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Original Articles
Development and Preliminary Efficacy of a Mindfulness-Based Counseling Program as Part of Comprehensive Cardiac Rehabilitation: A Pilot Study
Ji Young Jung, Min Jung Kim, Sol Bin Yoon, Hyo Jin Kim, Jin A Yoo, Mi Kyung Lee, Sang Hee Shin, Justin Y. Jeon, Sung Nim Han, Jung Eun Lee, Chan Joo Lee, Jong Young Lee, Ick-Mo Chung, Jong Nam Kim
STRESS. 2024;32(2):53-65.   Published online June 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.2.53
  • 191 View
  • 15 Download
Abstract PDF
Background
While psychological intervention is recognized as a core component of cardiac rehabilitation (CR), its application in CR remains limited. This study aimed to develop a psychological counseling program (the Mindfulness-Based Counseling Program [MBCP]) as a component of comprehensive CR for the patients with cardiovascular disease and to explore its preliminary efficacy.
Methods
We developed a psychological counseling program (MBCP) as part of comprehensive CR. The MBCP consisted of six-week psychological counseling and mindfulness practice. Through this program, we aimed to promote health maintenance behaviors and stress management. Thirteen subjects with either acute myocardial infarction or congestive heart failure with reduced EF (≤40%) participated, randomized into either comprehensive CR including MBCP (n=7) or exercise-based CR (n=6). Psychological-status assessments included life satisfaction (DSQ), health-related quality of life (HRQoL), depression (PHQ-9), anxiety (GAD-7), type D personality, and stress (PSS).
Results
The comprehensive CR group (n=7) experienced a significant decrease in anxiety and improvements in general health and mental aspects of HRQoL. The exercise CR group (n=6) experienced reduced depression and significantly increased mental aspects of HRQoL. Additionally, the overall satisfaction and participation rate for MBCP was high.
Conclusions
The MBCP developed in this study showed preliminary efficacy for CR and is anticipated to enhance psychological wellbeing and the quality of life among cardiac patients.
Academic Mental Health and Stress Mindset among High School Students: Job Demands-Resources Model
Ji-Eon Kim, Hyo-Shim Cho, Tae-Hyung Kwon, Eun-Young Kim, Ochir Erdenezaya Tsogt, Soohyun Cho
STRESS. 2024;32(2):66-73.   Published online June 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.2.66
  • 257 View
  • 14 Download
Abstract PDF
Background
This study aimed to identify stress mindset as an intervention factor for academic stress management within the framework of the Job Demands-Resources Model. We investigated the role of a stress mindset in the relationship between academic demands, resources, burnout, engagement as academic mental health.
Methods
From the perspective of academic interpersonal perceptions, 391 first- and second-year high school students were analyzed using a structural equation model consisting of observed variables with demands and resources from parents, teachers, and peers.
Results
The low-stress mindset group showed a significant pathway from academic demands to academic burnout. The high-stress mindset group demonstrated pathways from academic resources to academic burnout and engagement.
Conclusions
These findings highlight the significance of a stress mindset in enhancing the academic mental health of high school students.
Influence of the Negative Life Changes Experienced after Becoming Single Mothers on Parenting Stress: Focusing on the Moderated Mediation Effect of Depression by Low-Income Status
RaeHyuck Lee
STRESS. 2024;32(2):85-93.   Published online June 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.2.85
  • 154 View
  • 6 Download
Abstract PDF
Background
This study examines the influence of negative life changes experienced after becoming single mothers and their influence on parenting stress, focusing on the moderated mediation effect of depression influenced by low-income status.
Methods
