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Original Article
The Effectiveness of an Imagery-Based Behavioral Activation Intervention for Depressive Symptoms
Sujeong Yun, Eun-Jung Shim
STRESS. 2024;32(4):204-213.   Published online December 27, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.4.204
  • 194 View
  • 8 Download
Abstract PDF
Background
Behavioral activation treatment (BAT) is an evidence-based treatment for depression. However, depressive symptoms can make it difficult to engage in activities crucial for the success of behavioral activation. Mental imagery may assist with activity engagement. This study examined the effectiveness of imagery-based BAT (BAT-I) compared to standard BAT in reducing depressive symptoms and improving behavioral activation, activity anticipation, activity motivation, and activity completion rates.
Methods
Thirty adults with moderate to severe depressive symptoms were randomly assigned to either the BAT-I or BAT groups. The participants received eight sessions of twice-weekly BAT intervention, with an additional four-eight mental imagery sessions provided for the BAT-I group.
Results
Repeated measures analysis of variance indicated that participants in both groups showed reductions in depressive symptoms and improvements in behavioral activation, activity anticipation, and activity motivation. However, the BAT-I group demonstrated significantly higher activity motivation (6.1> 5.1) and activity completion rates (93.17%>66.18%) than the BAT group.
Conclusions
While use of imagery appears to support activity engagement, further research is needed to explore how imagery can be utilized to enhance the BAT effectiveness.
Review Article
Psychological Interventions for Chronic Pain: An Umbrella Review of Systematic Reviews and Meta-Analyses of Randomized Controlled Trials
Eun-Mi Koh
STRESS. 2024;32(3):111-120.   Published online September 30, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.3.111
  • 553 View
  • 53 Download
Abstract PDF
Background
There is a continuous increase in the number of studies showing that psychological interventions help reduce chronic pain. Systematic review studies that analyze the effect are also increasing. The aim of this umbrella review was to synthesise the best available research evidence for the effectiveness of standardised psychological interventon for adults with chronic pain.
Methods
Using MEDLINE (PubMed) and Cochrane CENTRAL search engines, four systematic reviews met the study criteria, including 60 randomized control trials and 7,025 patients with chronic pain.
Results
Compared to waiting control and treatment as usual, psychological interventions displayed medium effect sizes for pain intensity (SMD −0.35, CI −0.42 to −0.29, 4 reviews, N=4,061), pain disability (SMD −0.44, CI −0.51 to −0.36, 3 reviews, N=2,609), and physical functioning (SMD 0.38, CI 0.29 to 0.48, 2 reviews, N=1,699). Additionally, psychological interventions exhibited a medium effect size in reducing pain intensity (SMD −0.34, CI −0.42 to −0.26, 2 reviews, N=2,508) and pain disability (SMD −0.43, CI −0.51 to −0.35, 2 reviews, N=2,563) in chronic low back pain.
Conclusions
The results reaffirm that psychological interventions, along with drug or conventional treatments, can be helpful in managing chronic pain.
Original Articles
The Relationship between Level of Therapist Support and Efficacy and Adherence in Internet-Based Cognitive Behavioral Therapy for Disordered Eating Behaviors
Seyeom Kim, Eun-Jung Shim
STRESS. 2024;32(1):29-37.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.29
  • 1,570 View
  • 47 Download
Abstract PDF
Background
Therapist support is an important intervention design factor in internet-delivered psychotherapy. However, the relationship between therapist support and intervention outcomes is not well established. This study examined the relationship between therapist support, efficacy, and adherence to Internet-based Cognitive Behavioral Therapy (I-CBT) for disordered eating behaviors.
Methods
Thirty-six women with disordered eating behaviors were recruited and randomly assigned to three groups: low, medium, and high levels of therapist support. The participants received eight sessions of I-CBT, twice a week, with varying levels of therapist support.
Results
While all three groups showed a reduction in eating disorder risk factors (i.e., body image disturbance, disordered eating behaviors, depression, and anxiety), there were no significant differences in these improvements by therapist support level. However, there were significant differences in intervention completion rates by therapist support level, with higher levels of support associated with increased intervention completion rates.
Conclusions
Therapist support can potentially improve adherence to internet-based interventions.
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
  • 1,784 View
  • 83 Download
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.
A Preliminary Study on a Short-Term Counseling Program for Victims of Interpersonal Trauma in the Military
Shin Young Park, Sung Yi Cha, Myoung-Ho Hyun
STRESS. 2022;30(3):155-162.   Published online September 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.3.155
  • 1,962 View
  • 78 Download
Abstract PDF
Background
This preliminary study was conducted to develop a short-term counseling program for victims who experienced interpersonal trauma in the military and to verify its effectiveness.
Methods
A single group pre-post-mixed design was used for this study. Seven victims who experienced interpersonal trauma within the military participated in the program once a week for five weeks. Participants’ post-traumatic stress symptoms, degree of insomnia, depression, state anxiety, and acceptance behavior levels were assessed and compared at baseline and pre-and post-test.
Results
Participants’ post-traumatic stress symptoms, state anxiety, and depression symptoms significantly reduced and acceptance behavior significantly increased after participating in the short-term counseling program.
Conclusions
The results of this study will help explore therapeutic elements that are helpful for victims who have experienced interpersonal trauma in the military.
The Effect of Ability of Application on Psychological Well-Being in People with Mental Illness: The Moderated Mediating Effects of Empowerment and Anger
Yeun-Joo Hur, Joon-Ho Park, MinKyu Rhee
STRESS. 2021;29(2):130-139.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.130
  • 2,894 View
  • 76 Download
  • 2 Citations
Abstract PDF
Background

This study was conducted to identify the roles of empowerment and anger in the relationship between ability of application and psychological well-being among the subfactors of Competency to Consent to Treatment.

