This study aims to identify factors influencing burnout in nurses during COVID-19 disaster situations.

The research subjects were 131 nurses who had the experience of nursing patients during the COVID-19 pandemic, and were selected through convenience sampling. The collected data were subjected to percentage, mean and standard deviation, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis using the SPSS version 24.0 program.

Burnout in nurses showed a statistically significant correlation with anxiety, PTSD, and depression. It was also confirmed that nurses’ depression and shift work were important factors that had significant effects on burnout.

In preparation for new infectious diseases that are expected to become more frequent in the future, a policy to supply nursing manpower and prevent burnout is necessary. In addition, it is necessary to introduce various work systems and develop and disseminate intervention programs for depression and burnout.

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.

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.

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).

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.

Although adults with acne vulgaris suffer from various psychological difficulties, limited therapeutic research has been conducted on this topic. This study examined the effect of self-compassion writing on self-discrepancy, social anxiety, and skin-related quality of life in these adults.

A total of 46 adults were assigned to one of three groups: self-compassion writing group (n=16), distraction writing group (n=15), and control group (n=15). Treatment included 20 minutes of writing in 6 sessions conducted over two weeks. A follow-up test was conducted two weeks after the post-test.

The results indicated that the self-compassion writing group showed a significant decrease in self-discrepancy and social anxiety and a borderline significant increase in skin-related quality of life as compared to the control group.

Based on the results of this study, self-compassion writing could be an effective self-instructional intervention for adults with acne vulgaris. The limitations and suggestions for further studies have been discussed in this study.

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.

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

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.

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

This study is a randomized control trial (RCT) to compare the effects of the electrocardiogram waveform simulation-based Healing Rhythm System on stress, electroencephalography (EEG), heart rate, and anxiety on healthy college students. Healthy college students without any disease were recruited. A total of 68 participants were collected and analyzed in 31 experimental groups, 17 placebo group, and 20 control group.

The analysis method was repeated measurement of ANOVA and it was conducted 8 times in total. The effect measurement was checked before and after exposure to stressors and six times every five minutes after intervention.

The results of the study showed that stress was significantly different in the experimental group at 10 minutes (F=4.33, p=.017) and 15 minutes after the intervention, and the EEG was significantly different in the experimental group at the relative alpha Fp1, F3 (F=5.753, p=.005) after the intervention, and the heart rate was significantly different in the experimental group at 15 minutes and 20 minutes (F=3.586, p=.033). The anxiety was significantly different in the experimental group after the pre and post-treatment of stressors (F=18.609, p<.001).

Therefore, HR system will be widely used as a program to induce calming to healthy university students in stressful situations.

The purpose of this study was to investigate the relationships between perfectionistic self-presentation and social anxiety, how coping style moderated those factors.

This study targeted 389 college students in chungcheongbuk-do province as research tools. Participants completed the Korean version of the Perfectionistic Self Presentation scale, Social Interaction Anxiety Scale, and Coping style Scale. That were analyzed by descriptive statistics, correlation, and hierarchical regression analysis using the SPSS 18.0 program.

The results showed that perfectionistic self-presentation, social anxiety, passive coping were positive association. And hierarchical regression analysis showed that, when passive coping was high, the high perfectionistic self-presentational group reported significantly higher social anxiety than the low perfectionistic self-presentational group.

These results suggested the importance of perfectionistic self presentation and coping style in psychological approach to college students who have difficulty in social anxiety problems. And directions for future research were also discussed.

Negative urgency is a tendency to engage in rash behaviors when experiencing negative emotions such as depression, anxiety, and stress, and is known to predict addictive behaviors. This study aimed to investigate the effect of negative urgency on smartphone addiction as one of behavioral addictions.

Self-report questionnaires were administered to 350 college (graduate) students to assess the level of depression, anxiety, stress, negative urgency, and smartphone addiction.

Regression and bootstrapping analyses showed that negative urgency partially mediated the relationships between each of depression, anxiety, and stress and smartphone addiction, even after controlling for age, sex, and average time spent on smartphone per day.

