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The Korean Journal of Health Psychology

Vol.29 No.2

Juhee Lim(Handong Global University) ; Hanna Lim(Handong Global University) ; Hyangmi Kim(Handong Global University) ; Sungman Shin(Handong Global University) pp.217-240 https://doi.org/10.17315/kjhp.2024.29.2.001
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Abstract

The study aimed to explore the experiences of support from people with the same illness among breast cancer survivors and their expectations and needs regarding peer support services for alleviating distress. The participants consisted of 10 women aged 19 or older who were undergoing or had completed breast cancer surgery or adjuvant therapy(chemotherapy, radiation therapy, hormonal therapy) within the last 5 years. Data were collected through semi-structured interviews, and Consensual Qualitative Research (CQR) was employed for data analysis. The analysis yielded two domains, six categories, and 17 subcategories. These two domains were categorized as ‘Support from people with the same illness’ and ‘Expectations and needs for Peer Support Services’. The categories within each domain included ‘Emotional Support’, ‘Information Provision’ in the domain of Support from people with the same illness, ‘Types of Peer Support Services’, ‘Qualifications and Competencies of Peer Support Providers’, ‘Benefits of Engaging in Peer Support Activities’, ‘Timing of Need for Peer Support’ in the domain of expectations and needs for peer support services. The results of this study can be utilized as foundational data for the development of peer support services for breast cancer survivors and for training peer support providers.

Su Min Son(Sookmyung Women’s University) ; So Yean Lee(Sookmyung Women’s University) pp.241-255 https://doi.org/10.17315/kjhp.2024.29.2.002
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Abstract

This study aimed to investigate the association between binge-eating behaviors and depressive symptoms, with a focus on the aggravating effects of socially prescribed perfectionism in adolescents. A total of 584 high school students (305 males and 279 females) in three high schools located in the Gyeongsang region were surveyed using the Child and Adolescent Perfectionism Scale (CAPS), the Depression Symptom Scale (CES-D), and the Korean version of the Eating Attitudes Test-26 (KEAT-26). The collected data were analyzed using STATA 15.0 and the findings are as follows: Firstly, the severity of binge eating was associated with depressive symptoms. Adolescents with greater binge eating had a 1.67 times higher risk of depressive symptoms compared to those with lower levels. Secondly, the interaction between binge eating and socially prescribed perfectionism increased the severity of depressive symptoms by 2.06 times. The findings indicate that the depressive symptoms may be amplified by the interaction between binge eating behaviors and socially prescribed perfectionism. Based on these results, the importance of intervention in preventing depressive symptoms attributed to binge eating in adolescents was discussed, along with clinical approaches to intervene in this issue.

Joo-Hee Park(Gyeongsang National University Changwon Hospital) ; Jong-Min Lim(Kyungpook National University) ; Mun-Seon Chang(Kyungpook National University) pp.257-280 https://doi.org/10.17315/kjhp.2024.29.2.003
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Abstract

In this study, groups were divided according to interpersonal trauma and impersonal trauma. The specific effects of emotional approach coping and deliberate rumination on the relationship between intrusive rumination and post-traumatic Growth in each group were identified through a structural equation model. To this end, an accelerated survey through an online consumption survey site was conducted using the Awkward Experience Questionnaire, Event-Related Rumination Scale (K-SCS), Emotional Approaching Coping Scale (EAC), and the Post- Traumatic Growth Scale (K-PTG) for 474 people aged 18 or older. Descriptive statistics and correlation analysis were performed on the collected data using SPSS 21.0. Also, measurement identity and mediation effects were verified using AMOS 21.0. the mediating effect of deliberate rumination between intrusive rumination and post-traumatic growth was confirmed in both the interpersonal trauma and impersonal trauma groups. As a result, the mediating effect of emotional approach coping was not significant in the impersonal trauma group but interpersonal trauma group. Consequently, the process by which individuals who have experienced trauma progress to post-traumatic growth through intrusive rumination and deliberate rumination in the post-traumatic growth model was empirically demonstrated. In addition, cognitive and emotionally integrated intervention is necessary for individuals who have experienced interpersonal trauma compared to individuals who have experienced impersonal trauma.

