- The STSS is a 23-item self-rating questionnaire to assess alexisomia and has 3 subscales: (1) Difficulty of identifying bodily feelings (DIB); (2) Over adaptation (OA); and (3) Lack of health management based on bodily feelings (LHM). The questions are rated using a 5-level Likert scale and the total score was 115. (1) DIB is made up of questions 1, 5, 6, 10, 12, 14, 15, 18, and 19, and the among Japanese college students was 18.1 ± 5.6 (average score ± standard deviation) points. (2) OA is made up of questions 3, 7, 13, 17, 20, and 22, and the average score was 14.2 ± 4.5 points. (3) LHM is made up of 8 items, namely questions 2, 4, 8, 9, 11, 16, 21, and 23. Only 23 is regular scoring, but all the others are reversely scored items. The average score was 21.4 ± 3.8 points. Thus, the total average score was 56.3 ± 10.2 points (of 115 total). The original version was constructed in Japanese [11], which is downloadable [34]. In this table, an English translated version is shown
