The Korean Journal of Health Psychology
- P-ISSN : 1229-070X
- E-ISSN : 2713-9581
- Publisher : Korean Health Psychological Association
- CCL :
10papers in this issue.
Growing evidence supports the effectiveness of mindfulness-based practices, including meditation, yoga, and qigong, in clinical settings. Accordingly, mind-body practices (MBPs) are utilized in diverse clinical fields such as medicine, psychology, and nursing. In this context, it is necessary to discuss the roles and attitudes of healthcare professionals who use MBP, an area of study underexplored in prior research. This study aimed to understand healthcare professionals' perspectives on the effectiveness and clinical application of MBP and further suggest their roles and attitudes in clinical settings. Six healthcare professionals with long-term experience in MBP were recruited. Data were collected through semi-structured interviews and analyzed using thematic analysis. A total of five themes were generated: 1) building my own practice system, 2) positive experiences gained through MBP, 3) obstacles when applying MBP in clinical settings, 4) a mentor who helps patients’ practice move in the right direction, and 5) efforts to apply the practice in clinical settings. Although healthcare professionals have experienced positive effects of long-term MBP, they recognize its limitations when applying MBP in clinical settings and make various efforts to address them. This study sheds light on attitudes and roles appropriate for healthcare professionals to adopt when utilizing MBP in clinical settings.
This study examined the mediating role of emotional schema and emotional dysregulation on the influence of affect intensity on psychological distress, and the moderating effect of emotional clarity on relationships between affect intensity, emotional schema, emotional dysregulation, and psychological distress. Data of 401 adults who completed the Affect intensity Measure, Trait Meta-Mood Scale, the Leahy Emotional Schema Scale Ⅱ, Difficulty in Emotional Regulation Scale, and Brief Symptoms Inventory-18 were analyzed. The results indicated that affect intensity was sequentially mediated by emotional schema and emotional dysregulation in the pathway of affect intensity to psychological distress. In addition, emotional clarity significantly moderated the relationship between affect intensity and psychological distress, although it did not moderate mediating effects of emotional schema on the relationship between affect intensity and emotional schema, the mediating effects of emotional schema on the relationship between affect intensity and psychological distress, or serial mediating effects of emotional schema and emotional dysregulation. Implications and limitations of these findings are discussed.
The purpose of this study was to investigate whether reward related eating drive could be an important psychological mechanism of food addiction and to identify personality vulnerability factors and cognitive expectancy factors that could influence reward related eating drive. To this end, a self-report questionnaire study was conducted with 533 college students to test whether reward sensitivity, which was hypothesized to be a personality vulnerability factor for food addiction, could sequentially mediate reward related eating drive through cognitive expectancy factors of eating expectancies and food expectancies to influence food addiction. Results showed that the relationship between reward sensitivity and food addiction was fully mediated by reward-related eating drive. In addition, the sequential mediation effect of reward sensitivity on food addiction through the sequential mediation of eating expectancies and reward-related eating drive was confirmed. The path from reward sensitivity to food addiction through sequential mediation of positive expectancy of highly processed foods and reward-related eating drive was significant only for the female sample. These results suggest that reward-related eating drive might be a key psychological mechanism of food addiction and that reward related eating drive is influenced by personality vulnerability factors such as reward sensitivity and cognitive expectancy factors such as eating expectancies and food expectancies. Finally, implications, limitations, and future research directions of this study are discussed.
The purpose of this study was to examined parallel mediating effects of sub-factors of a focusing manner on the relationship between intrusive rumination and PTSD symptoms among university students with experience of psychological trauma. A total of 138 university students in the Seoul metropolitan area who had experienced psychological trauma were surveyed using the ‘Trauma Event Questionnaire,’ ‘Intrusive Rumination Scale (K-ERRI),’ ‘Focusing Manner Scale-Revised (KFMS-R),’ and the ‘PTSD Checklist (PCL-5).’ Collected data were analyzed using SPSS 25.0 and Hayes's (2013) PROCESS macro Model 4, with bootstrapping conducted to verify statistical significance of mediating effects. Research findings are summarized as follows. Firstly, there was a significant positive correlation between intrusive rumination and PTSD symptoms with sub-factors of focusing manner, specifically aware and reflect. Secondly, aware, one of the sub-factors of focusing manner, mediated the effect of intrusive rumination on PTSD symptoms. These results suggest that when intervening in PTSD symptoms among university students with psychological trauma, it is important to consider both cognitive aspects and interventions related to bodily factors. Furthermore, this study highlights the importance of incorporating bodily approaches in therapeutic interventions for trauma.
The current study aimed to examine the moderated mediating effect of organizational commitment by determining whether perceived stress mediates the relationship between resilience and mental health, and whether organizational commitment moderates the effect of perceived stress on mental health. Data were collected from 289 prospective cadets at the Korea Military Academy, who responded to resilience at T1 and reported on perceived stress, organizational commitment, and mental health (BSI-18) at T2. SPSS 27.0 and SPSS Macro were used for data analysis. A bivariate correlation analysis indicated that resilience, perceived stress, organizational commitment, and mental health were significantly associated with one another. The results showed that the relationship between resilience and mental health was partially mediated by perceived stress, and organizational commitment buffered the negative impact of perceived stress on mental health. Furthermore, SPSS Macro analysis demonstrated that perceived stress mediated the association between resilience and mental health, with the mediating effect of perceived stress on mental health being moderated by organizational commitment. These findings suggest that a positive attachment to an organization, along with resilience, can serve as important protective factors for mental health among individuals within the organization.
