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Volume 26, Issue 119, January 2022

Prevalence of Alexithymia and the influencing factors among medical students at Umm Al-Qura University: A cross-sectional study

Abdullah Meshal Alharthi1♦, Manal Abdalelah Almasoudi1, Mohammed Bandar Alotaibi1, Mohammad Sami Jalaladdin1, Mokhtar Mahfouz Shatla2,3

1Department of Medicine and Surgery, College of Medicine, Umm Alqura University, Makkah, Saudi Arabia
2Department of Family Medicine, College of Medicine, Menoufia University, Menoufia, Egypt
3Department of Community Medicine and Pilgrims Health Care, College of Medicine, Umm Alqura University, Makkah, Saudi Arabia

♦Corresponding author
Department of Medicine and Surgery, College of Medicine, Umm Alqura University, Makkah, Saudi Arabia

ABSTRACT

Background: Alexithymia is inability of the person to describe his emotions, somatic sensations, and struggle to discuss feelings. Objectives: To determine the prevalence of the state of alexithymia among undergraduate medical students and to explore its potential risk factors. Methods: A cross-sectional study was done through online survey targeted to undergraduate medical students. The survey included the Toronto Alexithymia Scale (TAS-20), students' socio-demographics, and the potential risk factors for alexithymia. Results: A total of 317 students participated in the study. A 56.5% prevalence of alexithymia among participants was demonstrated. A binary logistic regression model revealed higher risk of alexithymia among students with female gender (OR: 2.32, 95% CI: 1.47-3.65; p <0.001), divorced parents (OR: 3.23, 95% CI: 1.43-7.32; p = 0.005), history of psychiatric illness (OR: 3.40, 955 CI: 1.51-7.67; p = 0.003), and history of childhood emotional, physical and/or sexual abuse (OR: 2.46, 95% CI: 1.42-4.29; p=0.001). A lower risk for alexithymia was demonstrated among students with higher grade point average (OR: 0.32, CI: 0.04-0.93; P = 0.035). There was no association between alexithymia and students' academic year of study. Conclusions: The current study revealed high alexithymia prevalence among undergraduate medical students. The condition is linked with female gender, divorced parents, history of psychiatric illness, and childhood abuse, and is associated with lower academic performance. Accordingly, for prevention and proper intervention of alexithymia among medical students, students' screening for the condition and ease of their access to psychiatric care is recommended.

Keywords: Alexithymia, medical students, prevalence, risk factors

Medical Science, 2022, 26, ms26e1947
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DOI: https://doi.org/10.54905/disssi/v26i119/ms26e1947

Published: 14 January 2022

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