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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
  • 936 View
  • 18 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 Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses
Sohyeon Kim, Myung-Ho Hyun
STRESS. 2023;31(4):197-204.   Published online December 28, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.4.197
  • 897 View
  • 16 Download
Abstract PDF
Background
This study examined the moderating effects of four types of perceived social support on the relation between type D personality and post-traumatic stress disorder (PTSD) symptoms among ICU and ER nurses.
Methods
Data were collected from 223 ICU and ER nurses in university or general hospitals located in Seoul. A questionnaire survey method was used for data collection and SPSS Windows 28.0 and PROCESS Macro Program were used for data analysis.
Results
The results showed that only the moderating effect of senior support was statistically significant, while perceived support from family, friends, and coworkers were not. Specifically, the effect of type D personality on post-traumatic stress disorder (PTSD) symptoms was weaker in ICU and ER nurses who perceived higher social support from senior nurses.
Conclusions
The study highlighted the significance of senior support in protecting the psychological health of ICU and ER nurses. Additionally, it addressed the major considerations in developing practical interventions in hospital settings.
The Moderating Effect of Perceived Psychological Support on the Relationship between Perceived Disaster Damage, Posttraumatic Stress, and Subjective Health Status among Disaster Victims
Ahram Im, Chin Kang Koh
STRESS. 2023;31(2):51-58.   Published online June 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.2.51
  • 932 View
  • 73 Download
Abstract PDF
Background
This study examined the relationship between perceived disaster damage, posttraumatic stress, and subjective health status after disasters and the moderating effect of perceived psychological support among disaster victims.
Methods
Data from 1,821 participants in the fourth ‘Follow-up Survey on Change of Disaster Victims’ conducted by the National Disaster Management Research Institute in 2019 were analyzed.
Results
The results showed that the perceived degree of disaster damage significantly impacted subjective health status after disasters; this effect was fully mediated by posttraumatic stress. Furthermore, perceptions of psychological support were found to moderate the mediation effect of posttraumatic stress.
Conclusions
Based on these findings, a discussion was suggested regarding future improvements in disaster-supporting policies.
The Double-Mediating Effect of Interpersonal Competence and Social Support on the Relationship between ADHD Traits and Depression in Early Adulthood
Jae Sun An
STRESS. 2023;31(1):44-50.   Published online March 31, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.1.44
  • 1,599 View
  • 123 Download
Abstract PDF
Background
This study aims to analyze the relationship between interpersonal competence, social support, ADHD traits, and depression in early adulthood, and by using the double-mediation model, to examine the effect of the first two variables on the last two.
Methods
The participants comprised 146 male and 155 female adults aged between 19 and 34, from whom data was collected through the Korean version of the WHO Adult ADHD Self-Report Scale, interpersonal competence and depression subscales of the mental health test developed by Suh et al., and social support scale developed by Iverson et al.
Results
The results showed that adult ADHD traits were negatively correlated with interpersonal competence and social support, and positively correlated with depression. In addition, interpersonal competence was positively correlated with social support and negatively correlated with depression, whereas social support was negatively correlated with depression. Finally, interpersonal competence and social support sequentially mediated adult ADHD traits and depression.
Conclusions
This sequential double-mediating effect is of great academic significance and suggests that improving interpersonal competence and social support may be effective in mitigating the negative effect of ADHD traits on depression in early adulthood.
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
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
  • 848 View
  • 49 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.
Factors Influencing Soldiers’ Smartphone Use during the COVID-19 Pandemic: Focusing on COVID-19 Stress and Social Support
Soo Mi Jang, Hee Yeon Lee, Ji Hyeong Jeong
STRESS. 2022;30(1):7-14.   Published online March 31, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.1.7
  • 2,523 View
  • 125 Download
Abstract PDF
Background
This study aimed to investigate the influence of COVID-19 stress on the level of smartphone use among soldiers. In addition, it explores the potential moderating effect of social support as a protective factor.
Methods
We collected responses from 205 soldiers serving in one military division in Chungcheongbuk-do using cross-sectional online and offline surveys. The data were analyzed with descriptive statistics, Pearson correlations, and hierarchical regression analysis using the SPSS 27.0 program.
Results
Controlling for covariates, COVID-19 stress and social support were significant factors influencing the level of smartphone use. The analysis did not identify a moderating effect of social support on the relationship between pandemic stress and smartphone use.
Conclusions
Our study results could help military and mental health organizations intervene in problematic smartphone use by creating programs for soldiers at high risk for COVID-19 stress.
Factors Affecting Smartphone Overdependence among Older Adults
Ji-Eun Park, Nayoon Lee
STRESS. 2022;30(1):37-44.   Published online March 31, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.1.37
  • 2,396 View
  • 122 Download
Abstract PDF
Background
This study aimed to identify the factors affecting smartphone overdependence among older adults.
Methods
A cross-sectional descriptive study was conducted with 179 older adults using smartphones in B metropolitan city. A multiple regression analysis was performed to identify the effect of physical activity, social support, and depression on smartphone overdependence.
Results
Factors that affect smartphone overdependence among the participants were as follows: (a) purpose of using smartphone (β=.23, p=.001), (b) age (β=.23, p=.002), (c) smartphone use time (β=.20, p=.004), (d) educational level (β=−.15, p=.027), and (e) social support (β=−.14, p=.048). The model explained for 19.0% (F=9.30, p<.001).
Conclusions
The findings of this study can be used as evidence to develop intervention programs and policy measures to prevent and manage smartphone overdependence, which has negative effects on the physical and mental health of older adults.
The Effects of Stress Experienced in the Prolonged COVID-19 Situation on Psychological Distress: The Moderating Effect of Social Support
Sora Jeon, Hoyoung Kim
STRESS. 2021;29(4):207-219.   Published online December 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.4.207
  • 2,885 View
  • 146 Download
  • 3 Citations
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Citations