Negative emotions such as depression, anxiety, or stress affect smartphone addiction through negative urgency. This finding suggests that intervention for smartphone addiction should focus not only on negative emotions but also on reducing negative urgency. Further implications and limitations of this study are discussed.

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.

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

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.

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.

The purpose of this study was to examine the influence of pathological narcissism on social anxiety, and the dual mediating effects of difference of self-presentation motivation and self-presentation expectancies and anger rumination.

A total of 307 college students participated in this study by completing the questionnaires and to solve the research questions, AMOS and bootstrapping analysis was employed.

First, pathological narcissism had a significant interrelation to self-presentation motivation, self-presentation expectancies, anger rumination, and social anxiety. Second, it was confirmed that pathological narcissism affected social anxiety by mediating both difference of self-presentation motivation and self-presentation expectancies and anger rumination. Third, the dual mediating effects of difference of self-presentation motivation and self-presentation expectancies and anger rumination on the relationship between pathological narcissism and social anxiety was found.

Implication for empirical research and clinical practice regarding treatment of clients with pathological narcissism and social anxiety are discussed. Limitation of current research and suggestions for future study are discussed.

This study aimed to evaluate relationships between attention-deficit/hyperactivity disorder (ADHD) symptoms, depression, suicidal ideation, anxiety, impulsiveness, burnout, self-esteem and quality of life and social sorkers group in Korea.

A set of questionnaires were provided to a total of 153 social workers and 454 other participants as a comparison group. All subjects were evaluated using the Korean Adult Attention- Deficit/Hyperactivity Disorder Scales, the Beck’s Depression Inventory, Beck’s Scale of Suicide Ideation, Beck’s Anxiety Inventory, Baratt’ Impulsiveness Scale, Maslach Burnout Inventory, Rosenberg‘s Self-esteem Inventory, Quality of Life Scale.

The participants who belonged to the social workers group were more likely to demonstrate the symptoms of ADHD and higher levels of depression, suicide idea, anxiety, impulsiveness, burnout and lower levels of self-esteem, quality of life. Further, the results of logistic regression analysis confirmed the association between the social workers group and ADHD symptoms, depression, self-esteem.

Timely and effective evaluation and treatment of ADHD, self-esteem, as well as depression was required for social workers.

This study aimed to examine the influence of anxiety sensitivity on task performance and physiological stress response, and to assess the effect of depression in this process for the youth population.

We presented participants with an uncontrollable stress situation where they were required to perform mental arithmetic, based on the Montreal Imaging Stress Task (MIST). A total of 29 participants volunteered for this study. They completed the Anxiety Sensitivity Index-Revised and Patient Health Questionnaire-9 to measure their levels of anxiety sensitivity and depression. Two saliva samples, one before and one after the experiment, were collected to assess the change in cortisol levels as an index of physiological stress response.

Participants with high anxiety sensitivity showed lower performance on the mental arithmetic tasks and a significant increase in a salivary cortisol level, compared to those with low anxiety sensitivity. Furthermore, cortisol levels showed a remarkable increase where high anxiety sensitivity was coupled with depressed mood. In other hands, the levels of cortisol remained unchanged despite high anxiety sensitivity with low depressed mood.

Our results confirm that the interaction between anxiety sensitivity and depression affects participants’ task performance and stress response, as measured through behavioral tasks and physiological data with self-report indices. Also, through the physiological data, we examined that those who have a high level of anxiety sensitivity showed maladaptive responses under high stressful situation.

This study aimed to examine the effect of anxious attachment on social anxiety in college students and to identify the mediation effects of self-esteem, shame and narcissistic vulnerability in using structural equation modeling.

College students participated in this study.

First, all variables in this study had statistically significant correlation. Second, the relationship of anxious attachment and social anxiety was significantly mediated by self –esteem and shame, respectively. Finally, the two serial multiple mediation effects were also significant from anxious attachment to self-esteem, shame and narcissistic vulnerability or social anxiety successively.

