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Original Articles
Effect of Emotional Regulation Strategies on Psychological Distress in Obsessive-Compulsive Tendency
Woo-Jin Cha, Myoung-Ho Hyun
STRESS. 2024;32(2):104-110.   Published online June 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.2.104
  • 132 View
  • 13 Download
Abstract PDF
Background
This study examined the effects of emotion regulation strategies on psychological distress in individuals with obsessive-compulsive tendencies.
Methods
A total of 339 adults completed online and offline surveys administered to determine the level of obsessive-compulsive symptoms. Among them, 56 were categorized into the obsessive-compulsive tendency group and randomly assigned to the reappraisal, acceptance, and suppression groups, where each participated in emotion regulation strategy training. Their psychological distress was assessed before and after the training.
Results
The results of the repeated-measures analysis of variance (ANOVA) showed that the main effects of neither group nor time were significant, but the interaction between group and time was significant. The acceptance group showed a significant decrease in psychological distress post-training, whereas the suppression group showed a significant increase. The reappraisal group showed no significant changes in psychological distress before and after the training.
Conclusions
This study demonstrated that the acceptance strategy was especially effective and adaptive in reducing psychological distress. These findings expand our understanding of emotion regulation strategies and have therapeutic implications. Finally, the implications and limitations of this study are discussed, presenting directions for future research.
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
  • 1,170 View
  • 63 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.
The Role of Disability Acceptance and Emotional Support in the Association between Negative Experiences and Depression in Disabled People with Cancer: A Moderated Mediation Model
Young Won Shin, Min Jin Jin, Myoung-Ho Hyun
STRESS. 2022;30(4):244-251.   Published online December 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.4.244
  • 1,280 View
  • 41 Download
  • 1 Citations
Abstract PDF
Background
This study examined the moderating effect of emotional support from acquaintances and the mediating effect of disability acceptance in the association between disability-related negative experiences and depression in disabled people with cancer.
Methods
Data were collected from 295 participants in the“Disabled-Life Panel Research” conducted by the Korea Disabled people’s Development Institute. The collected data were analyzed using SPSS Windows 26.0 with the PROCESS Macro program 4.0 as a moderated mediating model.
Results
Higher disability-related negative experiences caused lower disability acceptance, which predicted higher depression levels. Emotional support played a significant moderating role in this relationship. The effect of negative experiences on disability acceptance was weaker in disabled individuals with cancer who perceived higher social support from acquaintances.
Conclusions
These results suggest that focusing on emotional support is important in protecting the psychological health of disabled people with cancer who are alienated from society.

Citations

Citations to this article as recorded by  
  • Disability acceptance and depressive symptoms: the moderating role of social support
    Gum-Ryeong Park, Sujeong Park, Jinho Kim
    Disability and Rehabilitation.2024; : 1.     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
  • 1,726 View
  • 107 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.

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
  • 2,416 View
  • 115 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 Article
Effects of Acceptance and Downward Contrast on Subjective Agingwell
Haewon Ju, Myoung Ho Hyun
Korean J Str Res. 2016;24(3):201-209.   Published online September 30, 2016
DOI: https://doi.org/10.17547/kjsr.2016.24.3.201
  • 1,432 View
  • 17 Download
Abstract PDF

The purpose of the present study was to address how to boost subjective agingwell. The concept of subjective agingwell describes elders’ evaluative reactions—cognitive, affective, and spiritual—to their aging. Two hundred and fifty community-dwelling elders completed the instruments assessing acceptance, downward contrast, and subjective agingwell. Results from hierarchical regression analyses showed that acceptance, downward contrast comparison, and the interaction between acceptance and downward contrast could positively affect subjective agingwell. Specifically, confidence bands indicated that downward contrast could enhance subjective agingwell only when the level of acceptance was low. These findings represent a step forward in finding an efficient avenue to enhance subjective agingwell.


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