Unravelling the link between alexithymia and psychological distress in nurses: a multi-hospital cross-sectional study exploring the mediating roles of workplace conflict and emotional exhaustion | BMC Psychiatry
The Lancet. 2020: unleashing the full potential of nursing. Lancet (Lond Engl). 2019;394:1879.
Chiu HY. Psychological distress among nurses: a concern that cannot be disregarded. J Nurs Res. 2022;30:e216.
Google Scholar
Xie C, Zhang J, Ping J, Li X, Lv Y, Liao L. Prevalence and influencing factors of psychological distress among nurses in Sichuan, China during the COVID-19 outbreak: a cross-sectional study. Front Psychiatry. 2022;13:854264.
Google Scholar
Kayaroganam R, Sarkar S, Satheesh S, Tamilmani S, Sivanantham P, Kar SS. Prevalence and correlates of psychological distress among nurses in a teaching Institute in South India. J Fam Med Prim Care. 2022;11:6765.
Google Scholar
Liu Y, Yang C, Zou G. Self-esteem, job insecurity, and psychological distress among Chinese nurses. BMC Nurs. 2021;20:141.
Google Scholar
Kunie K, Kawakami N, Shimazu A, Yonekura Y, Miyamoto Y. The relationship between work engagement and psychological distress of hospital nurses and the perceived communication behaviors of their nurse managers: a cross-sectional survey. Int J Nurs Stud. 2017;71:115–24.
Google Scholar
Stefanovska-Petkovska M, Stefanovska VV, Bojadjieva S, Bojadjiev MI. Psychological distress, burnout, job satisfaction and intention to quit among primary healthcare nurses. Health Serv Manage Res. 2021;34:92–8.
Google Scholar
Labrague LJ, De Los Santos JAA, Falguera CC, Nwafor CE, Galabay JR, Rosales RA, Firmo CN, et al. Predictors of nurses’ turnover intention at one and five years’ time. Int Nurs Rev. 2020;67:191–8.
Google Scholar
Bratis D, Tselebis A, Sikaras C, Moulou A, Giotakis K, Zoumakis E, et al. Alexithymia and its association with burnout, depression and family support among Greek nursing staff. Hum Resour Health. 2009;7:72.
Google Scholar
Zhao F, Lung H, Chen PF, Chang MC, Lung FW. Religion and the mediating role of alexithymia in the mental distress of healthcare workers during the coronavirus disease 2019 pandemic in a psychiatric hospital in China. Front Psychiatry. 2022;13:837916.
Google Scholar
Dalokay EB, Aydin A. The relationship between alexithymia, communication skills and mental well-being of nurses’ in Turkey: a cross-sectional study. Arch Psychiat Nurs. 2023;43:81–6.
Google Scholar
Aldaz E, Aritzeta A, Galdona N. The association between alexithymia, emotional intelligence and burnout among nursing assistants working in nursing home settings: a cross-sectional study. J Adv Nurs. 2019;75:2786–96.
Google Scholar
Pei J, Wang X, Chen H, Zhang H, Nan R, Zhang J, et al. Alexithymia, social support, depression, and burnout among emergency nurses in China: a structural equation model analysis. BMC Nurs. 2021;20:194.
Google Scholar
Preece DA, Mehta A, Petrova K, Sikka P, Bjureberg J, Becerra R, et al. Alexithymia and emotion regulation. J Affect Disorders. 2023;324:232–8.
Google Scholar
Luminet O, Bagby RM, Taylor GJ. Alexithymia: advances in research, theory, and clinical practice. 2018.
Morais A, Gomes R, Descalço N. Lost in translation–what is alexithymia. Eur Psychiat. 2022;65:S218–218.
Google Scholar
Konal Korkmaz E. Alexithymia in nurses and relationship between alexithymia and burnout, anger and somatization. J Psychiatr Nurs. 2020. https://doi.org/10.14744/phd.2020.98700.
Google Scholar
Nan R, Ma L, Yan H, Zhang Y, Pei J, Chen H, et al. Prevalence and associated factors of alexithymia in intensive care unit nurses. Nurs Open. 2023;10:4471–9.
Google Scholar
Movahedi N, Hosseinian S, Rezaeian H, Nooripour R. Mediating role of alexithymia in relationship between cyberbullying and psychotic experiences in adolescents. BMC Psychol. 2024;12:465.
Google Scholar
Liu C, Spector PE, Shi L. Cross-national job stress: a quantitative and qualitative study. J Organ Behav. 2007;28:209–39.
Google Scholar
Ying L, Fitzpatrick JM, Philippou J, Huang W, Rafferty AM. The organisational context of nursing practice in hospitals in China and its relationship with quality of care, and patient and nurse outcomes: a mixed-methods review. J Clin Nurs. 2021;30:3–27.
Google Scholar
Spitzer C, Siebel-Jurges U, Barnow S, Grabe HJ, Freyberger HJ. Alexithymia and interpersonal problems. Psychother Psychosom. 2005;74:240–6.
Google Scholar
Koppelberg P, Kersting A, Suslow T. Alexithymia and interpersonal problems in healthy young individuals. BMC Psychiatry. 2023;23:688.
Google Scholar
Frone MR. Interpersonal conflict at work and psychological outcomes: testing a model among young workers. J Occup Health Psych. 2000;5:246.
Google Scholar
Bakker AB, Demerouti E. The job demands-resources model: state of the Art. J Manage Psychol. 2007;22:309–28.
