Health & Medicinearticle2026-09-06

Effects of Guozhuang dance participation on alexithymia in healthy adults: The chain mediating roles of empathy and social connectedness

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Abstract

This study examined the association between participation in Guozhuang dance and alexithymia among healthy adults, with cognitive empathy and social connectedness as potential mediators. A total of 560 healthy adults completed the Physical Activity Rating Scale-3, Basic Empathy Scale, Social Connectedness Scale, and Toronto Alexithymia Scale. Data were analyzed using the PROCESS macro for SPSS to test a sequential mediation model. Participation in Guozhuang dance was significantly associated with lower levels of alexithymia ( r = −0.295). Two significant mediation pathways were identified: social connectedness alone (−0.082, 67.21% of the total indirect effect) and the sequential pathway through cognitive empathy and social connectedness (−0.040, 32.79%). These findings suggest that participation in Guozhuang dance may be associated with lower levels of alexithymia, with social connectedness serving as the primary mediator and cognitive empathy contributing indirectly through a sequential mediation pathway.

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View paper (DOI)OpenAlexJournal of Health PsychologyPublished 2026-09-06

Authors: Hongli Zhang, Li Wang, Qingqing Xue, Xuejuan Yin, Hongtao Ma

Institutions: Beijing Sport University, China University of Petroleum, Beijing, City University of Macau, Lanzhou City University, Anhui Sanlian University