Alexithymia Questionnaire For Children Research Articles

Alexithymia and psychosomatic diseases in adolescents: primary headaches

Background. Alexithymia is traditionally regarded as a factor which influences the development of psychosomatic diseases and contribute to a more severe and prolonged course of somatic diseases the high level of alexithymia indicates the deficit in cognitive processes associated with awareness, exteriorization and regulation of feelings and emotions. In recent years, a lot of research has been conducted on the comorbidity of alexithymia and psychosomatic diseases in adults, but there are very few studies in relation to children and adolescents.The aim. To analyze psychosomatic diseases associated with the high level of alexithymia in adolescents, to study the correspondence of alexithymia and central sensitization (CS) in adolescents with primary headaches (migraine and tension-type headache).Methods. The diagnosis of headache was based on the criteria for the International Classification of Headache, 3rd edition. The study group included 84 adolescents, average age – 14 [13; 16] (51 females, 33 males). CS was assessed using the Russian version of “Central Sensitization Inventory” (2020) for adolescents. Alexithymia was assessed using the Russian version of “Alexithymia questionnaire for children” (2019). Headache intensity was measured using the Visual Analogue Scale. There were also assessed the number of months and days per month with headaches; duration of night sleep; age of phrasal speech start.Results and discussion. The results showed the direct correlation between levels of alexithymia and central sensitization (rS = 0.49; p = 0.00001), the number of days with headaches per month and central sensitization severity (rS = 0.24; p = 0.027). There was no significant correlation between alexithymia severity and headaches duration (rS= 0.06; p = 0.5), no reliable results on the correspondence of alexithymia severity, age of phrasal speech start and nocturnal sleep.Conclusion. A high level of alexithymia is observed in adolescents with various somatic diseases. Primary headaches are associated with a high level of alexithymia and the severity of central sensitization. Pediatricians and neurologists should be advised to assess the level of alexithymia and central sensitization in adolescents with headaches.

Emotion-focused Cognitive-Behavioral Therapy for externalizing disorders in children and adolescents : an attempt to resolve emotion regulation difficulties

IntroductionDeficient emotion regulation is a common and impairing area of difficulty among children and adolescents with externalizing disorders. Emotion focused cognitive behavioral therapy ECBT is a form of CBT that is suggested to be employed to improve dysregulation of anxiety and other kind of emotions in anxious youth.ObjectivesExamine the efficacy of an Emotion-focused Cognitive-Behavioral Therapy (ECBT) inspired program on emotional regulation difficulties and behavioral problems in children and adolescents with externalizing disordersMethodsWe conducted a cross-sectional comparative experimental study. Subjects were 50 patients exhibiting behavioral disorders aged 9 to 18 years , with a diagnosis of attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD).Participants were assigned to ECBT and control groups. ECBT group contributed in 12-h weekly sessions within ECBT-inspired program. The control group received standard care. To assess emotion-related competencies, children were administered the emotion regulation questionnaire (ERQ-CA) and the alexithymia questionnaire for children(AQC). Parents completed the Child Behavior Checklist(CBCL) to measure youth externalizing problems. Tests were administered in pre- and post-test to all subjects. Both groups were matched for age, sex and educationnal level. Comparison of pre- and post-test results was performed using the Student’s t-test.ResultsECBT demonstrated a significant difference in the reduction of behavioral problems. ECBT effectively increased adaptive emotion regulation strategies (cognitive reappraisal) in the post-test. ECBT also reduced alexithymia scores, particularly difficulty identifying feelings, and externally oriented thinking.ConclusionsECBT demonstrated promising initial effectiveness in addressing emotion regulation deficits of children with externalizing behaviorsDisclosureNo significant relationships.

