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Original Articles
- 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
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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.
- Preliminary Validation of the Korean Version of the Alexian Brothers Urge to Self-Injure Scale (ABUSI-K)
- Min-kyeong Kim, Myoung-Ho Hyun, Seo Jeong Lee
- STRESS. 2023;31(4):182-188. Published online December 28, 2023
- DOI: https://doi.org/10.17547/kjsr.2023.31.4.182
- 2,746 View
- 80 Download
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Abstract
PDF
- Background
This study aimed to validate the Korean version of the Alexian-Brothers Urge to Self-injure Scale (ABUSI) for measuring non-suicidal self-injury urges.
Methods
Analysis was conducted on a sample of 389 adult men and women who had inflicted self-harm without suicidal intent within three years. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was conducted to confirm the single factor of the scale, and convergent validity was assessed to establish the relationship between ABUSI-K and Negative Urgency (UPPS-P), Self-Criticism/Attacking and Reassurance (FSCRS), and Self-Injurious Thoughts and Behaviors Interview (SITBI).
Results
The Korean version of the Alexian-Brothers Urge to Self-Injure Scale (ABUSI-K) showed high internal consistency and, like the original scale, was confirmed to be a single-factor scale measuring the urge to self-injure. Convergent validity with negative urgency, self-criticism/self-attacking and self-reassuring, the NSSI module of self-injurious thoughts and behaviors, and depression and anxiety were also significant, indicating that ABUSI-K’s psychometric benefits are confirmed.
Conclusions
The results of this study will provide a multifaceted understanding of self-injury without suicidal intent and the urges that occur before self-injury. They are expected to be useful in clinical interventions for individuals who have engaged in non-suicidal self-injuries.
- Validating a Short Version of the Intolerance of Uncertainty Scale-12 (IUS-12)
- Somin Lee, Myoung-Ho Hyun, Jaeeun Shin
- STRESS. 2023;31(3):97-105. Published online September 30, 2023
- DOI: https://doi.org/10.17547/kjsr.2023.31.3.97
- 5,950 View
- 282 Download
- 2 Citations
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Abstract
PDF
- Background
This study aims to validate the short version of the Intolerance of Uncertainty Scale-12 (IUS-12).
Methods
A comprehensive set of questionnaires, including the IUS-12, STAI-T, PSWQ, CES-D, and K-CSI, was administered and completed by 404 participants. The average age of the participants was 31.29 years (SD=9.18), comprising 114 men, 287 women, and 3 individuals identifying with the other gender. We conducted a factor analysis on the collected data and compared the fit indices of one-factor, two-factor, and bifactor models. Furthermore, a multiple-group confirmatory factor analysis evaluated measurement invariance between the men’s and women’s groups. Correlational analyses were also conducted.
Results
Data from the study show that the bifactor model was the most appropriate, demonstrating good internal consistency. The Omega coefficients and explained common variance were computed to evaluate the dimensionality of the IUS-12, validating the use of the total score of the scale. Its factor model also showed that the measurement invariance sustained between two gender groups. The correlation analyses between the IUS-12 and other scales assessing attributes such as trait anxiety, worry, depression, and avoidance coping strategy supported convergent validity.
Conclusions
These findings suggest that the IUS-12 is a reliable and valid measure for assessing the intolerance of uncertainty. The study also discusses its limitations and offers recommendations for future research endeavors. -
Citations
Citations to this article as recorded by
- The impact of intolerance of uncertainty and job-seeking efficacy among nursing students: The mediating effect of planned happenstance skills
Chung Hee Woo, Ju Ah Kim
The Journal of Korean Academic Society of Nursing Education.2025; 31(2): 151. CrossRef - Simulated virtual reality experiences for predicting early treatment response in panic disorder
Byung-Hoon Kim, Jae-Jin Kim, Junhyung Kim, Jiook Cha, Sang-Won Jeon, Kang-Seob Oh, Dong-Won Shin, Sung Joon Cho
Frontiers in Digital Health.2025;[Epub] CrossRef
- The impact of intolerance of uncertainty and job-seeking efficacy among nursing students: The mediating effect of planned happenstance skills
- The Influence of Parental Psychological Control on Social Anxiety among College Students: The Mediating Effect of Self-Discrepancy and Validation from Others
- Kyue Won Lee, Eun Young Park
- STRESS. 2022;30(1):45-51. Published online March 31, 2022
- DOI: https://doi.org/10.17547/kjsr.2022.30.1.45
- 4,131 View
- 106 Download
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Abstract
PDF
- Background
This study aimed to investigate the effects of parental psychological control on social anxiety among college students and to understand the mediating effect of self-discrepancy and validation from others between them.
