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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
  • 193 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
  • 552 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.
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

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