Hemşirelerde Duygu Düzenleme Güçlüğü ve Aleksitimi Arasındaki İlişki: Kesitsel Bir Çalışma
Yıl 2025,
Cilt: 10 Sayı: 4, 338 - 344, 20.12.2025
Esra Bekircan
,
Kübra Özer Karadeniz
,
Ahmet Çapar
Öz
Amaç: Bu araştırmada hemşirelerde duygu düzenleme güçlüğü ve aleksitimi arasındaki ilişki ve etkileyen faktörlerin belirlemesi amaçlanmıştır.
Materyal ve Metot: Tanımlayıcı ve kesitsel tipte yapılan bu çalışmada veriler Ekim 2023-Mart 2024 tarihleri arasında Doğu Karadeniz bölgesinde üçüncü basamak bir eğitim ve araştırma hastanesinde çalışan 112 hemşire ile Kişisel Bilgi Formu, Duygu Düzenleme Güçlüğü Ölçeği-Kısa Form ve Toronto Aleksitimi Ölçeği kullanılarak toplanmıştır.
Bulgular: Hemşirelerin Toronto Aleksitimi Ölçeği düzeyi toplam puan ortalaması 48,46±9,46 ve Duygu Düzenleme Güçlüğü Ölçeği-Kısa Form düzeyi toplam puan ortalaması 35,88±1,02 olarak bulunmuştur. Toronto Aleksitimi Ölçeği ile Duygu Düzenleme Güçlüğü Ölçeği-Kısa Form toplam puan düzeyleri arasında pozitif yönde orta düzeyde istatistiksel olarak anlamlı bir fark saptanmıştır (t:0,621; p<0,05). Toronto Aleksitimi Ölçeği ile Duygu Düzenleme Güçlüğü Ölçeği-Kısa Form toplam puanlarının kişilerin mesleklerini gerçekleştirmede memnuniyet durumlarına göre istatistiksel olarak anlamlı olduğu belirlenmiştir (p<0,05).
Sonuç: Hemşirelerin orta düzeyde duygu düzenleme sorunu yaşadıkları ve orta düzeyde aleksitimik oldukları tespit edilmiştir. Hemşirelerin duygularını düzenlemede güçlük yaşama düzeyleri ile aleksitimi düzeyleri arasında pozitif bir ilişki gözlemlenmiştir. Mesleğini severek yapan hemşirelerin aleksitimi düzeylerinin ve duygu düzenleme güçlük düzeylerinin düşük olduğu saptanmıştır.
Etik Beyan
Çalışma için etik onay, Trabzon Üniversitesi Sosyal ve Beşeri Bilimler Bilimsel Araştırma ve Yayın Etik Kurulu tarafından verilmiştir (Tarih: 17.08.2023, karar no: 2023-8/1.4). Katılımcılara çalışmanın amacı, gizlilik, kişisel veri hakları ve istedikleri zaman çalışmadan çekilme hakları hakkında bilgi verilmiştir. Çalışmaya başlamadan önce hem sözlü hem de yazılı bilgilendirilmiş onam alınmıştır. Araştırma, Helsinki Bildirgesi'nde belirtilen ilkelere uygun olarak yürütülmüştür.
Teşekkür
Çalışmaya katılan hemşirelere teşekkürlerimizi sunmak isteriz.
Kaynakça
-
Matthews M, Webb TL, Shafir R, Snow M, Sheppes G. Identifying the determinants of emotion regulation choice: A systematic review with meta-analysis. Cognition and Emotion. 2021;35(6):1056-1084. doi:10.1080/02699931.2021.1945538
-
Tamir M, Vishkin A, Gutentag T. Emotion regulation is motivated. Emotion. 2020;20(1):115-119.
