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Most-download articles are from the articles published in 2023 during the last three month.

Original Articles
Test Linking of Suicide Risk Assessment Instruments: Comparing Cut-Off Scores for Suicide Risk
Hwajeong Yu, Yuhwa Han, Sungeun You
STRESS. 2023;31(1):25-36.   Published online March 31, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.1.25
  • 8,237 View
  • 267 Download
Abstract PDF
Background
Communicating the objective meaning of the cut-off criteria for high-risk among suicide risk assessment tools is challenging because they measure different aspects of suicide risk. This study aimed to provide comparable scores among widely used suicide assessment instruments by using test linking.
Methods
Linking was performed using the equipercentile method with the data of 400 adults. Then, for an independent sample of 165 adults, the validity of linking was tested by providing an overall percent agreement of group classification.
Results
Linking results indicated that the score of 4 on the C-SSRS corresponded to 8 on the DSI-SS and 16 on the SBQ-R, respectively. The overall percent agreement of group classification based on the cutoff score of 4 on the C-SSRS was high in both scales, supporting the validity of linking.
Conclusions
The study results provide comparable criteria for the high-risk group among the three measures. Mental health practitioners could utilize our results in identifying people at high suicide risk.
Does Stress Affect Adolescent Anxiety by Mediating Sleep Time?
Si On Jang
STRESS. 2024;32(3):142-152.   Published online September 30, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.3.142
  • 1,008 View
  • 62 Download
  • 1 Citations
Abstract PDF
Background
Health is essential for the sustainable well-being, yet high stress, anxiety, and lack of sleep among Korean adolescents have become significant social concerns.
Methods
This study examined the impact of stress on anxiety and investigated whether sleep time mediates this relationship in 46,870 male and female adolescents, ranging from first-year of middle school students to third-year high school students. Data were obtained from the "18th Korea Youth Risk Behavior Survey" conducted by the Korea Disease Control and Prevention Agency.
Results
The analysis showed that increased stress was associated with reduced sleep time and higher anxiety levels, stress was found to heighten anxiety, partly by reducing sleep time.
Conclusions
Based on these findings, the study recommends: ① developing mental health indicators to quickly identify adolescents at risk for mental health issues, ② encouraging cooperation between schools, government agencies, healthcare providers to enhance access to mental health programs for adolescents, and ③ implementing policies that promote healthy behaviors, ensure adequate sleep, and improve overall well-being.

Citations

Citations to this article as recorded by  
  • Comparative effects of music therapy and aromatherapy on stress, quality of life, and happiness among shift nurses in Korea: a randomized controlled trial
    So-heun Lee, Won-jong Kim, Eun-Hi Choi, Myung-Haeng Hur
    Journal of Korean Biological Nursing Science.2024; 26(4): 337.     CrossRef
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
  • 2,277 View
  • 157 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.
Validation of the Korean Adaptation of the State-Trait Anger Expression Inventory-2 (K-STAXI-2)
Kyum Koo Chon, Kyung Hyun Suh, Joonsuk YI, Sungwon Roh, Yongmi Lee, Sojung Kim, Euiyeon Kim, Ju Yul Lee, Aron Choi
STRESS. 2023;31(3):133-141.   Published online September 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.3.133
  • 2,307 View
  • 180 Download
  • 1 Citations
Abstract PDF
Background
This study aimed to validate the Korean adaptation of the State-Trait Anger Expression Inventory-2 (K-STAXI-2).
Methods
The study included a sample of 307 normal adults and 81 comparable adult patients. The data were analyzed using factor analyses, internal consistency measures, assessments of convergent and discriminant validity, t-tests between groups, and test-retest reliability.
Results
(1) Exploratory factor analyses revealed clear-cut factors for anger experience (state anger and trait anger) and anger expression (anger expression-in, anger expression-out, anger control-in, and anger control-out); (2) correlation analyses between K-STAXI-2 and the Emotional Stress Inventory demonstrated convergent and discriminant validity; (3) t-test between the patient group and the normal adults group provided additional construct validity; (4) internal consistencies of the six subscales showed a satisfactory level of reliability (α=.81 to α=.94); and (5) test-retest reliability over four weeks showed a satisfactory level of reliability.
Conclusions
The results further support the reliability and validity of the K-STAXI-2, suggesting its usefulness in various fields such as medicine, nursing, psychology, addiction, organization, education, and criminal justice.

