Toronto Alexithymia Scale
Toronto Alexithymia Scale

TAS-20

Toronto Alexithymia Scale (TAS-20)

The TAS-20 is a self-report questionnaire designed to assess alexithymia, that is, difficulty identifying and expressing one's emotions. It comprises 3 dimensions: difficulty identifying feelings, difficulty describing feelings and an externally oriented thinking style.

Number of questions
20 questions
Estimated duration
5 minutes
Language
English
Original name
Toronto Alexithymia Scale
Authors
Bagby, R. M., Taylor, G. J., & Parker, J. D. A. (1994)

Preview of the 20 questions

Scoring & interpretation

TAS-20 scoring is based on a 5-point Likert-type scale, with each item rated from 1 (strongly disagree) to 5 (strongly agree). It is important to note that five items (4, 5, 10, 18 and 19) are reversed and need to be recoded before calculating the overall score.

The total score is obtained by adding up the responses to the 20 items after recoding the reversed items. This overall score can range from 20 to 100, with a high score indicating a greater level of alexithymia.

The questionnaire is divided into 3 subscales corresponding to the three main dimensions of alexithymia:

  • Factor I: difficulty identifying feelings (items 1, 3, 6, 7, 9, 13 and 14)
  • Factor II: difficulty describing feelings (items 2, 4, 11, 12 and 17)
  • Factor III: externally oriented thinking (items 5, 8, 10, 15, 16, 18, 19 and 20).

Score interpretation is based on defined clinical cutoffs:

  • A total score between 20 and 51 indicates no alexithymia.
  • A score between 52 and 60 suggests possible alexithymia.
  • A score between 61 and 100 indicates the presence of alexithymia.

Finally, the highest subscore among the three factors indicates the specific dimension in which the person assessed has the most difficulty. This helps guide the clinical analysis and refine therapeutic interventions.

Usage

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Toronto Alexithymia Scale (TAS-20) - Mentaal