Shin Young Park(Chung-Ang University) ; Min Jin Jin(Kongju National University) ; Myoung-Ho Hyun(Chung-Ang University) pp.281-298 https://doi.org/10.17315/kjhp.2024.29.2.004
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Abstract

The study investigated the dual mediation effect of early maladaptive schemas and maladaptive cognitive emotion regulation strategies on the relationship between childhood-adolescence trauma and interpersonal problems of youth in transition to independent living. A survey was conducted with early adults, aged 18 to 34, and data from 201 participants were analyzed. The analysis revealed that early maladaptive schemas and maladaptive cognitive emotion regulation strategies each significantly mediated the relationship between childhood-adolescence trauma and interpersonal problems. Furthermore, early maladaptive schemas and maladaptive cognitive emotion regulation strategies showed a significant dual mediating effect in this relationship. The findings reflect the need for therapeutic interventions that consider the sequential mediating roles of early maladaptive schemas and maladaptive cognitive emotion regulation strategies, which are developed following childhood-adolescence trauma. This study provided the psychological mechanisms underlying the interpersonal problems reported by youth in the transition to independent living and highlighted the necessity of early interventions for the traumas experienced in childhood and adolescence.

Seohyun Keum(Seoul National University) ; Hoon-Jin Lee(Seoul National University) pp.299-323 https://doi.org/10.17315/kjhp.2024.29.2.005
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Abstract

In this study, the emotion regulation process in the relationship between affect intensity and depression was investigated, focusing on emotion malleability beliefs and rumination strategies. To understand the emotion regulation process that occurs when affect intensity affects depression, the sequential mediating effect of the emotion malleability beliefs and emotion regulation strategies in the relationship between affect intensity and depression was examined. One-hundred thirty-nine college and graduate students participated in the survey, and the relationships between negative affect intensity, positive affect intensity, emotion malleability beliefs, brooding, positive rumination, and depression were examined by using correlation analysis and sequential mediating effects were confirmed through path analysis. The results of the analysis indicated a negative correlation between emotion malleability beliefs and negative affect intensity, brooding, and depression. The emotion malleability beliefs and brooding sequentially mediated the relationship between negative affect intensity and depression. In other words, when negative affect intensity was higher, depression increased by weaker emotion malleability beliefs and more brooding. The direct effect of negative affect intensity on depression was not significant, while the indirect effect via emotion malleability beliefs, brooding, and both variables were significant. However, positive affect intensity and positive rumination did not significantly correlate with emotion malleability beliefs and depression. In addition, for the male group, the path from emotion malleability beliefs to brooding and the path from negative affect intensity to depression through emotion malleability beliefs and brooding were not significant. The implications and limitations of the study, and suggestions for future study were discussed.

Seul-Ah Lee(Kyungnam University) ; Sarang Go(Kyungpook National University) pp.325-341 https://doi.org/10.17315/kjhp.2024.29.2.006
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Abstract

The present study examined the mediating effect of emotional dysregulation on the relationship between affect intensity and compulsive purchasing, and the moderating effect of impulsivity on the influence of emotional dysregulation on compulsive purchasing. The Affect Intensity Measure, Compulsive Purchase Scale, Difficulties in Emotional Regulation Scale and Impulsivity Scale were administered to 426 adults over the age of 18, and data were collected. Based on the data collected, the main findings of this study, which tested the mediating effect of emotional dysregulation and the moderated mediating effect of impulsivity on the relationship between affect intensity and compulsive purchasing behavior, are as follows. First, there were significant correlations between affect intensity, compulsive purchasing behavior, emotional dysregulation, and impulsivity. Second, affect intensity had a positive effect on emotional dysregulation, and emotional dysregulation partially mediated the relationship between affect intensity and compulsive purchasing behavior. Third, the moderated mediation test revealed that affect intensity mediated the pathway through which emotional dysregulation affected compulsive purchasing, and the relationship between emotional dysregulation and compulsive purchasing behavior was moderated by impulsivity, confirming the moderated mediation effect. Based on these findings, the implications and limitations of this study and suggestions for future research are discussed.

