Table 3.
Comparison between blinded theoretical judgment (by DM and RJ), initial empirical suggestion of problematic items, and the final EPS-15.
| Theoretical judgment | Sum of EPS-25 modification indices indicative of potential cross-loadingsa | EPS-15 final item selection | Factor loadings in validation sample | |||
|---|---|---|---|---|---|---|
| Subscale | # | Items paraphrased | ||||
| Suppression | 1 | Smothered feelings | Yes | 0 | X | 0.78 |
| 6 | Could not express feelings | No | 145 | |||
| 11 | Kept quiet about feelings | Borderline | 13 | |||
| 16 | Bottled up emotions | Yes | 0 | X | 0.85 | |
| 21 | Tried not to show feelings | Yes | 0 | X | 0.76 | |
| Signs of unprocessed Emotions | 2 | Unwanted feelings kept intruding | Yes | 0 | X | 0.77 |
| 7 | Emotional reactions lasted more than a day | Borderline/Yes | 0 | X | 0.71 | |
| 12 | Repeatedly experienced the same emotion | Borderline/Yes | 13 | |||
| 17 | Overwhelmed by emotions | Borderline | 73 | |||
| 22 | Thinking about same emotion again and again | Yes | 0 | X | 0.74 | |
| Unregulated emotions | 3 | When upset difficult to control what I said | Yes | 0 | X | 0.68 |
| 8 | Reacted too much to what people said or did | Yes | 11 | X | 0.79 | |
| 13 | Wanted to get own back on someone | Yes | 0 | X | 0.51 | |
| 18 | Felt urge to smash something | Yes | 22 | |||
| 23 | Hard to wind down | Borderline | 78 | |||
| Avoidance | 4 | Tried to avoid things that might make me upset | Yes | 0 | X | 0.40 |
| 9 | Talking about negative feelings made them worse | Borderline | 0 | X | 0.67 | |
| 14 | Tried to talk only about pleasant things | Borderline/Yes | 50 | |||
| 19 | Could not tolerate unpleasant feelings | No | 12 | |||
| 24 | Avoided looking at unpleasant things | Borderline/Yes | 0 | X | 0.69 | |
| Impoverished emotional experience (“alexithymia”) | 5 | Emotions felt blunt/dull | Borderline | 11 | X | 0.47 |
| 10 | Feelings did not seem to belong to me | No | 0 | |||
| 15 | Hard to work out if I felt ill or emotional | Yes | 0 | X | 0.61 | |
| 20 | Seemed to be a big blank in feelings | Borderline | 0 | |||
| 25 | Strong feelings but not sure if emotions | Borderline/Yes | 0 | X | 0.73 |
EPS-15 Emotional processing Scale. Yes: endorsed as an item typical what the subscale is supposed to measure. No: not endorsed. Borderline: neither typical nor atypical.
aThis is the sum of all modification indices pertaining to item-factor cross-loadings for each item, as based on the top 30 modification indices for the a priori 5-factor solution for the EPS-25 when fitted on the training data. Note that while there is considerable overlap between blinded theoretical judgments, these modification indices, and the final EPS-15, the reduction of the number of items from 25 to 15 was an iterative process where modification indices were examined for several intermediate scale forms, which for example is why we ultimately decided to include item 5 over items 10 and 20 in the EPS-15.