Alexithymia as a risk factor for poor emotional outcomes in adults with acquired brain injury

Fynn, Danielle M.; Preece, David A.; Gignac, Gilles E.; Pestell, Carmela; Weinborn, Michael; Becerra, Rodrigo

doi:10.1080/09602011.2022.2140680

Cited by 2 publications

(1 citation statement)

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“…First, the cross-sectional study design could not validate the temporal order of the independent, mediating, moderating, and dependent variables, preventing causal inference. Because the findings have shown that negative emotions such as dysphoria and depression, anxiety, and stress can predict each other in longitudinal studies [83], we cannot rule out the possibility that negative emotions such as depression, anxiety, and stress may lead to higher levels of dysphoria through resilience as reverse causality. Future research should use longitudinal designs or experimental studies to explore the causal relationship between narrative dysfunction and negative affect through an aggregated cross-sectional design, multilevel linear modelling, or manipulation of independent and mediating variables.…”

Section: Discussionmentioning

confidence: 98%

Alexithymia and negative emotions among nursing students: a moderated mediation model

Sun,

Wang,

et al. 2024

BMC Nurs

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Nursing students, who comprise a high percentage of China’s college students, experience many psychological problems; however, few studies explored the mechanisms underlying these problems. This cross-sectional study explored the relationships and mechanisms of depression, anxiety, stress, and narrative disorders in senior nursing students. Questionnaires were administered to 380 senior nursing students in Hubei Province using the Sociodemographic Questionnaire, Toronto Alexithymia-20 Scale, Perceived Social Support Scale, 10-Item Connor-Davidson Resilience Scale, and Depression-Anxiety-Stress Scale. After controlling for sociodemographic variables, Hayes’ PROCESS macros were used to test how psychological resilience moderates the relationships among narrative disorders, negative affect, and perceived social support. Bootstrap confidence intervals tested for indirect effects. Correlation analyses revealed that alexithymia was correlated significantly positively with depression-anxiety-stress (r = 0.57, 0.56, and 0.58, resp.) and significantly negatively with perceived social support (r = 0-0.46). Psychological resilience was correlated significantly negatively with alexithymia (r=-0.39) and depression-anxiety-stress (r=-0.31, -0.30, and-0.32, resp.) but significantly positively with perceived social support(r = 0.50). Perceived social support was correlated significantly negatively with depression-anxiety-stress (r=-0.33, -0.34, and − 0.42 resp.). Stress was correlated significantly positively with anxiety and depression (r = 0.81 and 0.77, resp.). Psychological resilience was a partial mediator between depression and dysphoria (β=-0.08, p < 0.05). Dysphoria directly predicted anxiety (β = 0.31) and stress (β = 0.37); moreover,alexithymia predicted depression not only directly but also through the mediating effect of psychological resilience. Therefore, educators and clinical administrators must promote and recognise negative emotions among nursing students to help ensure the nursing workforce’s stability.

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Section: Discussionmentioning

confidence: 98%