-
Schuenemann L, Scherenberg V, von Salisch M, Eckert M. “I’ll worry about it tomorrow”-Fostering emotion regulation skills to overcome procrastination. Frontiers in Psychology. 2022;13:780675. doi:10.3389/fpsyg.2022.780675
-
Lee JH, Son C. The Effect of negative emotion on concentration through emotional regulation: mediated moderation of Metacognitive Awareness. Journal of Rational-Emotive & Cognitive-Behavior Therapy. 2023;41(3):663-675. doi:10.1007/s10942-022-00473-z
-
McRae K, Gross JJ. Emotion regulation. Emotion. 2020;20(1):1-9. doi: 10.1037/emo0000703
-
Xu X, Chen L, Yuan Y, et al. Perceived stress and life satisfaction among Chinese clinical nursing teachers: a moderated mediation model of burnout and emotion regulation. Frontiers in Psychiatry. 2021;12:548339. doi:10.3389/fpsyt.2021.548339
-
Sun F, Wang F, Hu X, et al. Alexithymia and negative emotions among nursing students: a moderated mediation model. BMC Nursing. 2024;23(1): 167. doi:10.1186/s12912-024-01832-0
-
Preece DA, Becerra R, Robinson K, Gross JJ. The emotion regulation questionnaire: psychometric properties in general community samples. Journal of Personality Assessment. 2020;348-356. doi:10.1080/00223891.2018.1564319
-
Li Y, Li J, Zhou C, et al. 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. 2025;25(1):319. doi:10.1186/s12888-025-06742-2
-
Ko Y, Yu S, Jeong SH. Effects of nursing power and organizational trust on nurse’s responsiveness and orientation to patient needs. Nursing Open. 2020;7(6):1807-18149. doi:10.1002/nop2.567
-
Koppelberg P, Kersting A, Suslow T. Alexithymia and interpersonal problems in healthy young individuals. BMC Psychiatry. 2023;23(1):688. doi:10.1186/s12888-023-05191-z
-
MSNc SS, Ning L, Xu L, et al. A cross-sectional network analysis on the centrality and bridge associations between alexithymia and difficulties in emotion regulation among nursing undergraduates. Nurse Education Today. 2025;154:106852. doi:10.1016/j.nedt.2025.106852
-
Karaismailoğlu D, Kulakaç N, Çilingir D. Ameliyathane hemşirelerinde aleksitimi düzeyi ve iletişim becerilerine etkisi: Doğu Karadeniz Örneği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2021;10(1):81-87.
-
Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of The Difficulties İn Emotion Regulation Scale. Journal Of Psychopathology And Behavioral Assessment. 2004;26(1):41-54. doi:10.1007/s10862-008-9102-4
-
Bjureberg J, Ljótsson B, Tull MT, et al. Development and validation of a Brief Version of the Difficulties in Emotion Regulation Scale: The DERS-16. Journal of Psychopathology and Behavioral Assessment. 2016;38(2):284–296. doi:10.1007/s10862-015-9514-x
-
Yiğit İ, Guzey Yiğit M. Psychometric properties of Turkish version of Difficulties in Emotion Regulation Scale-Brief Form (DERS-16). Current Psychology. 2017;38:1503-1511. doi:10.1007/s12144-017-9712-7
-
Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal Of Psychosomatic Research. 1994;38(1):23-32. doi:10.1016/0022-3999(94)90005-1
-
Güleç H, Köse S, Güleç YM, et al. Reliability and factorial validity of the Turkish Version Of The 20-Item Toronto Alexithymia Scale (Tas-20). Klinik Psikofarmakoloji Bülteni. 2009;19:214-220.
