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Volume 29(1); March 2021
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Original Articles
Relationship between Complex Trauma Experience in Childhood-Adolescence and Interpersonal Trauma in Adulthood: Mediating Effects of Dissociation Experience, Relationship Addiction, and Internalized Shame
Yumi Oh, Min Kyu Rhee
STRESS. 2021;29(1):1-10.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.1
  • 171 View
  • 11 Download
Abstract PDF
Background

The purpose of this study is to verify the mediating effects of dissociation experience, relationship addiction, and internalized shame in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Methods

Two hundred and thirty-eight adults participated in this study. They were administered the Korean versions of the Trauma Antecedents Questionnaire, Impact of Event Scale-Revised, Dissociative Experiences Scale, Relationship Addiction Questionnaire, and Internalized Shame Scale. The data were analyzed with descriptive statistics, correlation analysis, reliability analysis, and structural equation modeling.

Results

First, dissociation and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Second, relationship addiction and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Third, dissociation, relationship addiction, and internalized shame had a triple mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Conclusions

Therapeutic intervention for revictimization should address symptoms such as dissociation, relationship addiction, and internalized shame. In addition, people with complex trauma experiences in childhood-adolescence require preventive intervention to avoid further exposure to interpersonal trauma.

Distractive Emotion Regulation: The Construct and Its Measurement
Dohyeon Kim, Hae Youn Choi
STRESS. 2021;29(1):11-20.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.11
  • 150 View
  • 4 Download
Abstract PDF
Background

Distractive emotion regulation, which relieves arousal through attention shift, protects individuals from strong stress. Distractive emotion regulation is widely used in everyday life and although it has great implications in the context of adaptation such as to addiction, it is generally not considered separately from avoidant regulation, it has neither been clearly defined nor measured.

Methods

Through a literature review and qualitative analysis, we selected adults’ distractive emotion regulation behaviors. We explored the construct by developing measurement on the distractive behaviors that adults use to regulate emotion.

Results

Factor analysis revealed that distractive emotion regulation consisted of four factors: “consumption distraction” concerned with activities such as shopping, internet use, and TV viewing; “arousal control distraction” related to activities such as exercise, bathing, and deep breathing; “reserving distraction” pertaining to activities such as eating, sleeping, and listening to music; and “aggressive distraction” involving behaviors such as bullying, physical destructiveness, or cursing. Each factor had a different correlation with stress coping dimensions and subjective well-being.

Conclusions

Distractive emotion regulation is a multidimensional concept composed of sub-factors with different functions and clinical implications in daily life.

The Effect of Perceived Stress, Fine Dust Risk Perception, and Resilience on Stress Response in Patients with Respiratory and Circulatory Disorders
Jin-Hee Park, Kuem-Sun Han
STRESS. 2021;29(1):21-27.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.21
  • 175 View
  • 5 Download
Abstract PDF
Background

The purpose of this study is to determine the degree of perceived stress, fine dust risk perception, and resilience in patients with respiratory and circulatory disorders, and investigate the relationship between these variables.

Methods

A questionnaire survey was conducted on 184 patients with respiratory and circulatory diseases over the age of 20 and analyzed using descriptive statistics, Pearson’s correlation coefficient, and stepwise regression analysis using the SPSS program.

Results

The study found perceived stress, resilience, family relationship, and type of disease to be factors affecting the stress response of people with respiratory and circulatory disorders.

Conclusions

Understanding the perceived stress, resilience, family relationship, and type of respiratory and circulatory disorder prevents stress response and contributes to stress nursing.

Relationship between Recovery Orientation of Mental Health Promotion Facilities and Mental Health Recovery in Persons with Mental Illness: Mediating Effect of Recovery Promotion Relationship Competence of Provider
Eun Ju Bong, Myung Hee Park
STRESS. 2021;29(1):28-36.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.28
  • 174 View
  • 4 Download
Abstract PDF
Background

The purpose of this study was to examine the recovery orientation of mental health facilities, mental health recovery, and the mediating effects of recovery promotion relationship competence of provider between the recovery orientation of mental health facilities and mental health recovery in individuals with mental Illness.

