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Eun-Jung Shim 8 Articles
The Relationship between Level of Therapist Support and Efficacy and Adherence in Internet-Based Cognitive Behavioral Therapy for Disordered Eating Behaviors
Seyeom Kim, Eun-Jung Shim
STRESS. 2024;32(1):29-37.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.29
  • 950 View
  • 19 Download
Abstract PDF
Background
Therapist support is an important intervention design factor in internet-delivered psychotherapy. However, the relationship between therapist support and intervention outcomes is not well established. This study examined the relationship between therapist support, efficacy, and adherence to Internet-based Cognitive Behavioral Therapy (I-CBT) for disordered eating behaviors.
Methods
Thirty-six women with disordered eating behaviors were recruited and randomly assigned to three groups: low, medium, and high levels of therapist support. The participants received eight sessions of I-CBT, twice a week, with varying levels of therapist support.
Results
While all three groups showed a reduction in eating disorder risk factors (i.e., body image disturbance, disordered eating behaviors, depression, and anxiety), there were no significant differences in these improvements by therapist support level. However, there were significant differences in intervention completion rates by therapist support level, with higher levels of support associated with increased intervention completion rates.
Conclusions
Therapist support can potentially improve adherence to internet-based interventions.
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
  • 732 View
  • 25 Download
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.
Qualitative Study on Patient Distress and Needs in Chronic Illness: Cardiovascular, Cerebrovascular, and Chronic Renal Diseases
Eun Jung Yang, Donghee Jeong, Bong-Jin Hahm, Eun-Jung Shim
STRESS. 2023;31(3):113-122.   Published online September 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.3.113
  • 820 View
  • 58 Download
Abstract PDF
Background
We examined various types of distress and needs experienced by patients with chronic illness.
Methods
We conducted in-depth interviews with 35 patients with cardiovascular, cerebrovascular and chronic renal diseases.
Results
The majority of participants reported experiencing physical distress, such as pain from symptoms or after-effects. They also felt burdensome to others and saw a decrease in their social relationships because of physical limitations caused by their chronic illness. Besides symptom management, they expressed a need for psychological counselling to cope with psychosocial distress.
Conclusions
The findings suggest the importance of integrative management for patients with chronic illness, addressing both physical symptoms and psychosocial distress.
Qualitative Study on Experiences of Suicidal Ideation and Behavior among College Students
Donghee Jeong, Eun-Jung Shim
STRESS. 2022;30(4):204-212.   Published online December 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.4.204
  • 1,589 View
  • 107 Download
Abstract PDF
Background
Suicide is a major cause of death among young adults, and elucidating their experiences of suicidal behavior is important in suicide prevention. This study aimed to explore the factors related to suicidal ideation and behavior in college students. Students’ responses and coping strategies for distress caused by these factors were also explored.
Methods
The study conducted semi-structured interview with 24 college students (mean age=21.3, 75% female) who were at elevated risk of suicide. The transcripts were analyzed based on the consensual qualitative research method.
Results
The participants reported experiencing repeated frustrations in pursuing academic and career paths, as well as social isolation, conflict, or social comparison. In response to these stressors, they experienced negative emotions, such as depression and feeling of being a burden. Negative thoughts about the self and future also emerged. A lack of understanding of why they experienced distress and how to manage the distress led the participants to engage in maladaptive responses, such as avoidance. These factors contributed to increasing their risk of suicidal ideation and behavior. Meanwhile, the factors that deterred them from making a lethal suicide attempt were their lack of capability, their concern about their family and friends, and social support from the latter.
Conclusions
Repeated frustration and interpersonal distress were major factors related to increased suicidal ideation and behavior in college students. Suicide prevention in young adults may benefit from addressing negative impact of these factors.
The Relationship between Chronotype and Physical Quality of Life in College Students: The Mediating Effect of Fatigue and Academic Burnout
Hae Lim Noh, Oh Jin Kwon, Eun-Jung Shim
STRESS. 2021;29(4):220-226.   Published online December 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.4.220
  • 2,721 View
  • 155 Download
  • 1 Citations
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Citations

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  • How Do University Students Perceive Inequality, Relationships and Power in University Life in the COVID-19 Era?
    Taeeun Shim, Songyi Lee, Mikyung Jun
    Behavioral Sciences.2023; 13(9): 715.     CrossRef
Longitudinal Associations of Perceived Social Inequality and Subjective Socioeconomic Status with Anxiety and Depression in University Students
Hae-lim Noh, Eun-Jung Shim
STRESS. 2021;29(2):106-114.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.106
  • 1,718 View
  • 59 Download
Abstract PDF

