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Original Article
A Validation Study of the Korean Version of the Moral Injury Outcome Scale
Hyeonchan Kim, Yun-Kyeung Choi
STRESS. 2025;33(2):74-92.   Published online June 30, 2025
DOI: https://doi.org/10.17547/kjsr.2025.33.2.74
  • 1,615 View
  • 53 Download
Abstract PDF
Background
Moral injury (MI) refers to the psychological and functional consequences of potentially morally injurious events (PMIEs), involving perceived violations of deeply held moral beliefs. This study aimed to evaluate the reliability and validity of the Korean version of the Moral Injury Outcome Scale (K-MIOS) and to examine its applicability in Korean populations.
Methods
A total of 546 Korean adults who had experienced at least one PMIE completed an online survey. The sample was randomly split into two groups (n=273 each) for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Convergent and discriminant validity were assessed using correlation analyses with related psychological constructs. Signal detection analysis was performed to identify the optimal cutoff score indicating clinically significant and potentially targetable MI.
Results
EFA and CFA supported a two-factor structure for the K-MIOS, with good internal consistency. The K-MIOS showed significant positive correlations with PMIE exposure, MI, post-traumatic cognitions and emotions, post-traumatic stress symptoms, general psychological distress, and psychosocial dysfunction, supporting its construct validity. Signal detection analysis identified a cutoff score of 27 as optimally efficient for identifying individuals with clinically significant MI.
Conclusions
The K-MIOS showed robust psychometric properties and is suitable for assessing MI in Korean adults. This study provides initial evidence for a screening threshold, that may help identify individuals at clinical risk for MI.
Review Article
An Integrative Review of Psychosocial Intervention Programs for Children and Adolescents who Experienced Traumatic Events
Eun-Mi Seol, Soo-Hyun Nam
STRESS. 2024;32(3):121-132.   Published online September 30, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.3.121
  • 2,892 View
  • 116 Download
Abstract PDF
Background
This integrative review study aims to analyze the core components, intervention strategies, and effects of psychosocial intervention programs conducted for children and adolescents in Korea who have experienced traumatic events.
Methods
The integrative review involved a search of major domestic databases using key terms such as 'children’, 'adolescents’, 'trauma’, 'post-traumatic stress’, 'intervention’, and 'education’. A total of 10 studies were selected for analysis based on predefined criteria.
Results
The 10 selected studies were categorized into three types of interventions based on the environment and structure of the intervention delivery: individual-based interventions targeting only children and adolescents, family-based interventions involving family members, and school-based interventions conducted within schools. These interventions were found to be effective in addressing mental health issues caused by trauma in children and adolescents.
Conclusions
Despite the serious nature of traumatic experiences among children and adolescents, this integrative review found that domestic research on psychosocial interventions for this population lacks rigorous study design and is limited in the selection of participants and trauma events. Therefore, the study suggests the need for the development and dissemination of more proactive psychosocial interventions for children and adolescents. The findings of this study are expected to serve as foundational data for the development of trauma managing programs for this population.
Original Articles
Trauma-Informed Care for Children: A Scoping Review
Kyung-Sook Bang, Ji-Hye Choe, Sinyoung Choi, Yeseul Jeong, Sungjae Kim
STRESS. 2024;32(2):94-103.   Published online June 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.2.94
  • 5,147 View
  • 102 Download
  • 1 Citations
Abstract PDF
Background
Trauma-informed care involves providing services to traumatized patients with an understanding of and sensitivity to their experiences. This scoping review examines the literature concerning trauma-informed care for children.
Methods
We conducted a comprehensive literature search across domestic (RISS, NDSL, KISS, and DBpia) and international (PubMed, Embase, CINAHL, and PsycINFO) databases. The search terms were “trauma,” “PTSD,” “trauma-informed,” “trauma-focused,” “trauma-sensitive,” “newborn,” “neonate,” “premature infant,” “infant,” “child,” “adolescent,” “teen,” “juvenile,” “adolescence,” “pediatric,” and “nursing”. The final selection comprised 18 documents that were analyzed for general characteristics (publication year, study country, academic sector, research design, and data collection method), population demographics, variables, and measurement tools.
Results
Literature on this topic considerably increased since 2017, with the United States being the predominant research hub (50.0%) and nursing representing the primary academic sector (55.6%). The research designs were mainly quantitative (33.3%) and mixed-method studies (33.3%). Quantitative studies predominantly utilized surveys, while qualitative research employed observations, in-depth interviews, and focus group discussions. Most of the participants were nurses, doctors, and allied health professionals. As a result of analyzing the main variables measured in the literature through WordCloud, variables such as “stress,” “care,” and “knowledge” had the highest frequency. Three studies incorporated or adapted tools to assess trauma-informed care.
Conclusions
The findings of this review serve as foundational data for proposing future research trajectories in trauma-informed care and for enhancing awareness and strategic planning in clinical practice.

