STRESS

Original Articles

Mediating Effect of Acceptance and Moderated Mediation by Emotional Reactivity in the Relationship Between Awareness and Anxiety: Chang Soo Han, Boyoung Kim; STRESS. 2025;33(2):103-110. Published online June 30, 2025; DOI: https://doi.org/10.17547/kjsr.2025.33.2.103

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Abstract PDF: Background
This study aimed to examine the mediating effect of acceptance and the moderated mediation effect of emotional reactivity in the relationship between awareness and state anxiety.
Methods
A total of 395 Korean adults participated in this study. Participants completed self-report measures of awareness, state anxiety, acceptance, and emotional reactivity. Data were analyzed using PROCESS macro to test for mediation and moderated mediation effects.
Results
The findings indicated that acceptance significantly mediated the relationship between awareness and state anxiety. Moreover, emotional reactivity significantly moderated the association between awareness and acceptance. A significant moderated mediation effect was also observed, suggesting that the indirect effect of awareness on state anxiety through acceptance differed depending on levels of emotional reactivity.
Conclusions
These results elucidate the mechanisms underlying mindfulness, indicating that its anxiety-reducing effects via acceptance depend on individual differences in emotional reactivity. The study offers suggestions for the clinical application of mindfulness-based interventions, emphasizing the importance of tailoring strategies to clients’ emotional sensitivity.

Emotional Dissonance and Coping Strategies According to the Emotional Processing Type of Call Center Counselors: SoonJin Choi, HaeYoun Choi; STRESS. 2024;32(3):153-160. Published online September 30, 2024; DOI: https://doi.org/10.17547/kjsr.2024.32.3.153

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Abstract PDF: Background
This study explored the emotional processing types of call center counselors and examined the differences in emotional dissonance and related adaptation indicates of coping strategies, emotional exhaustion and work performance orientation according to the types.
Methods
A total of 271 call center agents (204 females, 67 males; mean age 36.5) participated in the study. Latent class analysis of emotional awareness, emotional expression, ambivalence over emotional expression were conducted. Analysis of variance(ANOVA) was used to examine differences in adaptation indicators according to emotion processing type.
Results
Emotional processing types were categorized into Clear(CG), Passive(PG) Repressive(RG) groups. The CG showed low emotional dissonance, good adaptation indicates and functional coping strategies whereas results for the RG type revealed the opposite.
Conclusions
By distinguishing between emotional processing types, this study found that emotional processing type is more closely correlated with burnout and work performance orientation than emotional dissonance itself.

The Effect of Perceived Stress on Drinking Problem of Korean College Students: From the Perspective of Escape Theory: Dawon Yoon, Youngho Lee; STRESS. 2023;31(1):1-10. Published online March 31, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.1.1

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1 Citations

Abstract PDF

Background
This study examined how the perceived stress of college students leads to drinking problems based on the Escape Theory.
Methods
A total of 485 college students were surveyed. A moderated mediation analysis was used to test the hypotheses.
Results
Since no significant correlation was found between perceived stress and drinking problem, the dependent variable was replaced with problematic drinking, a sub-factor of drinking problem. Escape from self fully mediated the relationship between perceived stress and problematic drinking. The interaction of perceived stress and dysfunctional self-focus was correlated with escape from self. Coping motives to drinking strengthened the pathways from escape from self to problematic drinking.
Conclusions
This study shows the need for therapeutic interventions to curb college students’ drinking problems. This study’s significance and limitations are also discussed.

Citations

Citations to this article as recorded by

The Relationship between Perceived Stress, Subjective Health Status, and Symptoms of Dry Eye and Dry Mouth among Optometry Students at a University
Se-Jin Kim, Min-Hee Hong
The Korean Journal of Vision Science.2024; 26(3): 195. CrossRef

Korean Multidimensional Assessment of Interoceptive Awareness (K-MAIA): Development and Validation: Wan-Suk Gim, Kyo-Lin Sim, Ok-Kyung Cho; Korean J Str Res. 2016;24(3):177-192. Published online September 30, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.3.177

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16 Citations

Abstract PDF Supplementary Material

In this study, based on a critical review of the 32-item Multidimensional Assessment of Interoceptive Awareness (Mehling, Price, Daubenmier, Acree, Bartmess & Stewart, 2012; MAIA), a 32-item Korean edition of MAIA was developed in a pilot study and validated in two studies. In a pilot study, the 32 items of MAIA were adapted to Korean language, then administered to 253 adults for item analysis. Based on the results on item discrimination, internal consistency, and exploratory factor analysis, the scale was revised and reconstructed. In the study 1, the scale was administered to 295 adults; reliability analysis and exploratory factor analysis were performed, and correlation coefficients with other related scales were examined. In addition, interoceptive awareness was compared among groups with varying experiences in training related to interoceptive awareness. In the study 2, the scale was administered to 223 adults; confirmatory factor analysis was performed. Results showed that the Korean edition of MAIA with a total of 32 items and six factors had sufficient reliability and validity, demonstrating a high reliability based on internal consistency of .94, theoretically consistent levels of correlation coefficients with other scales, and satisfactory construct validity. The study concludes with discussions on implications and limitations of the study.

