阿立苏斯蒂亚（alexithymia）在阿卜杜勒阿齐兹国王大学医学生中的流行情况及其相关因素：一项横断面研究。
Prevalence of alexithymia and associated factors among medical students at King Abdulaziz University: a cross-sectional study.
机构信息
From the Family Medicine Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
From the Family and Community Medicine and Behavioral Sciences Department, University of Sharjah College of Medicine, Sharjah, United Arab Emirates.
出版信息
Ann Saudi Med. 2020 Jan-Feb;40(1):55-62. doi: 10.5144/0256-4947.2020.55. Epub 2020 Feb 6.
BACKGROUND
Medical students are at higher risk of developing alexithymia due to the nature of their studies.
OBJECTIVES
Determine the prevalence of alexithymia and potential risk factors among medical students in Saudi Arabia.
DESIGN
A cross-sectional analytic study.
SETTINGS
University medical school.
PATIENTS AND METHODS
An institutional cross-sectional survey of medical students was conducted using the Toronto Alexithymia Scale (TAS-20) to assess the prevalence of alexithymia and potentially associated factors (gender, parental marital status, grade point average, status of accommodations, smoking status, year of study, childhood abuse, a history of mental illness, and physical activity).
MAIN OUTCOME MEASURES
Gender, parental marital status, grade point average, status of accommodations, smoking status, year of study, childhood abuse, a history of mental illness, and physical activity.
SAMPLE SIZE
RESULTS
The prevalence of alexithymia among medical students was 49% (95% confidence interval [43.8-54.2]). A binary logistic regression model showed significant associations between alexithymia and academic year of study (lower risk of alexithymia in the clerkship (5th, 6th years); odds ratio [OR]: 0.43, 95% CI: 0.26-0.72), smoking (OR: 3.52, 95% CI: 1.60-3.34), grade point average (lowest; OR: 10.44, 95% CI: 4.24-25.77), history of childhood abuse (OR: 2, 95% CI: 1.20-8.77), and history of psychiatric illness (OR: 14.40, 95% CI: 4.76-21.06).
CONCLUSION
Almost half of the medical students suffer from alexithymia. Increasing the awareness about alexithymia among students and directing them where to seek help would facilitate the management of these problems.
LIMITATIONS
Limited only to medical students from the second year to the sixth year in a single medical college, which affects generalizability. The cross-sectional design might have also limited generalizability.
CONFLICT OF INTEREST
None.
背景
由于学习性质的原因，医学生更容易出现述情障碍。
目的
确定沙特阿拉伯医学生述情障碍的患病率和潜在危险因素。
设计
横断面分析研究。
地点
大学医学院。
患者与方法
采用多伦多述情障碍量表（TAS-20）对医学生进行机构横断面调查，评估述情障碍的患病率和潜在相关因素（性别、父母婚姻状况、平均绩点、住宿状况、吸烟状况、学习年限、儿童期虐待、精神病史和身体活动）。
主要观察指标
性别、父母婚姻状况、平均绩点、住宿状况、吸烟状况、学习年限、儿童期虐待、精神病史和身体活动。
样本量
347。
结果
医学生述情障碍的患病率为 49%（95%置信区间[43.8-54.2]）。二元逻辑回归模型显示，述情障碍与学习年限显著相关（实习（第 5、6 年）年级述情障碍风险较低；比值比[OR]：0.43，95%可信区间[0.26-0.72]）、吸烟（OR：3.52，95%可信区间[1.60-3.34]）、平均绩点（最低；OR：10.44，95%可信区间[4.24-25.77]）、儿童期虐待史（OR：2，95%可信区间[1.20-8.77]）和精神病史（OR：14.40，95%可信区间[4.76-21.06]）。
结论
近一半的医学生患有述情障碍。提高学生对述情障碍的认识，并引导他们寻求帮助的方向，将有助于这些问题的管理。
局限性
仅局限于一所医学院从第二年到第六年的医学生，这影响了其普遍性。横断面设计也可能限制了其普遍性。
利益冲突
无。
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