STRESS

Original Articles

The Influence of School Maladjustment on Non-Suicidal Self-Injury among Adolescents: Focusing on the Moderated Mediating Effect of Anxiety According to Single-Parent Family Status: RaeHyuck Lee, Jaekyoung Lee; STRESS. 2025;33(3):155-162. Published online September 30, 2025; DOI: https://doi.org/10.17547/kjsr.2025.33.3.155

211 View
12 Download

Abstract PDF: Background
This study examines the influence of school maladjustment on non-suicidal self-injury among adolescents and the moderated mediating effect of anxiety according to single-parent family status.
Methods
Regression analyses were performed using raw data from a survey of teenagers’ mental health and the PROCESS Macro method.
Results
Adolescents’ school maladjustment had a positive effect on non-suicidal self-injury. In addition, the partial mediating effect of anxiety was confirmed. In other words, adolescents’ level of school maladjustment increased their level of anxiety, which in turn increased the likelihood of non-suicidal self-injurious behavior. Furthermore, the mediating effect of anxiety was moderated by single-parent family status. Specifically, the mediating effect of school maladjustment leading on non-suicidal self-injury through anxiety was more pronounced among adolescents from single-parent families than those from two-parent families.
Conclusions
Intervention plans to deal with school maladjustment and anxiety among adolescents are proposed based on these findings.

Validation of the Sexual Self-Determination Competency Assessment Scale: Yu-jeong Son, Hyeon-gi Hong, Ki-pyoung Kim, Hyung-ki Ji, Hye-hyun Cho, Chae-bin Lee, Myoung-Ho Hyun; STRESS. 2025;33(1):33-44. Published online March 28, 2025; DOI: https://doi.org/10.17547/kjsr.2025.33.1.33

1,408 View
55 Download

Abstract PDF: Background
This study aims to refine and validate the Sexual Self-Determination Competency Assessment Scale (2020) to enhance its effectiveness.
Methods
The scale comprises self-reported and scenario-based sections. We revised item phrasing; expanded content to better address sexual crimes involving children, adolescents, and individuals with intellectual disabilities; and adjusted the scoring method for better comprehension by individuals with intellectual disabilities. The revised scale was administered to 500 middle and high school students aged 14∼18 to assess reliability and validity. Additionally, we replaced Likert-scale items with open-ended questions to minimize response bias in the scenario-based section. Interviews were conducted with 17 adolescents and individuals with intellectual limitations.
Results
The self-report section demonstrated content validity through an expert review of item appropriateness. Construct and criterion validities were confirmed through statistical analyses. The internal consistency was also high. In the scenario-based section, four open-ended questions were finalized based on interview data, and five scoring criteria were developed to evaluate responses.
Conclusions
This study improved the format and content of the existing scale, thereby enhancing its applicability in investigative and practical contexts. Notably, modifying scenario-based items to an open-ended format enables a qualitative assessment of perception, judgment, and coping abilities in sexual offense scenarios, representing a significant contribution to the field.

The Influence of Attention-Deficit/Hyperactivity on School Adjustment among Adolescents: Focusing on the Moderated Mediation Effect of Depression by Household Economic Status: RaeHyuck Lee; STRESS. 2025;33(1):13-21. Published online March 28, 2025; DOI: https://doi.org/10.17547/kjsr.2025.33.1.13

997 View
47 Download

Abstract PDF: Background
This study examines the influence of attention-deficit/hyperactivity on school adjustment among adolescents and investigates the moderated mediation effect of depression on household economic status.
Methods
The research hypotheses were tested using data from the Korean Teenagers’ Mental Health Study and analyzed utilizing the PROCESS Macro method.
Results
Attention-deficit/hyperactivity had a significant negative impact on students’ school adjustment. Additionally, depression partially mediated the relationship between attention-deficit/hyperactivity and school adjustment. While household economic status did not moderate the influence of attention-deficit/hyperactivity on school adjustment, it did moderate the mediating effect of depression. Specifically, the mediating effect of depression on the relationship between attention-deficit/hyperactivity and school adjustment was more pronounced for adolescents from low-income households than for those from medium- or high- income households.
Conclusions
This study discusses the research implications and considerations.