Effectiveness of an emotion focused cognitive-behavioral therapy (ECBT) program for externalizing disorders in children and adolescents : clinical profile

IntroductionExternalizing disorders involve undercontrolled, impulsive, or aggressive behavior. Included in this category are Conduct Disorder, Oppositional Defiant Disorder, and Attention deficit hyperactivity. Difficulties with emotion regulation are a core feature of externalizing disorders in children and adolescents. Yet, no studies to date have compared the relative efficacy of an ECBT program in this population.Objectivesto investigate the effectiveness of an ECBT inspired program in children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD)MethodsWe conducted an experimental study with a pretest posttest design and a control group. 50 subjects with either ADHD, ODD or CD were selected and assigned to the experimental and control group. 25 patients ages 9–18 (13 boys, 12 girls) were enrolled in the ECBT-inspired program with 19 completing treatment. Comparison of pre- and post-test results for each sub-group was performed using the Wilcoxon test.Resultsshowed that youths in the ADHD and ODD groups demonstrated a significant reduction in externalizing behavior problems measured by the Child Behavior Checklist (CBCL). In terms of emotional regulation, only the group of patients with ODD showed a significant improvement in the cognitive reappraisal subscale of the emotional regulation questionnaire(ERQ- CA ). Only in the ODD group, significant improvement was found in the identification and external oriented thniking subscale scores of the alexithymia questionnaire for children (AQC).ConclusionsSuch comparisons are necessary to determine the clinical profile of patients who might most benefit from such an intervention.DisclosureNo significant relationships.

Eating behaviors and alexithymic features of obese and overweight adolescents.

In this study, eating behaviors and alexithymia levels in obese adolescents were investigated. Relationships between alexithymia, eating behavior and insulin resistance were studied. The patient group consisted of 87 obese adolescents or overweight adolescents (O + OW). The comparison group consisted of 101 normal weight adolescents (N). Alexithymia Questionnaire for Children, Dutch Eating Behavior Questionnaire, and Revised Child Anxiety and Depression Scale-Child Version, are used for assessing adolescents. The homeostasis model assessment-estimated insulin resistance was calculated to determine insulin resistance. Alexithymia Questionnaire for Children scores were significantly higher in O + OW than N (P = 0.009). Both emotional and restrained eating scores are higher in O + OW (P < 0.001 for both). On the other hand, external eating scores were not significantly different. In O + OW, external eating was positively associated with homeostasis model assessment-estimated insulin resistance (r: 035, P = 0.006), but is not associated with fasting blood glucose and the hemoglobin A1c (HbA1c) (r: -0.05, P = 0.62; r: -0.05, P = 0.73). Regression analysis showed that restrained and emotional eating were predictors of O + OW (B: 0.1, P < 0.001; B: 0.06, P = 0.001). Emotional eating was positively correlated with the Alexithymia Questionnaire for Children and Revised Child Anxiety and Depression Scale-Child Version in O + OW (r: 0.29, P = 0.008; r: 0.48, P < 0.001). Obese and overweight adolescents were more alexithymic than normal weight adolescents. Alexithymia scores were also positively associated with emotional eating. On the other hand, alexithymia was not a predictor of obesity/overweight. Restrained and emotional eating were predictors of obesity/overweight. Emotional and restrained eating were more common in obese and overweight adolescents than normal-weight adolescents. External eating is not significantly associated with obesity but is related to insulin resistance.

Alexithymia Is Associated With Internalizing Disorders in a Clinical Adolescent Outpatient Sample.

The aim of this study was to investigate alexithymic traits in an adolescent clinical sample with internalizing and externalizing disorders. The study group consisted of 125 adolescents aged between 12 and 17 years who applied at our outpatient unit and diagnosed with an internalizing or externalizing disorder. The healthy control group consisted of 53 adolescents with no psychiatric disorder. All subjects fulfilled the Alexithymia Questionnaire for Children (AQC). Total AQC scores were higher in the study group than in the control group. When we divided the study group into two groups as internalizing and externalizing disorders, total AQC scores, AQC-difficulty identifying feelings, and AQC-difficulty describing feelings were significantly higher in the internalizing disorder group than in the externalizing disorder group. AQC-externally oriented thinking scores were significantly higher in the externalizing disorder group than in the internalizing disorder group. In future research, it would be useful to further increase understanding of alexithymia and its association with psychiatric disorders in adolescence.

