Psychiatry Investig.  2021 Apr;18(4):348-356. 10.30773/pi.2020.0396.

Korean Version of the Thought-Action Fusion Scale: The Evidence for Its Psychometric Properties

Affiliations
  • 1Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
  • 2Department of Psychiatry, Kyungpook National University Hospital, Daegu, Republic of Korea
  • 3Counseling Center, University of Maryland, Baltimore County (UMBC), Baltimore, MD, USA

Abstract


Objective
The Thought-Action Fusion Scale (TAFS) is a self-reported instrument used to measure a cognitive bias, namely, thoughtaction fusion (TAF), in which intrusive thoughts have moral and actual consequences. The aim of this study is to investigate the reliability and validity of the Korean version of the 19-item TAFS (K-TAFS) in Korean samples.
Methods
In this study, 628 university students and 93 patients with obsessive-compulsive disorder (OCD) completed the K-TAFS and several other psychological scales. Descriptive analyses, correlations, group comparisons, and exploratory and confirmatory factor analyses were performed.
Results
The results of the exploratory and confirmatory factor analyses indicated a two-factor structure with TAF-Morality and TAFLikelihood that best fits the data in the university sample. The reliability analyses showed that TAFS and its factors had excellent internal consistencies. Regarding the concurrent validity, positive correlations were observed between TAF-Likelihood and cognitive fusion, while the TAFS scores did not show any consistent correlations with other symptoms such as depression and anxiety. Compared to the university students, the OCD patients showed higher TAFS scores and their obsessive-compulsive symptoms were significantly associated with both TAF-Morality and TAF-Likelihood.
Conclusion
Overall, the findings of this study support the reliability and validity of the K-TAFS.

Keyword

Thought-action fusion, Thought-Action Fusion Scale, Obsessive-compulsive disorder, Cognitive bias, Psychometric properties
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