STRESS

Volume 31(4); December 2023

Review Article

Non-Contact Nursing Education in Communication and Group Counseling: Current Status and Future Directions: Kuem Sun Han, Soo Yeon Lee, Ji Hye Shin; STRESS. 2023;31(4):149-157. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.149

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Abstract PDF: Background
In nursing, the utilization of diverse therapeutic communication and counseling techniques is crucial for effective nursing care. This study critically evaluated the present state of therapeutic communication and counseling education for nurses so as to explore the applications of non-face-to-face educational methods and to propose potential future directions for nursing education.
Methods
This study targeted academic research published in either English or Korean between 2019 to August 2023 on the topics of communication and counseling education in nursing education.
Results
There were eight studies of non-contact education in communication or counseling published between 2019 and 2023. The review identified various educational interventions currently in use, such as online-based, blended learning, simulation, and role-play education.
Conclusions
Among the various non-contact educational approaches, education based in the Metaverse shows promise due to its ability to offer real-time supervision and a wide range of virtual scenarios. Therefore, we suggest the incorporation of the Metaverse in group counseling education to enrich the learning experience.

Original Articles

An Integrative Review of Psychosocial Intervention Programs for Infertile Females: Youjin Shin, Soo-Hyun Nam; STRESS. 2023;31(4):158-167. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.158

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Abstract PDF: Background
This study aims to analyze intervention studies conducted on infertile females in South Korea and research and research the core elements comprising these studies.
Methods
The integrative review was conducted based on the guidelines of Whittmore and Knafl, and included the following steps: problem identification, literature search, data evaluation, data analysis, and presentation. Next, six domestic databases were searched using keywords such as ‘infertility’, ‘intervention’, and ‘education’ in Korean and English, and published studies were reviewed according to specific criteria and quality assessment.
Results
Among 4,109 searched papers, 6 were selected for the final data analysis. A total of six interventions were conducted in the selected articles, and each strategy was variously categorized into cognitive, emotional, behavioral, relational, and physical aspects. All interventions were found to be effective in promoting psychosocial health in infertile females.
Conclusions
Despite the fact that female infertility is a major public health problem in Korea, the low number of articles reveals a relative lack of psychosocial intervention studies. Therefore, it is suggested that future studies incorporate physiological endpoints into psychosocial studies, and we hope that this study will serve as a basis for developing programs for infertile females in the future.

The Effects of Risk-Taking Trait and Thwarted Interpersonal Need on Suicidality of Illicit Drugs Abusers: Focusing on Acquired Capability for Suicide: Ki-Yeon Nam, Young-Sil Kwon; STRESS. 2023;31(4):168-174. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.168

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Abstract PDF: Background
This study aimed to examine the effects of trait and situational factors on suicidality among illicit drugs abusers.
Methods
Data were collected from 185 illicit drugs abusers in Korea who completed a survey to measure the risk-taking trait, impulsive behavior, acquired capability for suicide, thwarted interpersonal need, and suicidality. Multiple regression and hierarchical regression analyses were conducted for data analysis.
Results
The risk-taking trait affected the acquired capability for suicide by partially mediating the impulsive behavior. Additionally, the interaction effect between thwarted interpersonal need and acquired capability for suicide on suicidality was identified.
Conclusions
The higher risk-taking trait of illicit drugs abusers induced higher acquired capability for suicide, which actuates the suicidal desire. Additionally, the repeated exposure of impulsive behavior mediated the path. Furthermore, acquired capability for suicide moderated the relationship between thwarted interpersonal need and suicidality. This study examined the effects of trait and situational factors on suicidality of illicit drugs abusers.

The Mediating Role of Sleep Problems in the Relationship between Economic Hardship and Quality of Life: A Short-Term Longitudinal Study: Hansol Moon, Eun-Jung Shim; STRESS. 2023;31(4):175-181. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.175

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Abstract PDF: Background
We examined the mediating effect of sleep problems on the relationship between economic hardship (i.e., economic stress and subjective socioeconomic status) and quality of life (QOL).
Methods
We analyzed data from 232 students who completed all three self-report surveys over the course of the semester, employing a simple mediation model examined by the SPSS PROCESS Macro.
Results
The findings revealed that higher levels of economic stress at Time 1 (T1) were associated with higher levels of sleep problems at T2 which, in turn, were associated with a poorer QOL at T3. In contrast, subjective socioeconomic status at T1 was not associated with sleep problems at either T2 or QOL at T3.
Conclusions
The current results suggest that improving sleep problems may be effective in mitigating the negative impact of economic stress on QOL among university students.

