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Original Articles
Qualitative Study on Patient Distress and Needs in Chronic Illness: Cardiovascular, Cerebrovascular, and Chronic Renal Diseases
Eun Jung Yang, Donghee Jeong, Bong-Jin Hahm, Eun-Jung Shim
STRESS. 2023;31(3):113-122.   Published online September 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.3.113
  • 572 View
  • 45 Download
Abstract PDF
Background
We examined various types of distress and needs experienced by patients with chronic illness.
Methods
We conducted in-depth interviews with 35 patients with cardiovascular, cerebrovascular and chronic renal diseases.
Results
The majority of participants reported experiencing physical distress, such as pain from symptoms or after-effects. They also felt burdensome to others and saw a decrease in their social relationships because of physical limitations caused by their chronic illness. Besides symptom management, they expressed a need for psychological counselling to cope with psychosocial distress.
Conclusions
The findings suggest the importance of integrative management for patients with chronic illness, addressing both physical symptoms and psychosocial distress.
Qualitative Study on Experiences of Suicidal Ideation and Behavior among College Students
Donghee Jeong, Eun-Jung Shim
STRESS. 2022;30(4):204-212.   Published online December 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.4.204
  • 1,305 View
  • 96 Download
Abstract PDF
Background
Suicide is a major cause of death among young adults, and elucidating their experiences of suicidal behavior is important in suicide prevention. This study aimed to explore the factors related to suicidal ideation and behavior in college students. Students’ responses and coping strategies for distress caused by these factors were also explored.
Methods
The study conducted semi-structured interview with 24 college students (mean age=21.3, 75% female) who were at elevated risk of suicide. The transcripts were analyzed based on the consensual qualitative research method.
Results
The participants reported experiencing repeated frustrations in pursuing academic and career paths, as well as social isolation, conflict, or social comparison. In response to these stressors, they experienced negative emotions, such as depression and feeling of being a burden. Negative thoughts about the self and future also emerged. A lack of understanding of why they experienced distress and how to manage the distress led the participants to engage in maladaptive responses, such as avoidance. These factors contributed to increasing their risk of suicidal ideation and behavior. Meanwhile, the factors that deterred them from making a lethal suicide attempt were their lack of capability, their concern about their family and friends, and social support from the latter.
Conclusions
Repeated frustration and interpersonal distress were major factors related to increased suicidal ideation and behavior in college students. Suicide prevention in young adults may benefit from addressing negative impact of these factors.
A Validation Study of the Korean Version of the Contextual Illness Support Scale
Dong Hee Jeong, Bong-Jin Hahm, Yeong Wook Song, Eun-Jung Shim
STRESS. 2020;28(4):269-275.   Published online December 31, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.4.269
  • 1,763 View
  • 68 Download
  • 1 Citations
Abstract PDF
Background

Although social support for patients with chronic illnesses buffers the detrimental impacts of stress, if it is not provided appropriately, it can be a source of stress. This study examined the psychometric properties of the Korean version of the Contextual Illness Support Scale (K-CISS) for patients with rheumatoid disease.

Methods

A cross-sectional survey containing measures on social support, depression, anxiety, and quality of life was conducted with patients with rheumatoid disease (N=323).

Results

The construct validity was supported by the results of the exploratory structural equation modeling, confirming the original two-factor model (positive and problematic support) and significant correlations between these two factors and health-related variables (i.e., depression, anxiety, and quality of life). The concurrent validity was supported by the significant positive correlation between positive and social support that was measured by the Korean version of the DUKE-UNC functional social support questionnaire. The internal consistency of the K-CISS was satisfactory, with Cronbach’s α values of .96 and .72 for the subscales.

Conclusions

These results suggest that K-CISS is a reliable and valid measure of two aspects of social support.

Citations

Citations to this article as recorded by  
  • Is fear of disease progression associated with antiretroviral therapy adherence in persons with HIV/AIDS?
    Chan-Woo Yeom, Hyeju Ha, Bong-Jin Hahm, Sun Hee Lee, Nam Joong Kim, Eun-Jung Shim
    Journal of Health Psychology.2024;[Epub]     CrossRef

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