STRESS

Original Articles

Effects of Acceptance and Commitment Therapy on Job-Seeking Stress, Self-Efficacy, Experiential Avoidance, Depression, and Anxiety: Geon Min Lee, Hyun Kyun Shin; STRESS. 2022;30(4):277-287. Published online December 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.4.277

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Abstract PDF: Background
Acceptance and Commitment Therapy (ACT) is an effective intervention for stress, self-efficacy, and experiential avoidance. The purpose of this study was to examine the effects of ACT on job-seeking stress, self-efficacy, experiential avoidance, depression, and anxiety.
Methods
University students suffering from job-seeking stress were recruited for this study. They were randomly assigned to an experimental group (12 students) and a wait-list control group (10 students). The ACT program consisted of six 120-minute sessions conducted twice a week for three weeks. A pre-test, post-test, and follow-up test (4 weeks after the final session) were administered.
Results
In the experimental group, positive significant effects were identified for all variables, and these effects were maintained at the time of the follow-up test. In the wait-list control group, a temporary positive effect was identified for job-seeking stress and self-efficacy, but had disappeared by the follow-up test; no changes were identified for the remaining variables.
Conclusions
The significance of this study is confirmed that ACT is effective not only stress but also for job-seeking stress and other variables.

Qualitative Study on Experiences of Suicidal Ideation and Behavior among College Students: Donghee Jeong, Eun-Jung Shim; STRESS. 2022;30(4):204-212. Published online December 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.4.204

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Abstract PDF: Background
Suicide is a major cause of death among young adults, and elucidating their experiences of suicidal behavior is important in suicide prevention. This study aimed to explore the factors related to suicidal ideation and behavior in college students. Students’ responses and coping strategies for distress caused by these factors were also explored.
Methods
The study conducted semi-structured interview with 24 college students (mean age=21.3, 75% female) who were at elevated risk of suicide. The transcripts were analyzed based on the consensual qualitative research method.
Results
The participants reported experiencing repeated frustrations in pursuing academic and career paths, as well as social isolation, conflict, or social comparison. In response to these stressors, they experienced negative emotions, such as depression and feeling of being a burden. Negative thoughts about the self and future also emerged. A lack of understanding of why they experienced distress and how to manage the distress led the participants to engage in maladaptive responses, such as avoidance. These factors contributed to increasing their risk of suicidal ideation and behavior. Meanwhile, the factors that deterred them from making a lethal suicide attempt were their lack of capability, their concern about their family and friends, and social support from the latter.
Conclusions
Repeated frustration and interpersonal distress were major factors related to increased suicidal ideation and behavior in college students. Suicide prevention in young adults may benefit from addressing negative impact of these factors.

Longitudinal Associations of Perceived Social Inequality and Subjective Socioeconomic Status with Anxiety and Depression in University Students: Hae-lim Noh, Eun-Jung Shim; STRESS. 2021;29(2):106-114. Published online June 30, 2021; DOI: https://doi.org/10.17547/kjsr.2021.29.2.106

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Abstract PDF: 본 연구의 목적은 대학생들이 지각하는 사회적 불평등 및 주관적인 사회경제적 지위와 우울 및 불안의 종단적 관계를 확인하는 것이다. 한국의 대학생들을 대상으로 2016년 한 학기 동안 세 시점에 걸쳐 온라인 설문지를 작성하게 하였고, 총 247명의 데이터가 분석에 포함되었다. GEE 분석 결과, 지각된 사회적 불평등이 높아질수록 우울의 위험율도 높아졌으며(OR=1.56), 주관적 사회경제적 지위가 낮을수록 불안(OR=1.39) 및 우울(OR=1.38)의 위험율이 높아졌다. 해당 결과는 치료 장면에서 대학생들의 불안 및 우울을 다룰 때 이들의 불평등 인식 및 주관적 사회경제적 지위도 고려해야함을 시사한다.