These results suggest that students’ unstable attachment can affect social anxiety or narcissistic vulnerability by mediating negative affect such as low self-esteem and shame. An intervention for students’ social anxiety is important in controlling their mental health.

This study aims to analyze the effects of traumatic experience and post-event rumination which are known as occurrence and maintenance factors of social anxiety and verify the mediating effect of self-compassion to the relationship between traumatic experience and post-event rumination.

This study targeted 421 university students as research tools. Social Interaction Anxiety Scale (SIAS), Speech Anxiety Scale (SAS), Traumatic Experience Scale, Post-event Rumination Questionnaire (PRQ) and Korean-version of the Self-Compassion Scale (K-SCS) were used. The study results are as follows.

The results showed that social anxiety was high and self-compassion was low when traumatic experience was more frequent and post-event rumination was more frequent. Self- Compassion showed mediating effect in traumatic experience, post-event rumination and social anxiety. It can be interpreted that self-compassion indirectly reduces social anxiety.

While existing social anxiety-related studies have been mostly focused on negative cognition, this study explored self-compassion as a positive variable to reduce social anxiety. In conclusion, this study shows the importance of self-compassion promotion, traumatic experience and post-event rumination in therapeutic intervention for people who experience social anxiety. Including this, the study has discussed its limitations and made suggestions.

This study examined the effect of feedback manipulation on anticipatory anxiety, perceived others’ expectations, and social ability insocially anxious individuals.

One hundred individuals with high social anxiety and one hundred individuals with low social anxiety screened by Social Phobia Scale (SPS) were randomly assigned to four feedback conditions (i.e., the positive feedback condition, the non-negative feedback condition, the negative feedback condition, and the non-positive feedback condition).

In the two positive feedback conditions (i.e., the positive feedback condition and the non-negative feedback condition), following feedback manipulation, participants experienced increased perceived others’ expectations, increased perceived social ability, and reduced anticipatory anxiety regardless of participants groups. In the two negative feedback conditions (i.e., the negative feedback condition and the non-positive feedback condition), following feedback manipulation, participants experienced reduced perceived others’ expectations, unvarying anticipatory anxiety, and unvarying social ability. Individuals with high social anxiety rated feedback acception in the two negative feedback conditions higher than in the two positive feedback conditions.

The clinical implications and limitations of the present study were discussed.

This study aimed to evaluate the comparison of exhaustion, ADHD, self-esteem, impulsivity, suicidal tendencies and quality of life as well as depression and anxiety in nurses group and comparison group in Korea.

A set of questionnaires was provided to a total of 97 nurses and 310 other participants as a comparison group. All subjects were evaluated using the Beck’s Depression Inventory, Beck’s Anxiety Inventory, Maslach Burnout Inventory, Korean Adult Attention Deficit Hyperactivity Disorder Scales, Rosenberg’s Self-esteem Inventory, Baratt’ Impulsivity Scale, Beck’s Scale of Suicide Ideation, and Quality of Life Scale.

The results of this study indicated that the nurses were more likely to show depression, anxiety, exhaustion, impulsivity, and quality of life. In the multiple regression analysis, nurses group was the most correlated factor in exhaustion. In addition, anxiety, depression, impulsivity, ADHD, self-esteem, and life satisfaction were also correlated to exhaustion.

Timely and effective evaluation and treatment of impulsivity, as well as depression and anxiety were required for nurses.

This study investigated whether pre- and peri-disaster experiences influence on Post-Traumatic Stress Disorder (PTSD) and whether post-disaster stress by life changes have impact on PTSD after controlling pre- and peri-disaster factors.

Data came from a sample of 1,182 respondents who experienced natural disasters (flood and typhoon) in South Korea from 2012 to 2015. The SPSS Win 22.0 program was used for descriptive analysis, t-test, Chi-square test, Pearson’s correlation and logistic regression analysis.