DIGITAL GAME ADDICTİON, SOCIAL ANXIETY AND ALEXITHYMIA IN ADOLESCENTS

This study was planned as a descriptive study in order to research the digital game addiction, social anxiety, and alexithymia levels of adolescents. This research was conducted with 626 adolescents in the age group of 12-15 years. The data were collected using Descriptive Characteristics Form, DGAS-7 (Digital Game Addiction Scale), SAS-A (Social Anxiety Scale for Adolescents), AQC (Alexithymia Questionnaire for Children). It can be asserted in accordance with the data that digital game addiction level was high in the adolescents who were male, played strategy games, and used internet for more than three hours a day. The adolescents, who were aged between 14-15 years and had high socio-economic level, smartphone, internet in their smartphones, and no health problem, experienced more social anxiety and the adolescents, who had low socio-economic level, a high year-end success score, and health problems, showed more alexithymic personality characteristics.

Psychometric Validation of a Parent-Reported Measure of Childhood Alexithymia

Abstract. Alexithymia can be defined as difficulties in describing one’s emotions and is of interest within clinical and developmental psychology as a potential mediating and exacerbating factor across multiple forms of psychopathology. Measuring alexithymia via self-reports can be challenging, as those with heightened alexithymia may have difficulties in recognizing their alexithymia traits due to impaired metacognitive skills. Thus, there would be considerable benefits to the availability of a psychometrically validated parent-reported alexithymia measure that may circumvent the issue of self-reports. We, therefore, examined the psychometric properties of a new parent-reported alexithymia measure, the Alexithymia Questionnaire for Children – Parent (AQC-P) in a community sample of 257 child-parent dyads. Furthermore, we examined the level of agreement between the parent-rated AQC-P and its self-rated counterpart, the Alexithymia Questionnaire for Children (AQC). Confirmatory factor analysis found that an oblique three-factor structure provided the best model for both AQC-P and AQC, with this structure showing measurement invariance across child gender. All subscales had omega internal consistency values &gt; .70, supporting their reliability. Cross-informant consistency was supported by significant correlations between AQC and AQC-P scores. Results support the use of the AQC-P as a measure of parent-reported alexithymia in children.

The Effectiveness of Music Therapy on Reducing Alexithymia Symptoms and Improvement of Peer Relationships

Abstract Introduction: Individuals with alexithymia are under the pressure of correlated physio-emotional stress that would not come out as speech. These problems prevent emotion regulation and make people incompatible in life. Method: The purpose of this study was examining the effectiveness of music therapy on reducing symptoms of alexithymia and enhancing peer relationships. The method was quasi-experimental with two experimental and control groups. Through multi-stage sampling, one hundred and eighty girls were screened for alexithymia’s symptoms. Thirty of the 57 identified children, were selected randomly and assigned into control (n=15) and experimental (n=15) groups (mean 11.8 Years old) randomly in Isfahan, Iran. The instruments were the Rieffe’s Alexithymia Questionnaire for children and Sociometry for evaluating peer relationships. The music therapy was nine sessions which was done for the experimental group. Data was analysed with the repeated measure ANCOVA. Results: The results indicated that music therapy had a significant positive effect on reducing alexithymia in the experiment group (ES = -0.34, (OP = -0.92), while there was no significant change in the control group (p >0.05). The results stayed stable after two months follow-up. Although the results showed peer relationships, the helper dimension improved; other peer relationships, the popularity, and rejection, were not influenced significantly. Conclusion: In conclusion, music therapy positively affects reducing alexithymia symptoms of female preadolescents. Thus, using music therapy for reducing alexithymia symptoms is suggested.

Psychometric validation of a parent-reported measure of childhood alexithymia: the Alexithymia Questionnaire for Children – Parent (AQC-P)

Psychometric validation of a parent-reported measure of childhood alexithymia: the Alexithymia Questionnaire for Children – Parent (AQC-P)

An investigation of the effect of the psychoeducation program provided to alexithymic and violent adolescents on the level of alexithymia.