The research questions were tested by using raw data from the Survey of Single-parent Families and applying the PROCESS macro method.
Results
First, the negative life changes experienced after becoming single mothers were found to positively and significantly influence parenting stress. Second, a partial mediation effect was observed: The levels of negative life changes increased the levels of depression, which, in turn, increased the levels of parenting stress. Third, the mediating effect of depression on the relationship between single mothers’ negative life changes and parenting stress was more pronounced for those with low income compared to those with medium and high income.
Conclusions
This study suggests strategies to address single mothers’ parenting stress.
Trauma-Informed Care for Children: A Scoping Review
Kyung-Sook Bang, Ji-Hye Choe, Sinyoung Choi, Yeseul Jeong, Sungjae Kim
STRESS. 2024;32(2):94-103.   Published online June 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.2.94
  • 199 View
  • 10 Download
Abstract PDF
Background
Trauma-informed care involves providing services to traumatized patients with an understanding of and sensitivity to their experiences. This scoping review examines the literature concerning trauma-informed care for children.
Methods
We conducted a comprehensive literature search across domestic (RISS, NDSL, KISS, and DBpia) and international (PubMed, Embase, CINAHL, and PsycINFO) databases. The search terms were “trauma,” “PTSD,” “trauma-informed,” “trauma-focused,” “trauma-sensitive,” “newborn,” “neonate,” “premature infant,” “infant,” “child,” “adolescent,” “teen,” “juvenile,” “adolescence,” “pediatric,” and “nursing”. The final selection comprised 18 documents that were analyzed for general characteristics (publication year, study country, academic sector, research design, and data collection method), population demographics, variables, and measurement tools.
Results
Literature on this topic considerably increased since 2017, with the United States being the predominant research hub (50.0%) and nursing representing the primary academic sector (55.6%). The research designs were mainly quantitative (33.3%) and mixed-method studies (33.3%). Quantitative studies predominantly utilized surveys, while qualitative research employed observations, in-depth interviews, and focus group discussions. Most of the participants were nurses, doctors, and allied health professionals. As a result of analyzing the main variables measured in the literature through WordCloud, variables such as “stress,” “care,” and “knowledge” had the highest frequency. Three studies incorporated or adapted tools to assess trauma-informed care.
Conclusions
The findings of this review serve as foundational data for proposing future research trajectories in trauma-informed care and for enhancing awareness and strategic planning in clinical practice.
Effect of Daily Stress on School Adjustment among Children at Community Child Centers: Mediating Roles of Inattention and Social Withdrawal
RaeHyuck Lee
STRESS. 2024;32(1):1-8.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.1
  • 822 View
  • 42 Download
  • 1 Citations
Abstract PDF
Background
This study verifies the influence of daily stress on school adjustment through inattention and social withdrawal among children at community child centers.
Methods
Analyses were performed on data collected from the Child Panel Survey of the Community Child Centers, followed by a series of regression analyses.
Results
First, daily stress had a negative and significant influence on school adjustment. Second, both inattention and social withdrawal among children mediated the influence of daily stress on school adjustment. Finally, the influence of daily stress on school adjustment was serially dual-mediated through inattention and social withdrawal.
Conclusions
This study presents evidence-based strategies that could help the school adjustment of children at community child centers.