Preliminary Validation of the Korean Version of the Alexian Brothers Urge to Self-Injure Scale (ABUSI-K): Min-kyeong Kim, Myoung-Ho Hyun, Seo Jeong Lee; STRESS. 2023;31(4):182-188. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.182

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Abstract PDF: Background
This study aimed to validate the Korean version of the Alexian-Brothers Urge to Self-injure Scale (ABUSI) for measuring non-suicidal self-injury urges.
Methods
Analysis was conducted on a sample of 389 adult men and women who had inflicted self-harm without suicidal intent within three years. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was conducted to confirm the single factor of the scale, and convergent validity was assessed to establish the relationship between ABUSI-K and Negative Urgency (UPPS-P), Self-Criticism/Attacking and Reassurance (FSCRS), and Self-Injurious Thoughts and Behaviors Interview (SITBI).
Results
The Korean version of the Alexian-Brothers Urge to Self-Injure Scale (ABUSI-K) showed high internal consistency and, like the original scale, was confirmed to be a single-factor scale measuring the urge to self-injure. Convergent validity with negative urgency, self-criticism/self-attacking and self-reassuring, the NSSI module of self-injurious thoughts and behaviors, and depression and anxiety were also significant, indicating that ABUSI-K’s psychometric benefits are confirmed.
Conclusions
The results of this study will provide a multifaceted understanding of self-injury without suicidal intent and the urges that occur before self-injury. They are expected to be useful in clinical interventions for individuals who have engaged in non-suicidal self-injuries.

Developing Smoking Cessation Program for Female Smokers and Assessment of Its Impacts: Kyung Hyun Suh; STRESS. 2023;31(4):189-196. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.189

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Abstract PDF: Background
Female smokers find it challenging to quit smoking. The number of female smokers in Korea has not seen any decline. This study developed a smoking cessation program tailored for female smokers and evaluated its effectiveness.
Methods
The treatment group, which was subjected to the smoking cessation program, was composed of seven adult female smokers and five female college students who smoked. The control group comprised 7 adult female smokers and 5 female college students who wanted to quit smoking.
Results
Of the 12 participants in the control group, only 1 (8.3%) reported that she had maintained abstinence for 4 months and 1 week, while 5 (41.7%; 3 adults and 2 students) out of the 12 in the treatment group managed to abstain. For female smokers in this group, the motivation and empowerment to quit smoking increased significantly after participating in the program, and these positive effects were sustained for up to 3 months after the completion of the program.
Conclusions
Female smokers who participated in the program that was developed as part of this study exhibited a significant abstinence rate, and their motivation and empowerment to quit smoking improved. These results indicate that this smoking cessation program can be clinically useful in helping female smokers quit smoking.

The Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses: Sohyeon Kim, Myung-Ho Hyun; STRESS. 2023;31(4):197-204. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.197

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Abstract PDF: Background
This study examined the moderating effects of four types of perceived social support on the relation between type D personality and post-traumatic stress disorder (PTSD) symptoms among ICU and ER nurses.
Methods
Data were collected from 223 ICU and ER nurses in university or general hospitals located in Seoul. A questionnaire survey method was used for data collection and SPSS Windows 28.0 and PROCESS Macro Program were used for data analysis.
Results
The results showed that only the moderating effect of senior support was statistically significant, while perceived support from family, friends, and coworkers were not. Specifically, the effect of type D personality on post-traumatic stress disorder (PTSD) symptoms was weaker in ICU and ER nurses who perceived higher social support from senior nurses.
Conclusions
The study highlighted the significance of senior support in protecting the psychological health of ICU and ER nurses. Additionally, it addressed the major considerations in developing practical interventions in hospital settings.

Efficacy of a Serious Game for Individuals with Interpersonal Trauma: Hyae Young Yoon, Sang-Hyun Cho, Yun-Kyeung Choi; STRESS. 2023;31(4):205-219. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.205

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Abstract PDF: Background
This study aimed to develop a serious game for college students with interpersonal trauma to practice adopting an alternative perspective mentoring a game character with similar experiences.
Methods
We recruited 44 college students with high levels of distress after experiencing interpersonal trauma. They were assigned to either the serious game+relaxation training (SG+RX, n=22) or the virtual reality+relaxation training condition (VR+RX, n=22). Cognitive, emotional, and self-efficacy aspects related to trauma were compared in both groups before and after treatment. In addition, interpersonal perceptions of "warmth, dominance, trust, and accessibility" for facial expressions of happiness, anger, and neutrality were compared in both groups before and after treatment.
Results
Both groups showed positive changes in relaxation, post-traumatic cognition, and post-traumatic emotion after treatment. The SG+RX group showed greater increases in behavioral competence and confidence in the future and rated accessibility to angry/happy facial expressions higher than the VR+RX group.
Conclusions
These findings suggest that an interactive serious game promoting empathy, coping skills, and an alternative perspective effects positive changes for individuals with interpersonal trauma.

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