본 연구의 목적은 대학생들이 지각하는 사회적 불평등 및 주관적인 사회경제적 지위와 우울 및 불안의 종단적 관계를 확인하는 것이다. 한국의 대학생들을 대상으로 2016년 한 학기 동안 세 시점에 걸쳐 온라인 설문지를 작성하게 하였고, 총 247명의 데이터가 분석에 포함되었다. GEE 분석 결과, 지각된 사회적 불평등이 높아질수록 우울의 위험율도 높아졌으며(OR=1.56), 주관적 사회경제적 지위가 낮을수록 불안(OR=1.39) 및 우울(OR=1.38)의 위험율이 높아졌다. 해당 결과는 치료 장면에서 대학생들의 불안 및 우울을 다룰 때 이들의 불평등 인식 및 주관적 사회경제적 지위도 고려해야함을 시사한다.

A Validation Study of the Korean Version of the Contextual Illness Support Scale
Dong Hee Jeong, Bong-Jin Hahm, Yeong Wook Song, Eun-Jung Shim
STRESS. 2020;28(4):269-275.   Published online December 31, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.4.269
  • 2,118 View
  • 74 Download
  • 1 Citations
Abstract PDF
Background

Although social support for patients with chronic illnesses buffers the detrimental impacts of stress, if it is not provided appropriately, it can be a source of stress. This study examined the psychometric properties of the Korean version of the Contextual Illness Support Scale (K-CISS) for patients with rheumatoid disease.

Methods

A cross-sectional survey containing measures on social support, depression, anxiety, and quality of life was conducted with patients with rheumatoid disease (N=323).

Results

The construct validity was supported by the results of the exploratory structural equation modeling, confirming the original two-factor model (positive and problematic support) and significant correlations between these two factors and health-related variables (i.e., depression, anxiety, and quality of life). The concurrent validity was supported by the significant positive correlation between positive and social support that was measured by the Korean version of the DUKE-UNC functional social support questionnaire. The internal consistency of the K-CISS was satisfactory, with Cronbach’s α values of .96 and .72 for the subscales.

Conclusions

These results suggest that K-CISS is a reliable and valid measure of two aspects of social support.

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  • Is fear of disease progression associated with antiretroviral therapy adherence in persons with HIV/AIDS?
    Chan-Woo Yeom, Hyeju Ha, Bong-Jin Hahm, Sun Hee Lee, Nam Joong Kim, Eun-Jung Shim
    Journal of Health Psychology.2024;[Epub]     CrossRef
The Role of Attentional Bias and Event-Related Ruminations in Posttraumatic Stress Symptoms and Posttraumatic Growth
Hae Lim Noh, KyungHun Han, Eun-Jung Shim
STRESS. 2018;26(3):123-132.   Published online September 30, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.3.123
  • 1,774 View
  • 48 Download
  • 2 Citations
Abstract PDF
Background:

The purpose of this study was to investigate the relationship between attentional bias to threat and positive stimuli (i.e., facilitated attentional engagement, difficulty in attentional disengagement, and attentional avoidance) and event-related rumination, and to examine whether the latter mediated the relationship between attentional bias and posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG) in individuals with traumatic experiences.

Methods:

A total of 70 college students with traumatic experiences participated in the study. Attentional bias to threat and positive stimuli was measured by employing a spatial cueing task. Other variables were assessed using self-report measures including The Impact of Event-Related Scale-Revised, Event-Related Rumination Inventory, Post-traumatic Growth Inventory, and State-Trait Anxiety Inventory.

Results:

The results indicated that attentional avoidance was significantly associated with intrusive rumination, whereas none of the three aspects of attention bias was associated with deliberate rumination. Furthermore, attentional avoidance was related to increased intrusive rumination, which in turn, was associated with increased PTSS. Additionally, difficulty in attentional disengagement from threat stimuli was associated with finding new possibilities, one aspect of a PTG, even after controlling for the impact of deliberate rumination.

Conclusions:

The current results suggest that therapeutic interventions aimed at helping individuals not to avoid but accept their traumatic experience may be effective to overcome trauma and facilitate PTG among individuals with traumatic experiences.

Citations

Citations to this article as recorded by  
  • Effects of a Remote Videoconferencing-based Expressive Writing Program on Posttraumatic Stress, Resilience, and Post-traumatic Growth among Traumatized Nurses
    Nam Hee Chae, Ji Young Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 152.     CrossRef
  • Cognitive biases in perceptions of posttraumatic growth: A systematic review and meta-analysis
    Tricia Gower, Julie Pham, Ernest N. Jouriles, David Rosenfield, Holly J. Bowen
    Clinical Psychology Review.2022; 94: 102159.     CrossRef

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