Citations

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  • A Multinational Comparison Study of the Patient‐Reported Outcomes Measurement Information System Anxiety, Depression, and Anger Item Bank in the General Population
    Jiseon Lee, Yeonjung Lim, Dong Gi Seo, Minji K. Lee, Benjamin D. Schalet, Felix Fischer, Matthias Rose, Danbee Kang, Juhee Cho
    International Journal of Methods in Psychiatric Research.2025;[Epub]     CrossRef
Review Article
Psychological Interventions for Chronic Pain: An Umbrella Review of Systematic Reviews and Meta-Analyses of Randomized Controlled Trials
Eun-Mi Koh
STRESS. 2024;32(3):111-120.   Published online September 30, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.3.111
  • 553 View
  • 53 Download
Abstract PDF
Background
There is a continuous increase in the number of studies showing that psychological interventions help reduce chronic pain. Systematic review studies that analyze the effect are also increasing. The aim of this umbrella review was to synthesise the best available research evidence for the effectiveness of standardised psychological interventon for adults with chronic pain.
Methods
Using MEDLINE (PubMed) and Cochrane CENTRAL search engines, four systematic reviews met the study criteria, including 60 randomized control trials and 7,025 patients with chronic pain.
Results
Compared to waiting control and treatment as usual, psychological interventions displayed medium effect sizes for pain intensity (SMD −0.35, CI −0.42 to −0.29, 4 reviews, N=4,061), pain disability (SMD −0.44, CI −0.51 to −0.36, 3 reviews, N=2,609), and physical functioning (SMD 0.38, CI 0.29 to 0.48, 2 reviews, N=1,699). Additionally, psychological interventions exhibited a medium effect size in reducing pain intensity (SMD −0.34, CI −0.42 to −0.26, 2 reviews, N=2,508) and pain disability (SMD −0.43, CI −0.51 to −0.35, 2 reviews, N=2,563) in chronic low back pain.
Conclusions
The results reaffirm that psychological interventions, along with drug or conventional treatments, can be helpful in managing chronic pain.
Original Articles
The Effects of Internalized Shame and Social Exclusion on Approach-Avoidance Behavior
Jae-Yun Sim, Myoung-Ho Hyun
STRESS. 2024;32(4):171-177.   Published online December 27, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.4.171
  • 199 View
  • 19 Download
Abstract PDF
Background
This study examined the effects of internalized shame and social exclusion on approach-avoidance behavior.
Methods
A survey was conducted offline and online with 618 adult participants to assess their level of internalized shame. Among them, 59 were selected and assigned to either the high- or low-internalized shame group. These participants were then randomly assigned to either the social exclusion or inclusion condition. After experimental manipulation, explicit and implicit approach-avoidance behaviors were measured.
Results
In terms of explicit behavioral choices, the high-internalized shame group exhibited approach behavior in the social inclusion condition and avoidance behavior in the exclusion condition. In terms of explicit behavioral preferences, the high-internalized shame group and social exclusion condition exhibited avoidance responses. In terms of implicit behavior, the low-internalized shame group exhibited approach responses in the social exclusion condition, whereas the high-internalized shame group exhibited avoidance responses.
Conclusions
This study investigated the impact of internalized shame and social exclusion on social functioning and confirmed that individuals with high levels of internalized shame are more vulnerable to social exclusion. Finally, the implications, significance, and limitations of this study are discussed.
Efficacy of Ecological Momentary Intervention Tailored to Drinking Motives for Reducing Problematic Drinking in Young Adults
Hee-Eun Kim, Eun-Jung Shim
STRESS. 2024;32(3):161-169.   Published online September 30, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.3.161
  • 420 View
  • 29 Download
Abstract PDF
Background
Brief interventions can inform young problematic drinkers about the risks associated with alcohol use. Ecological Momentary Interventions (EMIs), which provide feedback closer to the point of drinking, may help to translate the internal changes made from these brief interventions into actual behavior.
Methods
Thirty-six problematic drinkers aged 19∼34 years were randomly assigned to one of three groups: Ecological Momentary Assessment (EMA), Standard EMI, or Tailored EMI. Participants in all groups completed two daily EMAs for four weeks following a single-session intervention. They reported their drinking intentions and motives for the current day, and their alcohol consumption and drinking motives from the previous day. The Standard EMI group received feedback on the general negative consequences of drinking, while the Tailored EMI group received feedback specifically tailored to their drinking motives based on their EMA responses.
Results
Problematic drinking, along with related variables (e.g., drinking behavior, alcohol consumption, negative consequences, alcohol expectancies, and drinking motives) was reduced across all groups.
Conclusions
Further research is needed on the potential of monitoring drinking behavior to reduce problematic drinking and how to improve tailored EMI.
Review Article
An Integrative Review of Psychosocial Intervention Programs for Children and Adolescents who Experienced Traumatic Events
Eun-Mi Seol, Soo-Hyun Nam
STRESS. 2024;32(3):121-132.   Published online September 30, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.3.121
  • 582 View
  • 32 Download
Abstract PDF
Background
This integrative review study aims to analyze the core components, intervention strategies, and effects of psychosocial intervention programs conducted for children and adolescents in Korea who have experienced traumatic events.
Methods
The integrative review involved a search of major domestic databases using key terms such as 'children’, 'adolescents’, 'trauma’, 'post-traumatic stress’, 'intervention’, and 'education’. A total of 10 studies were selected for analysis based on predefined criteria.
Results
The 10 selected studies were categorized into three types of interventions based on the environment and structure of the intervention delivery: individual-based interventions targeting only children and adolescents, family-based interventions involving family members, and school-based interventions conducted within schools. These interventions were found to be effective in addressing mental health issues caused by trauma in children and adolescents.
Conclusions
