel-Savitz, R. , Nemiah, J. C. , Sifneos, P. E. (1977). The relationship between hypnotizability and alexithymia. Psychotherapy and Psychosomatics, 28, 172– 178 .Franz, M. , Krafft, W. , Croissant, B. (1996). Alexithymie - psychometrisches Phantom oder psychophysiologische Realität?. Psychotherapie, Psychosomatik und Medizinische Psychologie, 46, 1– 10 .Freyberger, H. (1977). Supportive psychotherapeutic techniques in primary and secondary alexithymia. Psychotherapy and Psychosomatics, 28, 337– 342 .Fukunushi, I. , Kaji, N. , Nakagawa, T. , Nakamura, H. , Kikuchi, M. , Takubo, M. , Nishihara, Y. (1996). An investigation of the psychometric properties of the 26-Item Toronto Alexithymia Scale in a Japanese Culture. Psychological Reports, 79, 555– 562 .Fukunushi, I. , Rahe, R. H. (1995). Alexithymia and coping with stress in healthy persons: Alexithymia as a personality trait is associated with low social support and poor responses to stress. Psychological Reports, 76, 1299– 1304 .Gerhards, F. (1988). Emotionsausdruck und emotionales Erleben bei psychosomatisch Kranken . Opladen: Westdeutscher Verlag .Haviland, M. G. , Shaw, D. G. , Cummings, M. A. , MacMurray, J. P. (1988). Alexithymia: Subscales and relationship to depression. Psychotherapy and Psychosomatics, 50, 164– 170 .Hendryx, M. S. , Haviland, M. G. , Shaw, D. G. (1991). Dimensions of alexithymia and their relationships to anxiety and depression. Journal of Personality Assessment, 56, 227– 237 .Henry, J. P. , Haviland, M. G. , Cummings, M. A. , Anderson, D. L. , Nelson, J. C. , MacMurray, J. P. , McGhee, W. H. , Hubbard, R. W. (1992). Shared neuroendocrine patterns of post-traumatic stress disorder and alexithymia. Psychosomatic Medicine, 54, 407– 415 .Jimerson, D. C. , Wolfe, B. E. , Franko, D. L. , Covino, N. A. , Sifneos, P. E. (1994). Alexithymia ratings in bulimia nervosa: Clinical correlates. Psychosomatic Medicine, 56, 90– 93 .Jöreskog, K. G. , Sörbom, D. (1993). LISREL 8 user's reference guide . Chicago, IL: Scientific Software International .Kauhanen, J. , Julkunen, J. , Salonen, J. T. (1992). Validity and reliability of the Toronto Alexithymia Scale (TAS) in a population study. Journal of Psychosomatic Research, 36, 687– 694 .Kirmayer, L. J. , Robbins, J. M. (1991). What does the Toronto Alexithymia Scale measure?. Psychosomatic Medicine, 53, 222– 222 (Abstract) .Krohne, H. W. , Kohlmann, C.-W. (1990). Persönlichkeit und Emotion. In K. R. Scherer (Hrsg.), Psychologie der Emotion. Enzyklopädie der Psychologie (Bd. 3, S. 485-559). Göttingen: Hogrefe .Lane, R. D. , Schwartz, G. E. (1987). Levels of emotional awareness: A cognitive-developmental theory and its application to psychopathology. American Journal of Psychiatry, 144, 133– 143 .Larson, D. G. , Chastain, R. L. (1990). Self-concealment: Conceptualization, measurement, and health implications. Journal of Social and Clinical Psychology, 9, 439– 455 .Laux, L. , Glanzmann, P. , Schaffner, P. , Spielberger, C. D. (1981). Das State-Trait-Angstinventar . Weinheim: Beltz .Laux, L. , Weber, H. (1990). Bewältigung von Emotionen. In K. R. Scherer (Hrsg.), Psychologie der Emotion. Enzyklopädie der Psychologie (Bd. 3, S. 560-629). Göttingen: Hogrefe .Lienert, G. (1989). Testaufbau und Testanalyse (4. Aufl.). München: PVU .Linden, W. , Wen, F. , Paulhus, D. (1995). Measuring alexithymia: Reliability, validity, and prevalence. Advances in Personality Assessment, 10, 51– 95 .Loehlin, J. C. (1992). Latent variable models. An introduction to path, factor, and structural analysis . Hillsdale, NJ: Erlbaum .Lohaus, A. , Schmitt, G. M. (1989). Fragebogen zur Erhebung von Kontrollüberzeugungen zu Krankheit und Gesundheit . Göttingen: Hogrefe .Lück, H. E. , Timaeus, E. (1969). Skalen zur Messung Manifester