Citations

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  • Korean nurses’ knowledge, opinions and current practice of trauma-informed pediatric nursing care in South Korea: a descriptive study
    Kyung-Sook Bang, Sun Woo Hong, Hwal Lan Bang, Ji-Hye Choe, Sinyoung Choi
    Child Health Nursing Research.2024; 30(4): 309.     CrossRef
Relationship between Childhood Trauma and Depression in Youths in the Transition to Independent Living: The Mediating Effect of Disconnection-Rejection Schemas Moderated by Out-of-Home Care Types
Shin Young Park, Myoung-Ho Hyun, Min Jin Jin
STRESS. 2024;32(1):9-18.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.9
  • 3,799 View
  • 66 Download
Abstract PDF
Background
This study explored the relationship between childhood trauma, disconnection-rejection schemas, and depression among youths in the transition to independent living. Additionally, this study examined whether the impact of childhood trauma on depression, mediated by disconnection-rejection schemas, was moderated by the type of out-of-home care (residential care centers, group homes, and foster homes).
Methods
A survey questionnaire measuring childhood trauma, disconnection-rejection schemas, and depression was administered to 201 participants.
Results
Mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. In all types of out-of-home care, both the mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. There were no significant differences in mediating effects based on the type of out-of-home care.
Conclusions
The findings of this study can be applied to the treatment of depression during the transition to independent living in individuals who have experienced childhood trauma.
Effect of Cognitive Processing Style on Attentional Blink during Analogue Trauma
Ye Ji Son, Yun-Kyeung Choi
STRESS. 2024;32(1):38-45.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.38
  • 2,142 View
  • 51 Download
Abstract PDF
Background
This study attempted to examine the impact of each cognitive processing style (bottom-up, top-down) on attention patterns following a traumatic experience by measuring attentional blink (AB).
Methods
Participants were 37 university students with no direct experience of traffic accidents. They were randomly assigned to either a single-task (bottom-up processing) group or a dual-task (top-down processing) group, who performed the Rapid Serial Visual Presentation (RSVP) after watching an analogue trauma video. The correct response rate to target stimuli was then compared between groups based on stimulus type and stimulus presentation interval.
Results
In the dual-task group, no significant differences were found. However, in the single-task group, a trend towards a decrease in the correct response rate to the target stimulus was observed 200 ms after the presentation of the traumatic stimulus (i.e., AB).
Conclusions
This tendency can be explained by the phenomenon of automatic attentional capture by traumatic stimuli, suggesting a relationship between bottom-up processing and attentional bias.
Efficacy of a Serious Game for Individuals with Interpersonal Trauma
Hyae Young Yoon, Sang-Hyun Cho, Yun-Kyeung Choi
STRESS. 2023;31(4):205-219.   Published online December 28, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.4.205
  • 3,405 View
  • 70 Download
Abstract PDF
Background
This study aimed to develop a serious game for college students with interpersonal trauma to practice adopting an alternative perspective mentoring a game character with similar experiences.
Methods
We recruited 44 college students with high levels of distress after experiencing interpersonal trauma. They were assigned to either the serious game+relaxation training (SG+RX, n=22) or the virtual reality+relaxation training condition (VR+RX, n=22). Cognitive, emotional, and self-efficacy aspects related to trauma were compared in both groups before and after treatment. In addition, interpersonal perceptions of "warmth, dominance, trust, and accessibility" for facial expressions of happiness, anger, and neutrality were compared in both groups before and after treatment.