-
Dalokay EB, Aydin A. The relationship between alexithymia, communication skills and mental well-being of nurses' in Turkey: A cross-sectional study. Arch Psychiatr Nurs. 2023;43:81-86. doi:10.1016/j.apnu.2022.12.020
-
Özsaban A. The relationship between alexithymia, empathy and burnout levels amongst ıntensive care nurses during the covıd-19 pande-mic. Online Turkish Journal of Health Sciences. 2022;7(3):356-363. doi:10.26453/otjhs.1033467
-
Korkmaz EK, Telli S, Kadioglu H, Karaca S. Alexithymia in nurses and its relationship with burnout, anger, and somatization. Journal of Psychiatric Nursing. 2020;11(4):284-291. doi:10.14744/phd.2020.98700
-
Pei J, Wang X, Chen H, Zhang H, Nan R, Zhang J, Dou X. Alexithymia, social support, depres-sion, and burnout among emergency nurses in China: a structural equation model analysis. BMC Nurs. 2021;20(1):194. doi:10.1186/s12912-021-00702-3
-
Warchoł-Biedermann K, Bugajski P, Budzicz Ł, et al. Relationship between stress and alexithymia, emotional processing and negative/positive affect in medical staff working amid the COVID-19 pandemic. J Investig Med. 2022;70(2):428-435. doi:10.1136/jim-2021-001942
-
Morie KP, Lord KA, Diefenbach GJ, Basuchoud-hary O, Lewis S, Assaf M. Subscales of alexithymia show unique pathways through re-appraisal and suppression to anxiety, depression and stress. Journal of Affective Disorders. 2023;347(15):445-452. doi:10.1016/j.jad.2023.11.038
-
Preece DA, Mehta A, Becerra R, et al. Why is alexithymia a risk factor for affective disorder symptoms? The role of emotion regulation. Journal of Affective Disorders. 2022;296:337-341. doi:10.1016/j.jad.2021.09.085
-
Saeidi Z, Ebrahimi H, Areshtanab HN, Tabrizi FJ, Mostafazadeh A. Alexithymia and its relationships with job burnout, personality traits, and shift work among hospital nurses: a cross-sectional study. Nursing And Midwifery Studies. 2020;9(2):83-89. doi:10.4103/nms.nms_20_1
-
Mao C, Lin M, Shen S, Li Y, Xie Z, Li P. Latent profiles of emotion regulation strategies associated with alexithymia, nonsuicidal self‐injury and resilience among nursing students. Stress And Health, 2022;38(1):69-78. doi:10.1002/smi.3075
-
Mccloughen A, Levy D, Johnson A, Nguyen H, Mckenzie H. Nursing students’ socialisation to emotion management during early clinical placement experiences: a qualitative study. Journal Of Clinical Nursing, 2020;29(13-14):2508-2520. doi:10.1111/jocn.15270
-
Li L, Sun N, Fei S, et al. Current status of and factors influencing anxiety and depression in front‐line medical staff supporting Wuhan in containing the novel coronavirus pneumonia epidemic. Japan Journal of Nursing Science. 2021;18(2):e12398. doi:10.1111/jjns.12398
-
Nan R, Ma L, Yan H, et al. Prevalence and associated factors of alexithymia in intensive care unit nurses. Nursing Open. 2023;10(7):4471–4479. doi:10.1002/nop2.1689
The Relationship Between Emotion Regulation Difficultıes And Alexithymia In Nurses: A Sectional Study
Yıl 2025,
Cilt: 10 Sayı: 4, 338 - 344, 20.12.2025
Esra Bekircan
,
Kübra Özer Karadeniz
,
Ahmet Çapar
Öz
Objective: This study aims to determine the relationship between emotion regulation difficulties and alexithymia in nurses, as well as the influencing factors.
Materials and Methods: In this descriptive and cross-sectional study, data were collected between October 2023 and March 2024 from 112 nurses working at a tertiary training and research hospital located in the Eastern Black Sea region, using the Personal Information Form, the Difficulties in Emotion Regulation Scale–Short Form, and the Toronto Alexithymia Scale.
Results: The mean total score of the nurses on the Toronto Alexithymia Scale was found to be 48.46±9.46, and the mean total score on the Difficulties in Emotion Regulation Scale-Short Form was 35.88±1.02. A moderately positive and statistically significant difference was found between the total scores of the Toronto Alexithymia Scale and the Difficulties in Emotion Regulation Scale-Short Form (t:0.621; p<0.05). The total scores of the Toronto Alexithymia Scale and the Difficulties in Emotion Regulation Scale-Short Form were found to be statistically significant based on the participants' satisfaction with their profession (p<0.05).
