Resilience mediates the association between alexithymia and stress in Chinese medical students during the COVID-19 pandemic

作     者：Yuqun Zhang Tianyu Wang Shengji Jin Heng Zhang Lixia Chen Shizheng Du Yuqun Zhang;Tianyu Wang;Shengji Jin;Heng Zhang;Lixia Chen;Shizheng Du

作者机构：School of NursingNanjing University of Chinese MedicineNanjingJiangsuChina Department of Psychosomatics and PsychiatrySoutheast UniversityNanjingJiangsuChina 

出 版 物：《General Psychiatry》 (综合精神医学（英文）)

年 卷 期：2023年第36卷第1期

页      面：43-49页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：This work was funded by Qing Lan Project of Jiangsu Higher Education Institutions,National Natural Science Foundation of China(grant number 82001426) School-based Youth Project Funding(grant number NZY82001426) 

主　　题：emotional stress finding 

摘      要：Background Evidence indicates that medical students have had high rates of mental health problems,especially during the COVID-19 pandemic,which could be affected by alexithymia—a marked dysfunction in emotional awareness,social attachment and interpersonal relationships—and ***,psychological resilience might relieve alexithymia and stress *** This study aimed to investigate the role of resilience in alexithymia and stress in medical *** A total of 470 medical students completed online and offline surveys,including the Toronto Alexithymia Scale-20(TAS-20),the Connor-Davidson Resilience Scale(CD-RISC)and the College Student Stress Questionnaire(CSSQ).The data of five participants were excluded because of a lack of ***-Whitney U test or Kruskal-Wallis test was used to compare group differences in the CD-RISC scores among categorical *** correlation analysis was employed to evaluate the associations between resilience and alexithymia and between resilience and *** analysis was used to test the mediating effect of resilience between alexithymia and *** Of the medical students considered in the analysis,382(81.28%)were female and 88(18.72%)were *** was a significant negative correlation between the TAS-20 scores and the total and subtotal CD-RISC scores(p0.001).The CSSQ scores also significantly negatively correlated with the total and subtotal CD-RISC scores(p0.001).Resilience mediated the relationship between alexithymia and stress(total effect=1.0447,p0.001).The indirect effect of alexithymia significantly impacted stress through resilience(effect=0.1670,95%CI:0.069 to 0.281).Conclusions Our findings suggest that resilience might effectively reduce alexithymia and *** also contributed to a better understanding of the mediating effects of resilience on alexithymia and stress during the COVID-19 *** evidence from these results encourages universities to focus on i