Moderated Mediating Effect of Anxiety by Household Type on the Relationship between Daily Life Stress and Non-Suicidal Self-Injury among Adolescents: RaeHyuck Lee; STRESS. 2024;32(4):188-195. Published online December 27, 2024; DOI: https://doi.org/10.17547/kjsr.2024.32.4.188

1,868 View
57 Download
2 Citations

Abstract PDF

Background
This study examined the impact of adolescents’ daily life stress on non-suicidal self-injury among adolescents, focusing on the mediating role of anxiety and the moderated mediating effect of anxiety by household type (two-parent vs. single-parent households).
Methods
This study utilized data from the Korean Teenagers’ Mental Health Study, conducted by the National Youth Policy Institute and applied the PROCESS macro method for analysis.
Results
First, daily life stress significantly increased the likelihood of non-suicidal self-injury among adolescents. Second, anxiety played a full mediating role. Third, no significant difference was observed in the direct impact of daily life stress on non-suicidal self-injury between adolescents from two-parent and single-parent households. Fourth, the mediating effect of anxiety on the relationship between daily life stress and non-suicidal self-injury was more pronounced among adolescents in single-parent households than those in two-parent households.
Conclusions
The findings highlight the need for tailored interventions to deal with non-suicidal self-injuries among adolescents, particularly in the context of household type.

Citations

Citations to this article as recorded by

The Influence of Attention-Deficit/Hyperactivity on School Adjustment among Adolescents: Focusing on the Moderated Mediation Effect of Depression by Household Economic Status
RaeHyuck Lee
STRESS.2025; 33(1): 13. CrossRef
The Influence of School Maladjustment on Non-Suicidal Self-Injury among Adolescents: Focusing on the Moderated Mediating Effect of Anxiety According to Single-Parent Family Status
RaeHyuck Lee, Jaekyoung Lee
STRESS.2025; 33(3): 155. CrossRef

Does Stress Affect Adolescent Anxiety by Mediating Sleep Time?: Si On Jang; STRESS. 2024;32(3):142-152. Published online September 30, 2024; DOI: https://doi.org/10.17547/kjsr.2024.32.3.142

6,268 View
208 Download
1 Citations

Abstract PDF

Background
Health is essential for the sustainable well-being, yet high stress, anxiety, and lack of sleep among Korean adolescents have become significant social concerns.
Methods
This study examined the impact of stress on anxiety and investigated whether sleep time mediates this relationship in 46,870 male and female adolescents, ranging from first-year of middle school students to third-year high school students. Data were obtained from the "18th Korea Youth Risk Behavior Survey" conducted by the Korea Disease Control and Prevention Agency.
Results
The analysis showed that increased stress was associated with reduced sleep time and higher anxiety levels, stress was found to heighten anxiety, partly by reducing sleep time.
Conclusions
Based on these findings, the study recommends: ① developing mental health indicators to quickly identify adolescents at risk for mental health issues, ② encouraging cooperation between schools, government agencies, healthcare providers to enhance access to mental health programs for adolescents, and ③ implementing policies that promote healthy behaviors, ensure adequate sleep, and improve overall well-being.

Citations

Citations to this article as recorded by

Comparative effects of music therapy and aromatherapy on stress, quality of life, and happiness among shift nurses in Korea: a randomized controlled trial
So-heun Lee, Won-jong Kim, Eun-Hi Choi, Myung-Haeng Hur
Journal of Korean Biological Nursing Science.2024; 26(4): 337. CrossRef

Review Article

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

2,597 View
110 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.

