Impact of childhood trauma on internalizing problems among higher vocational nursing students and chain mediation effect of alexithymia and bullying victimization

Abstract

Abstract: Objective To explore the effects of childhood trauma,alexithymia and bullying victimization on internalizing problems among higher vocational nursing students and the underlying mechanism. Methods From May to June in 2021,an online questionnaire survey was conducted on 1 455 female students from the nursing department of a vocational college in Beijing,using scales including Delaware bullying victimization scale-student（DBVS-S）,childhood trauma questionnaires-short form（CTQ-SF）,20-item toronto alexithymia scale（TAS-20）,center for epidemiologic studies depression scale（CES-D） and generalized anxiety disorder scale-7（GAD-7）,to analyze the mediating roles of alexithymia and bullying victimization that played in the relationship between childhood traumatic experience and internalization problems. Results The scores of childhood trauma among 1 455 nursing students in higher vocational college in Beijing was （20.40±6.87）points,the score of alexithymia was （28.27±9.83）points,the score of bullying victimization was （18.40±5.44）points,and the score of internalization problems of depression and anxiety was （5.15±5.53） and （2.90±4.15）points respectively. The detection rate of depression tendency was 15.26%,and the detection rate of high risk of depression was 5.15%. The detection rates of mild,moderate and severe anxiety were 20.62%,3.78% and 2.75%,respectively. Three dimensions of childhood trauma,two dimensions of alexithymia and four dimensions of bullying victim were positively correlated with the two indicators of internalization problems（r=0.044-0.821,all P<0.05）. The childhood trauma experience not only had the direct effect on the internalization problems of nursing students in higher vocational colleges,but also exerted the indirect effect through three paths,inducing the mediating roles that alexithymia and bullying victimization played,respectively,and the chain mediating effects that was formed by alexithymia and bullying victimization. The total mediating effect was 0.276,95%CI was 0.238-0.315. Conclusion The childhood trauma experience is one of important predictors for internalization problems in nursing students,and alexithymia and bullying victims exert the multiple mediating effects in the relationship between childhood trauma experience and internalization problems.

Key words: Nursing students, Childhood trauma, Alexithymia, Bullying victimization, Internalizing problems

CLC Number:

B181.3

ZHANG Jia-yue, GUO Fei, CHEN Zhi-yan, ZAN Jie-bing. Impact of childhood trauma on internalizing problems among higher vocational nursing students and chain mediation effect of alexithymia and bullying victimization. [J]OCCUPATION AND HEALTH, 2023, 39(7): 950-955.

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