Conclusions: It was determined that the nurses experienced a moderate level of difficulty in emotion regulation and had a moderate level of alexithymia. A positive relationship was observed between nurses’ levels of difficulty in emotion regulation and their levels of alexithymia. It has been determined that nurses who perform their profession with enthusiasm exhibit lower levels of alexithymia and fewer difficulties in emotion regulation.
Etik Beyan
Ethical approval for the study was obtained from the Trabzon University Social and Human Sciences Scientific Research and Publication Ethics Committee (Date: 17.08.2023, decision no: 2023-8/1.4). The participants were informed about the purpose of the study, confidentiality and privacy principles, and their right to withdraw from the study at any time, after which both verbal and written informed consent were obtained. The study was conducted in accordance with the principles of the Declaration of Helsinki.
Teşekkür
We would like to express our gratitude to the nurses who participated in the study.
Kaynakça
-
Matthews M, Webb TL, Shafir R, Snow M, Sheppes G. Identifying the determinants of emotion regulation choice: A systematic review with meta-analysis. Cognition and Emotion. 2021;35(6):1056-1084. doi:10.1080/02699931.2021.1945538
-
Tamir M, Vishkin A, Gutentag T. Emotion regulation is motivated. Emotion. 2020;20(1):115-119.
-
Schuenemann L, Scherenberg V, von Salisch M, Eckert M. “I’ll worry about it tomorrow”-Fostering emotion regulation skills to overcome procrastination. Frontiers in Psychology. 2022;13:780675. doi:10.3389/fpsyg.2022.780675
-
Lee JH, Son C. The Effect of negative emotion on concentration through emotional regulation: mediated moderation of Metacognitive Awareness. Journal of Rational-Emotive & Cognitive-Behavior Therapy. 2023;41(3):663-675. doi:10.1007/s10942-022-00473-z
-
McRae K, Gross JJ. Emotion regulation. Emotion. 2020;20(1):1-9. doi: 10.1037/emo0000703
-
Xu X, Chen L, Yuan Y, et al. Perceived stress and life satisfaction among Chinese clinical nursing teachers: a moderated mediation model of burnout and emotion regulation. Frontiers in Psychiatry. 2021;12:548339. doi:10.3389/fpsyt.2021.548339
-
Sun F, Wang F, Hu X, et al. Alexithymia and negative emotions among nursing students: a moderated mediation model. BMC Nursing. 2024;23(1): 167. doi:10.1186/s12912-024-01832-0
-
Preece DA, Becerra R, Robinson K, Gross JJ. The emotion regulation questionnaire: psychometric properties in general community samples. Journal of Personality Assessment. 2020;348-356. doi:10.1080/00223891.2018.1564319
-
Li Y, Li J, Zhou C, et al. 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. 2025;25(1):319. doi:10.1186/s12888-025-06742-2
-
Ko Y, Yu S, Jeong SH. Effects of nursing power and organizational trust on nurse’s responsiveness and orientation to patient needs. Nursing Open. 2020;7(6):1807-18149. doi:10.1002/nop2.567
-
Koppelberg P, Kersting A, Suslow T. Alexithymia and interpersonal problems in healthy young individuals. BMC Psychiatry. 2023;23(1):688. doi:10.1186/s12888-023-05191-z
-
MSNc SS, Ning L, Xu L, et al. A cross-sectional network analysis on the centrality and bridge associations between alexithymia and difficulties in emotion regulation among nursing undergraduates. Nurse Education Today. 2025;154:106852. doi:10.1016/j.nedt.2025.106852
-
Karaismailoğlu D, Kulakaç N, Çilingir D. Ameliyathane hemşirelerinde aleksitimi düzeyi ve iletişim becerilerine etkisi: Doğu Karadeniz Örneği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2021;10(1):81-87.