Results
Both groups showed positive changes in relaxation, post-traumatic cognition, and post-traumatic emotion after treatment. The SG+RX group showed greater increases in behavioral competence and confidence in the future and rated accessibility to angry/happy facial expressions higher than the VR+RX group.
Conclusions
These findings suggest that an interactive serious game promoting empathy, coping skills, and an alternative perspective effects positive changes for individuals with interpersonal trauma.
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
  • 3,583 View
  • 75 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
  • 2,660 View
  • 122 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.
A Preliminary Study on a Short-Term Counseling Program for Victims of Interpersonal Trauma in the Military
Shin Young Park, Sung Yi Cha, Myoung-Ho Hyun
STRESS. 2022;30(3):155-162.   Published online September 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.3.155
  • 3,635 View
  • 99 Download
Abstract PDF
Background
This preliminary study was conducted to develop a short-term counseling program for victims who experienced interpersonal trauma in the military and to verify its effectiveness.
Methods
A single group pre-post-mixed design was used for this study. Seven victims who experienced interpersonal trauma within the military participated in the program once a week for five weeks. Participants’ post-traumatic stress symptoms, degree of insomnia, depression, state anxiety, and acceptance behavior levels were assessed and compared at baseline and pre-and post-test.
Results
Participants’ post-traumatic stress symptoms, state anxiety, and depression symptoms significantly reduced and acceptance behavior significantly increased after participating in the short-term counseling program.
Conclusions
The results of this study will help explore therapeutic elements that are helpful for victims who have experienced interpersonal trauma in the military.
The Experience of Killing and Health in Late Life: Findings from Korean Vietnam War Veterans
Hyunyup Lee, Sungrok Kang
STRESS. 2022;30(2):85-91.   Published online June 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.2.85
  • 4,777 View
  • 51 Download
Abstract PDF
Background
The current study aimed to examine the effects of combat exposure and killing on mental and subjective physical health later in life among Korean Vietnam War veterans.
Methods
The data were collected from 342 male veterans with a mean age of 72 years (SD=2.57). Veterans were divided based on their histories into three groups: no experience (Group 1), combat exposure only (Group 2), and both killing and combat exposure (Group 3). Analyses of variance (ANOVAs) examined group differences in post-traumatic stress disorder (PTSD) symptoms, anxiety symptoms, hostility, and perceived physical health.
Results
The ANOVAs showed that PTSD, anxiety symptoms and hostility were most prevalent among the veterans in Group 3 (both killing and combat exposure). No significant differences were found between Groups 1 and 2. Perceived physical health was highest among the veterans in Group 1 (no experience). There were no differences between Groups 2 and 3. Even after controlling for the impacts of optimism and social support after homecoming, these results were similar.
Conclusions
The findings indicate that killing experience and combat exposure should be considered in designing interventions for veterans deployed into active combat zones.
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
  • 5,660 View
  • 180 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
The Influencing Factors of Burnout in Nurses in the COVID-19 Pandemic Disaster
Jeong Yee Bae, Eun-kyung Lee, Bi-Joo Kim, Eun Ju Lee
STRESS. 2021;29(2):80-86.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.80
  • 9,348 View
  • 567 Download
  • 16 Citations
Abstract PDF
Background