The results indicated that 24.3% of the disaster victims were in PTSD risk group. Compared with non-PTSD, PTSD risk group showed lower interpersonal trust and satisfaction, higher depression and anxiety, and lower subjective well-being. The results of hierarchical logistc regression revealed that all pre-, peri-, and post-disaster factors increased the probability of developing PTSD, except for relocation of residence. Moreover, a primary post-disaster predictor of PTSD was economic distress after controlling for pre- and peri-disaster.

This study tested relative contributions of post-disaster factors on PTSD.

This study was conducted to examine the impact of hospice service experiences on the volunteers’ attitudes toward life and death.

Study 1 examined differences in life and death attitudes between hospice volunteers, hospice service trainees, and lay people using one-way ANOVA. Study 2 conducted in-depth interview with 10 hospice-patient care volunteers who had at least 3 years of experience.

After analyzing differences between three groups of lay people, hospice trainees and hospice volunteers, both hospice trainees and hospice volunteers compared to lay people showed lower pursuit of power and achievement, which can be interpreted as a characteristic of people motivated to volunteer, rather than volunteering itself. However, only hospice volunteers reported highly of religion and community as factors of meaningful life. Also, the volunteer group showed significantly lower death anxiety compare to the group without volunteer experience. Result of qualitative study showed that people realized the importance of family and altruistic lifestyle and prepared their own demise in their lives after volunteering.

These findings suggest that experiences of hospice service may be associated with self-transcendent life and positive death attitudes.

Purpose of this study was to investigate effect of religious & existential spirituality on death anxiety and difference of death anxiety according to sex and presence of spouse. Also we studied the moderating effect of sex in the process of religious & existential l spirituality affecting death anxiety.

A total of 424 subjects were enrolled and the mean age was 38.14 years (SD=11.69).

First, Effect of religious & existential l spirituality on total score of death anxiety was not significant. But, there was differences in sub death anxiety. The higher religious spirituality, the lower fear of dying early and the higher existential spirituality, the lower fear of dying process and the higher fear of loss of important persons. Second, death anxiety of woman higher than man. Furtherrmore, death anxiety of woman with spouse higher then woman without spouse and man. Third, main effect of & existential spirituality and sex on fear of dying process and loss of important person was significant, Interaction effect of spirituality and sex was not significant. Also, main effect of & religious spirituality on fear of dying early was not significant and interaction effect of existential spirituality and sex was significant. There was no gender difference in the low existential spiritual group, but death anxiety of man was lower than woman in the high group.

It is necessary to distinguish multiple aspects of death anxiety, to search and verify effects of spirituality on various death anxiety.

This study was a descriptive research study conducted to investigate the influences of cognitive emotion regulation and social support on social anxiety among nursing students.

The participants were 672 nursing department students at a university. The participants were surveyed using structured questionnaires for cognitive emotion regulation, social support, and social anxiety from March to May 2017.

The results showed that the absence of social conflict, rumination of cognitive emotion regulation, and social support were found to affect social anxiety; these variables predicted the social anxiety of nursing students by 27%. The social anxiety of nursing students also varied according to religion, satisfaction with their nursing major, and academic achievement. There was a positive correlation between cognitive emotion regulation and social anxiety, but a negative correlation between social support and social anxiety.

This study was significant in demonstrating that cognitive emotion regulation and social support of nursing students are verified factors affecting social anxiety. It is necessary to consider cognitive emotion regulation and social support when developing an intervention program to reduce social anxiety in nursing students.

The aim of the present study was to investigate the psychological mechanisms of the variables affecting speech anxiety.

A total of 550 undergraduate and graduate students, who agreed to take part in the current study, participated and data were collected through online survey. A serial multiple mediated model was tested using the SPSS macro by Hayes.

Internalized shame and intolerance of uncertainty completely mediated the relationship between evaluative concerns perfectionism and speech anxiety. Serial multiple mediating effects of internalized shame, and intolerance of uncertainty were also verified.

These results suggest that intervention on trait variable that targets the internalized shame and intolerance of uncertainty may be helpful in reducing speech anxiety in undergraduate and graduate students.