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Original Articles
Effect of Distress Tolerance Improvement Intervention for Problematic Drinkers
Gwang-Pyo Jang, Hyae Young Yoon
STRESS. 2025;33(1):22-32.   Published online March 28, 2025
DOI: https://doi.org/10.17547/kjsr.2025.33.1.22
  • 1,279 View
  • 29 Download
Abstract PDF
Background
This study examined the effects of an intervention to improving distress tolerance, drinking refusal self-efficacy, and alcohol consumption in problematic drinkers.
Methods
Adults who reported problematic drinking were randomly assigned to either the intervention group (n=11) or comparison group (n=11). The groups were either administered treatment to improve distress tolerance or watch a video in which abstinent women talked about their drinking and abstinence experiences.
Results
The repeated-measures ANOVA showed no significant change in alcohol consumption in the intervention group. However, appraisal, a distress tolerance subscale, and opportunity for drink refusal self-efficacy, a drink refusal self-efficacy subscale, increased.
Conclusions
Short-term interventions to improve distress tolerance may help change distress tolerance and drinking refusal self-efficacy.
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
  • 2,121 View
  • 71 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.
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
  • 3,606 View
  • 133 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.
The Mediating Role of Anger Rumination in the Relationship between Job Stress and Problem Drinking among Community-Oriented Police Officers
Dawon Jang, Myoung-Ho Hyun
STRESS. 2023;31(2):81-86.   Published online June 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.2.81
  • 2,792 View
  • 68 Download
Abstract PDF
Background
This study investigated the mediating effect of anger rumination in the relationship between job stress and problem drinking among community-oriented police officers.
Methods
The study participants were 107 community-oriented police officers working in local police stations and substations in the Seoul-Gyeonggi area. Participants completed the Police Job Stress Scale, Anger Rumination Scale (K-ARS), and Alcohol Use Disorder Identification Test (AUDIT). Data was collected from September to October 2022, and the mediation analysis was performed using SPSS PROCESS Macro model 4.
Results
Analysis showed that anger rumination fully mediates the relationship between job stress and problem drinking among community-oriented police officers.
Conclusions
This study emphasizes the importance of interventions or treatments that address both job stress and anger rumination for community-oriented police officers with alcohol-related problems. Such interventions can contribute to preventing and managing problem drinking that threatens the well-being of individual police officers and the police organization.
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
  • 5,479 View
  • 303 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
Factors Influencing College Students’ Gambling and Drinking Problem
Seung Hee Yang
STRESS. 2017;25(4):306-316.   Published online December 31, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.4.306
  • 2,993 View
  • 14 Download
  • 1 Citations
Abstract PDF
Background:

The stress and coping of college students are reported to be closely related to gambling and drinking problems. Therefore, in this study was to examine the perceived stress, coping, gambling and drinking problem of college students, and to identify the correlations between variables and factors affecting gambling and drinking problems.

Methods:

The subjects were 220 college students in Northern Gyeonggi area and data was collected using self-reported questionnaires and analyzed using SPSS WIN 21.0 program.

Results:

15.5% of college students group showed high risk of gambling. Among the male group, 50% of male showed normal drinking level, but 45.7% of male indicated dangerous drinking level, and rest 4.3% showed the alcoholic disorder. While the female group showed somewhat different result with the male group. Among them, 73.4% of female showed normal drinking, but 20% of female showed dangerous drinking problems and 6.3% of female had the alcoholic disorder problem. The common factors influencing college students’ gambling and drinking problems were high due to passive stress coping ways.

Conclusions:

College students’ gambling and drinking problems are closely related to stress coping. Therefore, it was found that the stress management program of college students is essential for the prevention and management of gambling problems and drinking problems of college students.

Citations

Citations to this article as recorded by  
  • A Study on the Perceived Stress, Coping, and Personal Satisfaction according to DISC Behavioral Style of College Students
    Seunghee Yang
    Stress.2019; 27(4): 422.     CrossRef
Influence of University Students’ Stress on Drinking Problem: Mediating Effect of Alcohol Expectancy and Moderating Effect of Stress Coping
Eunyoung Park
STRESS. 2017;25(4):265-271.   Published online December 31, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.4.265
  • 4,273 View
  • 98 Download
  • 3 Citations
Abstract PDF
Background:

This study was performed to identify the mediating effect of alcohol expectancy and moderating effect of coping response on the relation between university students’ stress and drinking problem.

Methods:

Data collected from 264 university students’ self-report questionnaire, including life daily stress, alcohol expectancy, coping response, drinking problem were analyzed.

Results:

The mediating effect of alcohol expectancy was significant (β=.26, p<.001). Although, the moderating effect of approach coping response was not significant, the moderating effect of avoidance coping response was significant (β=.12, p<.01).

Conclusions:

These results suggest that treatment and intervention for drinking problems of university students’ must pay attention on alcohol expectancy and try to decrease the preference of avoidance coping response.

Citations

Citations to this article as recorded by  
  • Rate of alcohol-induced blackout experience and its negative consequences among Korean university students
    Sung Young Huh, Sung-Gon Kim, Yeon-Sue Kim, Hyeon-Kyeong Kim
    Journal of Ethnicity in Substance Abuse.2025; 24(2): 380.     CrossRef
  • Life stress, dietary attitudes, and frequency of snack intake for college students in Seoul and Gyeonggi area: the difference between male and female students
    Hyun Seung Oh, Yu bin Kim, Soyoung Park, Kyunghee Song
    Nutrition Research and Practice.2023; 17(1): 91.     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.     CrossRef

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