Psychological Capital Mediating the Relationship Between Childhood Trauma and Alexithymia in Chinese Medical Students: A Cross-Sectional Study.

Psychol Res Behav Manag

School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, People's Republic of China.

Published: December 2020

AI Article Synopsis

  • - The study investigated how childhood trauma affects alexithymia (difficulty in identifying emotions) among medical students in China and whether psychological capital (an individual’s positive psychological resources) plays a mediating role in this relationship.
  • - Researchers surveyed 1,200 medical students using established questionnaires, finding that 16.5% exhibited alexithymia and identified a significant positive correlation between childhood trauma and alexithymia, with psychological capital partially mediating this effect.
  • - The findings suggest that addressing psychological capital could be a potential intervention to mitigate alexithymia in medical students, highlighting the need for support systems in healthcare education.

Article Abstract

Purpose: A much higher prevalence of alexithymia has been found in medical students compared with the general population. This study aimed to test the potential mediating effect of psychological capital on the relationship between childhood trauma and alexithymia in Chinese medical students, thereby providing clues for future interventions aimed at dealing with alexithymia in this population.

Methods: Convenience cluster sampling was used to recruit 1200 medical students in Chongqing, China. This cross-sectional study utilised the Childhood Trauma Questionnaire Short Form, the Toronto Alexithymia Scale, and the Psychological Capital Questionnaire. A structural equation model with maximum likelihood was used to study the mediating effect presented in the aim, and the significance of the mediating effect was examined by the bootstrap method. Multiple-group invariance analyses were also conducted to confirm the stability of the model.

Results: A total of 1018 were identified to have valid responses with a rate of 84.83%. 38.4% were males, 61.6% were females. The prevalence of alexithymia was 16.5%. Results of structural equation model showed that childhood trauma was positively related to alexithymia, with a standard path coefficient of 0.219 (C.R.=6.644, P<0.001). The partial mediating effect of psychological capital was 0.060 (P<0.001), accounting for 21.51% of the total effect of childhood trauma on alexithymia. Results of bootstrap method showed that the lower and upper bounds of the 95% confidence interval did not contain 0, and the multiple-group invariance analyses showed that the p values of the changes in the degrees of freedom and chi-square value were greater than 0.05, thus confirming the stability of the model.

Conclusion: Childhood trauma was a direct predictor of alexithymia among Chinese medical students, and the relationship between these two was partially mediated by psychological capital. Therefore, interventions aimed at enhancing psychological capital in this population may be effective at diminishing alexithymia.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7781113PMC
http://dx.doi.org/10.2147/PRBM.S288647DOI Listing

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