Methods

This study was conducted using a descriptive survey design. The participants were 225 individuals with mental illness using mental health facilities in Gwangju City. Data were collected from January 10 to February 22, 2019, using self-report questionnaires and were analyzed using descriptive statistics, Pearson’s correlation coefficient, hierarchical multiple regression, and Sobel test with SPSS 22.0.

Results

The findings of this study showed that the recovery promotion relationship competence of provider partially mediated the relationship between the recovery orientation of mental health facilities and mental health recovery.

Conclusions

To promote mental health recovery for individuals with mental illness, organizational efforts to provide recovery-oriented services and training to improve recovery promotion relationship competence of provider are needed.

Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
Eun-Mi Seol, Soohyun Nam
STRESS. 2021;29(1):37-44.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.37
  • 143 View
  • 2 Download
Abstract PDF
Background

The purpose of this study was to investigate the mediating effect of social support and its relationship between workplace violence and depression in nurses.

Methods

This was a cross-sectional descriptive study that included 128 registered nurses who had worked at medical institutions, except those who experienced depression without workplace violence in Korea. The data were collected between July and August 2020 using online surveys. The mediating effect was performed using multiple hierarchical regression.

Results

The rate of workplace violence was 82.8% (n=106). According to the type of workplace violence, the rates of verbal violence, physical threat, and physical violence were 79.7%, 67.2%, and 33.6%, respectively. A positive correlation between workplace violence and depression was found (r=.30, p<.001), whereas social support showed negative correlations with workplace violence (r=−.18, p=.045) and depression (r=−.26, p=003). This study found a partial mediating effect between workplace violence and depression.

Conclusions

It is important to develop strategies to improve the social support of nurses who experienced workplace violence and effectively prevent and manage depression.

The Role of Trauma in Addiction and Recovery: A Qualitative Meta-Synthesis
Jandi Kim, Misook Kim, Youjin Shin, Byunghee Kim, Sungjae Kim
STRESS. 2021;29(1):45-59.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.45
  • 226 View
  • 19 Download
Abstract PDF
Background

Trauma is a physically or emotionally harmful or life-threatening event that negatively affects well-being. Recently, a high correlation between trauma and substance addiction has been recognized. The aim of this study is to synthesize qualitative studies to understand the effects of trauma involved in the addiction and recovery process.

Methods

By searching qualitative studies about addiction and recovery, 17 Korean studies (80 subjects) were finally included in our analysis.

Results

We recorded the traumas experienced, and their effects on addiction and recovery. Trauma reduced self-esteem and triggered psychological pain, while addiction was perceived as a countermeasure. As the trauma became accepted, participants acknowledged themselves, realized the value of their existence, and formed trusting relationships with others. Recovery progressed as the trauma healed.

Conclusions

Our study facilitates a comprehensive and systematic understanding of the role of trauma on addiction.

A Study on Attitude toward Suicide, Suicidal Ideation, Suicidal Behaviors in People with Mental Disorders in Community
Keun Young Park, Ji Young Kim
STRESS. 2021;29(1):60-67.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.60
  • 139 View
  • 3 Download
Abstract PDF
Background

This study aimed to examine the correlations among attitudes toward suicide, suicidal ideation, and suicidal behaviors in people with mental disorders.

Methods

A descriptive research design was used. The participants were 172 patients with mental disorders selected from 12 mental health care facilities located in J and C Provinces in Korea. The study employed Attitudes Toward Suicide, the Scale for Suicide Ideation, and the Columbia-Suicide Severity Rating Scale, using the SPSS WIN 23.0 program for data analysis.

Results

Attitudes toward suicide obtained 2.56 points out of five on average, 7.21 points out of 38 on suicidal thoughts, and 1.91 points out of four on suicidal behaviors. A attitudes toward suicide of people with mental disorders were significantly correlated with suicidal ideation and suicidal behavior.

Conclusions

This study suggested that the development of education programs for reducing suicidal ideation and behaviors should be based on the appropriate attitudes toward suicide of people with mental disorders in the community.


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