Hye Seon Han(Chung-Ang University) ; Myoung-Ho Hyun(Chung-Ang University) pp.343-361 https://doi.org/10.17315/kjhp.2024.29.2.007
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Abstract

This study aimed to examine whether individuals with secondary callous-unemotional traits effectively regulate emotional reactivity using adaptive emotion regulation strategies. The secondary callous-unemotional traits group was randomly assigned to either the cognitive reappraisal group or the control group. The cognitive reappraisal group was asked to regulate their emotion by taking an objective, third-person point of view of the fear-inducing video. Self-report and psychophysiological measures were obtained before and after the manipulation, with skin conductance also measured during video viewing. Emotional and cognitive empathy were measured after video viewing. There were significant group differences in physiological measures. Therefore, individuals in the secondary callous-unemotional traits group can effectively regulate emotional reactivity at the physiological level through adaptive strategies. Finally, the implications and limitations of this study were discussed, and further studies were suggested.

Eun-Kyung Choi(Duksung Women's University) ; Jung-Ho Kim(Duksung Women's University) ; Mirihae Kim(Duksung Women's University) pp.363-388 https://doi.org/10.17315/kjhp.2024.29.2.008
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Abstract

The purpose of this study was to examine (a) the effects of emotion-focused mindfulness on the emotional states of depressed female university students and (b) the role of attention as a mechanism underlying this process. To do so, female university students located in Seoul were recruited and categorized as depressed and non-depressed. Depressed participants were assigned to either a treatment group or a control group. The emotion-focused mindfulness was administered to the treatment group 1-2 times a week, for approximately 60 minutes per session. Treatment lasted for a total of 8 sessions. The main treatment components of the program included emotion-focused mindfulness education, practice, and feedback. Depression, anxiety, and positive and negative emotions were assessed at pretest and posttest for each group. Participants’ levels of attention-control were also measured using selective attention, sustained attention, emotional bias, and emotional interference stimulations. Data from 13 depressed participants from the treatment group, 13 depressed participants from the control group, and 12 non-depressed participants were analyzed. The treatment group showed a greater reduction in depression and anxiety scores compared to the control group; they also showed increased sustained attention, decreased attentional bias of negative emotions, and were better able to control emotional interference compared to the control group. Notably, attention bias toward negative emotional words and attention control based on the emotional interference stimulation changed to a level similar to that of the non-depressed control group. However, there were no significant differences among groups in terms of negative emotions, positive emotions, and selective attention. The utility of this emotion-focused mindfulness, its implications, and areas for future research are also discussed.

InJae Lee(Gyeongsang National University) ; Nanmee Yang(Gyeongsang National University) pp.389-416 https://doi.org/10.17315/kjhp.2024.29.2.009
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Abstract

This study aims to develop a person-centered group counseling program and test its effects based on the therapeutic principles of person-centered counseling with a group of people with a relationship addiction tendency. For these purposes, an in-depth interview on the interpersonal experiences of people with a relationship addiction tendency and effective counseling approaches with six people with a relationship addiction tendency and four experts before developing a ten-session program based on them. To test the effects of the program, 20 people with relationship addiction tendency were assigned to the experiment and control group and compared and analyzed at a pre-test, post-test, and follow-up point. Measuring instruments used in the study included scales on relationship addiction, self-concept clarity, unconditional self-acceptance, and distress tolerance. The findings show that the experiment group that implemented the person-centered group counseling program had significant effects on their relationship addiction, self-concept clarity, unconditional self-acceptance, and distress tolerance as people with a relationship addiction tendency compared to the control group. To test the generalization possibilities of the program, the person-centered group counseling program was also applied to the control group that completed a follow-up questionnaire. The program intervention in the control group generated partially significant results compared with changes the experiment group. Finally, the study discussed its significance and limitations.

The Korean Journal of Health Psychology