ArticleBMC psychology2025
Reciprocal mediation between alexithymia and post-traumatic growth as influencing factors of depression: a cross-sectional analysis in hospitalized older patients with chronic non-communicable diseases.
Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPositive psychology suggests combining negative and positive emotions for research, which is beneficial for promoting mental health. Depression is frequently reported among older patients with chronic non-communicable diseases. This study aimed to analyze the status and influencing factors of depression in hospitalized older patients undergoing chronic non-communicable diseases and explore the relationships between alexithymia (negative emotion) and post-traumatic growth (positive emotion) on depression (negative emotion).
methodsWe conducted a cross-sectional survey using simple random sampling of hospitalized older patients with chronic non-communicable diseases admitted to three tertiary hospitals in Changsha from November 2023 to February 2024. The data were collected by the questionnaire consisting of demographic characteristics, Self-rating Depression Scale, twenty-item Toronto Alexithymia Scale, and Post-traumatic Growth Inventory. We then performed statistical analyses and constructed structural models.
resultsA total of 321 hospitalized geriatrics with NCDs were surveyed, of whom 77.88% were diagnosed with depression. Self-care ability and post-traumatic growth are protective factors against depression, while alexithymia is a risk factor that has been linked to higher levels of depressive symptoms. In addition, alexithymia mediated the relationship between post-traumatic growth and depression, and post-traumatic growth also played a mediating role between alexithymia and depression.
conclusionsDuring hospitalization, the depression situation of older patients with chronic non-communicable diseases is very serious. Alexithymia and post-traumatic growth not only directly affect depression, but also play an intermediary role in indirectly affecting depression. Medical staff should enhance patients' emotional regulation and expression, promote post-traumatic recovery, and thereby improve their depressive psychology.
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