Abstract: Objective To investigate the current status of alexithymia cancer and analyze its influencing factors. Methods  A total of 194 thyroid cancer patients admitted to the First Affiliated Hospital of Guangxi Medical University's Integrated Thyroid Disease Diagnostic and Treatment Center from January 2021 to February 2022 were selected as the survey subjects. A questionnaire survey was conducted using the toronto alexithymia scale, body image scale and distress disclosure index scale, the patients were divided into the alexithymia group and the non?alexithymia group according to their alexithymia scores, and dichotomous logistic regression was used to analyze the influencing factors of alexithymia. Results The incidence of alexithymia among 194 thyroid cancer patients was 64.4%. The results of dichotomous logistic regression showed that female gender and body imagery disorders were risk factors for alexithymia (both P<0.05); the self-representation level was a protective factor for alexithymia (P<0.05). Conclusions The incidence of alexithymia in patients with thyroid cancer is relatively high, and special attention should be paid to women, patients with body imagery disorders, and patients with low levels of self?representation for targeted psychosocial interventions.

Key words: Thyroid cancer, Alexithymia, Body image, Self?disclosure