-
Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of The Difficulties İn Emotion Regulation Scale. Journal Of Psychopathology And Behavioral Assessment. 2004;26(1):41-54. doi:10.1007/s10862-008-9102-4
-
Bjureberg J, Ljótsson B, Tull MT, et al. Development and validation of a Brief Version of the Difficulties in Emotion Regulation Scale: The DERS-16. Journal of Psychopathology and Behavioral Assessment. 2016;38(2):284–296. doi:10.1007/s10862-015-9514-x
-
Yiğit İ, Guzey Yiğit M. Psychometric properties of Turkish version of Difficulties in Emotion Regulation Scale-Brief Form (DERS-16). Current Psychology. 2017;38:1503-1511. doi:10.1007/s12144-017-9712-7
-
Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal Of Psychosomatic Research. 1994;38(1):23-32. doi:10.1016/0022-3999(94)90005-1
-
Güleç H, Köse S, Güleç YM, et al. Reliability and factorial validity of the Turkish Version Of The 20-Item Toronto Alexithymia Scale (Tas-20). Klinik Psikofarmakoloji Bülteni. 2009;19:214-220.
-
Dalokay EB, Aydin A. The relationship between alexithymia, communication skills and mental well-being of nurses' in Turkey: A cross-sectional study. Arch Psychiatr Nurs. 2023;43:81-86. doi:10.1016/j.apnu.2022.12.020
-
Özsaban A. The relationship between alexithymia, empathy and burnout levels amongst ıntensive care nurses during the covıd-19 pande-mic. Online Turkish Journal of Health Sciences. 2022;7(3):356-363. doi:10.26453/otjhs.1033467
-
Korkmaz EK, Telli S, Kadioglu H, Karaca S. Alexithymia in nurses and its relationship with burnout, anger, and somatization. Journal of Psychiatric Nursing. 2020;11(4):284-291. doi:10.14744/phd.2020.98700
-
Pei J, Wang X, Chen H, Zhang H, Nan R, Zhang J, Dou X. Alexithymia, social support, depres-sion, and burnout among emergency nurses in China: a structural equation model analysis. BMC Nurs. 2021;20(1):194. doi:10.1186/s12912-021-00702-3
-
Warchoł-Biedermann K, Bugajski P, Budzicz Ł, et al. Relationship between stress and alexithymia, emotional processing and negative/positive affect in medical staff working amid the COVID-19 pandemic. J Investig Med. 2022;70(2):428-435. doi:10.1136/jim-2021-001942
-
Morie KP, Lord KA, Diefenbach GJ, Basuchoud-hary O, Lewis S, Assaf M. Subscales of alexithymia show unique pathways through re-appraisal and suppression to anxiety, depression and stress. Journal of Affective Disorders. 2023;347(15):445-452. doi:10.1016/j.jad.2023.11.038
-
Preece DA, Mehta A, Becerra R, et al. Why is alexithymia a risk factor for affective disorder symptoms? The role of emotion regulation. Journal of Affective Disorders. 2022;296:337-341. doi:10.1016/j.jad.2021.09.085
-
Saeidi Z, Ebrahimi H, Areshtanab HN, Tabrizi FJ, Mostafazadeh A. Alexithymia and its relationships with job burnout, personality traits, and shift work among hospital nurses: a cross-sectional study. Nursing And Midwifery Studies. 2020;9(2):83-89. doi:10.4103/nms.nms_20_1
-
Mao C, Lin M, Shen S, Li Y, Xie Z, Li P. Latent profiles of emotion regulation strategies associated with alexithymia, nonsuicidal self‐injury and resilience among nursing students. Stress And Health, 2022;38(1):69-78. doi:10.1002/smi.3075
-
Mccloughen A, Levy D, Johnson A, Nguyen H, Mckenzie H. Nursing students’ socialisation to emotion management during early clinical placement experiences: a qualitative study. Journal Of Clinical Nursing, 2020;29(13-14):2508-2520. doi:10.1111/jocn.15270
-
Li L, Sun N, Fei S, et al. Current status of and factors influencing anxiety and depression in front‐line medical staff supporting Wuhan in containing the novel coronavirus pneumonia epidemic. Japan Journal of Nursing Science. 2021;18(2):e12398. doi:10.1111/jjns.12398
-
Nan R, Ma L, Yan H, et al. Prevalence and associated factors of alexithymia in intensive care unit nurses. Nursing Open. 2023;10(7):4471–4479. doi:10.1002/nop2.1689