STRESS

Original Articles

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.

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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1 Citations

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.

Citations

Citations to this article as recorded by

Mediating effect of AI attitudes and AI literacy on the relationship between career self-efficacy and job-seeking anxiety
Ruihua Li, Jianwei Ouyang, Jianwei Lin, Sha Ouyang
BMC Psychology.2025;[Epub] CrossRef

The Role of Disability Acceptance and Emotional Support in the Association between Negative Experiences and Depression in Disabled People with Cancer: A Moderated Mediation Model: Young Won Shin, Min Jin Jin, Myoung-Ho Hyun; STRESS. 2022;30(4):244-251. Published online December 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.4.244

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1 Citations

Abstract PDF

Background
This study examined the moderating effect of emotional support from acquaintances and the mediating effect of disability acceptance in the association between disability-related negative experiences and depression in disabled people with cancer.
Methods
Data were collected from 295 participants in the“Disabled-Life Panel Research” conducted by the Korea Disabled people’s Development Institute. The collected data were analyzed using SPSS Windows 26.0 with the PROCESS Macro program 4.0 as a moderated mediating model.
Results
Higher disability-related negative experiences caused lower disability acceptance, which predicted higher depression levels. Emotional support played a significant moderating role in this relationship. The effect of negative experiences on disability acceptance was weaker in disabled individuals with cancer who perceived higher social support from acquaintances.
Conclusions
These results suggest that focusing on emotional support is important in protecting the psychological health of disabled people with cancer who are alienated from society.

Citations

Citations to this article as recorded by

Disability acceptance and depressive symptoms: the moderating role of social support
Gum-Ryeong Park, Sujeong Park, Jinho Kim
Disability and Rehabilitation.2024; 46(26): 6424. CrossRef

Effects of Acceptance and Commitment Therapy on Pain, Pain Interference, and Life Satisfaction for the Elderly People with Chronic Pain: Jaesook Shin, Bong-keon Lee; STRESS. 2018;26(3):231-242. Published online September 30, 2018; DOI: https://doi.org/10.17547/kjsr.2018.26.3.231

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Abstract PDF: Background:
The population of the aged has been rapidly increasing worldwide, and about 50% of them are under chronic pain by irreversible degenerative diseases. This study aimed to verify the effectiveness of ACT (Acceptance and Commitment Therapy) on pain, pain interference, and life satisfaction in people with chronic pain. In addition, this study proposed that anxiety, depression, self-efficacy, psychological inflexibility in pain, pain catastrophizing and kinesiophobia are mediating the effectiveness of ACT.
Methods:
Participants of ACT program for this study comprised the elderly aged 65 and over who had been suffering from chronic pain for at least 6 months and reported their pain intensity of at least five on the VAS (Visual Analogue Scale, 0-10). During the sessions, experimental group participated in the ACT program designed by Stoddard and Wetherell(2011) and the control group received health education. After finishing eight sessions of each program, data from 25 participants in the experimental group and 27 in the control group were used for the final analysis.
Results:
The results showed that the ACT program is significantly more effective on relieving pain, pain interference, anxiety, and psychological inflexibility in pain than health education program. However, anxiety and psychological inflexibility did not have significant mediating effects on pain and pain interference.
Conclusions:
Finally, this study has verified the curative effect of ACT for elderly people suffering from chronic pain. Therefore, Acceptance and Commitment Therapy can be used for supplementary treatment for patients with degenerative disease.

Review Article

An Integrative Review of Acceptance and Commitment Therapy (ACT) for Mental Health Problem: Dugja Choi, Sungjae Kim; STRESS. 2017;25(2):75-85. Published online June 30, 2017; DOI: https://doi.org/10.17547/kjsr.2017.25.2.75

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9 Citations

Abstract PDF

The purpose of this study was to provide an integrative review of ACT for mental health problems to identify content of program and discuss methodological strategy of intervention according to target population. According to Whittmore and Knaf’s integrative review method, this research was conducted in five stages: clarification of research problems, literature search, and quality evaluation of data, data analysis, and data description. The key words in English and Korean were used to search through seven electronic databases. 21 studies were finally included in this integrative review. ACT was used as an intervention for anxiety, depression, posttraumatic stress disorder and eating disorders and was effective in social avoidance, anxiety sensitivity, depression, dysfunctional belief and negative thinking. It was also used as an intervention for the maladjustment in adolescence to improve self-esteem and reduce behavioral problem. The six core processes of ACT are useful for people with chronic mental illness who have an ineffective avoidance strategy that avoids their symptoms and does not accept the illness. We give a suggestion that researchers develop and apply appropriate ACT for mentally ill person in hospitals.

