ArticleBMC medical education2017
Influencing factors of alexithymia in Chinese medical students: a cross-sectional study.
Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed, 39 citations in OpenAlex.
- Prevalence of alexithymia and its association with social media addiction among medical students in Pakistan: a cross-sectional study.Scientific reports · 2026Article
- Mobile phone addiction as a mediator in the association between alexithymia and self-directed learning among Chinese nursing students: a structural equation modeling analysis.BMC medical education · 2026Article
- Alexithymia of nursing students in higher vocational college: application of latent profile analysis and network analysis.Frontiers in psychiatry · 2026Article
- Alexithymia and Empathy in Parent-Youth Dyads: An Actor-Partner Interdependence Model Analysis.PsyCh journal · 2025Article
- The impact of loneliness on alexithymia among Chinese adolescents: the mediating role of problematic smartphone use and the moderating effect of fear of negative evaluation.BMC public health · 2025Article
- Exploring the relationship between physical activity and social media addiction among adolescents through a moderated mediation model.Scientific reports · 2025Article
- Article
- The relationship between alexithymia, empathy, willingness to fulfill the contract, and communication skills attitudes of rural-oriented tuition-waived medical students of China: a cross-sectional study.Frontiers in medicine · 2025Article
- Prevalence of Alexithymia and Associated Factors Among Dental Students in Saudi Arabia: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Mental Imagery in the Relationship between Alexithymia and Parental Psychological Control.Behavioral sciences (Basel, Switzerland) · 2024Article
- The interconnection between social media addiction, alexithymia and empathy in medical students.Frontiers in psychiatry · 2024Article
- Prevalence of alexithymia among medical students in Nepal: A cross-sectional study based on a self-administered questionnaire.Health science reports · 2023Article
- Sex differences in subjective cognitive impairment and clinical correlates in Chinese patients with subthreshold depression.Biology of sex differences · 2023Observational
- Prevalence and associated factors of alexithymia among medical students: A cross-sectional study from Saudi Arabia.Neurosciences (Riyadh, Saudi Arabia) · 2022Article
- Association between Alexithymia and Depression among King Khalid University Medical Students: An Analytical Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2022Article
- Cigarette Smoking and Dating App Use: Findings from a Survey in a Sample of Adults in Italy.European journal of investigation in health, psychology and education · 2021Article
- Mobile Phone Addiction Mediates the Relationship Between Alexithymia and Learning Burnout in Chinese Medical Students: A Structural Equation Model Analysis.Psychology research and behavior management · 2021Article
- Psychological Capital Mediating the Relationship Between Childhood Trauma and Alexithymia in Chinese Medical Students: A Cross-Sectional Study.Psychology research and behavior management · 2020Article
- Prevalence of alexithymia and associated factors among medical students at King Abdulaziz University: a cross-sectional study.Annals of Saudi medicineArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA much higher prevalence of alexithymia has been reported in medical students compared with the general population, and alexithymia is a risk factor that increases vulnerability to mental disorders. Our aim was to evaluate the level of alexithymia in Chinese medical students and to explore its influencing factors.
methodsA cross-sectional study of 1,950 medical students at Shenyang Medical College was conducted in May 2014 to evaluate alexithymia in medical students using the Chinese version of the 20-item Toronto Alexithymia Scale (TAS-20). The reliability of the questionnaire was assessed by Cronbach's α coefficient and mean inter-item correlations. Confirmatory factor analysis (CFA) was used to evaluate construct validity. The relationships between alexithymia and influencing factors were examined using Student's t-test, analysis of variance, and multiple linear regression analysis. Statistical analysis was performed using SPSS 21.0.
resultsOf the 1,950 medical students, 1,886 (96.7%) completed questionnaires. Overall, Cronbach's α coefficient of the TAS-20 questionnaire was 0.868. The results of CFA showed that the original three-factor structure produced an acceptable fit to the data. By univariate analysis, gender, grade (academic year of study), smoking behavior, alcohol use, physical activity, history of living with parents during childhood, and childhood trauma were influencing factors of TAS-20 scores (p < 0.05). Multiple linear regression analysis showed that gender, physical activity, grade, living with parents, and childhood trauma also had statistically significant association with total TAS-20 score (p < 0.05).
conclusionsGender, physical activity, grade, history of living with parents during childhood, and childhood trauma were all factors determining the level of alexithymia. To prevent alexithymia, it will be advisable to promote adequate physical activity and pay greater attention to male medical students and those who are in the final year of training.
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