Original Articles

Relationship between Childhood Trauma and Depression in Youths in the Transition to Independent Living: The Mediating Effect of Disconnection-Rejection Schemas Moderated by Out-of-Home Care Types: Shin Young Park, Myoung-Ho Hyun, Min Jin Jin; STRESS. 2024;32(1):9-18. Published online March 28, 2024; DOI: https://doi.org/10.17547/kjsr.2024.32.1.9

3,602 View
61 Download

Abstract PDF: Background
This study explored the relationship between childhood trauma, disconnection-rejection schemas, and depression among youths in the transition to independent living. Additionally, this study examined whether the impact of childhood trauma on depression, mediated by disconnection-rejection schemas, was moderated by the type of out-of-home care (residential care centers, group homes, and foster homes).
Methods
A survey questionnaire measuring childhood trauma, disconnection-rejection schemas, and depression was administered to 201 participants.
Results
Mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. In all types of out-of-home care, both the mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. There were no significant differences in mediating effects based on the type of out-of-home care.
Conclusions
The findings of this study can be applied to the treatment of depression during the transition to independent living in individuals who have experienced childhood trauma.

Influence of Single Parents’ Parenting Stress on Adolescent Children’s Internet Addiction: Focusing on the Moderating Effect of Family Economic Status: Jaekyoung Lee, RaeHyuck Lee; STRESS. 2023;31(3):142-147. Published online September 30, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.3.142

2,334 View
49 Download

Abstract PDF: Background
This study investigated the influence of parenting stress among single parents on the level of Internet addiction in their adolescent children, while also considering the moderating effect of family economic status.
Methods
An analysis was conducted using regression models to assess direct and moderating effects, utilizing data from the 2021 Survey of Single-parent Families, focusing on single parents with adolescent children.
Results
It was observed that single parents’ parenting stress had a positive and significant influence on the level of Internet addiction seen in their adolescent children. Furthermore, this influence was observed to be even stronger when the family’s economic status was lower.
Conclusions
This study empirically examined the influence of parenting and economic circumstances on the level of Internet addiction among adolescent children in single-parent families, drawing on nationally representative data. The study also underscored the need for diverse intervention strategies.

The Mediating Role of Smartphone Usage Time in the Relation between Stress and Anxiety among Adolescents during the COVID-19 Pandemic: Eunha Jeong; STRESS. 2023;31(2):65-72. Published online June 30, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.2.65

7,499 View
121 Download
4 Citations

Abstract PDF

Background
This study examines the mediating effect of smartphone usage time on the relationship between stress and anxiety among adolescents.
Methods
Data on 54,848 adolescents were obtained from the 17th (2021) Korea Youth Behavior Survey. The data were analyzed using PROCESS Macro Version 4.1 (Model 4) to examine the effect and significance of each path in the mediation model.
Results
There was a statistically significant direct effect of stress on anxiety. Additionally, smartphone usage time mediated the relationship between stress and anxiety, indicating a significant indirect effect.
Conclusions
The findings suggest the importance of addressing stress coping strategies and implementing effective intervention programs related to smartphone use to promote adolescents’ mental health.

Citations

Citations to this article as recorded by

The Relationship between Health-related Behavior and Generalized Anxiety Disorder in Korean Adolescents
Sun-Hwa Kim, So-Yeon Ryu, Seong-Woo Choi, Mi-Ah Han, Jong Park
Journal of Health Informatics and Statistics.2025; 50(1): 65. CrossRef
Turkish Adaptation and Validation of the Short Smartphone Stress Scale for Adolescents
Ali Geriş, Erol Esen
Bartın University Journal of Faculty of Education.2025; 14(3): 845. CrossRef
Does Stress Affect Adolescent Anxiety by Mediating Sleep Time?
Si On Jang
STRESS.2024; 32(3): 142. CrossRef
Influence of Sedentary Behavior and Smartphone Use on the Risk of Generalized Anxiety Disorder among Adolescents
Kyong Sil Park
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 363. CrossRef

