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2025 ; 25
(1
): 1484
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Latent profile of alexithymia in Chinese nursing students and its relationship
with anxiety, depression, and stress: a cross-sectional study
#MMPMID41131527
Wang F
; Xu P
; Sun F
; Lu Q
; Xue J
; Su J
; Shen C
BMC Med Educ
2025[Oct]; 25
(1
): 1484
PMID41131527
show ga
BACKGROUND: In this study, we aimed to explore the potential types of alexithymia
in nursing students and their relationships with depression, anxiety, and stress
and provide a reference for formulating targeted intervention programs.
Understanding the mental health status of nursing students is critical for
preparing the next generation of nurses and improving the quality of nursing
services. Therefore, understanding the different subtypes of alexithymia in
nursing students and their relationships with depression, anxiety, and stress is
crucial. METHODS: This study employed a cross-sectional survey design.
Socio-demographic questionnaire for nursing students was used alongside the
Toronto alexithymia scale (TAS-20) and Depression Anxiety Stress Scale (DASS-21).
Latent profile analysis was used for identifying potential alexithymia categories
in nursing students and analyzing the relationships between these alexithymia
categories and depression, anxiety, and stress. RESULTS: Among the participants,
7.63% (29/380) of the students had an affective disorder score???61; depressive
symptoms were present in 16.6% (63/380) of the participants. Anxiety symptoms
were reported by 22.6% (86/380) of nursing students. Stress symptoms were
identified in 4.2% (16/380) of the sample, indicating a significant need for
addressing the psychological state of nursing students. Alexithymia in nursing
students can be categorized into three groups: without alexithymia, reflected by
low difficulty identifying feelings (DIF) and difficulty describing feelings
toward others (DDF) scores (29%); the medium-risk group of alexithymia, reflected
by high DIF and DDF scores (37.5%); and the high-risk group of alexithymia,
(33.5%). Nursing students without alexithymia, reflected by lower DIF and
difficulty describing feelings toward others (DDF) scores, had lower risks of
depression, anxiety, and stress than did nursing students who might have
alexithymia (OR?=?0.054, 0.075, 0.052; P?0.05). CONCLUSION: Three distinct
characteristics of alexithymia among the nursing students were identified. Those
with higher alexithymia scores reported significantly higher levels of anxiety,
depression, and stress symptoms. Routine screening for alexithymia might help
identify students at a higher risk of psychological distress; further research on
targeted support strategies is warranted. Although longitudinal studies are
needed for establishing temporal relationships, these results emphasize the
importance for considering emotional abilities in mental health initiatives for
nursing students.