Alexithymia is defined as difficulties in defining and describing feelings, differentiating feelings and bodily sensations caused by emotional arousal, and a combination of constricted imaginary processes. This study aims to investigate the effect of the psychoeducation program provided to individuals with alexithymia and violent tendencies adolescents on the level of alexithymia. This experimental study was conducted between February 2019 and April 2019. The sample was 80 volunteer adolescents (experimental group n = 40 and control group n = 40) who met the research criteria. Data were collected using the Sociodemographic Form, the Tendency to Violence Scale, and the Alexithymia Questionnaire for Children (AQC). The psychoeducation program was applied in the experimental group in 90-min sessions once a week throughout 9 weeks. There was a statistically significant decrease in the AQC posttest mean scores after the training provided to the experimental group (p < .01). The psychoeducation provided to adolescents was found to reduce the level of alexithymia. It is recommended that similar studies should be conducted with larger groups.

Beyond the Wall: Death Education at Middle School as Suicide Prevention.

This study investigates the psychological effects of participation in Death Education (DeEd) by middle school children in two towns in northeast Italy in which suicides occur to a greater extent than in the rest of the region. The aims of the project “Beyond the Wall” were inherent to the prevention of suicide, address existential issues and enhance the meaning of life through positive intentions for the future and reflection on mortality. It involved eight classes (150 students in four classes in the experimental group; 81 in four classes in the control group) engaging with films, workgroup activities, photovoice and psychodrama. The constructs of resilience, emotional competency and psychological well-being were monitored with the Resilience Scale for Adolescents, the Hopelessness Scale for Children, the Alexithymia Questionnaire for Children and the Stirling Children’s Well-being Scale. The DeEd intervention was found to be significantly related to some of the variables investigated, improving the students’ ability to recognise emotions and communicate them verbally while maintaining stable initial characteristics, such as psychological well-being and positive expectations for the future.

Alexithymia, Not Autism Spectrum Disorder, Predicts Perceived Attachment to Parents in School-Age Children.

Alexithymia is defined as a limited ability in the cognitive processing of emotions. Literature suggested its negative influence on interpersonal relationship, documenting elevated alexithymia in individuals with Autism Spectrum Disorder (ASD) compared to control groups. However, the study of alexithymia in school-age children with ASD remains largely unexplored as well as its effect on specific child socioemotional outcomes such as quality of attachment relationships. This study examines alexithymia and perceived attachment to parents in twenty-four children with ASD (without intellectual disability) and 24 typically developing (TD) children (mean age 10 years) using the self-reported Alexithymia Questionnaire for Children (AQC) and the Inventory of Parent and Peer Attachment (IPPA). Measures of family SES as well as child intelligence were collected. Data revealed that ASD children showed higher levels of Alexithymia compared to TD group. In addition, 21% of participants with ASD exceed alexithymia categorical cut-off. By contrast, no difference emerged in the perception of attachment to parents. Moreover, alexithymia, but not ASD status, was found to predictive of child perception of attachment to parents. We observed no significant effect of child age and verbal IQ. Our findings showed that alexithymia was more common in children with ASD, whereas attachment was similar between groups. Difficulties in identifying and describing one’s own feelings may hinder the construction of a positive representation of parent-child attachment relationship regardless of child clinical status. Thus, alexithymia seems to play a key role on the way school-age children with and without ASD perceive their relationship with their parents.

Роль алекситимии и когнитивной регуляции эмоций в развитии агрессивного поведения подростков

The article discusses the role of cognitive emotion regulation (ER) as well as of individual alexithymic traits in the emergence of adolescents’ aggressive behavior. It is assumed that alexithymic traits cause aggression by developing maladaptive ER. 142 adolescents aged 12–17 were examined in order to study this mechanism, such questionnaires as Cognitive Emotion Regulation Questionnaire (CERQ), the Alexithymia Questionnaire for Children and the Buss–Perry Aggression Questionnaire (BPAQ) were used as research methods. It has been discovered that the use of maladaptive ER strategies is a significant factor in the development of aggressive behavior. It was confirmed that the reduced ability to identify one’s feelings is associated with the risk of developing maladaptive ER strategies, which in its turn enhances aggression. An inclination to catastrophize and ruminate, experiencing stressful events acutely and continuously, as well as showing hostility are the traits of a teenager’s character which can be considered as predisposing to aggressive behavior. These features of dysfunctional ER can serve as targets in psychotherapeutic work and they should also be paid special attention to while conducting psycho-prophylaxis of aggressive behavior with adolescents.

