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.

Development and Validation of a Brief Measure of Hardiness for the Korean Population: Kyung Hyun Suh; STRESS. 2022;30(2):60-68. Published online June 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.2.60

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1 Citations

Background
This study developed and validated a brief tool to efficiently measure hardiness in the Korean population, considering that no such valid tool is available in Korean.
Methods
Data for item analysis and exploratory factor analysis were obtained from 343 college students and data for internal consistency and confirmatory factor analyses were obtained from 570 college students. Test-retest reliability, convergent validity, and criterion-related validity were determined.
Results
Excellent model fits were shown for the 12-item brief measure of hardiness (BMH) with the following three factors: commitment (e.g., “When I open my eyes in the morning, I look forward to the day.”), self-directedness (e.g., “My decisions shape my life.”), tenacity (e.g., “I believe that failure is the mother of success.”). Each subscale consists of four items, using a six-point Likert scale. Cronbach’s α for commitment, self-directedness, tenacity, and the total BMH were .91, .85, .89, and .88, respectively. The BMH test−retest coefficient was .77, suggesting reliabilty of this tool. Analyses of the criterion− related validity revealed that the the BMH score was reasonably correlated with the scores on some sub-scales of the Personality Assessment Inventory.
Conclusions
Although other standardized scales may be required for diagnostic purposes, this study highlights the utility of the BMH as a brief and useful tool with relatively simple items to measure hardiness as a personality trait in the Korean population for research purposes.

Citations

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Hardiness and Expectations for Future Life: The Roles of Perceived Stress, Music Listening for Negative Emotion Regulation, and Life Satisfaction
Alexander Park, Kyung-Hyun Suh
Behavioral Sciences.2023; 13(10): 852. 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

Citations to this article as recorded by

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

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