Methods

The research participants consisted of 191 psychiatric patients who had voluntarily agreed to receive treatment through psychiatric departments in Gyeongsangnam-do and Jeollanam-do. The moderated mediating effects of empowerment and anger were verified.

Results

Empowerment fully mediated the relationship between applicability and psychological well-being, which was moderated by anger regulation levels.

Conclusions

Empowerment must be treated as important to promote psychological well-being in psychiatric patients. Also, intervention for anger regulation is needed.

Citations

Citations to this article as recorded by  
  • Social Representation Study on Disabled Persons: A Longitudinal Study of Mentally Ill Patients and Verification of Differences by Type
    Yeun-Joo Hur, KyuMan Han, MinKyu Rhee
    STRESS.2024; 32(4): 178.     CrossRef
  • Effects of Mindfulness-based Stress Reduction Program on Perceived Stress, Internalized Stigma, and Psychological Well-being in Psychiatric Inpatients
    Jin Kyeong Ko, Ji Young Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(3): 259.     CrossRef
The Effects of the Group Anger Regulation CBT on Sexual Cognitive Distortions and Rape Proclivity
Sewon Kim, Ji-Eun Gong, Myoung-Ho Hyun
STRESS. 2019;27(2):183-190.   Published online June 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.2.183
  • 1,903 View
  • 44 Download
Abstract PDF
Background:

The purpose of the study was to examine the effects of anger regulation cognitive behavior therapy on sexual cognitive distortions and rape proclivity on sexual offenders.

Methods:

The participants were sexual offenders who are currently imprisoned. The 37 participants were randomly assigned to either treatment group (n=18) or control group (n=19). The treatment group was administered 5 sessions (120-minute each). The program included how to recognize anger and practiced effective strategies to deal with it. All participants completed questionnaires at baseline and post-treatment.

Results:

No significant pre-post differences in anger, sexual cognitive distortions and rape proclivity were found between treatment group and control group.

Conclusions:

The findings suggest that anger regulation program is not enough to make significant differences in anger, sexual cognitive distortions and rape proclivity. However this study shows the potential possibilities of combination of anger regulation treatment and current CBT programs that would make current correcting programs for sex offenders more effective. Limitations and suggestions for further studies were proposed at the end.

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
  • 2,332 View
  • 123 Download
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.

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
  • 2,337 View
  • 105 Download
  • 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
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
  • 3,263 View
  • 168 Download
  • 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
Original Articles
Video-counseling: Needs Assessment and Perception of Service Utilization
Sungjin Im, Jungeun Lee, Shin Han
STRESS. 2017;25(1):57-62.   Published online March 31, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.1.57
  • 2,377 View
  • 59 Download
  • 3 Citations
Abstract PDF

Recent national survey data suggest that lifetime prevalence of mental disorders are on the rise in South Korea while utilization of mental health services remains low. These results are disconcerting, and it is critical to find ways to increase access to mental health services and service utilization. One emerging solution is to provide psychological intervention via the Internet, and wide use of computer and mobile devices makes video-counseling a low-cost alternative to traditional face-to-face psychotherapy. In the current study, a total of 190 adults completed a questionnaire assessing the history of mental illness, experience with psychotherapy, and attitudes towards video-counseling, mainly focusing on treatment needs, future service utilization, effectiveness, and cost. Results suggest that participants endorsed the pros more strongly than the cons of video-counseling. Specifically, participants reported accessibility, privacy, and convenience as major strengths, and provider credentials and reduced confidentiality as major weaknesses. Limitations of the current study and recommendations for implementing online counseling service are further discussed.

Citations

Citations to this article as recorded by  
  • Research on the Characteristics and Usefulness of User Reviews of Online Mental Health Consultation Services: A Content Analysis
    Jingfang Liu, Lu Gao
    Healthcare.2021; 9(9): 1111.     CrossRef
  • Analysis of topics and characteristics of user reviews on different online psychological counseling methods
    Jingfang Liu, Lu Gao
    International Journal of Medical Informatics.2021; 147: 104367.     CrossRef
  • Predictors of health-related quality of life in korean patients with myocardial infarction: a longitudinal observational study
    Kyoungrim Kang, Leila Gholizadeh, Hae-Ra Han, Sally C. Inglis
    Heart & Lung.2018; 47(2): 142.     CrossRef
Evaluating Enhanced Commitment Strategies to Reduce Drop-out in a Domestic Violence Victims Treatment Program
Jungeun Lee, Alan Fruzzetti
Korean J Str Res. 2016;24(3):193-200.   Published online September 30, 2016
DOI: https://doi.org/10.17547/kjsr.2016.24.3.193
  • 1,657 View
  • 15 Download
  • 1 Citations
Abstract PDF

가정폭력 피해 여성을 위해 개발한 기존 치료 프로그램의 효과와 만족도가 높음에도 불구하고, 프로그램 중도 탈락률은 70퍼센트에 탈하였다. 본 연구에서는 참여자의 치료 참여율을 높이기 위해, 변증법적 행동치료에 기초한 개입전략을 개발하였다. 개입을 하지 않은 집단과 비교했을 때 개입을 한 집단에서 전반적인 참여율 상승은 나타나지 않았다. 그러나, 개입집단에서 치료를 완료한 연구참여자의 비율이 높았다(개입집단 46%, 비개입집단 28%). 추가적으로 본 연구의 함의와 이후 연구를 위한 제안을 논의하였다.

Citations

Citations to this article as recorded by  
  • The longitudinal relationships between undergraduate students’ competencies and educational satisfaction according to academic disciplines
    Ji-Won Kim, Sun-Geun Baek
    Asia Pacific Education Review.2020; 21(4): 573.     CrossRef

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