Google Scholar
Ghanbari N, Nooripour R, Shahidi S, Zahedi S, Heydari M, Nejati V. Efficacy of interpersonal and social rhythm therapy (IPSRT) on emotion regulation, addiction severity, and craving in methamphetamine abusers. Int J High Risk Behav Addict. 2024;13:e140136.
Google Scholar
Yuan L, Yumeng C, Chunfen Z, Jinbo F. Analyzing the impact of practice environment on nurse burnout using conventional and multilevel logistic regression models. Workplace Health Saf. 2020;68:325–36.
Google Scholar
Wright RR, Mohr CD, Sinclair RR. Conflict on the treatment floor: an investigation of interpersonal conflict experienced by nurses. J Res Nurs. 2014;19:26–37.
Google Scholar
Kato T. Coping with interpersonal stress and psychological distress at work: comparison of hospital nursing staff and salespeople. Psychol Res Behav Manag. 2014;7:31–6.
Google Scholar
Da Silva AN, Vasco AB, Watson JC. Alexithymia and emotional processing: a mediation model. J Clin Psychol. 2017;73:1196–205.
Google Scholar
Li H, Yuan B, Meng Q, Kawachi I. Contextual factors associated with burnout among Chinese primary care providers: a multilevel analysis. Int J Environ Res Public Health. 2019;16:3555.
Google Scholar
Guo Y, Hu S, Liang F. The prevalence and stressors of job burnout among medical staff in Liaoning, China: a cross-section study. BMC Public Health. 2021;21:777.
Google Scholar
Ren Z, Zhao H, Zhang X, Li X, Shi H, He M et al. Associations of job satisfaction and burnout with psychological distress among Chinese nurses. Curr Psychol. 2022;1–11.
Qi L, Cai D, Liu B, Feng T. Effect of workplace ostracism on emotional exhaustion and unethical behaviour among Chinese nurses: a time-lagged three-wave survey. J Adv Nurs. 2020;76:2094–103.
Google Scholar
Kasemy ZA, Sharif AF, Bahgat NM, Abdelsattar S, Abdel Latif AA. Emotional intelligence, workplace conflict and job burn-out among critical care physicians: a mediation analysis with a cross-sectional study design in Egypt. BMJ Open. 2023;13:e074645.
Google Scholar
Zhang H, Tang L, Ye Z, Zou P, Shao J, Wu M, et al. The role of social support and emotional exhaustion in the association between work-family conflict and anxiety symptoms among female medical staff: a moderated mediation model. BMC Psychiatry. 2020;20:266.
Google Scholar
Holmgreen L, Tirone V, Gerhart J, Hobfoll SE. Conservation of resources theory. The handbook of stress and health. John Wiley & Sons, Ltd; 2017. pp. 443–57.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147:573–7.
Google Scholar
Bagby RM, Parker JDA, Taylor GJ. The twenty-item Toronto alexithymia Scale—I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994;38:23–32.
Google Scholar
Bagby RM, Taylor GJ, Parker JDA. The twenty-item Toronto alexithymia Scale—II. Convergent, discriminant, and concurrent validity. J Psychosom Res. 1994;38:33–40.
Google Scholar
Yi JY, Yao SQ, Zhu XZ. The Chinese version of the TAS-20: reliability and validity. Chin Mental Health J. 2003;17:763–7.
Aryee S, Sun L-Y, Chen ZXG, Debrah YA. Abusive supervision and contextual performance: the mediating role of emotional exhaustion and the moderating role of work unit structure. Manage Organ Rev. 2008;4:393–411.
Google Scholar
Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory. Scarecrow Education; 1997.
Wu L, Ren L, Wang Y, Zhang K, Fang P, Liu X, et al. The item network and domain network of burnout in Chinese nurses. BMC Nurs. 2021;20:147.
Google Scholar
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-LT, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32:959–76.
Google Scholar
Kessler RC, Green JG, Gruber MJ, Sampson NA, Bromet E, Cuitan M, et al. Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO world mental health (WMH) survey initiative. Int J Method Psych. 2010;19:4–22.
Google Scholar
Zhonglin DT. Statistical approaches for testing common method bias: problems and suggestions. J Psychol Sci. 2020;15:215.
Akinwande MO, Dikko HG, Samson A. Variance inflation factor: as a condition for the inclusion of suppressor variable(s) in regression analysis. Open J Stat. 2015;5:754–67.
Google Scholar
Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 8th ed. Cengage Learning EMEA; 2019.
Warchoł-Biedermann K, Bugajski P, Budzicz Ł, Ziarko M, Jasielska A, Samborski W, et al. Relationship between stress and alexithymia, emotional processing and negative/positive affect in medical staff working amid the COVID-19 pandemic. J Invest Med. 2022;70:428–35.
Google Scholar
Radetzki PA, Wrath AJ, Le T, Adams GC. Alexithymia is a mediating factor in the relationship between adult attachment and severity of depression and social anxiety. J Affect Disorders. 2021;295:846–55.
Google Scholar
Theorell T, Hammarström A, Aronsson G, Träskman Bendz L, Grape T, Hogstedt C, et al. A systematic review including meta-analysis of work environment and depressive symptoms. BMC Public Health. 2015;15:738.
Google Scholar
Grandey AA. When the show must go on: surface acting and deep acting as determinants of emotional exhaustion and peer-rated service delivery. Acad Manage J. 2003;46:86–96.
Google Scholar
Katsifaraki M, Tucker P. Alexithymia and burnout in nursing students. J Nurs Educ. 2013;52:627–33.
Google Scholar
Chen C, Meier ST. Burnout and depression in nurses: a systematic review and meta-analysis. Int J Nurs Stud. 2021;124:104099.
Google Scholar
link
