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RESEARCH PRODUCT

Reliability and validity of the Toronto Structured Interview for Alexithymia in a mixed clinical and nonclinical sample from Italy

Luigi SolanoGraeme J. TaylorAdriano SchimmentiPiero PorcelliVincenzo CarettiR. Michael Bagby

subject

PsychometricsStatistics as TopicConcurrent validityTest validityDevelopmental psychologyInterviews as TopicToronto Alexithymia ScaleTSIA alexithymia validationAlexithymiamedicineHumansTSIAAffective SymptomsBiological PsychiatryPsychiatric Status Rating Scalesvalidationmedicine.diagnostic_testReproducibility of ResultsVideotape RecordingConstruct validityTranslatingmedicine.diseaseConfirmatory factor analysisPsychiatry and Mental healthItalyConvergent validityStructured interviewalexithymiaFactor Analysis StatisticalPsychologyClinical psychology

description

The reliability and validity of the Toronto Structured Interview for Alexithymia (TSIA) have been demonstrated in previous studies with English-speaking community and psychiatric samples and a German-speaking psychiatric sample. The aim of this study was to evaluate the psychometric properties of the TSIA in a mixed clinical and nonclinical sample from Italy. The original English version of the TSIA was translated into Italian and administered, along with the 20-item Toronto Alexithymia Scale (TAS-20), to 80 healthy subjects, 69 medical outpatients, and 62 psychiatric outpatients. Eighty-one videotaped interviews were used for assessing the interrater reliability. Confirmatory factor analysis supported the hierarchical, four-factor structure of the TSIA obtained in previous studies, with four lower-order factors nested within two higher-order latent factors. The TSIA also demonstrated internal and interrater reliability, and concurrent validity with the TAS-20. The results support the use of the TSIA to assess alexithymia especially when a multimethod approach to measurement is possible.

10.1016/j.psychres.2011.02.015http://hdl.handle.net/11573/378172