The purpose of this study was to examine impulsivity and alcohol approach tendencies in individuals with a predisposition to smartphone addiction using delay discounting and approach-avoidance tasks. A sample of 200 college students from K University was assessed with the Smartphone Addiction Scale (SAS-A), from which 30 individuals were identified as high-risk and potentially at-risk based on thresholds from previous studies, while 29 served as controls. Subjects were presented with delay discounting and approach-avoidance tasks to assess their impulsivity and tendencies towards alcohol-related stimuli. Findings of this study are as follows. Firstly, the delay discounting task revealed that college students prone to smartphone addiction had higher delay discounting rates than those in the control group. Secondly, individuals in the smartphone addiction group displayed higher scores of the Approach-Avoidance Task (AAT) for alcohol-related stimuli than those in the control group. In this study, it was established that individuals prone to smartphone addiction exhibited heightened impulsivity and stronger alcohol approach tendencies than their counterparts who had no such tendencies. These results are significant as they demonstrate the use of behavioral tasks, distinct from self-report surveys, to validate impulsive traits and potential concurrent risk of alcohol addiction among college students with tendencies toward smartphone addiction
Anger is a universal human emotion. If we suppress or express anger dysfunctionally, we may face many psychological difficulties and interpersonal problems. We considered an antecedent factor that affects dysfunctional anger expression, an emotion that could mediate this relationship, and therapeutic variables that could reduce vulnerability to dysfunctional anger. To this end, we examined whether internalized shame mediates the relationship between rejection sensitivity and dysfunctional anger expression and whether self-compassion moderates this mediation. To investigate this, 400 college students completed surveys measuring rejection sensitivity, internalized shame, dysfunctional anger expression styles, and self-compassion. The collected data were analyzed using SPSS 29.0 and the PROCESS macro for regression analysis. As a result, the mediating effect of internalized shame on the relationship between rejection sensitivity and dysfunctional anger expression was confirmed. It was also confirmed that self-compassion moderates the relationship between rejection sensitivity and internalized shame. Finally, self-compassion was found to moderate the mediating effect of internalized shame in the pathway from rejection sensitivity to dysfunctional anger expression. This study contributes to a broader understanding of anger by confirming the influence of self-related cognitive and emotional variables such as rejection sensitivity and internalized shame on dysfunctional anger expression. In addition, by addressing rejection sensitivity before it triggers internalized shame and leads to dysfunctional anger expression, self-compassion may play an important therapeutic role in reducing shame caused by anger and fostering true self-acceptance.
The purpose of this study was to examine effects of an online Acceptance and commitment therapy program on self-control, self-esteem, perceived stress, and smartphone over- dependence in female college students during the COVID-19 pandemic, when face-to-face interactions were limited and device usage was increasing. Promotional posters were posted on an online community for smartphone over-dependence female college students with smartphone over-dependence. Students who wanted to participate in this study were recruited. Participants were randomly assigned to either an experimental group (n=16) or a waiting list control group (n=16). The experimental group participated in the online acceptance commitment program using a video conference program (ZOOM). In the experimental group, program was conducted for four weeks (twice per week and 8 sessions in total), with each session taking about 90 minutes. Acceptance and Action Questionnaire-16 (AAQ-16), Self-Control Scale (SCS), Rosenberg Self-Esteem Scale (RSES), Perceived Stress Scale (PSS), and Smartphone Addiction Proneness Scale for Adults (SAPS-A) were used as baseline measures, and the average screen time of smartphone was reported by participants. All participants completed a pre-test, a post-test, and a follow-up test after six weeks of post-test. Results are as follows. Compared to the waiting list control group, the experimental group's acceptance behavior, self-control, and self-esteem increased while the level of smartphone over-dependence decreased. However, there was no significant difference in perceived stress between the two groups. Lastly, implications and limitations of this study, and suggestions for future studies are discussed.
The present study examined whether perceived social support has a moderating, mediating, or additive effect on the process by which interpersonal stressful experiences could influence the course of depression over the following month and investigated the mediating effect of mattering within the process. Questionnaires were administered three times (t1, t2, t3) at two-week intervals. Based on the data from 86 participants with dropouts excluded, covariance structure models were estimated and their model fits, direct effects, and indirect effects were analyzed. Results revealed that the additive model, which hypothesized that interpersonal stressful experiences and perceived social support could independently influence the course of depression, was a better fit than moderating and mediating models. In the additive model, mediating effects of mattering were not significant in the relationship between interpersonal stressful experiences and depression (t1, t2, t3). However, t1 mattering showed significant mediating effects in the relationship between perceived social support and depression (t1, t2, t3). These findings indicate that perceived social support can be a protective factor against depression, independent of the severity of interpersonal stressful experiences, and that providing early intervention focused on mattering can be crucial. Limitations and implications of the present study are also discussed.
Research interest in suicide is increasing worldwide. However, most studies have focused on suicide risk factors, while little research has been done about warning signs of suicide. Therefore, the current study analyzed police investigation records processed by the Korea Suicide Prevention Center from 2013 to 2017 to explore the relationship between suicide risk factors and warning signs in Korea. A total of 6,459 data were analyzed and a network analysis was conducted to explore the relationship between suicide risk factors and warning signs. Results revealed four clusters: language, behavior, psychological, and physical. In terms of network centrality, psychiatric symptoms had the highest degree centrality and closeness centrality with changes before death having the highest betweenness centrality. Although general patterns were similar across the three centralities, some variables showed different patterns depending on the centrality. The current study was meaningful in that it analyzed warning signs not extensively studied previously and used a relatively new approach to explore the relationship between suicide risk factors and warning signs.