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12 "정서조절"
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Original Articles
Effects of Interpersonal Traumatic Experiences and Interpersonal Problems on Psychological Symptoms among College Students: Moderated Mediating Effect of Expressive Flexibility
Hajin Lim, Boyoung Kim
STRESS. 2026;34(3):165-174.   Published online September 30, 2026
DOI: https://doi.org/10.17547/kjsr.2026.34.3.165
  • 129 View
  • 5 Download
Abstract PDF
Background
This study examined whether interpersonal problems mediated the relationship between subjective distress from interpersonal trauma and psychological symptoms, and whether emotional expression flexibility moderated this indirect effect.
Methods
Self-reported measures were completed by 241 college students with interpersonal trauma experiences. Data were analyzed using correlation, mediation, and moderated mediation analyses. PROCESS Macro for SPSS was used.
Results
Interpersonal problems partially mediated the relationship between interpersonal trauma-related distress and psychological symptoms. Furthermore, emotional expression enhancement significantly moderated the association between interpersonal trauma-related distress and problems; conversely, emotional expression suppression did not. The indirect effect through interpersonal problems was significant only at low and average levels of emotional expression enhancement.
Conclusions
Emotional expression enhancement may buffer the negative effects of interpersonal trauma on interpersonal problems and psychological symptoms. These findings suggest that interventions for enhancing context-appropriate emotional expression may be useful for college students with interpersonal trauma experiences.
The Effect of Covert Narcissism on Relationship Addiction in Early Adulthood: The Double Mediating Effects of Distress Tolerance and Emotion Dysregulation
Hyojin Kim, Jong-Nam Kim
STRESS. 2026;34(3):125-134.   Published online September 30, 2026
DOI: https://doi.org/10.17547/kjsr.2026.34.3.125
  • 162 View
  • 6 Download
Abstract PDF
Background
This study examined the pathway through which covert narcissism leads to relationship addiction through distress tolerance and emotion dysregulation in early adulthood.
Methods
Data were collected from 394 Korean adults aged 18–39 years who were recruited using online convenience sampling. Participants completed measures of covert narcissism, distress tolerance, emotion dysregulation, and relationship addiction. The PROCESS macro was used for data analysis.
Results
Both distress tolerance and emotion dysregulation partially mediated the relationship between covert narcissism and relationship addiction. Their double mediating effect was also significant, and the direct effect of covert narcissism on relationship addiction remained significant. This pattern remained when gender was included as a covariate.
Conclusions
Individuals with high covert narcissism are sensitive to negative evaluations and easily hurt, thereby lowering their capacity to tolerate distress and intensifying difficulties in emotion regulation. Subsequently, they attempt to fulfil their unmet needs through others and become excessively absorbed in relationships. Therefore, interventions may be more effective when self-compassion-based approaches are used first to strengthen distress tolerance, followed by emotion regulation skills training, such as dialectical behavior therapy.
Borderline Personality Traits and Insomnia Severity: A Sequential Mediation Model of Maladaptive Cognitive Emotion Regulation Strategies and Pre-Sleep Arousal
Kyoung Hyun Park, Young Ho Lee
STRESS. 2025;33(4):209-215.   Published online December 31, 2025
DOI: https://doi.org/10.17547/kjsr.2025.33.4.209
  • 828 View
  • 27 Download
Abstract PDF
Background
This study examined how borderline personality traits influence insomnia severity.
Methods
Self-report data from 230 adult women were included in the final analysis, to assess borderline personality traits, cognitive emotion regulation, pre-sleep arousal, insomnia severity. Sequential mediation analysis was conducted.
Results
The sequential mediation of maladaptive cognitive emotion regulation and pre-sleep arousal in the relationship between borderline personality traits and insomnia severity was supported.
Conclusions
Individuals with higher borderline personality traits use cognitive emotion regulation strategies that amplify negative emotions during everyday stressful situations, which, in turn, elevate pre-sleep arousal and contribute to greater insomnia severity. From a therapeutic perspective, interventions targeting maladaptive emotion regulation strategies used in response to daily stress, alongside techniques aimed at reducing pre-sleep arousal (e.g., relaxation training), may be particularly beneficial for alleviating insomnia symptoms in this population.
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
  • 3,816 View
  • 82 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.
The Effect of Directed Avoidance on Impulsive Behaviors among Individuals with Traits of Borderline Personality Disorder
Hoi Jin Yoon, Myoung-Ho Hyun
STRESS. 2022;30(4):260-267.   Published online December 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.4.260
  • 5,524 View
  • 116 Download
Abstract PDF
Background
This study aims to examine the emotion regulation effect of directed avoidance on the impulsive behavior of individuals with traits of borderline personality disorder (BPD).
Methods
A total of 44 participants with BPD traits were randomly assigned to the control group (n=22) and treatment group (n=22). Participants in the treatment group were directed to use avoidance when they experienced a negative emotion. Positive and negative emotions and impulsivity were measured before and after the negative emotion was induced; impulsivity was measured using the Stroop test and Contingency Delay task.
Results
The Stroop test’s results demonstrated that there was a significant interaction effect of time and error between the groups, specifically, impulsivity increased in the control group when negative emotions were induced. However, the results of Contingency Delay task were marginally significant. The main effect of directed avoidance on discount rate k slightly increased but did not reach a significant level, and the interaction effect between the groups and time was not found. In the control group, discount rate k significantly increased after directed avoidance was induced; however, it was not significant in the treatment group.
Conclusions
Findings from our study supported the effect of directed avoidance could be used as an emotional regulation method among individuals with traits of BPD, such as controlling impulsive behaviors. Finally, limitations of this study and implications of the short-term intervention method using the immediate emotional control effect of directed avoidance for the future are discussed.
Relationships among Person-Centered Care Competence, Empathy, Mindfulness and Difficulties in Emotional Regulation among Undergraduate Nursing Students
Hee Kyung Chang, Young Joo Do, Sang Mi Han, Bo Ram Kim
STRESS. 2021;29(2):97-105.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.97
  • 9,474 View
  • 386 Download
  • 2 Citations
Abstract PDF
Background

