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Vol.28 No.4

Jae Seok Kwak ; Yena Kim ; Sun Jung Kwon pp.817-840 https://doi.org/10.17315/kjhp.2023.28.4.001
초록보기
Abstract

The purpose of this study is to analyze the network of gambling types, gambling problems, and natural recovery behavior through network analysis to examine the different connection characteristics of male and female adolescents. To this end, after selecting the subjects who reported certain levels of gambling problems from the adolescents’ longitudinal data collected four times for six months, the network of male and female adolescents was analyzed to derive common and consistent characteristics at various points. As a result, first, male adolescents showed higher levels than female adolescents in all measurements. Second, both male and female teenagers showed a connection in illegal gambling games, among which male teenagers were characterized by online types centered on gambling games such as ladders, snails, graphs, and lohai, and female teenagers were characterized by the use of Sports Toto. Third, both male and female teenagers had a common connection between social and economic harm, and male teenagers were more connected in all items. Fourth, in voluntary recovery behavior, male adolescents were characterized by cutting off and blocking gambling types from themselves to reduce availability, and female adolescents were characterized by lowering accessibility through relationship-oriented coping. Fifth, as a result of comparing the network structure and connection strength, male adolescents had structural differences in the entire network, and the connection strength of the gambling problem was stronger. Finally, the significance and implications of this study and suggestions for future research were discussed.

Ju-Yong Oh ; Seul-Ah Lee pp.841-859 https://doi.org/10.17315/kjhp.2023.28.4.002
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Abstract

Misinterpreting an uncomfortable and ambiguous somatic symptom as a physical problem or illness is known to be a key feature of illness anxiety. This symptom interpretation bias is a universal phenomenon that everyone experiences. In mild cases, it can be an adaptive signal that help us manage our health. However, when it is excessive, it can lead to pathological illness anxiety. Attitude toward death may affect illness anxiety in people who misinterpret somatic symptoms as a fatal illness. There are various death attitudes such as fear of death, death avoidance, and avoidant, approaching, or neutral acceptance of death. The present study examined the moderating effect of death attitude on the relationship between somatic symptom interpretation bias and illness anxiety. A total of 227 adults aged 20 to 70 years were recruited through Korea Research MS Panel online survey system. Illness anxiety, somatic symptom interpretation bias, and death attitudes were measured. Regression analysis, slope analysis, and Johnson-Nayman technique were used to verify the moderating effect of death attitude. As a result, fear of death and neutral death acceptance moderated the relationship between somatic symptom interpretation bias and illness anxiety. The positive correlation between somatic symptom interpretation bias and illness anxiety increased as the level of fear of death increased, whereas the positive correlation between somatic symptom interpretation bias and illness anxiety decreased as the level of neutral acceptance of death increased. These findings suggest that the extent to which somatic symptom interpretation bias exacerbates illness anxiety might vary depending on levels of fear of death and neutral death acceptance. Reducing fear of death and promoting neutral death acceptance might prevent excessive illness anxiety.

Yejin Cho ; Myoung Ho Hyun pp.861-883 https://doi.org/10.17315/kjhp.2023.28.4.003
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Abstract

The purpose of this study is to examine the relationship between Emotional Reactivity(ER) which is considered a temperamental vulnerability, depression, somatization and alexithymia. The study was conducted on 247 adults over the age of 19 and analyzed using Moderated-Mediation analysis with SPSS Process Macro. As a result, depression mediated the relationship between ER and somatization, and the indirect effect of ER through depression on somatization was moderated by alexithymia. In negative valence, a high level of alexithymia was a risk factor, but in positive valence, it showed different patterns. This suggests that the effect of alexithymia varies depending on the emotional valence, and the effective way of dealing with positive and negative emotions may be different. Based on the finding, research limitations, implications, and suggestions for future research were suggested.

Nayeong Jo ; EUN JUNG KIM pp.885-991 https://doi.org/10.17315/kjhp.2023.28.4.004
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Abstract

This study aimed to examine the sequential mediating effects of dysfunctional metacognitive beliefs and experiential avoidance in the relationship between intolerance of uncertainty and internalizing symptoms in college students. In doing so, we sort to elucidate the relationships between vulnerability factors for depression and anxiety, which have a high rate of comorbidity, and to identify potential intervention strategies for mental health. 438 college students completed self-report questionnaires to measure intolerance of uncertainty, dysfunctional metacognitive beliefs, experiential avoidance, anxiety, and depression. The collected data were analyzed using structural equation modeling (SEM) to examine the mediating effects. The results indicated that dysfunctional metacognitive beliefs and experiential avoidance had significant mediating effects in the relationship between intolerance of uncertainty and internalizing symptoms, individually. Moreover, the sequential mediating effect of dysfunctional metacognitive beliefs and experiential avoidance in this relationship was found to be statistically significant. Additionally, a full-mediation model demonstrated a significantly better model fit than a partial-mediation model. The results of this study suggest that intolerance of uncertainty may contribute to the development of internalizing symptoms by increasing dysfunctional metacognition and experiential avoidance. Through an integrated understanding of transdiagnostic variables, we tried to find a treatment plan targeting common factors associated with psychopathology.

Hye-jin Kim ; Seung-soo Ha pp.913-930 https://doi.org/10.17315/kjhp.2023.28.4.005
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Abstract

The purpose of this study is to examine the effect of vulnerability narcissism on body dissatisfaction and to confirm the sequential mediating effects of socially prescribed perfectionism and depression between them. For this study, an online survey based on 669 adults was conducted and the questionnaires consisted of the pathological narcissism inventory(PNI), the multidimensional perfectionism scales(MPS), the depression scale(CES-D), and the body shape questionnaire(BSQ). The results of the study were as follows. First, there was a significant correlation among all the variables of vulnerability narcissism, socially prescribed perfectionism, depression, and body dissatisfaction. Second, in the effect of vulnerability narcissism on body dissatisfaction, socially prescribed perfectionism, and depression showed a simple mediating effect. Third, in the effect of vulnerability narcissism on body dissatisfaction, socially prescribed perfectionism, and depression were sequentially mediated. These results suggest that people with vulnerable narcissism may experience depression if they show a high level of socially prescribed perfectionism, and may reveal the problem of body dissatisfaction through these mediating variables. Based on the above results, the significance of this study and suggestions for follow-up studies are presented.

The Korean Journal of Health Psychology