Citations

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Psychometric properties of the Psy-flex scale: A validation study in a community sample in Korea
Duckhyun Jo, Byeori Seong, Eunjoo Yang
Journal of Contextual Behavioral Science.2023; 30: 70. CrossRef
The Effect of a Job Stress Management Program Based on Acceptance-Commitment Therapy for Firefighting Paramedics
Jae Woon Lee, Jae-Hyun Ha
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 56. CrossRef
Effects of Acceptance Commitment Therapy Based Recovery Enhancement Program on Psychological Flexibility, Recovery Attitude, and Quality of Life for Inpatients with Mental Illness
In Sook Kim, Jae Woon Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(1): 79. CrossRef
The Relationship between the Decentering and Forgiveness: The Moderating Effect of Reflective Response Style and the Mediating Effect of Anger Rumination
Jiwon Shin, Youngho Lee
Stress.2019; 27(1): 36. CrossRef
Mediating Effect of Psychological Flexibility on Quality of Life in Inpatients with Schizophrenia
Hyun Sook Park, Jae Woon Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(3): 284. CrossRef
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
Improving Diabetes Self-Mangement and Mental Health through Acceptance and Commitment Therapy
Sung-Chul Lim
The Journal of Korean Diabetes.2018; 19(3): 186. CrossRef
Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia
Jae Woon Lee, Hyun Sook Park
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 342. CrossRef
Mediating Effect of Depression on the Relationship between Gambling Severity and Cognitive Distortion: Secondary Data Analysis of Korea Center on Gambling Problems
Keelyong Lee, Jungah Hong
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 370. CrossRef

Original Articles

The Relationship between Hip Extension Force Measured by Using a Hand-held Dynamometer and the Effect of Proprioceptive Neuromuscular Facilitation Stretching on Hamstring Flexibility: Wootaek Lim; Korean J Str Res. 2016;24(4):252-256. Published online December 31, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.4.252

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4 Citations

Abstract PDF

본 연구의 목적은 고유수용성 신경근 촉진법을 이용한 뒤넙다리근의 스트레칭 동안 휴대용 근력계를 이용하여 측정된 고관절 신전력과 스트레칭으로 인해 증가된 뒤넙다리근 유연성 사이의 관계를 보는 것이었다. 스트레칭은 1세트 (총 6회, 회당 5초) 수행되었다. 스트레칭 전, 후 능동 무릎 폄 검사가 즉청되었으며, 뒤넙다리근의 최대 신전력은 휴대용 근력계로 측정되었다. 신전력과 유연성 사이의 상관관계는 없었으나, 6회 동안 측정된 평균 신전력의 최소값과 최대값은 유의한 차이를 보였다. 일정하지 않은 신전력의 적용은 스트레칭 효과를 감소할지 모른다. 스트레칭 동안 휴대용 근력계를 이용하여 피험자의 스트레칭 수행정도를 관찰하고 실시간으로 피드백을 줄 수 있다면, 임상 및 스포츠물리치료현장에서 매우 유용할 것이다.

Citations

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Integrating conventional and novel oblique stretching techniques for optimal hamstring flexibility
Wootaek Lim
Isokinetics and Exercise Science.2025;[Epub] CrossRef
The Effects of Proprioceptive Neuromuscular Facilitation and Static Stretching Performed at Various Intensities on Hamstring Flexibility
Woo-taek Lim
Physical Therapy Korea.2020; 27(1): 30. CrossRef
Sex Differences in Pain Caused by Stretching and Decrease in Pain Over Time
Wootaek Lim
Stress.2019; 27(2): 146. CrossRef
Easy method for measuring stretching intensities in real clinical settings and effects of different stretching intensities on flexibility
Wootaek Lim
Journal of Back and Musculoskeletal Rehabilitation.2019; 32(4): 579. CrossRef

Effects of Acceptance and Downward Contrast on Subjective Agingwell: Haewon Ju, Myoung Ho Hyun; Korean J Str Res. 2016;24(3):201-209. Published online September 30, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.3.201

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Abstract PDF: The purpose of the present study was to address how to boost subjective agingwell. The concept of subjective agingwell describes elders’ evaluative reactions—cognitive, affective, and spiritual—to their aging. Two hundred and fifty community-dwelling elders completed the instruments assessing acceptance, downward contrast, and subjective agingwell. Results from hierarchical regression analyses showed that acceptance, downward contrast comparison, and the interaction between acceptance and downward contrast could positively affect subjective agingwell. Specifically, confidence bands indicated that downward contrast could enhance subjective agingwell only when the level of acceptance was low. These findings represent a step forward in finding an efficient avenue to enhance subjective agingwell.

Korean Multidimensional Assessment of Interoceptive Awareness (K-MAIA): Development and Validation: Wan-Suk Gim, Kyo-Lin Sim, Ok-Kyung Cho; Korean J Str Res. 2016;24(3):177-192. Published online September 30, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.3.177

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218 Download
14 Citations

Abstract PDF Supplementary Material

In this study, based on a critical review of the 32-item Multidimensional Assessment of Interoceptive Awareness (Mehling, Price, Daubenmier, Acree, Bartmess & Stewart, 2012; MAIA), a 32-item Korean edition of MAIA was developed in a pilot study and validated in two studies. In a pilot study, the 32 items of MAIA were adapted to Korean language, then administered to 253 adults for item analysis. Based on the results on item discrimination, internal consistency, and exploratory factor analysis, the scale was revised and reconstructed. In the study 1, the scale was administered to 295 adults; reliability analysis and exploratory factor analysis were performed, and correlation coefficients with other related scales were examined. In addition, interoceptive awareness was compared among groups with varying experiences in training related to interoceptive awareness. In the study 2, the scale was administered to 223 adults; confirmatory factor analysis was performed. Results showed that the Korean edition of MAIA with a total of 32 items and six factors had sufficient reliability and validity, demonstrating a high reliability based on internal consistency of .94, theoretically consistent levels of correlation coefficients with other scales, and satisfactory construct validity. The study concludes with discussions on implications and limitations of the study.

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