Relationship among Perceived Male Friendliness Nursing Programs, Gender Role Stereotype, and Major Satisfaction in Korean Male Nursing Students: Sunhee Cho, So-Hi Kwon, In Suk Rho; STRESS. 2020;28(4):213-220. Published online December 31, 2020; DOI: https://doi.org/10.17547/kjsr.2020.28.4.213

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3 Citations

Abstract PDF

Background

This study aimed to evaluate the perceived male friendliness in nursing programs and to identify the relationship of this with gender role stereotype and major satisfaction.

Methods

A convenience sample of 193 male nursing students was recruited for the cross-sectional survey design. Data were analyzed using descriptive statistics, Pearson’s correlation coefficients, independent t-test, and one-way ANOVA with the SPSS/WIN 21.0.

Results

The mean scores of male friendliness, major satisfaction, and gender role stereotype were 2.94±0.35, 3.72±0.81, and 2.58±0.53, respectively. Perceived male friendliness in nursing programs was found to be correlated with gender role stereotype (r=−.215, p<.001). Participants who completed maternal nursing courses showed lower male friendliness (t=−4.53, p<.001).

Conclusions

Improving the male friendliness of maternal nursing courses and flexible gender role stereotyping should be considered when developing effective strategies to improve male friendliness in nursing programs.

Citations

Citations to this article as recorded by

Validity and reliability of the gender equity scale in nursing education
Sunhee Cho, So‐Hi Kwon, Sun Joo Jang
Nursing & Health Sciences.2022; 24(2): 447. CrossRef
Do Gender Role Stereotypes and Patriarchal Culture Affect Nursing Students’ Major Satisfaction?
Sunhee Cho, Sun Joo Jang
International Journal of Environmental Research and Public Health.2021; 18(5): 2607. CrossRef
Correlation between Dental Hygiene Student’s Gender Sensitivity and Gender Role Stereotypes
Ji-Min Hwang, Ji-Hyoung Han
Journal of Dental Hygiene Science.2021; 21(4): 213. CrossRef

Moderating Effect of Resilience on the Relation between Interpersonal Stress and Binge Eating in Female College Students: An Exploratory Study: Seunghye Choi, Hoyoung Kim; STRESS. 2019;27(2):166-173. Published online June 30, 2019; DOI: https://doi.org/10.17547/kjsr.2019.27.2.166

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Abstract PDF

Background:

The purpose of this study is to examine the moderating effects of resilience on the relation between interpersonal stress and binge eating behavior in female college students.

Methods:

We investigated the relationships among interpersonal stress, resilience, and binge eating behavior of 213 female college students, and examined the moderating effects of resilience and its subcomponents (sense of control, sociality, and positivity) on the relationship between interpersonal stress and binge eating behavior through hierarchical multiple regression analysis.

Results:

Firstly, interpersonal stress indicated significant negative correlation with resilience and indicated significant positive correlation with binge eating behavior. Resilience and binge eating behavior indicated significant negative correlation. Secondly, resilience did not moderate the relation between interpersonal stress and binge eating behavior of female college students. However, the sense of control, an aspect of resilience, moderated the relationship between interpersonal stress and binge eating behavior of female college students.

Conclusions:

The results of this study suggest that higher interpersonal stress may increase the risk for binge eating behavior and that higher resilience may protect against binge eating behavior. The sense of control, an aspect of resilience, may enhance associations between interpersonal stress and binge eating behaviors in female college students.

Citations

Citations to this article as recorded by

Clinical Study on the Effect of Aromatic Plants on Stress and Appetite Control in 20s Women
Yoon-Jung Choy, Na-Yeong Kim, Gyu-RI Kim, Daeyuep Park, Sung Hyuk Choi, Ga Hee Kim, Youngho Park
Asian Journal of Beauty and Cosmetology.2023; 21(4): 709. CrossRef

Gender Differences in Type D Personality and Mental Health among Korean College Entrants: Sunhee Cho, Gyeong-Suk Jeon; STRESS. 2018;26(3):133-139. Published online September 30, 2018; DOI: https://doi.org/10.17547/kjsr.2018.26.3.133

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5 Citations

Abstract PDF

Background:

The purpose of this study was to explore gender differences in impacts of Type D personality on mental health among Korean college entrants.