Angst (MAS) und sozialer Wünschbarkeit (SDS-E und SDS-CM). Diagnostica, 15, 134– 141 .Lumley, M. A. , Norman, S. (1996). Alexithymia and health care utilization. Psychosomatic Medicine, 58, 197– 202 .Mann, L. S. , Wise, T. N. , Shay, L. (1992). Factor analysis of the Toronto Alexithymia Scale: Elucidation of a polythetic construct. Psychotherapy and Psychosomatics, 58, 40– 45 .Mann, L. S. , Wise, T. N. , Trinidad, A. , Kohanski, R. (1995). Alexithymia, affect recognition, and five factors of personality in substance abusers. Perceptual and Motor Skills, 81, 35– 40 .Morrison, S. L. , Pihl, R. O. (1989). Psychometrics of the Schalling-Sifneos and Toronto Alexithymia Scales. Psychotherapy and Psychosomatics, 51, 83– 90 .M'Uzan, M. de (1977). Zur Psychologie des psychosomatisch Kranken. Psyche, 31, 318– 332 .Nemiah, J. C. (1975). Denial revisited: Reflections on psychosomatic theory. Psychotherapy and Psychosomatics, 26, 140– 147 .Nemiah, J. C. (1977). Alexithymia. Theoretical considerations. Psychotherapy and Psychosomatics, 28, 199– 206 .Pandey, R. , Mandal, M. K. , Taylor, G. J. , Parker, J. D. A. (1996). Cross-cultural alexithymia: Development and validation of a Hindi translation of the 20-item Toronto Alexithymia Scale. Journal of Clinical Psychology, 52, 173– 176 .Parker, J. D. A. , Bagby, R. M. , Taylor, G. J. , Endler, N. S. , Schmitz, P. (1993). Factorial validity of the 20-item Toronto Alexithymia Scale. European Journal of Personality, 7, 221– 232 .Parker, J. D. A. , Taylor, G. J. , Bagby, R. M. (1993). Alexithymia and the recognition of facial expression of emotion. Psychotherapy and Psychosomatics, 59, 197– 202 .Parker, J. D. A. , Taylor, G. J. , Bagby, R. M. , Thomas, S. (1991). Problems with measuring alexithymia. Psychosomatics, 32, 196– 202 .Prince, J. D. , Berenbaum, H. (1993). Alexithymia and hedonic capacity. Journal of Research in Personality, 27, 15– 22 .Raykov, T. (1998). On the use of confirmatory factor analysis in personality research. Personality and Individual Differences, 24, 291– 293 .Ribback, S. (1996). Elektrodermale Korrelate der Beantwortung des Berliner Stimmungsfragebogens (BSF) in Abhängigkeit von der persönlichen Bedeutsamkeit der Items und des Persönlichkeitsmerkmals Alexithymie . Berlin: Freie Universität, Institut für Allgemeine Psychologie, Biopsychologie und Kognitionspsychologie (Unveröffentl. Diplomarbeit) .Rief, W. , Heuser, J. , Fichter, M. M. (1996). What does the Toronto Alexithymia Scale TAS-R measure?. Journal of Clinical Psychology, 52, 423– 429 .Ritz, Th. (1994). Alexithyme Merkmale und affektive Intensität: Adaptation und Zusammenhang zweier Fragebogeninstrumente. Zeitschrift für Differentielle und Diagnostische Psychologie, 15, 23– 39 .Ritz, Th. , Dahme, B. (1994). Rationalität/Emotionale Defensivität und Sich-Verschließen: Zwei Konzepte des defensiven Coping und ihre Messung . Arbeiten aus dem Psychologischen Institut III der Universität Hamburg, Bd. 4 .Ritz, Th. , Dahme, B. (1995). Die Absorption-Skala: Konzeptuelle Aspekte, psychometrische Kennwerte und Dimensionalität einer deutschsprachigen Adaptation. Diagnostica, 41, 53– 61 .Ritz, Th. , Maß, R. , Dahme, B. (1993). Das Persönlichkeitsmerkmal Absorption (I): Theorie und Forschungsstand . Arbeiten aus dem Psychologischen Institut III der Universität Hamburg, Bd. 2 .Ritz, Th. , Maß, R. , Dahme, B. , Richter, R. (1993). Das Persönlichkeitsmerkmal Absorption (II): Empirische Befunde zu einer deutschen Fassung der Tellegen Absorption Scale . Arbeiten aus dem Psychologischen Institut III der Universität Hamburg, Bd. 3 .Rodrigo, G. , Lusiardo, M. , Normey, L. (1989). Alexithymia: Reliability and validity of the Spanish version of the Toronto Alexithymia Scale. Psychotherapy and Psychosomatics, 51, 