The Effect of Parents’ Negative Parenting Style on Aggression among Adolescents: The Mediating Effect of Self-Esteem and Smartphone Dependency: Eun Jung Bae, Soo-Hyun Nam; STRESS. 2023;31(1):18-24. Published online March 31, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.1.18

6,029 View
150 Download
2 Citations

Abstract PDF

Background
This study investigates the serial mediation of self-esteem and smartphone dependency in the relationship between negative parenting style and adolescents’ aggression.
Methods
We conducted a secondary data analysis of the 2018 Korean Children and Youth Panel Survey (KCYPS) and used the data of first-year middle school students. A mediation analysis was conducted using Hayes’ SPSS PROCESS Macro (Model 6).
Results
The mediation of smartphone dependency was significant in the relationship between parents’ negative parenting style and aggression, but the mediation of self-esteem was not. Negative parenting style significantly affected adolescents’ aggression through the sequential mediation of self-esteem and smartphone dependency.
Conclusions
Appropriate interventions should be prepared to help adolescents increase their self-esteem and reduce smartphone dependency, thus reducing the aggression that a negative parenting style induces.

Citations

Citations to this article as recorded by

Correlation between Parental Hostility and Child Self-Control and Aggression
Sun Yee Yoo, Hye Young Ahn
Healthcare.2023; 11(17): 2433. CrossRef
Moderating Effects of Emotional Recognition Competency in Rejective Parenting and Adolescent Depression and Aggression
Jaeeun Shin, Sung Man Bae
International Journal of Environmental Research and Public Health.2023; 20(18): 6775. CrossRef

Future Orientation’s Influence on Smartphone Overdependence among Out-of-School Adolescents: Focusing on the Moderated Mediation Effect of Depression by Parental Emotional Support: RaeHyuck Lee; STRESS. 2022;30(4):213-220. Published online December 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.4.213

2,198 View
62 Download

Abstract PDF: Background
This study aimed to examine the influence of future orientation on smartphone overdependence through depression among out-of-school adolescents and the moderated mediation effect of parental emotional support.
Methods
This study analyzed data from the Panel Survey of School Dropouts with the Process macro Models 4 and 14.
Results
First, out-of-school adolescents’ future orientation negatively influenced smartphone overdependence. Second, out-of-school adolescents’ depression partially mediated the influence of future orientation on smartphone overdependence. Third, out-of-school adolescents’ parental emotional support moderated the mediation effect of future orientation on smartphone overdependence through depression.
Conclusions
The results suggest ways to manage smartphone overdependence among out-of-school adolescents.

The Influence of COVID-19-Induced Depression on Smartphone Usage Time among Multicultural Adolescents and the Moderated Mediation Effect of Gender through Anxiety: RaeHyuck Lee; STRESS. 2022;30(3):147-154. Published online September 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.3.147

3,539 View
98 Download

Abstract PDF: Background
This study aimed to verify the influence of COVID-19-induced depression on smartphone usage time among multicultural adolescents, as well as the moderated mediation effect of gender through anxiety.
Methods
Using the raw data from the 2021 Korea Youth Risk Behavior Survey, a sample of 1,161 multicultural adolescents was recruited for this study. Models 4 and 7 of the PROCESS macro method were used for data analysis.
Results
COVID-19-induced depression among multicultural adolescents positively influenced their smartphone usage time. Moreover, their anxiety fully mediated the influence of COVID-19-induced depression on their smartphone usage time. The mediation effect of COVID-19-induced depression on smartphone usage time through anxiety was moderated by their gender.
Conclusions
The results are significant in that they provide insights for addressing the problem of smartphone usage among multicultural adolescents amid a disaster like COVID-19.