Alexithymia, Metacognition, and Theory of Mind in Children and Preadolescents With Migraine Without Aura (MWoA): A Case-Control Study.

Background: Some studies have demonstrated the high impact of headache and migraine in several areas of children and adolescents' life. In recent years, there has been an increase in scientific interest in the relationship between migraine and emotional regulation, investigating the possible consequences of emotional dysregulation on physical and mental health. While some studies have been carried out on the relationship between alexithymia and headache or migraine (especially in adults), no data exist on relationship between Theory of Mind (TOM), metacognition, and alexithymia in children and adolescents with migraine.Methods: Children with diagnosis of migraine without aura (MWoA) (36 males and 34 females) were compared to a healthy control group (31 males and 39 females). The age range was from 8 to 13 years in both groups. All children completed the Alexithymia Questionnaire for Children (AQC) for the assessment of alexithymia levels and the Domain of Social Perception included in the NEPSY-II to evaluate levels of TOM. Metacognitive development was evaluated with Io e La Mia Mente for children aged between 8 and 10 years and with Metacognitions Questionnaire for Children (MCQ-C) for children from 11 to 13.Results: There were no differences between children with MWoA and the control group in metacognitive abilities; only in the subscale “Negative Meta Worrying” of MCQ-C girls scored higher than boys, regardless of the group they were part of. Also, in the NEPSY-II subscale there were no statistically significant differences between the two groups. Children with MWoA scored higher in the AQC subscales “Difficulty Identifying Feelings” and “Difficulty Describing Feelings” than controls. Moreover, children between 8 and 10 years statistically differed from older children in “Difficulty Identifying Feelings” and in Total Score.Conclusion: Our data suggest that children with MWoA have no metacognitive and TOM problems compared to a healthy group. The experimental group showed higher traits of alexithymia, confirming what suggested by other studies in the literature. Future research will have to focus on migraine with aura and tension-type headache to evaluate any differences with children with MWoA.

Psychometric properties of the Arabic version of the Alexithymia Questionnaire for Children (AQC) in children and adolescents

This study had the aim to explore the psychometric properties of the Arabic version of the Alexithymia Questionnaire for Children (AQC) that measures the three dimensions of alexithymia (DIF, diffi...

The measurement of alexithymia in children and adolescents: Psychometric properties of the Alexithymia Questionnaire for Children and the twenty-item Toronto Alexithymia Scale in different non-clinical and clinical samples of children and adolescents.

This study had two aims. Firstly, the psychometric properties of the 20-item Toronto Alexithymia Scale (TAS-20) and the Alexithymia Questionnaire for Children (AQC) that measure the three dimensions of alexithymia (DIF, difficulty identifying feelings; DDF, difficulty describing feelings; EOT, externally-oriented thinking) were explored in various samples of children, adolescents or young adults to detect the best factor-structure and to examine if the Externally-Oriented Thinking (EOT) factor must be deleted or not. Secondly, the capacity for adolescents to distinguish between alexithymia and depression was studied using factorial analyses of items of self-report of alexithymia and depression scales. Four groups were examined (80 healthy children, 105 adolescents with various psychiatric disorders, 333 healthy older adolescents and 505 young adults recruited from universities). The first two groups filled out the AQC and the latter two the TAS-20. Confirmatory factorial analyses (CFA) showed that the two-factor model (DIF, DDF) provided acceptable fits and had significant advantages over the three-factor model (DIF, DDF, EOT). Low alpha coefficients for the EOT subscale were reported (range from 0.18–0.61). Except for the children sample, exploratory factorial analyses (EFA) were performed on the items of the TAS-20 or AQC without the EOT items and the Beck depression inventory-II (BDI-II) or the Zung Self-Rating Depression Scale (SDS). The items of the AQC and BDI-II or items of the TAS-20 and SDS loaded on separate factors with only a minor overlap suggesting that adolescents were able to differentiate alexithymia and depression when self-assessments were used. Alexithymia can be reliably assessed in adolescents using the TAS-20 or AQC without the eight items rating the EOT dimension.