162– 168 .Rubino, I. A. (1993). Is alexithymia a non-neurotic personality dimension? A counter-response to Taylor, Bagby & Parker. British Journal of Medical Psychology, 66, 289– 294 .Rubino, I. A. , Grasso, S. , Sonnino, A. , Pezzarossa, B. (1991). Is alexithymia a non-neurotic personality dimension?. British Journal of Medical Psychology, 64, 385– 391 .Salminen, J. K. , Saarijärvi, S. , Äärelä, E. (1995). Two decades of alexithymia. Journal of Psychosomatic Research, 39, 803– 807 .Schwenkmezger, P. , Hodapp, V. , Spielberger, C. D. (1992). Das State-Trait-Ärgerausdrucks-Inventar STAXI . Huber: Bern .Shipko, S. , Noviello, N. (1984). Psychometric properties of self-report scales of alexithymia. Psychotherapy and Psychosomatics, 41, 85– 90 .Sifneos, P. E. (1991). Affect, emotional conflict, and deficit: An overview. Psychotherapy and Psychosomatics, 56, 116– 122 .Swan, G. E. , Carmelli, D. , Dame, A. , Rosenman, R. H. , Spielberger, C. D. (1991). The Rationality/Emotional Defensiveness Scale - I. Internal structure and stability. Journal of Psychosomatic Research, 35, 545– 554 .Taylor, G. J. (1994). The alexithymia construct: Conceptualization, validation, and relationship with basic dimension of personality. New Trends in Experimental and Clinical Psychiatry, 10, 61– 74 .Taylor, G. J. , Bagby, R. M. , Parker, J. D. A. (1989). Psychological-mindedness and the alexithymia construct. British Journal of Psychiatry, 154, 731– 732 .Taylor, G. J. , Bagby, R. M. , Parker, J. D. A. (1991). The alexithymia construct. Psychosomatics, 32, 153– 164 .Taylor, G. J. , Bagby, R. M. , Parker, J. D. A. (1992). The revised Toronto Alexithymia Scale: Some reliability, validity, and normative data. Psychotherapy and Psychosomatics, 57, 34– 41 .Taylor, G. J. , Bagby, R. M. , Parker, J. D. A. (1993). Is alexithymia a non-neurotic personality dimension? A response to Rubino, Grasso, Sonnino & Pezzarossa. British Journal of Medical Psychology, 66, 281– 287 .Taylor, G. J. , Bagby, R. M. , Ryan, D. P. , Parker, J. D. A. , Doody, K. F. , Keefe, P. (1988). Criterion validity of the Toronto Alexithymia Scale. Psychosomatic Medicine, 50, 500– 509 .Taylor, G. J. , Parker, J. D. A. , Bagby, R. M. , Acklin, M. W. (1992). Alexithymia and somatic complaints in psychiatric out-patients. Journal of Psychosomatic Research, 36, 417– 426 .Taylor, G. J. , Ryan, D. , Bagby, R. M. (1985). Toward the development of a new self-report alexithymia scale. Psychotherapy and Psychosomatics, 44, 191– 199 .Tellegen, A. (1981). Practicing the two disciplines for relaxation and enlightenment: Comment on «Role of the feedback signal in electromyographic biofeedback: The relevance of attention» by Qualls and Sheehan. Journal of Experimental Psychology: General, 110, 217– 226 .Tellegen, A. (1982). Brief manual for the Multidimensional Personality Questionnaire . Unpublished manuscript .Underwood, B. , Froming, W. J. (1980). The Mood Survey: A personality measure of happy and sad moods. Journal of Personality Assessment, 44, 404– 414 .Vassend, O. (1987). Personality, imaginative involvement, and self-reported somatic complaints: Relevance to the concept of alexithymia. Psychotherapy and Psychosomatics, 47, 74– 81 .Weinberger, D. A. (1990). The construct validity of the repressive coping style. In J. L. Singer (Ed.), Repression and dissociation: Implications for personality theory, psychopathology, and health (pp. 337-386). Chicago: University of Chicago Press .Wherry, R. J. (1984). Contributions to correlational analysis . New York: Academic Press .Zerssen, D. v. (1976a). Die Beschwerden-Liste . Weinheim: Beltz .Zerssen, D. v. (1976b). Klinische Selbstbeurteilungsfragebögen aus dem Münchner Psychiatrischen Informationssystem (Psychies) . Weinheim: Beltz .