Zhang Xiaoli, Huang Lijie, Wang Feijie, Zhang Haixin
Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan 450003, China.
Department of urinary surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan 450003, China.
J Affect Disord. 2025 Nov 15;389:119676. doi: 10.1016/j.jad.2025.119676. Epub 2025 Jun 12.
Men undergoing radical prostatectomy for prostate cancer often exhibit reluctance to seek professional psychological help. Emerging evidence suggests that alexithymia, a personality trait characterized by difficulties in identifying and expressing emotions-may contribute to this reluctance by impairing emotional processing and interpersonal functioning. However, the relationships among alexithymia, perceived social support, perceived stress, and help-seeking attitudes remain insufficiently explored in this population. This study aims to examine the influence of alexithymia on these key psychosocial factors in men with prostate cancer.
A total of 430 men who had undergone radical prostatectomy, with a mean age of 69.92 ± 4.71 years, were recruited for the study. Participants completed a series of standardized questionnaires, including a demographic survey, the Normative Male Alexithymia Scale-Brief Form, the Perceived Social Support Scale, the Perceived Stress Scale, and the Attitudes Toward Seeking Professional Psychological Help Scale-Short Form.
Higher levels of alexithymia were significantly associated with lower perceived social support and more negative attitudes toward seeking psychological help. Alexithymia was also positively correlated with higher levels of perceived stress. Furthermore, perceived social support and perceived stress were identified as statistically significant mediators in the relationship between alexithymia and help-seeking attitudes.
This study highlights the psychological impact of alexithymia on perceived social support, stress levels, and attitudes toward seeking psychological help among men recovering from prostate cancer surgery. The findings underscore the importance of addressing emotional processing difficulties in the development of interventions aimed at improving psychological adjustment and promoting mental health service utilization in this population.
因前列腺癌接受根治性前列腺切除术的男性通常不愿寻求专业心理帮助。新出现的证据表明，述情障碍是一种以难以识别和表达情感为特征的人格特质，可能通过损害情绪处理和人际功能导致这种不情愿。然而，在这一人群中，述情障碍、感知到的社会支持、感知到的压力和求助态度之间的关系仍未得到充分探索。本研究旨在探讨述情障碍对前列腺癌男性这些关键心理社会因素的影响。
本研究共招募了430名接受过根治性前列腺切除术的男性，平均年龄为69.92 ± 4.71岁。参与者完成了一系列标准化问卷，包括人口统计学调查、简版常模男性述情障碍量表、感知社会支持量表、感知压力量表和简短版寻求专业心理帮助态度量表。
较高水平的述情障碍与较低的感知社会支持以及对寻求心理帮助更消极的态度显著相关。述情障碍也与较高水平的感知压力呈正相关。此外，感知社会支持和感知压力被确定为述情障碍与求助态度之间关系的统计学显著中介因素。
本研究强调了述情障碍对前列腺癌手术后康复男性的感知社会支持、压力水平和寻求心理帮助态度的心理影响。研究结果强调了在制定旨在改善心理调适和促进该人群心理健康服务利用的干预措施时，解决情绪处理困难的重要性。