A comprehensive approach to understand somatic symptoms and their impact on emotional and psychosocial functioning in children.

IntroductionSomatic symptoms are frequently reported by children with significant impairment in functioning. Despite studies on adult populations that suggest somatic symptoms often co-occur with difficulties in identifying and describing feelings, little research has been done in childhood. This study aimed to investigate the prevalence and frequency of somatic symptoms as well as to investigate the functional impairment in children with high number of self reported somatic symptoms versus those with fewer somatic symptoms. Additionally the parental perception of their children's somatic symptoms and functioning was explored. Finally, we explored the direct and indirect effects of difficulties in identifying feelings in predicting somatic symptoms and functional disability among school-aged children.Methods356 Italian school-aged children and their mothers participated in this study. Children (mean age = 11.43; SD = 2.41) completed the Children’s Somatization Inventory (CSI-24) to assess somatic symptoms, the Functional Disability Inventory (FDI) to assess physical and psychosocial functioning and the Alexithymia Questionnaire for Children (AQC) to evaluate alexithymic features. Mothers completed the parental forms of the CSI and the FDI.ResultsAmong children, 66.3% did not declare somatic symptoms and 33.7% reported one or more somatic symptoms in the last two weeks. A significant positive correlation emerged between children’s and mothers’ CSI total scores. Both children’s and mothers’ FDI total scores were significantly correlated with CSI scores. A significant correlation was observed between somatic symptoms and alexithymic features. Furthermore, the data showed that somatic symptoms mediated the relationship between difficulties in identifying feelings and functional impairment. Finally, it was showed that alexithymia facet of difficulty in identifying feelings contributed in large part to the prediction of the somatic symptomatology (b = 0.978, p < 0.001; R2 = 0.164, F(5, 350) = 10.32, p < 0.001).ConclusionsFindings from this study provide evidence that a higher frequency of somatic symptoms is associated with functional disabilities and alexithymic facets in school-aged children.

Le questionnaire d’alexithymie pour enfants (QAE) : étude sur une population clinique de 105 adolescents hospitalisés en pédopsychiatrie

ObjectiveThe 20-item Toronto Alexithymia Scale (TAS-20) is the most widely used measure of alexithymia in non-clinical or clinical populations. The TAS-20 evaluates three dimensions of the alexithymia construct: the difficulty identifying feelings (DIF), the difficulty describing feelings (DDF) and externally oriented thinking (EOT). The TAS-20 is also used in adolescents or children, and the psychometric properties of the scale have not been systematically evaluated in these populations. Recently several studies have shown systematic age differences in the factor structure and a decrease of the quality of the measurement with age. Notably, low reliability measured by the Cronbach α coefficient has been found for the EOT factor. Taking into account the limitations of the TAS-20 in pre-adult populations the Alexithymia Questionnaire for Children (AQC), an adaptation of the TAS-20, has been proposed by a reformulation of the TAS-20 items (Rieffe et al., 2006). Two studies in healthy children found satisfactory psychometric properties with the three-factor structure demonstrating adequate parameters in the confirmatory factorial analyses (CFA). In the two studies low reliabilities of the EOT factor were reported, and recent studies in adolescents using the TAS-20 found that a two-factor model (DDF, DIF) had a better fit than the original three-factor model. Thus, the aim of the present study was firstly to verify the psychometric properties of the AQC in a sample of adolescents presenting various psychiatric disorders and secondly to test the adequacy of the bi- or tridimensional model of the scale. MethodOne hundred and five adolescents (27 males, 78 females) with a mean age of 15.06 years (sd=1.55, range: 12–18 years) were hospitalized in the adolescent psychiatric department of the Erasme Hospital (Bruxelles, Belgium) for various psychiatric disorders. The main diagnoses were: adjustment disorder (n=56, 53.5%), mood or anxiety disorders (n=17, 16.2%), impulse control disorder (n=11, 10.5%). The subjects completed the French version of the AQC. CFA were done testing the adequacy of the three or two-factor structure of the scale. Two indices were considered: the normed χ2 (ratio of χ2 and degrees of freedom) and the root mean square error of approximation (RMSEA). The values for acceptable fit were normed χ2<3 and RMSEA<0.05. Cronbach α were also calculated. ResultsFit indices for the three-factor model were respectively 1.165 and 0.0303 for the normed χ2 and RMSEA. For the two-factor model, the values were respectively 0.819 and 0. Thus, these two well-fitting models were compared using the χ2-difference test, which indicated a significantly better fit for the two-factor model over the three-factor model (χ2-difference=151.447, delta df=114, P<0.05). The values of the Cronbach α coefficients were respectively 0.72, 0.75, 0.18 for DIF, DDF and EOT subscales. Moreover, the values of the Cronbach α coefficients were respectively 0.71 and 0.83 for the full scale and the scale without the EOT items. ConclusionThe Alexithymia Questionnaire for Children had satisfactory psychometric properties found in a sample of adolescent psychiatric inpatients. Taking into account firstly the superiority of the two-factor model over the classical three-factor model and secondly the low value of the Cronbach α for the EOT factor, it is proposed to use only the twelve-item scale by excluding the EOT items.

