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Review Articles
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.
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
  • 552 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
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
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.
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
  • 1,341 View
  • 74 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.
A Systematic Review of Communication Programs for Nurses Working in Hospitals
Yeseul Jeon, Heeseung Choi
STRESS. 2021;29(2):69-79.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.69
  • 5,813 View
  • 545 Download
  • 4 Citations
Abstract PDF
Background

Despite the implementation of several communication programs for nurses working in hospitals, no evidence-based systematic review has yet been conducted on their efficacy.

Methods

In this systematic review of communication programs for nurses, we searched for literature published between 2011 and 2020 in four foreign databases and one domestic database (PubMed, Embase, CINAHL, PsycINFO, and RISS). The papers identified were evaluated on their quality using Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2). The main search terms included “nurse”, “communication”, “program”, and “intervention.” Thirteen articles were included in the final analysis.

Results

The communication programs utilized various teaching methods – such as simulation, reflection, and debriefing – with a majority of these programs significantly improving participants’ communication skills and performance. However, the overall quality of the studies was low concerning the randomization process and measurement; relatively few studies made use of online education methods. All variables assessed using self-reported measures were significant, but not all showed significant results when using objective measures as assessed by the evaluators.

Conclusions

The study’s findings suggest a need for programs dealing with nurses’ communication with health care providers in diverse clinical settings and online-based simulation programs. Moreover, high-quality literature applying the randomization process and measurement is required. Additionally, it is necessary to use both subjective and objective measures to evaluate the overall communication capacities of nurses and reflect the contextual characteristics of various clinical settings.

Citations

Citations to this article as recorded by  
  • A Survey on Situation-related Communication Educational Needs for Novice Intensive Care Unit Nurses
    Wonjung Hwang, Jeongmin Ha, Dahye Park
    Journal of Korean Critical Care Nursing.2024; 17(1): 17.     CrossRef
  • Development and validation of a patient-centered communication scale for nurses
    Youngshin Joo, Yeonsoo Jang, Chang Gi Park, You Lee Yang
    BMC Nursing.2024;[Epub]     CrossRef
  • Technology-based interactive communication simulation for Korean nurses: A randomized controlled repeated-measures design
    Heeseung Choi, Yeseul Jeon, Ujin Lee, Junggeun Ahn, Hannah Kim
    Nurse Education Today.2023; 128: 105879.     CrossRef
  • 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.     CrossRef
Factors Affecting Bereaved Spouses’ Quality of Life: A Systematic Review
Wonjung Noh, Songi Jeon
STRESS. 2020;28(4):254-261.   Published online December 31, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.4.254
  • 2,693 View
  • 83 Download
Abstract PDF
Background

This study is a systematic review to explore factors affecting the quality of life (QOL) of spouses who have experienced bereavement.

Methods

We searched the literature in four foreign and one domestic databases (Ovid MEDLINE, EMBASE, CINAHL, Cochrane Library, and RISS), using the search terms ‘bereavement’, ‘spouse’, and ‘quality of life’. A total of six articles were selected for final analysis by two researchers. Using the social ecological model, we categorized five domains affecting bereaved spouses’ QOL.

Results

Studies were published between 2001 and 2010 and were surveyed in a total of five countries. The QOL of the participants was measured using various measurement tools, such as health-related QOL and life satisfaction. Using social ecological models, the factors affecting QOL among bereaved spouses were determined to be individual, interpersonal, organizational, community and policy factors.

Conclusions

Based on the analysis results, points for consideration are suggested, including the research design and direction of future research.

Review Articles
An Integrative Review of Facial Emotion Information Processing in Depression
Eunui Jo, Jejoong Kim
STRESS. 2020;28(2):41-50.   Published online June 30, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.2.41
  • 2,648 View
  • 97 Download
Abstract PDF
Background

This study is an integrative review of literatures of research on emotion processing in depression using facial expression stimuli.

Methods

For the review, we searched domestic and international research articles over the past 20 years according to the integrative review procedure and selected the final 19 papers.

Results

The results of the review revealed that depressed people, compared with those who were not depressed, had the following differences. First, they needed longer time for precise processing of emotion. Second, they managed to recognize positive emotion with high intensity while easily recognized negative emotions with low intensity. Third, they tended to overestimate the intensity of negative emotion. Fourth, they showed a negative interpretation bias to ambiguous or neutral facial expressions. Meanwhile, consistent results across the studies were not found for the variable of accuracy.

Conclusions

Our results suggest that it is necessary to develop more elaborate intervention program and design more sophisticated experiment for further coherent understanding of depression.

Effects of Community-Based Psychological Interventions on Depressive Symptoms and Blood Glucose Control for Older Individuals with Type 2 Diabetes: A Systematic Review and Meta-Analysis
Heajin Yu, Boyoung Hwang
STRESS. 2020;28(1):1-9.   Published online March 31, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.1.1
  • 3,146 View
  • 130 Download
  • 1 Citations
Abstract PDF

본 연구에서는 노인 당뇨 환자를 대상으로 한 지역사회 기반 심리 중재가 환자들의 우울 증상과 혈당조절에 미치는 효과를 체계적으로 고찰하였다. 국내외 7개의 데이터베이스를 사용하여, 2008년 1월 1일부터 2018년 7월 31일까지 발표된 문헌들을 확인하였다. 선정기준에 따라 다섯 편의 연구가 최종 선정되었으며, 총 대상자는 제2형 당뇨 진단을 받은 지역사회 거주 노인 596명이었다. 메타분석에 선정된 네 편의 연구 모두 행동 교육을 목적으로 프로그램을 구성하였다. 추후에는 표본 크기를 늘려 심리적 중재 프로그램을 시행하는 것이 바람직하며 더욱 다양한 지역에서 수행하는 것이 필요함을 확인할 수 있었다.

Citations

Citations to this article as recorded by  
  • Factors Affecting Bereaved Spouses’ Quality of Life: A Systematic Review
    Wonjung Noh, Songi Jeon
    Stress.2020; 28(4): 254.     CrossRef
Original Article
An Integrative Review of Life Events in Early Schizophrenia
Jaewon Joung, Sungjae Kim
STRESS. 2017;25(3):170-178.   Published online September 30, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.3.170
  • 2,832 View
  • 135 Download
  • 1 Citations
Abstract PDF
Background:

The purpose of this study was to review the literature to improve the understanding of life events of early schizophrenia and identify the related factors using an integrative review.

Methods:

The key words, ‘schizophrenia’ and ‘life events’ were used to search peer-reviewed evidence through six electronic databases and 11 papers were selected.

Results:

The factors related to the life events of the early schizophrenia were as follows 1) social isolation, lack of self-efficacy, lack of coping as antecedents 2) depression as a mediating factor 3) precipitating role of psychotic symptoms as a consequence.

Conclusions:

It is difficult to identify the causal relationship between life events and psychotic symptoms because there are methodological limitations and conflicting results. In the future, it will be necessary qualitative research on life events of early schizophrenia and intervention study applying related factors identified in this study.

Citations

Citations to this article as recorded by  
  • The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia
    Jae Woon Lee, Jae Hyun Ha
    Journal of Korean Academy of Nursing.2018; 48(4): 443.     CrossRef

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