Methods:

A cross-sectional descriptive survey was conducted. A sample size of 75 male and 138 female students residing in Jeonnam province completed the instruments of Type D personality, perceived stress, coping, and depressive symptoms. Data were analyzed by t-test and multiple regression.

Results:

Approximately 55.1% of female and 36.0% of male respondents were Type D. Perceived stress and depressive symptoms in Type D group were higher than in non-Type D group. Type D personality score was associated with perceived stress (β=0.40), problem focused coping (β=−0.32) among male college entrants. In female group, Type D personality score was associated with perceived stress (β=0.43), depressive symptoms (β=0.42), seeking social support (β=−0.25), and wishful thinking (β=0.20).

Conclusions:

Male and female college entrants with Type D personality are more vulnerable in mental health. In addition, there are gender differences in Type D personality, stress, and coping strategies. We suggest the need of gender perspective to develop mental health program for college students.

Citations

Citations to this article as recorded by

Prevelence of temporomandibular joint dysfunctions (TMDs) and depressive symptoms and feelings of stress in physiotherapy students with type D personality
Magdalena Gębska, Sylwia Mielcarska, Bartosz Dalewski, Łukasz Pałka, Katarzyna Weber-Nowakowska, Łukasz Kołodziej
Fizjoterapia Polska.2023; 23(5): 145. CrossRef
Chronotype Profile, Stress, Depression Level, and Temporomandibular Symptoms in Students with Type D Personality
Magdalena Gębska, Bartosz Dalewski, Łukasz Pałka, Łukasz Kołodziej, Ewa Sobolewska
Journal of Clinical Medicine.2022; 11(7): 1886. CrossRef
Distressed (Type D) personality is predicted by avoidance: evidence from a computer-based avatar task
M. Todd Allen, Michelle M. Shields, Catherine E. Myers
PeerJ.2022; 10: e14302. CrossRef
Type D Personality and Stomatognathic System Disorders in Physiotherapy Students during the COVID-19 Pandemic
Magdalena Gębska, Bartosz Dalewski, Łukasz Pałka, Łukasz Kołodziej, Ewa Sobolewska
Journal of Clinical Medicine.2021; 10(21): 4892. CrossRef
The Influence of the COVID-19 Pandemic on the Stress Levels and Occurrence of Stomatoghnatic System Disorders (SSDs) among Physiotherapy Students in Poland
Magdalena Gębska, Łukasz Kołodziej, Bartosz Dalewski, Łukasz Pałka, Ewa Sobolewska
Journal of Clinical Medicine.2021; 10(17): 3872. CrossRef

A Moderating Effect of Adaptive Cognitive Emotion Regulation on the Relationship between Internalized Shame and Adaption to College of Chinese International Students: Hae-kyung Koo, Yun-Kyung Cho, Hee-Joong Kim, Myoung-Ho Hyun, Xinyu Gu; STRESS. 2017;25(4):233-238. Published online December 31, 2017; DOI: https://doi.org/10.17547/kjsr.2017.25.4.233

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Abstract PDF

Background:

The purpose of present study was to examine a relation between internalized shame and adaption to college life of Chinese international students and to identify a moderating role of adaptive cognitive emotion regulation on this relation. 

Methods:

A sample of 173 Chinese international students in Seoul was recruited to answer the questionnaires of internalized shame, adaptive cognitive emotion regulation (acceptance & positive reappraisal) and adaption to college. 

Results:

Internalized shame showed a significant negative correlation with adaption to college. So, the higher internalized shame was, the lower adaption to college showed. And the internalized shame was negative effect on level of adaption to college when level of acceptance was high, but the effect of internalized shame on adaptation to college was disappeared when level of acceptance was low. The similar result was also found in positive reappraisal. So, the moderating effect of acceptance and positive reappraisal on the relation between internalized shame and adaption to college was confirmed.

Conclusions:

These results suggest that during clinical intervention, practitioners should consider internalized shame as a risk factor and cognitive emotion regulation as a protective factor when dealing with foreign students’ adaption in college.  

