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. 2022 Jun 21;12:10456. doi: 10.1038/s41598-022-14712-x

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.