Citations

Citations to this article as recorded by

Czech Version of the Multidimensional Assessment of Interoceptive Awareness (MAIA): Psychometric Evaluation and Network Model
Adam Klocek, Tomáš Řiháček, Hynek Cígler
Mindfulness.2025; 16(2): 403. CrossRef
Neural Processes Linking Interoception to Moral Preferences Aligned with Group Consensus
JuYoung Kim, Hackjin Kim
The Journal of Neuroscience.2025; 45(23): e1114242025. CrossRef
Body trust in Korean population: validation of the Korean version of the body trust scale
Yunyoung Oh, Jang-Won Seo
Frontiers in Psychiatry.2025;[Epub] CrossRef
The Relationship Between Interoceptive Awareness, Emotion Regulation and Clinical Symptoms Severity of Depression, Anxiety and Somatization
Su Jin Lee, Mimi Lee, Hyeong Beom Kim, Hyu Jung Huh
Psychiatry Investigation.2024; 21(3): 255. CrossRef
The association between interoception and olfactory affective responses
Tomohiro Arai, Tomoko Komano, Taro Munakata, Hideki Ohira
Biological Psychology.2024; : 108878. CrossRef
Body Awareness in Patients With Depression and/or Anxiety Disorder
Su Jin Lee, Hyeong Beom Kim, Hyu Jung Huh
Journal of Korean Neuropsychiatric Association.2023; 62(1): 63. CrossRef
Pilot Study About the Effects of the Soma Experiencing Motion (Soma e-Motion) Program on Interoceptive Awareness and Self-Compassion
Mi-Sun Lee, Sun Je Kim, Jeong-Ho Chae, Soo-Young Bhang, Mimi Lee, Hyeong Beom Kim, Hyu Jung Huh
Psychiatry Investigation.2023; 20(3): 284. CrossRef
Psychometric properties of an Arabic translation of the multidimensional assessment of interoceptive awareness (MAIA-2) questionnaire in a non-clinical sample of Arabic-speaking adults
Feten Fekih-Romdhane, Diana Malaeb, Mirna Fawaz, Nancy Chammas, Michel Soufia, Sahar Obeid, Souheil Hallit
BMC Psychiatry.2023;[Epub] CrossRef
Validation of the shortened 24-item multidimensional assessment of interoceptive awareness, version 2 (Brief MAIA-2)
Aleksandra M. Rogowska, Rafał Tataruch, Klaudia Klimowska
Scientific Reports.2023;[Epub] CrossRef
Interoceptive Awareness Among the General Public in Saudi Arabia: A Cross-Sectional Study
Ebtihaj Omar Fallata, Kadeja Abdulrahman Bashekah, Reem Mohammed Alqahtani, Sohaib Essam Althagafi, Mohammed Hisham Bardesi, Abdulaziz Mustafa Adnan, Mohammed Ali Alfaqih, Abdulrahman Mauafaq Aljifri, Hind Mauafaq Aljifri
Cureus.2023;[Epub] CrossRef
Open-Label Placebo Treatment for Experimental Pain: A Randomized-Controlled Trial with Placebo Acupuncture and Placebo Pills
Seoyoung Lee, Dha-Hyun Choi, Minyoung Hong, In-Seon Lee, Younbyoung Chae
Journal of Integrative and Complementary Medicine.2022; 28(2): 136. CrossRef
Multidimensional assessment of ınteroceptive awareness (MAIA 2): psychometric properties of the Turkish version
Saliha ÖZPINAR, Emre DUNDER, Yaşar DEMİR, Melih AKYOL
Journal of Health Sciences and Medicine.2021; 4(2): 132. CrossRef
Translation and validation of a Bahasa Malaysia (Malay) version of the Multidimensional Assessment of Interoceptive Awareness (MAIA)
Jennifer Todd, David Barron, Jane E. Aspell, Evelyn Kheng Lin Toh, Hanoor Syahirah Zahari, Nor Azzatunnisak Mohd. Khatib, Viren Swami, Yee Cheng Kueh
PLOS ONE.2020; 15(4): e0231048. CrossRef
Multidimensional Assessment of Interoceptive Awareness: Psychometric Properties of the Portuguese Version
Joana Machorrinho, Guida Veiga, Jorge Fernandes, Wolf Mehling, José Marmeleira
Perceptual and Motor Skills.2019; 126(1): 87. CrossRef
Investigating Multidimensional Interoceptive Awareness in a Japanese Population: Validation of the Japanese MAIA-J
Masayasu Shoji, Wolf E. Mehling, Martin Hautzinger, Beate M. Herbert
Frontiers in Psychology.2018;[Epub] CrossRef
Brain responses and self-reported indices of interoception: Heartbeat evoked potentials are inversely associated with worrying about body sensations
Mindaugas Baranauskas, Aida Grabauskaitė, Inga Griškova-Bulanova
Physiology & Behavior.2017; 180: 1. CrossRef

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