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

Methods

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.

Results

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.

Conclusions

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.

Citations

Citations to this article as recorded by  
  • The Effects of Disaster Nursing Core Competence and Coping Flexibility on the Quality of Work Life of Emergency Room Nurses during Long COVID-19
    Yu Jin Lee, Chung Hee Woo
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 259.     CrossRef
  • Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
    Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • The relationship between secondary traumatic stress and burnout in critical care nurses: The mediating effect of resilience
    Yun Jeong Jeong, Sujin Shin
    Intensive and Critical Care Nursing.2023; 74: 103327.     CrossRef
  • Stress, COVID‐19 related knowledge, attitude, and infection control performance of nurses at long‐term care hospitals
    Ji Ae Shim, Sun Young Jeong
    Nursing & Health Sciences.2023; 25(2): 247.     CrossRef
  • The effect of grit on the work engagement of nurses: The mediating effects of positive psychological capital and burnout
    Mi Kyung Park, Won Hwa Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 161.     CrossRef
  • The impact of Long COVID, work stress related to infectious diseases, fatigue, and coping on burnout among care providers in nursing home: A cross-sectional correlation study
    Hyunju Lee, Youngja Seo, Jihye Kim, Hye Young Song, Jinhee Park, Youngran Yang
    Journal of Korean Gerontological Nursing.2023; 25(3): 271.     CrossRef
  • Burnout and Its Associated Factors Among COVID-19 Frontline Healthcare Workers
    Hyeonseok Oh, Euihyun Kwak, So Yeon Hyun, Songeun Lee, Suk-Hyun Lee, In Mok Oh, Minyoung Sim
    Journal of Korean Neuropsychiatric Association.2023; 62(4): 199.     CrossRef
  • Factors influencing burnout among Korean nurses caring for patients with COVID-19: a cross-sectional study
    Seon Yeong Lee, Mi-Ae You, Jeong Ah Ahn, Eun Ji Seo
    Journal of Korean Biological Nursing Science.2023; 25(4): 276.     CrossRef
  • The Influence of Infection Control Knowledge, Emergency Nursing Competency, and Infection Prevention Environment on Burnout among Psychiatric Nurses Caring for Patients with COVID-19
    Hyeran Cho, Suyon Baek
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 482.     CrossRef
  • Factors Influencing Burnout of Nurses Working in a Hospital Nationally Designated for COVID-19 Patients
    Hwasoon Kim, Doa Kim, Minsook Kim, Yiseul Kim, Soojin Bang, Gine Lee, Miso Won, Dajung Joo
    Korean Journal of Adult Nursing.2022; 34(1): 74.     CrossRef
  • Correlation between Stress and Anxiety to Viral Epidemics (SAVE) and Burnout among Korean Dental Hygienists during the COVID-19 Pandemic: A Cross-Sectional Study
    Seul-Ah Lee, Jung-Eun Park, Jong-Hwa Jang
    International Journal of Environmental Research and Public Health.2022; 19(6): 3668.     CrossRef
  • Factors Affecting the Quality of Work Life of Nurses at Tertiary General Hospitals in the Context of the COVID-19 Pandemic
    Eunhee Hwang
    International Journal of Environmental Research and Public Health.2022; 19(8): 4718.     CrossRef
  • The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue
    Sun Hwa Shin, Eun Hye Lee
    Journal of Korean Academy of Community Health Nursing.2022; 33(1): 43.     CrossRef
  • Mediating effect of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic
    Juhee Jeong, Yeoungsuk Song
    The Journal of Korean Academic Society of Nursing Education.2022; 28(2): 193.     CrossRef
  • Correlation between COVID-19 and Nurses’ Job Stress and Burnout
    Seyoung Yun, Song Vogue Ahn
    Health Insurance Review & Assessment Service Research.2022; 2(2): 202.     CrossRef
  • Mediating Effects of Psychological States on Work Performance of Visiting Nurses According to COVID-19 Workplace Quarantine Measures: A Multi-Group Path Analysis Study
    Jee-Hyun Hwang
    International Journal of Environmental Research and Public Health.2021; 19(1): 444.     CrossRef
The Role of Trauma in Addiction and Recovery: A Qualitative Meta-Synthesis
Jandi Kim, Misook Kim, Youjin Shin, Byunghee Kim, Sungjae Kim
STRESS. 2021;29(1):45-59.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.45
  • 6,717 View
  • 193 Download
  • 2 Citations
Abstract PDF
Background

Trauma is a physically or emotionally harmful or life-threatening event that negatively affects well-being. Recently, a high correlation between trauma and substance addiction has been recognized. The aim of this study is to synthesize qualitative studies to understand the effects of trauma involved in the addiction and recovery process.

Methods

By searching qualitative studies about addiction and recovery, 17 Korean studies (80 subjects) were finally included in our analysis.

Results

We recorded the traumas experienced, and their effects on addiction and recovery. Trauma reduced self-esteem and triggered psychological pain, while addiction was perceived as a countermeasure. As the trauma became accepted, participants acknowledged themselves, realized the value of their existence, and formed trusting relationships with others. Recovery progressed as the trauma healed.

Conclusions

Our study facilitates a comprehensive and systematic understanding of the role of trauma on addiction.

