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The Korean Journal of Health Psychology

Sung-Yi Cha ; Myoung-Ho Hyun pp.527-548 https://doi.org/10.17315/kjhp.2024.29.4.001
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Abstract

This study aimed to investigate the dual mediation effect of intrusive rumination and meaning integration on the relationship between grief-related avoidance and prolonged grief. A survey was conducted with adults aged 20 and above, and data from 273 participants were analyzed. The analysis revealed significant correlations between grief-related avoidance and both intrusive rumination and prolonged grief. Additionally, grief-related avoidance showed a negative correlation with meaning integration. Moreover, both the correlation between intrusive rumination and meaning integration and the correlation between meaning integration and prolonged grief were significant. Furthermore, in the process by which grief-related avoidance influences prolonged grief, the dual mediation effect of intrusive rumination and meaning integration was found to be significant. In other words, high levels of grief-related avoidance increased intrusive rumination, which, in turn, hindered the process of finding meaning and therefore affected symptoms of prolonged grief. These results highlight the importance of addressing grief-related avoidance in therapeutic interventions for prolonged grief, suggesting that it is necessary to address this issue before engaging in the meaning-making process of coping with loss. Finally, the study concludes by discussing the significance and limitations of the findings.

Min-kyeong Kim ; Myoung-Ho Hyun ; Seo Jeong Lee pp.549-566 https://doi.org/10.17315/kjhp.2024.29.4.002
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Abstract

This study investigated the mediating effects of internalized shame and thoughts about self-injury scars on the relationship between nonsuicidal self-injury scars and the concealment of these scars. Firstly, we discovered that social thoughts and thoughts about suicide significantly mediate the number of nonsuicidal self-injury scars and the concealment of self-injury scars. Secondly, we examined the sequential mediating effects of internalized shame on each social thought and thought about suicide, and these effects of internalized shame were found to be statistically significant. This study emphasizes the importance of understanding cognitions related to self-injury scars, particularly social thoughts and thoughts about suicide, in relation to scar concealment, as well as the role of internalized shame. The findings of this study contribute to a deeper understanding of nonsuicidal self-injury scars and scar concealment, and suggest potential intervention strategies that focus on thoughts about self-injury scars.

Chanhee Park ; Hyein Chang ; Jibum Kim ; Tae-Young Pak ; Hyesun Hwang pp.567-599 https://doi.org/10.17315/kjhp.2024.29.4.003
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Abstract

The study aimed to determine whether poverty-related cumulative risk, which includes various risk factors associated with poverty, can predict suicidal behavior in young adults during early adulthood. We also examined how non-suicidal self-injury (NSSI) and the acquired capability for suicide play a sequential mediating role in this process. We recruited a total of 544 adults (302 females, 242 males) whose household income in 2022 was below 60% of the Korean base median income. Participants completed online self-report questionnaires that assessed poverty-related cumulative risk, including household income, educational attainment, occupational status, housing environment, family conflict, and social support. Additionally, participants provided information on NSSI, the acquired capability, suicidal ideation, and suicide attempts. We analyzed the data using hierarchical regression and the SPSS Process Macro. The results showed that poverty-related cumulative risk significantly predicted suicidal behavior, and this association was sequentially mediated by NSSI and the acquired capability for suicide. This study contributes to the literature by revealing the underlying mechanisms through which multidimensional poverty can influence suicidal behavior and highlights NSSI and the acquired capability for suicide as potential targets for intervention.

Sion Han ; Jong-hwan Lee ; Jong-min Lim ; Mun-Seon Chang pp.601-622 https://doi.org/10.17315/kjhp.2024.29.4.004
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Abstract

The purpose of this study is to investigate the role of overgeneral memory in the connection between depressogenic inferential styles and depressive symptoms. Additionally, the study aims to explore whether self functionings moderate the relationship between overgeneral memory and depressive symptoms, and to test the effect of moderated mediation. A total of 188 university students completed the Cognitive Style Questionnaire(CSQ) and the Korean version of the Center for Epidemiologic Studies Depression Scale-Revised(K-CESD-R). From the 98 participants who agreed to take part, the the Autobiographical Memory Test(AMT) and the SCORS-G assessment, which utilized the Thematic Apperception Test(TAT), were used to measure the level of memory overgenerality and self functionings. The findings revealed a positive association between higher levels of depressogenic inferential styles and overgeneral memory, which in turn were associated with increased depressive symptoms. Moreover, it was found that self functionings moderated mediating effec, whereby the pathway linking depressogenic inferential styles to depressive symptoms through overgeneral was significant, except in the high self functionings condition. These results are noteworthy as they highlight the significance of self functionings in the relationship between overgeneral memory and depressive symptoms.