Citations

Citations to this article as recorded by  
  • A Phenomenological Study on Breast Cancer Survivors' Experiences of Mind Subtraction Meditation
    Mi Ra Yun
    Asian Oncology Nursing.2016; 16(3): 158.     CrossRef
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
  • 880 View
  • 48 Download
  • 1 Citations
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.

Citations

Citations to this article as recorded by  
  • The effect of virtual reality simulation on nursing students’ communication skills: a systematic review and meta-analysis
    Mi-Kyoung Cho, Mi Young Kim
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
Original Articles
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
  • 884 View
  • 41 Download
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
  • 847 View
  • 33 Download
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
  • 905 View
  • 16 Download
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
  • 855 View
  • 26 Download
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.
Validating a Short Version of the Intolerance of Uncertainty Scale-12 (IUS-12)
Somin Lee, Myoung-Ho Hyun, Jaeeun Shin
STRESS. 2023;31(3):97-105.   Published online September 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.3.97
  • 1,087 View
  • 95 Download
Abstract PDF
Background
This study aims to validate the short version of the Intolerance of Uncertainty Scale-12 (IUS-12).
Methods
A comprehensive set of questionnaires, including the IUS-12, STAI-T, PSWQ, CES-D, and K-CSI, was administered and completed by 404 participants. The average age of the participants was 31.29 years (SD=9.18), comprising 114 men, 287 women, and 3 individuals identifying with the other gender. We conducted a factor analysis on the collected data and compared the fit indices of one-factor, two-factor, and bifactor models. Furthermore, a multiple-group confirmatory factor analysis evaluated measurement invariance between the men’s and women’s groups. Correlational analyses were also conducted.
Results
Data from the study show that the bifactor model was the most appropriate, demonstrating good internal consistency. The Omega coefficients and explained common variance were computed to evaluate the dimensionality of the IUS-12, validating the use of the total score of the scale. Its factor model also showed that the measurement invariance sustained between two gender groups. The correlation analyses between the IUS-12 and other scales assessing attributes such as trait anxiety, worry, depression, and avoidance coping strategy supported convergent validity.
Conclusions
These findings suggest that the IUS-12 is a reliable and valid measure for assessing the intolerance of uncertainty. The study also discusses its limitations and offers recommendations for future research endeavors.
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
  • 823 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.
Effectiveness of Non-Pharmacological Interventions among Problem Drinkers in Korea: A Systematic Review and Meta-Analysis
Junggeun Ahn, Heeseung Choi, Jiu Kim, Wooin Jang
STRESS. 2023;31(3):123-132.   Published online September 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.3.123
  • 770 View
  • 47 Download
Abstract PDF
Background
This study aimed to identify trends in domestic research and conduct a meta-analysis of studies investigating the effects of non-pharmacological interventions targeting domestic problem drinkers. The objectives were to synthesize and analyze the results of these studies, while evaluating potential bias and estimating effect size.
Methods
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched five domestic databases (RISS, KISS, DBpia, KoreaMed, and Science ON) for journals and theses published until July 2022. Researchers independently assessed study quality using Cochrane RoB 2 or ROBINS-I.
Results
Of the 307 studies extracted, 12 were included in systematic review. The meta-analysis included 11 studies on problem drinking and 8 on alcohol abstinence self-efficacy. Random effects models were used for analysis, given the heterogeneity among the studies. Non-pharmacological interventions effectively reduced problem drinking (g=−1.22, 95% CI: −1.69 to −0.75, p<.001) and enhanced alcohol abstinence self-efficacy (g=1.16, 95% CI: 0.54 to 1.79, p<.001).
Conclusions
Non-pharmacological intervention programs targeting problem drinkers effectively reduced problem drinking and enhanced alcohol abstinence self-efficacy. This study provides valuable evidence for developing and implementing such programs for problem drinkers.
Influence of Single Parents’ Parenting Stress on Adolescent Children’s Internet Addiction: Focusing on the Moderating Effect of Family Economic Status
Jaekyoung Lee, RaeHyuck Lee
STRESS. 2023;31(3):142-147.   Published online September 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.3.142
  • 758 View
  • 28 Download
Abstract PDF
Background
This study investigated the influence of parenting stress among single parents on the level of Internet addiction in their adolescent children, while also considering the moderating effect of family economic status.
Methods
An analysis was conducted using regression models to assess direct and moderating effects, utilizing data from the 2021 Survey of Single-parent Families, focusing on single parents with adolescent children.
Results
It was observed that single parents’ parenting stress had a positive and significant influence on the level of Internet addiction seen in their adolescent children. Furthermore, this influence was observed to be even stronger when the family’s economic status was lower.
Conclusions
This study empirically examined the influence of parenting and economic circumstances on the level of Internet addiction among adolescent children in single-parent families, drawing on nationally representative data. The study also underscored the need for diverse intervention strategies.
The Antidepressant Effects of Domestic Natural Mixed Fragrance Ingredients in Animal Models
Sook Heui Jung
STRESS. 2023;31(2):59-64.   Published online June 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.2.59
  • 1,119 View
  • 43 Download
Abstract PDF
Background
This study used inhalation toxicity experiments, open field experiments, and tail suspension tests to investigate the antidepressant effect of a combination of nine types of refined oils extracted from domestic native plants.
Methods
Non-irritability was confirmed through an inhalation toxicity test, locomotor activity was measured using an open field test, and the antidepressant effect was assessed by measuring immobility time during a tail suspension test.
Results
The inhalation toxicity test confirmed that both samples were non-stimulated with a negative stimulation index of 0.0. In the tail suspension experiment, the floating time was significantly shorter than the depression model, with an average of 142.33±18.31 seconds compared to the control group at 0.5% concentration (F=10.582, p<.001).
Conclusions
This study’s results suggest that combining refined oils extracted from domestic native plants could be used to develop prototypes that effectively alleviate depression. Future studies should include usability evaluation and human application tests to further investigate these potential benefits.

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