Citations

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  • A Qualitative Meta-Synthesis on Drug Addicts Recovery Based on a Transtheoretical Model
    Riah Kim, Youngeun Park, Jieun Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 238.     CrossRef
  • Effects of Music Therapy on Subjective Stress Response, Salivary Cortisol, and Fatigue for Intensive Care Nurses
    Hyun Hee Ji, Hyun Sook Jo
    Korean Journal of Health Promotion.2017; 17(2): 119.     CrossRef
Relationship between Complex Trauma Experience in Childhood-Adolescence and Interpersonal Trauma in Adulthood: Mediating Effects of Dissociation Experience, Relationship Addiction, and Internalized Shame
Yumi Oh, Min Kyu Rhee
STRESS. 2021;29(1):1-10.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.1
  • 4,605 View
  • 188 Download
Abstract PDF
Background

The purpose of this study is to verify the mediating effects of dissociation experience, relationship addiction, and internalized shame in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Methods

Two hundred and thirty-eight adults participated in this study. They were administered the Korean versions of the Trauma Antecedents Questionnaire, Impact of Event Scale-Revised, Dissociative Experiences Scale, Relationship Addiction Questionnaire, and Internalized Shame Scale. The data were analyzed with descriptive statistics, correlation analysis, reliability analysis, and structural equation modeling.

Results

First, dissociation and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Second, relationship addiction and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Third, dissociation, relationship addiction, and internalized shame had a triple mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Conclusions

Therapeutic intervention for revictimization should address symptoms such as dissociation, relationship addiction, and internalized shame. In addition, people with complex trauma experiences in childhood-adolescence require preventive intervention to avoid further exposure to interpersonal trauma.

Forgiveness as a Mediator of the Revictimization between Childhood Trauma and Adulthood Dating Violence Victimization
Myo-Gyeong Seo, Myoung-Ho Hyun
STRESS. 2019;27(4):431-440.   Published online December 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.4.431
  • 4,369 View
  • 66 Download
  • 1 Citations
Abstract PDF
Background:

Childhood trauma is frequently associated with dating violence or intimate partner violence victimization in adulthood. To investigated the role of forgiveness on revictimization in close relationship, We tested the mediating effects with the three components of dispositional forgiveness-self, other, situation on the relationship between childhood trauma and adulthood dating violence victimization.

Methods:

We measured childhood trauma experience (CTQ), dating violence victimization in adulthood (CTS-Ⅱ), and self, other, situation forgiveness (HFS), among unmarried women in their 20~30s who have been dating at least once.

Results:

The results showed that self-forgiveness partially mediated the relationship between childhood trauma and adulthood dating violence victimization. However, there was no significant mediating effect of other and situation forgiveness.

Conclusions:

These findings suggest that the experience of childhood trauma can lower the level of self-forgiveness, and then increase the risk of dating violence victimization in adulthood. So, the interventions to facilitate self-forgiveness can help overcome interpersonal trauma and prevent revictimization in close relationships. Finally, the implications and limitations were discussed with suggestions for further research.

Citations

Citations to this article as recorded by  
  • Influence of Direct and Indirect Domestic Violence on Dating Violence Victimization
    Sukkyung You, Minkyung Kwon
    Journal of Interpersonal Violence.2022; : 088626052211209.     CrossRef
Qualitative Exploration of Trauma Experience and Posttraumatic Support of Community Mental Health Professionals
Su-Young Kim, Hee-Jung Kim
STRESS. 2019;27(4):328-336.   Published online December 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.4.328
  • 4,251 View
  • 76 Download
  • 3 Citations
Abstract PDF
Background:

The study purpose was to describe experience of violence and trauma, needs for support of community mental health professionals (CMHP).

Methods:

This study had a qualitative descriptive design and qualitative content analysis was used. For data collection, focus group interviews were carried out with 18 CMHP in 3 groups.

Results:

Data analysis has been extracted in to 5 domains (safety, stress, coping, support, protection), 9 categories (primary trauma, secondary trauma, negative emotion, burnout, workload, ineffective response, trust and understanding, foundation for protection and empowerment) and 14 subcategories.