This study aimed to identify the relationship between person-centered care competence, empathy, mindfulness, and difficulties in emotional regulation among undergraduate nursing students.

Methods

The subjects of this study were 220 undergraduate nursing students from three colleges in Gyeongsangnam-do. Data were analyzed using descriptive statistics, Pearson correlation coefficients, Independent t-test, one-way ANOVA, and Scheffé test with SPSS/WIN 21.0.

Results

The mean scores of person-centered care competence, empathy, mindfulness, and difficulties in emotional regulation were 3.82±0.51, 3.48±0.36, 4.17±0.37, 1.46±0.61, respectively. Empathy (r=.33, p< .001) and mindfulness (r=.14, p=.046) were significantly correlated with person-centered care competence.

Conclusions

The results indicate that variables related to person-centered care competence are empathy and mindfulness. Therefore, educational programs for increasing person-centered care competence should include strategies that can be developed to promote and sustain empathy and mindfulness among nursing students.

Citations

Citations to this article as recorded by  
  • Factors associated with the person-centered care competence of nursing students
    Ju Young Park, Chung Hee Woo
    The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef
  • The Mediating Effect of Empathy between Mindfulness and Self-Leadership in Female University Students: A Cross-Sectional Study
    Mikyoung Lee, Mijung Jung
    International Journal of Environmental Research and Public Health.2022; 19(23): 15623.     CrossRef
Distractive Emotion Regulation: The Construct and Its Measurement
Dohyeon Kim, Hae Youn Choi
STRESS. 2021;29(1):11-20.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.11
  • 6,634 View
  • 72 Download
Abstract PDF
Background

Distractive emotion regulation, which relieves arousal through attention shift, protects individuals from strong stress. Distractive emotion regulation is widely used in everyday life and although it has great implications in the context of adaptation such as to addiction, it is generally not considered separately from avoidant regulation, it has neither been clearly defined nor measured.