Citations

Citations to this article as recorded by

Does Compassion-Focused Therapy-Based Online Intervention Work for Chinese International Students With High Self-Criticism? A Randomized Controlled Trail
Xinyu Gu, Shasha Li, Myoung-Ho Hyun
SAGE Open.2022; 12(3): 215824402211215. CrossRef

Influence of Ambivalence over Emotional Expressiveness on Self-efficacy and Interpersonal Relationship of College Students: Eun Mi Lee, Yu Jeong Kim, Sunkyung Cha; STRESS. 2017;25(3):195-200. Published online September 30, 2017; DOI: https://doi.org/10.17547/kjsr.2017.25.3.195

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Abstract PDF: Background:
This research focuses on ambivalence over emotional expressiveness of college students. It was expected to provide basic data that can be used in the development of related strategies to identify the influence of ambivalence over emotional expressiveness on self-efficacy and interpersonal relationship.
Methods:
We selected 282 students who completed a questionnaire about general characteristics, ambivalence over emotional expressiveness, self-efficacy, and interpersonal relationship tools. The data were analyzed by descriptive statistics, independent sample t-test, and regression analysis.
Results:
Overall ambivalence over emotional expressiveness and ambivalence over positive emotional expressiveness of those who lived alone or in dormitory were statistically significantly higher than living with their families or relatives. Ambivalence over positive emotional expressiveness had significant negative effect on self-efficacy. Overall ambivalence over emotional expressiveness and ambivalence over positive emotional expressiveness had significant negative effects on interpersonal relationship.
Conclusions:
To develop strategies enhancing self-efficacy and interpersonal relationship for college students, it is necessary to develop a strategy that can improve ambivalence over positive emotional expressiveness on self-efficacy. There is a need for strategies that improves both ambivalence over positive emotional expressiveness and ambivalence over positive emotional expressiveness on interpersonal relationship.

The Effects of a Cognitive Behavioral Intervention on Perceived Stress and Somatic Symptoms in College Students: Soohyun Nam, Boyoung Hwang; STRESS. 2017;25(3):179-187. Published online September 30, 2017; DOI: https://doi.org/10.17547/kjsr.2017.25.3.179

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2 Citations

Abstract PDF

Background:

The purpose of this study was to evaluate the effects a cognitive behavioral intervention on perceived stress, somatic symptoms, automatic negative thoughts and dysfunctional attitudes in college students.

Methods:

This was a quasi-experimental study with a nonequivalent control group design. Students who agreed to participate in the study and had a total score of 7 or greater on the Patient Health Questionnaire-15 were asked to choose one of the two groups to attend: Experimental and control groups. Students in the experimental group (N=17) received 5-weekly group sessions of the intervention, each of which lasted 60 minutes. The interventions were not provided to the control group (N=15). Students in both groups were asked to complete a set of questionnaires at baseline and five weeks. Descriptive statistics were calculated, and t-test, Mann-Whitney U test and repeated measures ANOVA were performed.

Results:

There was a significant interaction between time and group for perceived stress, somatic symptoms and automatic negative thoughts. Dysfunctional attitudes, on the other hand, were not significantly different by group.

Conclusions:

The findings showed that the intervention was effective for college students suffering from perceived stress and somatic symptoms. In particular, the significant decrease in automatic negative thoughts among students in the intervention group suggests that the effect of the cognitive-behavioral intervention was mediated by the cognitive factors of somatic symptoms.

Citations

Citations to this article as recorded by

Effects of Cognitive Behavioral Group Program for Mental Health Promotion of University Students
Soojung Lee, Eunjoo Lee
International Journal of Environmental Research and Public Health.2020; 17(10): 3500. CrossRef
The Effects of the Motivation Management Program on Stress Response, Self-Efficacy and Subjective Well-Being among Female University Students with Academic and Career Stress
Ji-Hye Jang, Jung-Ho Kim, Mirihae Kim
Korean Journal of Stress Research.2017; 25(4): 317. CrossRef

The Effect of Sexual Attitude, Sexual Attitude of Parents, and Depression on Sexual Intercourse Experience of University Students: Eun Mi Lee, Ka Young Kim; STRESS. 2017;25(3):155-161. Published online September 30, 2017; DOI: https://doi.org/10.17547/kjsr.2017.25.3.155

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1 Citations

Abstract PDF

Background:

This study was conducted to investigate the factors that influence sexual intercourse experience of university students in Korea.