Conclusions:

From the findings, we could know it more clearly that the community mental health field is relatively high in the risk of violence, suicide case and death of the subjects. However, the pre- post-response measures for the protection of CMHP who has been violently traumatized were very insufficient. Therefore, it is necessary to prepare psychological emotional support system along with preventive and post-response measures for safety at the individual and institutional level. At the same time, it is important to create a supportive environment at the peer and organizational level. As a results we proposed that rapid preparation of the materialization of emotional support system for CMHP, mandatory application of two-person-one intervention principle, preparation of guidelines for emergency response, improvement of physical environment for safety, improvement of understanding on mental health work of institutional officials and also supervision ability of mental health senior staffs, strengthening education and supervision system for enhancement CMHP’s capacity are necessary.

Citations

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  • The Experiences of Psychiatric Mental Health Nurse Practitioners with Clinical Supervision in South Korea: A Grounded Theory Approach
    Sung-Nam Lee, Hyun-Jin Kim
    International Journal of Environmental Research and Public Health.2022; 19(23): 15904.     CrossRef
  • A Path Model for Burnout in Community Mental Health Professionals
    Jin-Joo Chang, Sung-Hee Shin
    International Journal of Environmental Research and Public Health.2021; 18(18): 9763.     CrossRef
  • Mediating Effect of Resilience on the Relationship between Psychological Stress and Burnout among Workers with Violence Experiences in Community Mental Health Welfare Center
    Su Young Kim, Mi Kyung Yun, Myung Sun Hyun
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(4): 347.     CrossRef
The Influence of Traumatic Experience and Post-Event Rumination on Social Anxiety: The Mediating Effects of Self-Compassion
Suyeon Lee, Kyung Park
STRESS. 2019;27(1):74-81.   Published online March 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.1.74
  • 4,908 View
  • 97 Download
  • 1 Citations
Abstract PDF
Background:

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.

Methods:

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.

Results:

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.

Conclusions:

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.

Citations

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  • The Effect of Self-Compassion Writing on Self-Discrepancy, Social Anxiety, and Skin-Related Quality of Life in Adults with Acne Vulgaris
    Chan Woo Lee, Myoung-Ho Hyun
    Stress.2020; 28(4): 300.     CrossRef
Exploring the Posttraumatic Growth in Korean Children and Adolescents Using the Korean Version of Posttraumatic Growth Inventory for Children-Revised
Gyurim Kang, Hyojeong Na, Jay Song, Myoung-Ho Hyun
STRESS. 2018;26(3):193-200.   Published online September 30, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.3.193
  • 4,295 View
  • 85 Download
Abstract PDF
Background:

The present study aimed to explore psychometric properties of Korean version of the Posttraumatic Growth Inventory for Children-Revised (PTGI-C-R), and related variables.

Methods:

The PTGI-C-R was translated into Korean and 716 children and adolescents in a general population sample completed a self-report battery.

Results:

361 participants reported experiencing of traumatic event and 145 among them showed clinical symptoms. In clinical group, Korean version of PTGI-C-R has exhibited good internal consistency and construct validity. Those who experienced traumatic event reported more PTG than unexperienced group. PTG was positively related with resilience, optimism, and rumination, but negatively related with depression and anxiety, also nonlinearly related with intensity of perceived stress.

Conclusions:

This study found the distinct changes of PTG from normative maturation by comparing those who experienced traumatic event and those who did not.

Effects of Coping Strategies on Post-Traumatic Stress Symptoms among General Population
Youji Jung, Sori Kim, Subin Park, Jung Hyun Lee
STRESS. 2018;26(3):186-192.   Published online September 30, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.3.186
  • 4,548 View
  • 120 Download
Abstract PDF
Background:

Numerous studies have accumulated findings indicating that the way of coping is a critical mediator in the relation between these traumatic events and psychological outcomes. This study investigates the associations between coping strategies and post-traumatic stress symptoms (PTSS) in Korean adults.

Methods:

Through an online survey, 554 non-clinical adult respondents were recruited. We assessed PTSS using the Impact of Event Scale-Revised (IES-R) scale and measured individual coping strategies using the Ways of Coping Checklist (WCCL). Based on the IES-R standard cut-off score, we categorized the respondents into 3 groups: normal (n=255), non-PTSS (n=185) and PTSS (n=144) after exposure to traumatic events.

Results:

The scores of each coping strategy in a PTSS group were generally higher than in either the normal or non-PTSS group. In the logistic regression analysis, PTSS group was 2.77 more likely to use Tension-reduction coping compared to the other two samples.