The Influence of Mothers’ Acculturative Stress on Adolescents' Depression in Multicultural Families: The Moderating Effect of Sex: RaeHyuck Lee; STRESS. 2022;30(2):92-97. Published online June 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.2.92

4,055 View
72 Download
1 Citations

Abstract PDF

Background
With the increasing number of multicultural adolescents, concerns about their healthy development are also on the rise. This study aimed to examine the influence of mothers’ acculturative stress on adolescents’ depression in multicultural families with respect to the moderating effect of sex.
Methods
A series of regression analyses were conducted using a sample of 1,052 adolescents from multicultural families composed of a foreign-born mother and a Korean father based on the 9th wave of the Multicultural Adolescents Panel Study (MAPS).
Results
First, foreign-born mothers’ acculturative stress positively and significantly influenced adolescents’ depression. When the level of acculturative stress increased, so did the level of depression. Second, the influence of mothers’ acculturative stress on adolescents’ depression was moderated by sex. The influence was larger for female than for male adolescents.
Conclusions
Based on its findings, this study discussed intervention strategies to address depression among multicultural adolescents.

Citations

Citations to this article as recorded by

The Influence of COVID-19-Induced Depression on Smartphone Usage Time among Multicultural Adolescents and the Moderated Mediation Effect of Gender through Anxiety
RaeHyuck Lee
STRESS.2022; 30(3): 147. CrossRef

The Moderating Effect of Self-Control in the Relationship between Daily Stress and SNS Addiction Tendency of Adolescents: Jung A Ko, Ji Young Kim, Hye Young Kim; STRESS. 2020;28(3):153-159. Published online September 30, 2020; DOI: https://doi.org/10.17547/kjsr.2020.28.3.153

8,890 View
398 Download

Abstract PDF: Background
The purpose of the study was to test the moderating role of self-control in the relationship between daily stress and online social networking addiction of adolescents.
Methods
The daily stress scale, online social networking addiction scale, and self-control scale were administered to a sample of 225 adolescents. The data were analyzed using SPSS 25.0 and SPSS PROCESS macro.
Results
The results were as follows: First, correlation analysis was conducted to examine the relationship among daily stress, self-control, and online social networking addiction. Daily stress was significantly positively correlated with online social networking addiction. In contrast, self-control was significantly negatively correlated with daily stress. Second, the interaction between self-control and daily stress played a more prominent role in protecting against online social networking addiction in adolescents who reported lower daily stress than those who reported higher daily stress.
Conclusion
This result suggested that it is necessary to strengthen the positive aspects of self-control to adolescents who have difficulty managing their online social networking addiction.

Parents’ Perceptions and Responses to Parent-adolescent Conflict Situations: A Mixed Methods Approach: Heeseung Choi, Sumi Kim, Heesung Ko; STRESS. 2020;28(3):142-152. Published online September 30, 2020; DOI: https://doi.org/10.17547/kjsr.2020.28.3.142

2,834 View
42 Download

Abstract PDF: 본 연구는 부모-자녀 관계와 관련된 양적 변수에 따라 구분된 각 그룹들에서 부모자녀 갈등의 주제, 갈등상황에서 부모의 인식과 반응의 질적인 차이를 확인하고자 시도되었다. 국내 5개 도시에서 청소년 자녀를 둔 부모 103명이 부모효능감, 부모-자녀 의사소통, 부모-자녀 관계, 부모-자녀 갈등, 부모스트레스 관련 온라인 설문에 참여하였고, 이들은 청소년 자녀와의 갈등상황을 직접 기술하였다. 5개 변수의 군집분석결과 두 개의 그룹으로 분류되었고 두 그룹의 부모들은 모두 청소년 자녀와 갈등상황에서 실망, 분노, 걱정, 좌절 등의 감정을 경험하였으나 갈등을 인식하고 반응하는 양상에서는 차이가 있었다. 본 연구결과는 향후 부모자녀 관계를 향상시키기 위한 부모교육프로그램 구성의 기초자료가 될 것이다.

First
Prev
Page of 2
Next
Last

Search