Methods:

We selected 244 students who completed a questionnaire about general characteristics, sexual attitude, sexual intercourse experience, depression. It was analyzed by logistic regression using sexual attitude of university student, father, and mother as explanatory variables.

Results:

The results showed that sexual intercourse experience was more frequent in the respondents who were more open about sexual attitude, those whose mothers have more open mind to sexual attitude, and those who were less depressed.

Conclusions:

The sexual intercourse experience is important to affect the upcoming adult period in university students. This study suggests that it is necessary to develop systematically the sexual education program in university and society.

Citations

Citations to this article as recorded by

University Freshman's Sexual Knowledge, Attitudes, and Satisfaction of Sex Education
Hae Young Min, Jung Min Lee, Hye Young Min, Yeo Won Jeong
Journal of Korean Academic Society of Nursing Education.2019; 25(2): 238. CrossRef

Mediating Effect of Decentering on the Relationship between Self Discouragement and Psychological Wellbeing of University Students: Jisun Park, Jinhee Park; STRESS. 2017;25(1):52-56. Published online March 31, 2017; DOI: https://doi.org/10.17547/kjsr.2017.25.1.52

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3 Citations

Abstract PDF

This study has been carried out in order to investigate the mediating effect of decentering on the relationship of self discouragement and psychological well-being of undergraduate students. The data of self discouragement, decentering and psychological well-being were obtained. Finally, the total data of 243 undergraduate students were analyzed. The results of this study were as follows. Finally, the total data of 243 undergraduate students were analyzed. Second, decentering partially mediated the relation between self discouragement and psychological well-being. In other words, self discouragement impeded decentering and influenced on psychological well-being negatively. The implications and limitations of this study were discussed.

Citations

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The Shipibo Ceremonial Use of Ayahuasca to Promote Well-Being: An Observational Study
Debora Gonzalez, Jordi Cantillo, Irene Perez, Maria Carvalho, Adam Aronovich, Magi Farre, Amanda Feilding, Jordi E. Obiols, José Carlos Bouso
Frontiers in Pharmacology.2021;[Epub] CrossRef
Mediating Effect of Binge Eating Behavior on the Relationship between Depression and Self Discouragement of University Female Students with Diet Experience
Jisun Park
STRESS.2019; 27(4): 448. CrossRef
The Relationship between Unstable Attachment and Subjective Well-Being: Mediating Effect of Decentering and Self-Compassion
Yong Hee Kim
Stress.2018; 26(4): 290. CrossRef

Effects of Personality and Coping Behavior on Clinical Practice Stress among One College Nursing Students: Yu-Jin Jeong, Chin-Kang Koh; Korean J Str Res. 2016;24(4):296-302. Published online December 31, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.4.296

2,428 View
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4 Citations

Abstract PDF

The purpose of this descriptive study was to investigate the effects of personality and coping behavior on clinical practice stress in nursing students which was experienced at clinical practice. The data were collected using questionnaire from the convenience sample of 88 nursing students. The data were collected from May 21 to 31, 2016. Data were analyzed with independent t-test, one way ANOVA, Pearson correlation coefficients, and multiple regression by using SPSS version 23.0. The mean score for clinical practice stress was 1.43±0.62, and the score for student domain (1.73±0.96) was the highest in clinical practice stress. Among the big five personality traits, neuroticism had positive correlation (r=.356, p=.001) with the clinical practice stress. Coping behavior (r=.285, p=.007) and passive coping behavior (r=.327, p=.002) also had positive correlation with the clinical practice stress in nursing students. The significant major predictors of clinical practice stress were neuroticism (β=.31) and passive coping behavior (β=.27). The explained variances for clinical practice stress was 18% in nursing students. Therefore, development of a program on enhancing personality and coping behavior to reduce clinical practice stress is needed.