Conclusions:

Our findings suggest that PTSS is associated with high inclination to apply emotion-focused coping such as tension-reduction contributing to psychological distress. These results point to the potential value of coping strategies in prevention of and therapeutic approach to PTSS for non-clinical adults.

The Role of Attentional Bias and Event-Related Ruminations in Posttraumatic Stress Symptoms and Posttraumatic Growth
Hae Lim Noh, KyungHun Han, Eun-Jung Shim
STRESS. 2018;26(3):123-132.   Published online September 30, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.3.123
  • 3,561 View
  • 68 Download
  • 2 Citations
Abstract PDF
Background:

The purpose of this study was to investigate the relationship between attentional bias to threat and positive stimuli (i.e., facilitated attentional engagement, difficulty in attentional disengagement, and attentional avoidance) and event-related rumination, and to examine whether the latter mediated the relationship between attentional bias and posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG) in individuals with traumatic experiences.

Methods:

A total of 70 college students with traumatic experiences participated in the study. Attentional bias to threat and positive stimuli was measured by employing a spatial cueing task. Other variables were assessed using self-report measures including The Impact of Event-Related Scale-Revised, Event-Related Rumination Inventory, Post-traumatic Growth Inventory, and State-Trait Anxiety Inventory.

Results:

The results indicated that attentional avoidance was significantly associated with intrusive rumination, whereas none of the three aspects of attention bias was associated with deliberate rumination. Furthermore, attentional avoidance was related to increased intrusive rumination, which in turn, was associated with increased PTSS. Additionally, difficulty in attentional disengagement from threat stimuli was associated with finding new possibilities, one aspect of a PTG, even after controlling for the impact of deliberate rumination.

Conclusions:

The current results suggest that therapeutic interventions aimed at helping individuals not to avoid but accept their traumatic experience may be effective to overcome trauma and facilitate PTG among individuals with traumatic experiences.

Citations

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  • Effects of a Remote Videoconferencing-based Expressive Writing Program on Posttraumatic Stress, Resilience, and Post-traumatic Growth among Traumatized Nurses
    Nam Hee Chae, Ji Young Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 152.     CrossRef
  • Cognitive biases in perceptions of posttraumatic growth: A systematic review and meta-analysis
    Tricia Gower, Julie Pham, Ernest N. Jouriles, David Rosenfield, Holly J. Bowen
    Clinical Psychology Review.2022; 94: 102159.     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
  • 4,780 View
  • 158 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

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  • 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
Difference of Menstrual Problems according to Post Traumatic Stress Disorder among North Korean Woman Defectors in South Korea
HeeSook Kim, HyunKyoung Kim
STRESS. 2017;25(4):294-298.   Published online December 31, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.4.294
  • 2,864 View
  • 15 Download
  • 2 Citations
Abstract PDF
Background:

This study investigated the difference of menstrual problems according to Post Traumatic Stress Disorder (PTSD) among North Korean woman defectors in South Korea.

Methods:

The 127 North Korean women in government resettlement centers in South Korea responded to a Likert scale questionnaire of Impact of Event Scale (IES-R) on December 2012. Data was analyzed using mean and t-test.

Results:

The mean number of menstrual problem was 1.5 (SD=1.5) in the non-PTSD group. The PTSD group had more menstrual problems (Mean=2.2, SD=1.5) than non-PTSD group and this difference was statistically significant (t=-2.32, p=0.022).

Conclusions:

This study demonstrates that psychological intervention is necessary for North Korean woman defectors who have traumatic experiences and menstrual problems.