Methods
The participants were 351 college students from Daegu and Gyeongsangbuk-do who responded to a survey. And structural equation model was used to analyze the data.
Results
First, there was no mediating effect of self-discrepancy between parental psychological control and social anxiety. Second, there was a significant mediating effect of validation from others between them. Finally, self-discrepancy and validation from others were found to sequentially mediate between parental psychological control and social anxiety.
Conclusions
This findings suggest that self-discrepancy and validation from others could be used as a therapeutic strategy in treatments.
- Development and Validation of the Korean Dysfunctional Depression Scale
- Jong Nam Kim, Soonmook Lee, Seungwon Choi, Jungmin Chae, Dong Gi Seo, Heon Jeong Lee, Eun Soo Won
- STRESS. 2018;26(2):103-114. Published online June 30, 2018
- DOI: https://doi.org/10.17547/kjsr.2018.26.2.103
- 5,467 View
- 88 Download
- 3 Citations
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Abstract
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Supplementary Material Background: The purpose of this study is to develop and validate the Korean dysfunctional depression scale, which measures pathological depression including subclinical depression and clinical depression.
Methods: To achieve this purpose, we collected data from patients diagnosed as having depressive disorder and clients with chief complaints related to depression, and 360 data were analyzed.
Results: Using item linkage methods, we decided 20 items as a dysfunctional depression scale for group research. The results of reliability verification show high internal consistency and stable test-retest reliability. In addition, the result of factor validity demonstrates general factor and two specific factors-the first specific factor is ‘the physical-somatic factor’ and the second specific factor is ‘the pessimistic cognition and alienation factor’. Convergent validity was also confirmed good. Lastly, this study performed standard setting workshop consisting of content experts to decide cut-scores of dysfunctional depression scale. Through the workshop, the standard cut-score of normal-subclinical depression was decided as 44 and the standard cut-score of subclinical-clinical depression was decided as 58. The classification consistency and accuracy indices were to validate standard cut-scores.
Conclusions: This Korean dysfunctional depression scale is verified to have high reliability and validity.
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Citations
Citations to this article as recorded by- Developing Factors of Adult Learners’ College Life Adaptation and a Test Questionnaire Using Delphi Surveys
Hea Kyoung Eun, Eun Kyung Lee, Jamyoung Yi, Yujin Choi
Journal of Lifelong Learning Society.2024; 20(3): 114. CrossRef - Psychometric Methods and Validation of Short Form for the Psychological Scale: Based on the Korean dysfunctional depression scale
Dong gi Seo, Soonmook Lee, Jong-Nam Kim, Seungwon Choi, Jungmin Chae, Sunho Jung, SunKyung Cho, MyungKi Kim, Ebesutani Chad
THE KOREAN JOURNAL OF PSYCHOLOGY : GENERAL.2019; 38(1): 75. CrossRef - Development of Submodules of the Korean Dysfunctional Depression Scale: A Preliminary Study
Jong Nam Kim, Seungwon Choi, Sunho Jung, Heon Jeong Lee, Chul-Hyun Cho, Saebom Park, Da Eun Kim
Stress.2018; 26(3): 173. CrossRef
- Developing Factors of Adult Learners’ College Life Adaptation and a Test Questionnaire Using Delphi Surveys
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