Methods

Through a literature review and qualitative analysis, we selected adults’ distractive emotion regulation behaviors. We explored the construct by developing measurement on the distractive behaviors that adults use to regulate emotion.

Results

Factor analysis revealed that distractive emotion regulation consisted of four factors: “consumption distraction” concerned with activities such as shopping, internet use, and TV viewing; “arousal control distraction” related to activities such as exercise, bathing, and deep breathing; “reserving distraction” pertaining to activities such as eating, sleeping, and listening to music; and “aggressive distraction” involving behaviors such as bullying, physical destructiveness, or cursing. Each factor had a different correlation with stress coping dimensions and subjective well-being.

Conclusions

Distractive emotion regulation is a multidimensional concept composed of sub-factors with different functions and clinical implications in daily life.

The Mediating Effect of Cognitive Emotion Regulation Strategy on the Relationship between Emotion Malleability Beliefs and Depression, Anxiety in Individual with Generalized Anxiety Tendency
Hyeong Taek Kim, Myoung-Ho Hyun
STRESS. 2019;27(4):337-343.   Published online December 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.4.337
  • 5,530 View
  • 135 Download
  • 1 Citations
Abstract PDF
Background:

The purpose of this study is to investigate the effects of cognitive emotion regulation strategy on the relationship between emotion malleability beliefs and depression, and between emotion malleability beliefs and anxiety in Individuals with GAD (Generalized anxiety disorder) symptoms.

Methods:

The 103 individuals with GAD symptoms respond to the questionnaires measuring emotion malleability beliefs, cognitive emotion regulation strategy, depression, anxiety.

Results:

Data from this study show that maladaptive cognitive emotion regulation strategy mediates the effect of emotion malleability beliefs on depression and anxiety. Adaptive cognitive emotion regulation strategy has no mediating effect on them.

Conclusions:

These results suggest that making the individuals with GAD have emotion malleability beliefs or educating them on emotion regulation strategy may not be enough. Therefore, practical intervention is needed in the overall emotion regulation. Finally, this paper includes implications, limitations, and suggestions for the future study.

Citations

Citations to this article as recorded by  
  • Exploring the Major Factors Affecting Generalized Anxiety Disorder in Korean Adolescents: Based on the 2021 Korea Youth Health Behavior Survey
    Mi-Lyang Kim, Kyulee Shin
    International Journal of Environmental Research and Public Health.2022; 19(15): 9384.     CrossRef
The Mediating Effect of Cognitive Flexibility in the Relationship between Emotional Clarity and Emotion Regulation: Comparison of Self-Reported and Task Measurement of Cognitive Flexibility
Soomin Kim, Myoung-Ho Hyun
STRESS. 2018;26(3):159-165.   Published online September 30, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.3.159
  • 7,176 View
  • 122 Download
  • 3 Citations
Abstract PDF
Background:

This study investigates the function of cognitive flexibility in the relationship between emotional clarity and emotion regulation and examines the differential effect between belief and ability for cognitive flexibility on them.

Methods:

The 151 participants respond to the questionnaires measuring emotional clarity, emotion regulation, and cognitive flexibility, which is also measured by task reflecting on real ability.

Results:

Data from this study show that self-reported cognitive flexibility mediates the effect of emotional clarity on emotion regulation. Cognitive flexibility measured by task has no mediating effect on them.

Conclusions:

These results suggest the cognitive flexibility play a role in the mechanism linking emotional clarity to emotion regulation and belief of own’s ability to cope flexibly is more important than real ability. Finally, this paper includes implications, limitations, and suggestions for the future study.