Citations

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  • Properties of Patient-Reported Outcome Measures for Post-Traumatic Stress Disorder in North Korean Defectors: A Scoping Review
    Ocksim Kim, Kyoung-A Kim, Sang Hui Chu
    Psychiatry Investigation.2023; 20(7): 593.     CrossRef
  • North Korean women’s reproductive health experience
    Jung Jin Han, Seung Jin Oh
    Public Health Nursing.2021; 38(5): 751.     CrossRef
Review Article
Current Therapeutic Approaches in Spinal Cord Injury: Pharmacological, Rehabilitation, Cell-based, and Psychological Intervention
Wootaek Lim, Bongsam Choi
STRESS. 2017;25(1):1-7.   Published online March 31, 2017
DOI: https://doi.org/10.17547/kjsr.2017.25.1.1
  • 4,267 View
  • 65 Download
  • 3 Citations
Abstract PDF

이 연구는 현재 척수 손상시 널리 적용되는 치료적 중재에 대한 고찰 및 제한점에 대해 알아보고자 하였다. 척수 손상은 신경학적 손상과 그에 따른 심각한 근육 위축을 초래한다. 손상 초기에는 산화적 스트레스, 지질 과산화 등과 같은 이차적 손상으로 인한 추가 신경 손상을 막기 위해 약물요법이 널리 사용되고 있다. 또한 삶의 질과 관련성이 높은 보행 능력에 대한 임상 전, 임상 연구는 보행 능력의 회복에 그 촛점을 맞추고 있으며, 이에 대한 예로서, 트레드밀 훈련, 자전거 훈련, 로봇 훈련 등이 시행되고 있다. 최근에는 세포나 조직을 이식하는 이식치료가 많은 관심 속에 연구되고 있으나 안전성을 확보하기 위한 추가적인 연구가 필요하다. 척수손상은 단순히 신체손상뿐아니라 정신건강에도 부정적 영향을 주는 다면적인 손상을 초래할 수 있기때문에 단독치료 접근방법 보다는 심리인지적 치료를 포함한 다양한 치료가 결합된 형태를 고려해야 한다.

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  • Developing a Psychological Intervention for Decreasing Bedtime Procrastination: The BED-PRO Study
    Sooyeon Suh, Nayoung Cho, Sonhye Jeoung, Hyeyoung An
    Behavioral Sleep Medicine.2022; 20(6): 659.     CrossRef
  • A Case Report of Complex Korean Medicine Treatments for Tetraplegia Caused by Spinal Cord Injury
    Eun-jung Kim, Dong-hoon Kim, Sang-gu Yoo, Da-hye Kim, Se-won Lee, Ji-yun Bae, Seon-woo Kim, Cheol-woo Park, Shin-chul Hur
    The Journal of Internal Korean Medicine.2020; 41(2): 122.     CrossRef
  • Does vitamin C have the ability to augment the therapeutic effect of bone marrow-derived mesenchymal stem cells on spinal cord injury?
    Nesrine Salem, MohamedY Salem, MohammedM Elmaghrabi, MoatazA Elawady, MonaA Elawady, Dina Sabry, Ashraf Shamaa, Abdel-HaleemH Elkasapy, Noha Ibrhim, Azza Elamir
    Neural Regeneration Research.2017; 12(12): 2050.     CrossRef
Original Article
Experiences of Posttraumatic Growth by Undergraduate Nursing Students
Jeoung Weon Park
Korean J Str Res. 2016;24(4):285-295.   Published online December 31, 2016
DOI: https://doi.org/10.17547/kjsr.2016.24.4.285
  • 4,309 View
  • 34 Download
  • 2 Citations
Abstract PDF

The purpose of the study was to understand the experiences and explore the nature of posttraumatic growth by undergraduate nursing students. The data was created by in-depth interviews on the experiences of 4 participants for 4 months; from June to September, 2016. The interviews were recorded and then transcribed. The analysis of the data was made Colaizzi’s phenomenological analytic method. Five categories that emerged from themes and themes clusters were :1) Trauma event, 2) Traumatic reexperience, 3) Struggling, 4) Getting used to traumatic experience, 5) Going to growth. The findings of the study illustrated in the participants’ experiences of posttraumatic growth, will contribute to the development of program that promotes posttraumatic growth including self disclosure.

Citations

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  • Effects of Emotional Regulation, Resilience, and Distress Disclosure on Post-Traumatic Growth in Nursing Students
    Kyungmi Kim, Jongeun Lee, Jaeyeon Yoon
    International Journal of Environmental Research and Public Health.2023; 20(4): 2782.     CrossRef
  • A Study on the Relationship between Mental Well-Being and Cultural Tourism Guides Based on the Interview Methodology
    Junsoo Kang, Youngmin Song
    International Journal of Environmental Research and Public Health.2021; 18(24): 13054.     CrossRef

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