Citations

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Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study
Su Kyoung Chung, Jinsook Kim, Pratibha Bhandari
Journal of Korean Academy of Nursing.2023; 53(2): 145. CrossRef
Initial Clinical Practicum Stress among Nursing Students: A Cross-Sectional Study on Coping Styles
Eunhee Hwang, Mijung Kim, Sujin Shin
International Journal of Environmental Research and Public Health.2021; 18(9): 4932. CrossRef
Emotional Intelligence and Clinical Performance of Undergraduate Nursing Students During Obstetrics and Gynecology Nursing Practice; Mizan-Tepi University, South West Ethiopia
Alemayehu Sayih Belay, Aychew Kassie
Advances in Medical Education and Practice.2021; Volume 12: 913. CrossRef
The relationship between personality dimensions, spirituality, coping strategies and clinical clerkship satisfaction among intern nursing students: a cross-sectional study
Yasser Rezapour-Mirsaleh, Mahdi Aghabagheri
BMC Nursing.2020;[Epub] CrossRef

Experiences of Posttraumatic Growth by Undergraduate Nursing Students: Jeoung Weon Park; Korean J Str Res. 2016;24(4):285-295. Published online December 31, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.4.285

1,547 View
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2 Citations

Abstract PDF

The purpose of the study was to understand the experiences and explore the nature of posttraumatic growth by undergraduate nursing students. The data was created by in-depth interviews on the experiences of 4 participants for 4 months; from June to September, 2016. The interviews were recorded and then transcribed. The analysis of the data was made Colaizzi’s phenomenological analytic method. Five categories that emerged from themes and themes clusters were :1) Trauma event, 2) Traumatic reexperience, 3) Struggling, 4) Getting used to traumatic experience, 5) Going to growth. The findings of the study illustrated in the participants’ experiences of posttraumatic growth, will contribute to the development of program that promotes posttraumatic growth including self disclosure.

Citations

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Effects of Emotional Regulation, Resilience, and Distress Disclosure on Post-Traumatic Growth in Nursing Students
Kyungmi Kim, Jongeun Lee, Jaeyeon Yoon
International Journal of Environmental Research and Public Health.2023; 20(4): 2782. CrossRef
A Study on the Relationship between Mental Well-Being and Cultural Tourism Guides Based on the Interview Methodology
Junsoo Kang, Youngmin Song
International Journal of Environmental Research and Public Health.2021; 18(24): 13054. CrossRef

Correlates Social Networking Service Addiction and MentalㆍSocial Health and Communication Competence among Nursing Students: Mi Young Moon; Korean J Str Res. 2016;24(4):243-251. Published online December 31, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.4.243

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1 Citations

Abstract PDF

The purpose of this study was to explore the correlation of SNS (social networking service) addiction and mental social health and communication competence among nursing students. The data were collected from September to December, 2015 in three universities. Data were obtained from 253 nursing students and collected data were analyzed using t-test, ANOVA, Pearson’s correlation followed by Scheffe post-hoc analysis, Multiple linear regression by SPSS 21.0. First, in regard to SNS addiction variables according to the general characteristics of the participants, there was significant difference between genders. In regard to SNS addiction variables according to SNS utilization status of the participants, there were significant differences in necessity of smartphone, the necessity of SNS, the average number of connection, and connecting time of SNS. The factors affecting the SNS addiction were the gender and mental health. In this study, female and the one with poor mental health had higher risk of SNS addiction. Therefore, early screening of nursing students is needed and it is required to develop the health promotion programs for the vulnerable and to pay attention to them.

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Analysis of Factors Related to Social Network Service Addiction Among Korean High School Students
Mi-Ran Kim, Jae-Woo Oh, Bo-Yun Huh
Journal of Addictions Nursing.2020; 31(3): 203. CrossRef

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