---
title: "The AHS-R: A holistic thinking measure with expanded theoretical domains and improved score reliability"
id: "plos-one-22-the-ahs-r-a-holistic-thinking-measure-with-expanded-theoretical-domains-and"
canonical_url: "https://medichelpline.com/clinical-feed/plos-one-22-the-ahs-r-a-holistic-thinking-measure-with-expanded-theoretical-domains-and"
content_type: "clinical_feed_article"
specialty: "Research Highlights"
source_name: "PLOS ONE (Medicine)"
source_url: "https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0353378"
published_at: "2026-07-15T14:00:00.000Z"
evidence_level: "Journal Feed"
license: "CC-BY-NC-4.0 / Informational Use"
---
# The AHS-R: A holistic thinking measure with expanded theoretical domains and improved score reliability
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/plos-one-22-the-ahs-r-a-holistic-thinking-measure-with-expanded-theoretical-domains-and
- **Specialty:** [Research Highlights](https://medichelpline.com/clinical-feed/research-highlights.md)
- **Primary Source:** PLOS ONE (Medicine)
- **Source URL:** [Original Journal Publication](https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0353378)
- **Published At:** 2026-07-15T14:00:00.000Z
- **Evidence Rating:** Journal Feed
## Executive GIST (TL;DR)
by Ezgi Aytürk, Nilüfer Göktaş, Nagihan Özman, Emre Kayatepe, Rüya Su Şencan, S. Adil Sarıbay Analytic and holistic thinking represent distinct cognitive styles. The existing Analysis-Holism Scale (AHS) is the most widely used measure of holistic thinking but has faced psychometric challenges and its validation has been largely restricted to a limited cultural context. The purpose of this study was to develop a refined measurement instrument, the AHS-R (Analysis-Holism Revised Scale), that expands the theoretical representation of the holistic cognition domains by differentiating between the Midway (preference for compromise) and Contradiction (tolerance for contradiction) dimensions and offers improved psychometric properties for use in broader populations. Using Turkish samples, Study 1 ( N = 346) confirmed the feasibility of new items developed to more precisely and reliably represent Midway and Contradiction. Study 2 ( N = 631) applied item response theory (IRT) and hierarchical factor analytic models on the finalized scale with four dimensions (Causality, Midway, Contradiction, and Attention). The original Perception of Change subscale was removed due to its negative factor loading on the higher-order holistic thinking factor.
## Clinical Analysis & Structured Key Points
PLOS ONE (Medicine) published a clinical update in Research Highlights on 15 Jul 2026. The item focuses on The AHS-R: A holistic thinking measure with expanded theoretical domains and improved score reliability. Review the original article for the full source wording and details.
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