Citations

Citations to this article as recorded by  
  • Cognitive Flexibility as a Mediator Between Nature Relatedness and Emotion Appraisal Among Adolescents
    V.R. Akshayalakshmi, M. Vinothkumar
    Ecopsychology.2024; 16(3): 219.     CrossRef
  • Erken Doğum Sonrası Dönemdeki Kadınların Bilişsel Esneklik ve Bilişsel Duygu Düzenleme Durumlarının Annelik Rolü Üzerine Etkisi: Kesitsel Web Tabanlı Bir Çalışma
    Habibe Bay Özçalık, Süreyya Kılıç, Sema Dereli Yılmaz
    Turkish Journal of Family Medicine and Primary Care.2024; 18(3): 346.     CrossRef
  • An Intervention Program Targeting Daily Adaptive Skills Through Executive Function Training for Adults with Autism Spectrum Disorder: A Pilot Study
    Joo Hyun Kim, Young Ah Kim, Da-Yea Song, Hwi Bin Cho, Han Bit Lee, Ji Hye Park, Jung In Lim, Min Hee Hong, Paul Kyuman Chae, Hee Jeong Yoo
    Psychiatry Investigation.2021; 18(6): 513.     CrossRef
The Relationship between Post-Traumatic Growth, Trauma Experience and Cognitive Emotion Regulation in Nurses
Sook Lee, Mun Gyeong Gwon, YeonJung Kim
STRESS. 2018;26(1):31-37.   Published online March 31, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.1.31
  • 5,862 View
  • 166 Download
  • 8 Citations
Abstract PDF
Background:

The purposes of this study were to identify the relationships among post-traumatic growth, trauma experience, cognitive emotion regulation (adoptive and maladoptive) and to determine the influences on post-traumatic growth in nurses.

Methods:

The participants were 105 nurses in Chung-Nam and Gyeonggi-do. Some variables related to post-traumatic growth, trauma experience, cognitive emotion regulation were measured using reliable instruments.

Results:

There showed significant positive relationships of post-traumatic growth with adoptive cognitive emotion regulation. Among predictors, adoptive cognitive emotion regulation, career and position had statistically significant influence on post-traumatic growth.

Conclusions:

These results suggest that intervention on post-traumatic growth that targets the adoptive cognitive emotion regulation may be helpful in enhancing post-traumatic growth in nurses.

Citations

Citations to this article as recorded by  
  • Latent Patterns of Posttraumatic Stress Symptoms, Depression, and Posttraumatic Growth Among Adolescents During the COVID‐19 Pandemic
    Rui Zhen, Xiao Zhou
    Journal of Traumatic Stress.2022; 35(1): 197.     CrossRef
  • Post-Traumatic Growth of Nurses in COVID-19 Designated Hospitals in Korea
    Suk-Jung Han, Ji-Young Chun, Hye-Jin Bae
    International Journal of Environmental Research and Public Health.2022; 20(1): 56.     CrossRef
  • Factors Influencing Post-traumatic Growth of Nurses at Nationally Designated Infectious Disease Hospital
    Ji Eun Oh, Ju Young Park
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 499.     CrossRef
  • Predictors of posttraumatic growth of intensive care unit nurses in Korea
    Ae Kyung Chang, Hyejin Yoon, Ji Hyun Jang
    Japan Journal of Nursing Science.2021;[Epub]     CrossRef
  • Caregivers' psychological suffering and posttraumatic growth after patient death
    Eunmi Lee, Yujeong Kim
    Perspectives in Psychiatric Care.2021; 57(3): 1323.     CrossRef
  • Nursing Heroes Under Social Pressure: An Review of the Refusal to Care
    Jeong Yun PARK
    Korean Journal of Medical Ethics.2021; 24(1): 89.     CrossRef
  • The Structural Analysis of Variables Related to Posttraumatic Growth among Psychiatric Nurses
    Hyun Ju Yeo, Hyun Suk Park
    Journal of Korean Academy of Nursing.2020; 50(1): 26.     CrossRef
  • Traumatic Events and Factors Affecting Post-traumatic Growth of Nurses in General Hospitals
    Haesook Kim, Eunsook Kim, Younghee Yu
    Journal of Korean Academy of Nursing Administration.2020; 26(3): 218.     CrossRef
A Moderating Effect of Adaptive Cognitive Emotion Regulation on the Relationship between Internalized Shame and Adaption to College of Chinese International Students
Hae-kyung Koo, Yun-Kyung Cho, Hee-Joong Kim, Myoung-Ho Hyun, Xinyu Gu
STRESS. 2017;25(4):233-238.   Published online December 31, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.4.233
  • 4,498 View
  • 29 Download
  • 1 Citations
Abstract PDF
Background:

The purpose of present study was to examine a relation between internalized shame and adaption to college life of Chinese international students and to identify a moderating role of adaptive cognitive emotion regulation on this relation. 

Methods:

A sample of 173 Chinese international students in Seoul was recruited to answer the questionnaires of internalized shame, adaptive cognitive emotion regulation (acceptance & positive reappraisal) and adaption to college. 

Results:

Internalized shame showed a significant negative correlation with adaption to college. So, the higher internalized shame was, the lower adaption to college showed. And the internalized shame was negative effect on level of adaption to college when level of acceptance was high, but the effect of internalized shame on adaptation to college was disappeared when level of acceptance was low. The similar result was also found in positive reappraisal. So, the moderating effect of acceptance and positive reappraisal on the relation between internalized shame and adaption to college was confirmed.

Conclusions:

These results suggest that during clinical intervention, practitioners should consider internalized shame as a risk factor and cognitive emotion regulation as a protective factor when dealing with foreign students’ adaption in college.  

Citations

Citations to this article as recorded by  
  • Does Compassion-Focused Therapy-Based Online Intervention Work for Chinese International Students With High Self-Criticism? A Randomized Controlled Trail
    Xinyu Gu, Shasha Li, Myoung-Ho Hyun
    Sage Open.2022;[Epub]     CrossRef
The Relation between Self-Encouragement, Perceived Stress and Psychological Well-Being: The Moderated Mediating Effect of Support-Seeking Emotion Regulation Style
Jee-Ae Huh, Jung Mun Kim
STRESS. 2017;25(1):44-51.   Published online March 31, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.1.44
  • 4,304 View
  • 51 Download
  • 3 Citations
Abstract PDF

The study examined how self-encouragement, support-seeking emotion regulation style and perceived stress impact on psychological well-being in early adulthood. Specifically, self-encouragement through perceived stress affects psychological well-being. At the same time, support-seeking emotion regulation style sets the moderated mediating effect to moderate the impact of perceived stress on psychological well-being and it is verified. The subject of this study were conducted targeting 404 people of early adulthood (age 18∼40) in the metropolitan area. First, it shown to self-encouragement reduces perceived stress. Second, the perceived stress has been found to affect the psychological well-being. Third, self-encouragement influences psychological well-being. Finally, support-seeking emotion regulation style was never an insignificant effect, but perceived stress moderated impact on psychological well-being. This study demonstrated the mediating role of perceived stress in the relationship of self-encouragement and psychological well-being. In addition, the significance is being said that perceived stress and psychological well-being can be adjusted depending on the level of support-seeking emotion regulation style. The results of this study would be expected to provide useful data in counseling interventions in counseling scene for the psychological well-being of the early adults.

Citations

Citations to this article as recorded by  
  • Development and evaluation of Adler’s early recollection program for nursing students
    Yeon-Gyo Cho
    The Journal of Korean Academic Society of Nursing Education.2026; 32(1): 18.     CrossRef
  • Encouragement as a Protective Factor for New Christian Pastors
    Diana R. Williams, Paula Thompson
    Pastoral Psychology.2022; 71(4): 455.     CrossRef
  • The Mediating Effect of Self-Efficacy and Coping Strategy in Relation to Job Stress and Psychological Well-Being of Home-Visiting Care Workers for Elderly during the COVID-19 Pandemic
    Hee-Kyung Kim, Jeong-Hyo Seo, Cheol-Hee Park
    International Journal of Environmental Research and Public Health.2022; 19(19): 12164.     CrossRef

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