E002 Positive and negative experiences of parents and speech therapists on the effects of paediatric cochlear implantation and subsequent rehabilitation

La recherche sur l’alexithymie nécessite la mise au point d’instruments de mesure parmi lesquels l’échelle d’alexithymie de Toronto à 20 items (TAS-20) est considérée comme la référence. La TAS-20 comprend trois sous-échelles ou dimensions mesurant l’incapacité à identifier ses sentiments (DIF), l’incapacité à décrire ses sentiments (DDF) et la tendance à avoir des pensées tournées vers l’extérieur (EOT). L’étude de l’alexithymie chez l’enfant et l’adolescent rend nécessaire d’utiliser des instruments adaptés comme l’échelle d’alexithymie chez l’enfant (QAE) qui a été mise au point à partir d’une reformulation des items de la TAS-20. Deux études de validation ont montré les qualités psychométriques du QAE dans des populations d’enfants sains. L’objet de la présente étude était de vérifier les qualités psychométriques du QAE dans une population de 105 adolescents hospitalisés en psychiatrie pour des troubles divers. L’analyse factorielle confirmatoire a montré l’adéquation des données à la structure tridimensionnelle de l’échelle mais une structure bidimensionnelle sans la dimension EOT s’est avérée significativement supérieure. La cohérence interne mesurée par le coefficient α de Cronbach avait pour valeur 0,71 ou 0,83 pour l’échelle globale (20 items) ou pour l’échelle à 12 items sans le facteur EOT. En conclusion il est recommandé chez les enfants ou adolescents de ne prendre en considération que les dimensions DDF et DIF du QAE et en utilisant la sommation de ces deux sous-échelles.The 20-item Toronto Alexithymia Scale (TAS-20) is the most widely used measure of alexithymia in non-clinical or clinical populations. The TAS-20 evaluates three dimensions of the alexithymia construct: the difficulty identifying feelings (DIF), the difficulty describing feelings (DDF) and externally oriented thinking (EOT). The TAS-20 is also used in adolescents or children, and the psychometric properties of the scale have not been systematically evaluated in these populations. Recently several studies have shown systematic age differences in the factor structure and a decrease of the quality of the measurement with age. Notably, low reliability measured by the Cronbach α coefficient has been found for the EOT factor. Taking into account the limitations of the TAS-20 in pre-adult populations the Alexithymia Questionnaire for Children (AQC), an adaptation of the TAS-20, has been proposed by a reformulation of the TAS-20 items (Rieffe et al., 2006). Two studies in healthy children found satisfactory psychometric properties with the three-factor structure demonstrating adequate parameters in the confirmatory factorial analyses (CFA). In the two studies low reliabilities of the EOT factor were reported, and recent studies in adolescents using the TAS-20 found that a two-factor model (DDF, DIF) had a better fit than the original three-factor model. Thus, the aim of the present study was firstly to verify the psychometric properties of the AQC in a sample of adolescents presenting various psychiatric disorders and secondly to test the adequacy of the bi- or tridimensional model of the scale.One hundred and five adolescents (27 males, 78 females) with a mean age of 15.06 years (sd = 1.55, range: 12–18 years) were hospitalized in the adolescent psychiatric department of the Erasme Hospital (Bruxelles, Belgium) for various psychiatric disorders. The main diagnoses were: adjustment disorder (n = 56, 53.5%), mood or anxiety disorders (n = 17, 16.2%), impulse control disorder (n = 11, 10.5%). The subjects completed the French version of the AQC. CFA were done testing the adequacy of the three or two-factor structure of the scale. Two indices were considered: the normed χ2 (ratio of χ2 and degrees of freedom) and the root mean square error of approximation (RMSEA). The values for acceptable fit were normed χ2 < 3 and RMSEA < 0.05. Cronbach α were also calculated.Fit indices for the three-factor model were respectively 1.165 and 0.0303 for the normed χ2 and RMSEA. For the two-factor model, the values were respectively 0.819 and 0. Thus, these two well-fitting models were compared using the χ2-difference test, which indicated a significantly better fit for the two-factor model over the three-factor model (χ2-difference = 151.447, delta df = 114, P < 0.05). The values of the Cronbach α coefficients were respectively 0.72, 0.75, 0.18 for DIF, DDF and EOT subscales. Moreover, the values of the Cronbach α coefficients were respectively 0.71 and 0.83 for the full scale and the scale without the EOT items.The Alexithymia Questionnaire for Children had satisfactory psychometric properties found in a sample of adolescent psychiatric inpatients. Taking into account firstly the superiority of the two-factor model over the classical three-factor model and secondly the low value of the Cronbach α for the EOT factor, it is proposed to use only the twelve-item scale by excluding the EOT items.

