ArticleBMC nursing2021
Alexithymia, social support, depression, and burnout among emergency nurses in China: a structural equation model analysis.
Article in BMC nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Alexithymia in nurses: a context-specific concept analysis using rodgers's evolutionary methodology.BMC psychology · 2026Pooled it
- The effect of alexithymia on depression: evidence from meta-analysis.Frontiers in psychology · 2025Pooled it
- A Dual Regulatory Model Linking Alexithymia to Internet Addiction: Affective and Cognitive Pathways.Annals of neurosciences · 2026Article
- Article
- Unraveling the pathways from alexithymia to work engagement among critical care nurses: the mediating effects of social support and organizational trust.Frontiers in psychology · 2026Article
- Burnout among intensive care physicians and nurses in the post-pandemic era in China: a national cross-sectional study.BMJ open · 2025Article
- Article
- Resilience and Social Support Protect Nurses from Anxiety and Depressive Symptoms: Evidence from a Cross-Sectional Study in the Post-COVID-19 Era.Healthcare (Basel, Switzerland) · 2025Article
- The correlation between alexithymia and communication skills among undergraduate pharmacy students.Heliyon · 2025Article
- Factors associated with symptom severity in stress-induced exhaustion disorder: cohort characterization and cross-sectional correlations.Frontiers in psychiatry · 2025Article
- Assessing the magnitude of burnout among emergency nurses in Portugal.Frontiers in public health · 2025Observational
- Social support and self-compassion mediate the relationship between alexithymia and quality of life in postoperative breast cancer patients: a cross-sectional study.Frontiers in psychology · 2025Article
- Prevalence of turnover intention among emergency nurses worldwide: a meta-analysis.BMC nursing · 2024Article
- Article
- Unraveling the relationships among pandemic fear, cyberchondria, and alexithymia after China's exit from the zero-COVID policy: insights from a multi-center network analysis.Frontiers in psychiatry · 2024Article
- Alexithymia, Burnout, and Hopelessness in a Large Sample of Healthcare Workers during the Third Wave of COVID-19 in Italy.Brain sciences · 2023Article
- Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSeveral factors are associated with the incidence of burnout, including alexithymia, social support, and depression. The relative importance of these three key parameters as mediators of burnout, however, is not well understood. In addition, there have been few studies to date specifically examining the association between alexithymia and burnout among nurses in China. PURPOSE: To evaluate the relationship of burnout with alexithymia, social support, and depression across emergency department nurses in China.
methodsThis descriptive, cross-sectional survey was conducted using a convenience sampling methodology to survey nurses responsible for direct emergency care (n = 413) from 18 tertiary hospitals in Western, Eastern, Northern, and Southern China between May 2020 and June 2020. A structural equation modeling approach was then used to assess a hypothetical model wherein alexithymia both directly and indirectly affects burnout among emergency nurses via impacting the incidence of depression and perceived social support.
resultsResults supported all driving hypotheses. Alexithymia was positive direct correlated with burnout (β = 0.35; P < 0.001) and depression (β = 0.50; P < 0.001), and exhibited a negative direct effect on social support (β = - 0.14; P = 0.041). Depression was associated with burnout, both directly (β = 0.24; P < 0.001) and indirectly (β = 0.15; P < 0.001) through its relationship with social support. Alexithymia was the factor most strongly associated with burnout, and it was able to affect burnout indirectly through depression and social support.
conclusionsWe found that among emergency nurses in China, alexithymia was correlated with burnout, depression, and social support. Alexithymia was the factor most strongly associated with burnout. These data suggest that providing better social support and alleviating alexithymia may decrease rates of burnout among emergency nurses.
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