Citations to this article as recorded by  
  • Factors Affecting Well-Being in Korean Young Adults Facing Material Deprivation: Testing the Reserve Capacity Model
    Hye Seung Choi, Hyunjoo Na
    Journal of Psychosocial Nursing and Mental Health Services.2024; 62(3): 29.     CrossRef
  • The Korean Version of Pandemic Stress Questionnaire: Validation in Korean Population
    Sori Park, Sang-Cheol Choi, Chan-Mo Yang, Seung-Ho Jang, Sang-Yeol Lee
    Clinical Psychopharmacology and Neuroscience.2023; 21(2): 377.     CrossRef
  • A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
    Soo Young An, Heejung Choi
    Journal of Korean Academy of Nursing.2023; 53(3): 309.     CrossRef
Effects of Social Support, Pregnancy Stress, and Anxiety on Health-Related Quality of Life in Pregnant Women
Hyun Jung Kim, Hee Sun Kang
STRESS. 2021;29(2):140-148.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.140
  • 3,159 View
  • 178 Download
  • 4 Citations
Abstract PDF
Background

The purpose of this study was to identify the relationships between social support, pregnancy stress, and anxiety of pregnant women and to determine their effect on health-related quality of life.

Methods

A total of 202 pregnant women participated in this study. The collected data were analyzed by the frequency and percentage, mean and standard deviation, independent t-test, ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis using the STATA/IC 15.1 program.

Results

As a result of this study, the major factors affecting the health-related quality of life of pregnant women were identified as anxiety, educational level, social support, and marital satisfaction. Social support has a positive effect on the health-related quality of life of pregnant women (β=0.27, p< .001), but anxiety had a negative effect (β=−0.56, p<.001).

Conclusions

When planning nursing interventions to improve the health-related quality of life of pregnant women, strategies for lowering the anxiety and improving the social support of pregnant women should be considered.

Citations

Citations to this article as recorded by  
  • Health-related quality of life of migrant workers: a systematic literature review
    Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
    BMC Public Health.2023;[Epub]     CrossRef
  • Effects of a Spouse’s Aromatherapy Hand Massage on Fatigue, Stress, and a Couple’s Relationship in Pregnant Women
    Hyang Mi Jung, Eun Jung Oh, Hyun Chul Sung, Myungja Kim
    Journal of The Korean Society of Maternal and Child Health.2022; 26(1): 35.     CrossRef
  • Influence of Fetal Attachment and Pregnancy Stress on Health Promotion Behavior in Primigravida
    Soo Rueng Yeo, So Young Choi
    Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 270.     CrossRef
  • The Influencing Factors on Health-Related Quality of Life in Childbearing Women Based on the Korea National Health and Nutrition Examination Survey (KNHANES) 2019 Data
    Jeongim Lee
    Journal of The Korean Society of Maternal and Child Health.2021; 25(4): 282.     CrossRef
Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
Eun-Mi Seol, Soohyun Nam
STRESS. 2021;29(1):37-44.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.37
  • 1,812 View
  • 95 Download
Abstract PDF
Background

The purpose of this study was to investigate the mediating effect of social support and its relationship between workplace violence and depression in nurses.

Methods

This was a cross-sectional descriptive study that included 128 registered nurses who had worked at medical institutions, except those who experienced depression without workplace violence in Korea. The data were collected between July and August 2020 using online surveys. The mediating effect was performed using multiple hierarchical regression.

Results

The rate of workplace violence was 82.8% (n=106). According to the type of workplace violence, the rates of verbal violence, physical threat, and physical violence were 79.7%, 67.2%, and 33.6%, respectively. A positive correlation between workplace violence and depression was found (r=.30, p<.001), whereas social support showed negative correlations with workplace violence (r=−.18, p=.045) and depression (r=−.26, p=003). This study found a partial mediating effect between workplace violence and depression.