Despite the serious nature of traumatic experiences among children and adolescents, this integrative review found that domestic research on psychosocial interventions for this population lacks rigorous study design and is limited in the selection of participants and trauma events. Therefore, the study suggests the need for the development and dissemination of more proactive psychosocial interventions for children and adolescents. The findings of this study are expected to serve as foundational data for the development of trauma managing programs for this population.
Original Articles
Relationship between Mindfulness and Stress Response in High School Students: Mediating Effect of Self-Regulation Ability
Yoonjung Choi, Mihee Lee, Jeongik Choi
STRESS. 2024;32(1):19-28.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.19
  • 1,520 View
  • 110 Download
Abstract PDF
Background
This study explored the applicability of mindfulness meditation as an intervention approach in school counseling for managing daily stress in high school students. The study investigated the mediating effect of self-regulation ability on the relationship between mindfulness and stress response.
Methods
Data from 244 high school students (119 men and 125 women) were used to examine the mediating effect, controlling for academic variables using Hayes’ (2013) Process Macro Model 4.
Results
There was a positive correlation between mindfulness and self-regulation abilities, and mindfulness and self-regulation abilities were negatively correlated with stress response. Moreover, for students who perceived higher academic achievement levels, self-regulation abilities were positively correlated, and stress response were negatively correlated. Results showed a full mediating effect of self-regulation ability on the adverse relationship between mindfulness and stress response. The mediating effects of self-regulation modes were differentially observed in the adverse relationship between mindful consciousness and attitude dimensions of stress response.
Conclusions
These findings suggest that when applying mindfulness meditation as a daily stress management strategy for high school students, enhancing their self-regulation ability should be the focus of intervention.
Effect of Work Overload on Job Burnout: The Moderation Effect of Problem-Focused Coping and Job Autonomy
Jae Won Moon, Hae Youn Choi
STRESS. 2023;31(3):106-112.   Published online September 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.3.106
  • 1,726 View
  • 80 Download
Abstract PDF
Background
In the contemporary work environment marked by specialization, digitalization, and convergence, job burnout has intensified. This study aims to validate the intricate interplay between individuals and their environment in progression from high-skilled, unstructured job stress.
Methods
This study explores the moderating effects of problem-focused coping and job autonomy on the relationship between work overload and job burnout. The participant pool comprised 150 employees (mean age=40.7, 68.7% women) stationed at large commercial bank branches in Korea.
Results
First, the study did not uncover a statistically significant moderation effect of problem-focused coping on the relationship between work overload and job burnout. Second, the findings revealed that the impact of work overload on job burnout displayed variation contingent upon the levels of problem-focused coping and job autonomy.
Conclusions
This study underscores the pivotal role of ensuring job autonomy within the work environment to effectively mitigate the adverse effects of excessive work situations through problem-focused coping.
Attention Bias to Emotional Expression: Variations Based on Anxiety Tendency and Depression Tendency
Yeongeun Kim, Yoonhyoung Lee, Jini Tae, Wonhye Lee
STRESS. 2023;31(2):73-80.   Published online June 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.2.73
  • 2,111 View
  • 109 Download
Abstract PDF
Background
This study examined whether automatic attention bias toward emotional stimuli differs among individuals with varying anxiety and depression levels in the non-clinical population.
Methods
A total of 494 participants from the community completed the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7). The dot-probe task was conducted to compare attention biases when emotional stimuli appeared before the target versus neutral stimuli did.
Results
There were differences in attention bias based on the stimuli types, even among the non-clinical community. The anxiety tendency group showed attention bias towards positive expressions, while the depression tendency group showed attention bias toward negative expressions. The group with anxiety and depression tendencies showed mixed characteristics observed in both the anxiety and depression groups.
Conclusions
This study showed that attention bias toward emotional stimuli is an information-processing bias influenced by an individual’s internal state. This study contributes to the understanding of attention bias differences among groups based on anxiety and depression tendencies in non-clinical population of various ages.
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
  • 1,809 View
  • 125 Download
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.
Social Representation Study on Disabled Persons: A Longitudinal Study of Mentally Ill Patients and Verification of Differences by Type
Yeun-Joo Hur, KyuMan Han, MinKyu Rhee
STRESS. 2024;32(4):178-187.   Published online December 27, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.4.178
  • 147 View
  • 10 Download
Abstract PDF
Background
This study aimed to examine changes in the social representation of mental illness over the past 50 years and to compare these changes with the social representation of physical disability.
Methods
To measure the causes, symptoms, treatment, and attitudes toward patients and hospitals for the general public, opinion surveys on mental illness were based on questionnaires, and in the case of physically disabled people, the scale of mental illness was revised and supplemented.
Results
As a result of this study, it was confirmed that the social representation of the general public about mental illness has changed significantly over the past 50 years, but certain parts have deteriorated in some negative directions. Furthermore, when comparing the physically disabled and the mentally ill, it was confirmed that the social representation of the mentally ill was more negatively formed than that of the physically disabled.
Conclusions
Based on these research results, the implications and limitations of this study were discussed.
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
  • 1,574 View
  • 50 Download
  • 1 Citations
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.

