STRESS

Most-download articles are from the articles published in 2022 during the last three month.

Original Articles

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

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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.

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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

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.

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

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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.

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

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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

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

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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.

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

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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.

Influence of Pain Management Knowledge, Pain Management Self-Efficacy, and Empathic Capacity on Pain Management Performance of Nurses in Orthopedic Units: Ji-Eon Han, Jeonghyun Cho; STRESS. 2022;30(2):109-117. Published online June 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.2.109

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Abstract PDF: Background
The purpose of this study was to examine the influence of pain management knowledge, pain management self-efficacy, and empathic capacity on the pain management performance of orthopedic unit nurses.
Methods
This study employed a cross-sectional design using the survey. Participants were 110 orthopedic unit nurses from five university hospitals located in the B, U, and I metropolitan cities. Data collection was carried out from February 1, 2019 to March 6, 2019. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis with IBM SPSS WIN 25.0 program.
Results
Pain management performance had statistically significant positive relationships with pain management self-efficacy (r=.46, p＜.001) and empathic capacity (r=.38, p＜.001). Regarding the factors that have an influence on pain management performance, pain management self-efficacy (β=.33, p=.001), empathic capacity (β=.21, p=.024), and experience in pain management education (β=.18, p=.032) were the significant factors. These variables explained 26.1% of the pain management performance in orthopedic unit nurses.
Conclusions
The findings would be used as a basis for effective strategies for pain management by orthopedic unit nurses in the future.

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

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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.

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

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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.

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

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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.

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

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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 Article

Effect of Emotional Regulation Strategies on Psychological Distress in Obsessive-Compulsive Tendency: Woo-Jin Cha, Myoung-Ho Hyun; STRESS. 2024;32(2):104-110. Published online June 28, 2024; DOI: https://doi.org/10.17547/kjsr.2024.32.2.104

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Abstract PDF: Background
This study examined the effects of emotion regulation strategies on psychological distress in individuals with obsessive-compulsive tendencies.
Methods
A total of 339 adults completed online and offline surveys administered to determine the level of obsessive-compulsive symptoms. Among them, 56 were categorized into the obsessive-compulsive tendency group and randomly assigned to the reappraisal, acceptance, and suppression groups, where each participated in emotion regulation strategy training. Their psychological distress was assessed before and after the training.
Results
The results of the repeated-measures analysis of variance (ANOVA) showed that the main effects of neither group nor time were significant, but the interaction between group and time was significant. The acceptance group showed a significant decrease in psychological distress post-training, whereas the suppression group showed a significant increase. The reappraisal group showed no significant changes in psychological distress before and after the training.
Conclusions
This study demonstrated that the acceptance strategy was especially effective and adaptive in reducing psychological distress. These findings expand our understanding of emotion regulation strategies and have therapeutic implications. Finally, the implications and limitations of this study are discussed, presenting directions for future research.

Review Article

Research Trends in the Diagnostic Classification of Food Addiction and Future Tasks: Juwon Lee, Myoung-Ho Hyun; STRESS. 2022;30(4):187-195. Published online December 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.4.187

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Abstract PDF

Background
Although people tend to be exposed to food addiction today, there are no formal diagnostics for Food Addiction. Thus, clinical application for therapy is difficult. The present study reviews the clinical characteristics, mechanisms, and measurement tools, and presents opinions on psychiatric classification to suggest directions for further research.
Methods
The authors conducted a literature search using the terms food addiction or FA. The review included 54 Korea and international studies from 1956 to 2021.
Results
Food addiction has reported similarities with substance use disorder and binge eating disorder. Consequently, it seems to be more reasonable to categorize it as substance or behavioral addiction rather than an eating disorder. Further research is needed on whether food addiction can be classified as a behavioral addiction in that food does not have intoxication properties by itself. Further, it is worth considering the dimensional classification of binge-eating-related spectrum disorder, given the behavioral similarities.
Conclusions
Several studies have attempted to reveal the characteristics of food addiction, but researchers’ views on the psychiatric classification are inconsistent. The addition of food addiction in the Diagnostic and Statistical Manual of Mental Disorder (DSM) seems to require a phased approach. Further work should also verify the effective treatment methods, focusing on underlying mechanism.

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Comparison of the nutrition quotient by types of eating behavior among male and female university students in Gwangju
Geum-Bi Ryu, Young-Ran Heo
Journal of Nutrition and Health.2023; 56(3): 277. CrossRef

Original Articles

The Role of Meaning in Life in the Relationship between Stress, Pleasure, and Depression: Dayeah Shin; STRESS. 2022;30(1):30-36. Published online March 31, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.1.30

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Abstract PDF

Background
Discovering personal value and living a meaningful life are essential tasks for humans. The pursuit of existential meaning, which is a key motivator for life, is related to various psychological health factors and helps overcome stressful events. In this study, we aimed to identify the moderating effects of meaning in life on the relationship between stress, pleasure, and depression.
Methods
The moderating effects of meaning in life on the relationship between stress, pleasure, and depression were examined in a sample of 144 college students.
Results
Meaning in life had a significant strengthening effect on the impact of stressful life events on experience of pleasure and a buffering effect on the impacts of stressful life events on depression.
Conclusions
The findings demonstrated that discovering meaning in life could improve the experience of pleasure and mitigate depression due to stressful life events. Additionally, the results suggested a need for intervention to increase meaning in life for college students who experience stressful life events.

Citations

Citations to this article as recorded by

The Development and Effectiveness of Motivational Interviewing-Existential Psychotherapy Program for Korean College Students with Depression
Boonhong Hwang, Hyun-Ju Ju, Sung-Ho Jang, Uibin Lee, Sung-Man Shin
Journal of College Student Mental Health.2024; 38(3): 664. CrossRef
Stress and suicidal ideation in Korean baby boomers: the mediating effect of mindfulness and meaning in life
Yusoo Jeong
Frontiers in Psychology.2023;[Epub] CrossRef

The Double-Mediating Effect of Interpersonal Competence and Social Support on the Relationship between ADHD Traits and Depression in Early Adulthood: Jae Sun An; STRESS. 2023;31(1):44-50. Published online March 31, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.1.44

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Abstract PDF: Background
This study aims to analyze the relationship between interpersonal competence, social support, ADHD traits, and depression in early adulthood, and by using the double-mediation model, to examine the effect of the first two variables on the last two.
Methods
The participants comprised 146 male and 155 female adults aged between 19 and 34, from whom data was collected through the Korean version of the WHO Adult ADHD Self-Report Scale, interpersonal competence and depression subscales of the mental health test developed by Suh et al., and social support scale developed by Iverson et al.
Results
The results showed that adult ADHD traits were negatively correlated with interpersonal competence and social support, and positively correlated with depression. In addition, interpersonal competence was positively correlated with social support and negatively correlated with depression, whereas social support was negatively correlated with depression. Finally, interpersonal competence and social support sequentially mediated adult ADHD traits and depression.
Conclusions
This sequential double-mediating effect is of great academic significance and suggests that improving interpersonal competence and social support may be effective in mitigating the negative effect of ADHD traits on depression in early adulthood.

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