Conclusions

It is important to develop strategies to improve the social support of nurses who experienced workplace violence and effectively prevent and manage depression.

Impact of Instability in Emotional Support Discrepancy from Significant Others on Daily Functioning in Patients with Complex Regional Pain Syndrome (CRPS) : A Diary Study
Hyunkyung Yoo, Taejin Jeong, Sungkun Cho
STRESS. 2020;28(4):276-284.   Published online December 31, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.4.276
  • 1,587 View
  • 28 Download
  • 1 Citations
Abstract PDF
Background

Daily functioning is an important aspect of chronic pain management, particularly for individuals living with complex regional pain syndrome (CRPS). Previous studies have established that emotional support from significant others is beneficial for chronic pain patients. However, emotional support can be discrepant from one’s preference and can also fluctuate. Thus, the present study investigates the role of instability in emotional support discrepancy on the daily functioning of patients with CRPS.

Methods

Participants consisted of 21 CRPS patients. Google Forms was used to obtain daily diary ratings over 15 days.The mean square of successive differences was calculated as an indicator of instability of emotional support discrepancy. Statistical analysis was conducted using hierarchical linear modeling.

Results

Hierarchical linear modeling reveals that the moderating effect of instability in emotional support discrepancy on the relationship between daily pain severity daily activity avoidance (coefficient=0.01, t (292)=5.57, p<.001), activity interference (coefficient=0.01, t (292)=5.98, p<.001), distraction (coefficient=0.01, t (292)=5.10, p= .007) was statistically significant.

Conclusions

The results of this study suggest that instability in emotional support discrepancy reduces the buffering effect of emotional support.

Citations

Citations to this article as recorded by  
  • Validation of Types of Body Pain Areas and Related Factors in the Korean Aged Using Latent Class Analysis
    Sang Ye Shin, Eun Suk Lee
    Research in Community and Public Health Nursing.2023; 34: 22.     CrossRef
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
  • 2,095 View
  • 74 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
Emotional Labor and its Related Factors in Nurses in the Outpatient Department
Eun-Jeong Ma, Kuemsun Han
STRESS. 2020;28(3):160-166.   Published online September 30, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.3.160
  • 2,368 View
  • 28 Download
  • 3 Citations
Abstract PDF

본 연구는 외래근무 간호사의 감정노동과 관련요인의 관계를 규명하기 위한 서술적 상관관계연구이다. 대상자는 서울, 경기 지역 대학병원에서 근무하는 외래간호사 236명으로 하였으며, 감정노동과 관련요인(직무자율성, 사회적 지지, 자아존중감, 감성지능, 정서상태, 지각된 감정요구)에 대한 척도를 사용하였다. 지각된 감정 요구도가 높을수록 감정노동 정도가 높고, 직무자율성, 자아존중감이 높을수록 감정노동 정도가 낮게 나타났다. 감정노동 설명 요인을 확인하기 위한 다중회귀분석 결과, 자아존중감과 지각된 감정요구는 감정노동을 30.9% 설명하는 것으로 나타났다. 이에 따라 간호관리자와 병원경영자는 외래근무 간호사의 감정노동과 관련요인의 부정적 효과를 최소화하고, 감정노동을 감소시키기 위한 교육프로그램 개발이 요구된다.

Citations

Citations to this article as recorded by  
  • Relationship between Emotional Labor Behaviors and Professionalism Levels in Nursing Students: A Case Study From The Faculty of Health Sciences and A Vocational School of Health
    Ayşe KARADAŞ, Songül DURAN, Serap KAYNAK
    Balıkesır Health Sciences Journal.2021; 10(3): 302.     CrossRef
  • The Moderating Effects of Self-esteem and Ego-resilience on the Relationship between Emotional Labor, Depressive Symptom, and Job Satisfaction in Nurses
    Taeyoun Kim, Kuem Sun Han
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(3): 209.     CrossRef
  • The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
Effect of Social Skills Training Programs for Adult Burn Patients
Kyung Mee Kim, Se Hee Hwang
STRESS. 2020;28(3):125-132.   Published online September 30, 2020
DOI: https://doi.org/10.17547/kjsr.2020.28.3.125
  • 1,166 View
  • 31 Download
Abstract PDF

본 연구는 사회기술훈련이 정서와 대인관계에 어떠한 영향을 미치는지 알아보기 위해 25세 이상 65세 이하의 체표면적 20% 이상의 화상환자 24명을 대상으로 사회기술훈련 프로그램의 효과를 검증했다. 연구결과, 중재군은 사회기술훈련 프로그램 이후 정서가 유의하게 증가했고, 대인관계는 증가했다. 이는 사회기술훈련 프로그램이 화상환자의 사회기술 향상을 위한 프로그램으로 활용될 수 있으며 이를 위해 사회기술 향상을 훈련시킬 사람들을 양성하고, 프로그램에 대한 재정적인 지원이 필요함을 시사한다.


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