Chakyong Kim ; Seong-Hoon Hwang pp.623-639 https://doi.org/10.17315/kjhp.2024.29.4.005
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Abstract

Negative events experienced in life can cause negative emotions. When these emotions are suppressed and become indistinguishable from bodily sensations, they can result in somatic symptoms. The suppression of negative emotions and alexithymia has been identified as a pathway to somatic symptoms. This study aimed to explore an alternative pathway for relieving somatic symptoms through self-compassion. The hypothesis proposes that responding to negative emotions with self-compassion, rather than suppressing them, allows for the recognition and expression of emotions, thus alleviating symptoms. A cross-sectional design was used, and a total of 299 cyber university students participated in an online survey. The survey included the Life Experiences Survey, Attitudes toward Emotional Expression Scale, Self-Compassion Scale, Toronto Alexithymia Scale-20, and the Somatization Symptoms Scale of the Symptom Checklist-90-Revision. The results revealed a significant indirect effect from negative life events to somatic symptoms, mediated by emotional suppression and alexithymia in sequence. Additionally, an alternative mediation pathway through self-compassion, instead of emotional suppression, was also found to be significant. The study discusses the clinical implications of the differential mediating effects of emotional suppression and self-compassion in the explanatory model of somatization. It also suggests limitations of the present study and offers directions for future research.

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Abstract

The purpose of this study was to examine whether the effects of vulnerability to emotional disorders on depression and anxiety, mediated by perceived stress, differ based on levels of self-compassion in the non-clinical population. To accomplish this, an online survey was given to individuals between the ages of 20 and 60, and the data from a total of 441 participants were analyzed. Vulnerability to emotional disorders was measured using scales for trait anxiety and emotional control. Moderated mediation effects were examined using scales for perceived stress, self-compassion, depression, and anxiety. The results showed that the vulnerability to emotional disorders variable had a significant positive correlation with perceived stress, depression, and anxiety, while having a significant negative correlation with self-compassion. More importantly, the influence of perceived stress in mediating the effects of vulnerability to emotional disorders on depression and anxiety was lower with higher levels of self-compassion. The usefulness of self-compassion in alleviating depression and anxiety in the non-clinical population was discussed. The findings are significant in terms of exploring the relationship between vulnerability to emotional disorders and depression/anxiety in a non-clinical population, as well as confirming the role of self-compassion as a resource for promoting mental health.

Dahye Won ; Eun-Jung Shim pp.663-681 https://doi.org/10.17315/kjhp.2024.29.4.007
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Abstract

The purpose of this study was to investigate the effectiveness of an online Mindful Self-Compassion (MSC) intervention in reducing self-stigma, promoting self-compassion, and improving psychological health (specifically, depression and anxiety) in lesbian, gay, and bisexual individuals. It is well-known that self-stigma among this population increases the risk of mental health problems, yet effective interventions to address this issue are lacking. In April 2023, we randomly assigned 25 gay and bisexual men between the ages of 19 and 35 to either an online MSC intervention group (n=13) or a waitlist group (n=12). We evaluated participants at four different time points: before the intervention, after four sessions, at the end of the intervention, and one month after its completion. The intervention group received the MSC intervention twice a week for a total of eight sessions, each lasting 30 minutes. All participants in the intervention group completed the program, with only one person dropping out. Therefore, the final analysis included 24 participants. The results of our study showed that there was no significant difference in self-stigma levels between the intervention group and the waitlist group. However, within the intervention group, we observed a significant decrease in self-stigma levels from pre-test to post-test. Additionally, self-compassion levels in the intervention group increased significantly compared to the waitlist group. Furthermore, participants in the intervention group reported significant reductions in depression and anxiety compared to those in the waitlist group. These positive effects were maintained up to one month after the intervention. Based on these findings, it can be concluded that the online MSC intervention has the potential to be an effective approach in enhancing self-compassion levels and alleviating depression and anxiety in lesbian, gay, and bisexual individuals.

Seul-Ah Lee ; Ah Young Lim pp.683-714 https://doi.org/10.17315/kjhp.2024.29.4.008
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Abstract

The aim of this study was to investigate the impact of newly developed interventions focused on self-regulation on the psychological well-being of adults with low self-regulation. For this purpose, we created two different interventions - one aimed at goal pursuit and the other focused on impulse control. We compared the effects of these interventions with a traditional self-regulation intervention, which had previously proven effective in other studies, and a wait-control group. Participants with low self-regulation were randomly assigned to either the goal pursuit intervention, the impulse control intervention, the comparison group, or the wait-control group. Self-regulation, life satisfaction, psychological well-being, positive and negative affect, depression, anxiety, and behavioral motivation were measured before, immediately after, and at a follow-up stage. The results revealed that both the goal pursuit intervention and the impulse control intervention led to increased self-regulation, psychological well-being, and positive emotions, as well as reduced depression, anxiety, and negative emotions. These interventions were significantly more effective than the wait-control group in most variables, and they were also more successful in improving life satisfaction and positive emotions compared to the comparison group. The study concludes with a discussion of the implications and limitations of the findings, as well as suggestions for future research.

The Korean Journal of Health Psychology