Le questionnaire d’alexithymie pour enfants (QAE) : traduction française et étude de validation dans une population de 80 enfants « tout venant »

Alexithymia refers to a specific disturbance in psychic functioning characterized by a limited ability to identify and communicate one's feelings. Development of specific rating scales and notably the well-validated 20-item Toronto alexithymia Scale (TAS-20) have allowed the study of alexithymia in numerous samples of clinical or non-clinical subjects. Recently, Rieffe et al. [Pers and Individ Differ 40 (2006) 123-133] have developed an alexithymia questionnaire for children (AQC) basing on the TAS-20. The AQC comprised 20 items divided into three subscales: difficulty-identifying feelings (DIF), difficulty describing feelings (DDF) and externally-oriented thinking (EOT). Using a sample of 740 children and the Dutch version of the AQC the three-factor structure of alexithymia was found, using confirmatory factorial analysis, but the EOT factor showed low factor loadings and reliability. The aim of the study was to present the French version of the AQC and to assess the psychometric properties of this version. Eighty children recruited from a convenience sample were included in the study. There were 43 boys and 37 girls with a mean age of 11.81 (SD = 1.99, range: 9-16). The validity and the reliability of the AQC were studied using a confirmatory factorial analysis (CFA), the determination of the Cronbach alpha coefficient, and the calculation of the correlations between each item and the total score. Adequation parameters of the CFA showed that the 3-factor solution of the AQC was adequate (χ 2/df = 1.27, RMSEA = .039) although the EOT factor had low factor loadings. The Cronbach alpha coefficient was 0.64 and 15 items had significant correlations with the total score. The three-factor model of the AQC was reported for the French version of scale but the EOT factor had low validity. This result confirms the recent study using the Dutch version of the AQC. Moreover, several studies using foreign versions of the TAS-20 reported low reliability of the EOT factor. Thus, other studies are necessary to explore the reliability of the EOT factor of the French version of the AQC, and it's recommended to use only the total score of the AQC instead of the sub-scores.