In discussions on the several methodological limitations in the assess
ment of alexithymia, uncertainty still remains about whether alexithym
ia and somatization are distinct constructs or whether they share over
lapping symptomatology and constructs, as suggested by previous studie
s. In this study, 379 normal adults completed the newly developed 20-i
tem Toronto Alexithymia Scale (TAS-20) and a screening list for DSM-II
I-R somatization disorder Items from both the TAS-20 and the somatizat
ion checklist were subjected to factor analysis, resulting in separate
factor loadings according to these two scales. These results were rep
licated and cross-validated in a sample of 125 psychosomatic inpatient
s, supporting the view of an independency between alexithymia and soma
tization.