Background: Depression is a significant health problem in undergraduate students, exacerbated by factors that include the transition into adulthood and the changes in social environment. Research has shown depressive tendency and alexithymia as positively correlated. Greater attention to the issue of depression in undergraduate students is needed in order to facilitate appropriate strategies to promote mental health. Objectives: This study was designed to identify the association between depressive tendencies and the identification and expression of emotional obstacles in undergraduate students. Methods: A cross‐sectional and descriptive research design was conducted. A stratified cluster approach randomly selected a total of 600 undergraduate subjects from a university in southern Taiwan. The response rate for the self‐administrated questionnaire was 76%. Measurement tools used included Zung's Self‐Rating Depression Scale and the Toronto Alexithymia Scale‐20. The odds ratio of depressive tendency and the identification and expression of emotional obstacles among undergraduate students was calculated, and then the association between the two variables was examined using logistic regression, with confounding variables taken into account. Results: In total, 48.8% and 38.1% of participants suffered from depressive tendencies and the identification and expression of emotional obstacles, respectively. Findings showed that slightly over half (56.5%) of those with depressive tendencies identified and expressed emotional obstacles. This percentage was only one‐fifth (20.9%) among those without depressive tendencies. The odds ratio for identification and expression of emotional obstacles among those with depressive tendencies was 4.9 times (p < .001) that of their peers without depressive tendency as calculated using logistic regression adjusted for gender, age, and academic department. Conclusions: Undergraduate students with depressive tendencies face a significantly higher risk of identifying and expressing emotional obstacles. School mental‐health professionals may use the results of this study to promote mental health and improve the accurate identification and expression of emotions.
Background: Depression is a significant health problem in undergraduate students, exacerbated by factors that include the transition into adulthood and the changes in social environment. Research has shown depressive tendency and alexithymia as positively correlated. Greater attention to the issue of depression in undergraduate students is needed in order to facilitate appropriate strategies to promote mental health. Objectives: This study was designed to identify the association between depressive tendencies and the identification and expression of emotional obstacles in undergraduate students. Methods: A cross‐sectional and descriptive research design was conducted. A stratified cluster approach randomly selected a total of 600 undergraduate subjects from a university in southern Taiwan. The response rate for the self‐administrated questionnaire was 76%. Measurement tools used included Zung's Self‐Rating Depression Scale and the Toronto Alexithymia Scale‐20. The odds ratio of depressive tendency and the identification and expression of emotional obstacles among undergraduate students was calculated, and then the association between the two variables was examined using logistic regression, with confounding variables taken into account. Results: In total, 48.8% and 38.1% of participants suffered from depressive tendencies and the identification and expression of emotional obstacles, respectively. Findings showed that slightly over half (56.5%) of those with depressive tendencies identified and expressed emotional obstacles. This percentage was only one‐fifth (20.9%) among those without depressive tendencies. The odds ratio for identification and expression of emotional obstacles among those with depressive tendencies was 4.9 times (p < .001) that of their peers without depressive tendency as calculated using logistic regression adjusted for gender, age, and academic department. Conclusions: Undergraduate students with depressive tendencies face a significantly higher risk of identifying and expressing emotional obstacles. School mental‐health professionals may use the results of this study to promote mental health and improve the accurate identification and expression of emotions.