Citations

Citations to this article as recorded by  
  • Korean nurses’ knowledge, opinions and current practice of trauma-informed pediatric nursing care in South Korea: a descriptive study
    Kyung-Sook Bang, Sun Woo Hong, Hwal Lan Bang, Ji-Hye Choe, Sinyoung Choi
    Child Health Nursing Research.2024; 30(4): 309.     CrossRef
The Effect of Perceived Stress on Drinking Problem of Korean College Students: From the Perspective of Escape Theory
Dawon Yoon, Youngho Lee
STRESS. 2023;31(1):1-10.   Published online March 31, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.1.1
  • 2,991 View
  • 199 Download
  • 1 Citations
Abstract PDF
Background
This study examined how the perceived stress of college students leads to drinking problems based on the Escape Theory.
Methods
A total of 485 college students were surveyed. A moderated mediation analysis was used to test the hypotheses.
Results
Since no significant correlation was found between perceived stress and drinking problem, the dependent variable was replaced with problematic drinking, a sub-factor of drinking problem. Escape from self fully mediated the relationship between perceived stress and problematic drinking. The interaction of perceived stress and dysfunctional self-focus was correlated with escape from self. Coping motives to drinking strengthened the pathways from escape from self to problematic drinking.
Conclusions
This study shows the need for therapeutic interventions to curb college students’ drinking problems. This study’s significance and limitations are also discussed.

Citations

Citations to this article as recorded by  
  • The Relationship between Perceived Stress, Subjective Health Status, and Symptoms of Dry Eye and Dry Mouth among Optometry Students at a University
    Se-Jin Kim, Min-Hee Hong
    The Korean Journal of Vision Science.2024; 26(3): 195.     CrossRef

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