DOI QR코드

DOI QR Code

The Effects of Life Stress on Depression in Nursing Students: The Mediating Effect of Unconditional Self Acceptance

간호대학생의 생활스트레스가 우울에 미치는 영향: 무조건적 자기수용의 매개효과

  • Yeo, Hyun Ju (College of Nursing, Taegu Science University)
  • 여현주 (대구과학대학교 간호학과)
  • Received : 2022.03.25
  • Accepted : 2022.04.18
  • Published : 2022.04.30

Abstract

Purpose: The purpose of the study was to examine the meditating effect of unconditional self acceptance on the relationship between life stress and depression in nursing students. Methods: Data was collected from a survey of 140 nursing students using self-reported questionnaires. The data was analyzed using IBM SPSS Statistic 25.0. The mediating effect of unconditional self-acceptance on the relationship between the subject's life stress and depression was analyzed using Baron and Kenny's method. In addition, the Sobel test was conducted to determine the significance of the mediating effect. Results: The regression model explained 43% of the variance in nursing students' depression. Significant factors were task-related life stress, unconditional self acceptance, and academic achievement. Unconditional self acceptance had a partial mediating effect on the relationship between nursing students' task-related life stress and depression. Conclusion: To prevent depression in nursing students, it is necessary to build effective strategies to manage task-related stress and improve unconditional self-acceptance.

Keywords

References

  1. Lee YR. The mediating effect of self-focused attention and cognitive flexibility on the relationship between self- acceptance and depression [master's thesis]. Gyeonggi-do: Catholic University; 2017. p. 1-36.
  2. Ministry of Health and Welfare. 2021 Mental Health Survey [Internet]. Sejong: Author; 2021 [cited 2021 December 26]. Available from: https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=369088
  3. Kim JI. The effect of college life stress and self-efficacy on well-being of nursing students during the COVID-19 pandemic. Journal of the Korean Society of School Health. 2021;34(3):200-207. https://doi.org/10.15434/kssh.2021.34.3.200
  4. Lee GC, Ahn JH. College nursing students' experiences of COVID-19 pandemic. Journal of the Korea Academia-Industrial cooperation Society. 2020;21(12):142-152. https://doi.org/10.5762/KAIS.2020.21.12.142
  5. Chon KK., Kim KH, Yi JS. Development of the revised life stress scale for college students. Korean Journal of Health Psychology. 2000;5(2):316-335.
  6. Song YA, Ha YO. Factors influencing on life stress among nursing students. Journal of East-West Nursing Research. 2018;24(2):139-145. https://doi.org/10.14370/jewnr.2018.24.2.139
  7. Kang MS, Heo NS. The effects of ability and interpersonal contingent self-esteem on depression of college students: the mediating effects of irrational beliefs and self-assessment discrepancies. Forum For Youth Culture. 2022;69:13-41. https://doi.org/10.17854/ffyc.2022.01.69.13
  8. Park HJ, Kim NH. Relationship between clinical practice stress, resilience, and depression in nursing students. The Journal of Kyungpook Nursing Science. 2020;24(2):21-29. https://doi.org/10.38083/JKNS.24.2.202008.021.
  9. Lee E. Factors affecting depression in junior nursing students. Journal of Digital Convergence. 2019;17(12):413-425. https://doi.org/10.14400/JDC.2019.17.12.413
  10. Yoo KH. A mediator effect of social support in the association between stress for college life and depression among nursing students. The Journal of Korean Academic Society of Nursing Education. 2019;2;25(1):125-135. https://doi.org/10.5977/jkasne.2019.25.1.125
  11. Chon KK, Kim KH. Development of the stress scale for college students: a control theory approach. The Korean Journal of Clinical Psychology. 1991;10(1):137-158.
  12. Cho HJ, Shin WW. The effect of the life stress and coping styles on suicidal ideation of university students: focusing on students in seoul and gyeonggi-do. Journal of Business Convergence. 2021;6(3):49-56. https://doi.org/10.31152/JB.2021.08.6.3.49
  13. Choi SK. Convergence relationship between life stress and depression in nursing college students. Journal of Digital Convergence. 2018;16(5):257-266. https://doi.org/10.14400/JDC.2018.16.5.257
  14. Shin MK, Yi HY, Won JS. Influence of life stress and depression on suicidal ideation among college nursing students. Journal of the Korean Academy of Fundamentals of Nursing. 2013; 20(4):419-428. https://doi.org/10.7739/jkafn.2013.20.4.419
  15. Kim KH, Kwon JH. Testing models of relation to academic & career stress, acceptance behavior, and the psychological well-being of college students. The Korean Journal of Human Development. 2014;21(4):43-60. https://doi.org/10.15284/kjhd.2014.21.4.43
  16. Ellis A, Harper RA. A new guide to rational living. Oxford, England: Prentice-Hall; 1975. p. 1-233.
  17. Seo EK, Yoo SK. Relation of supervisee evaluation concerns perfectionism to supervisory working alliance: mediational effects of shame, self-acceptance, and cognitive coping - comparison between counseling trainees and counselors having the certificate. The Korean Journal of Counseling and Psychotherapy. 2012;24(1):1-26.
  18. Park JE. The effect of job-seeking stress on depression among job seekers-focussing on the meditation effect of self acceptance and sellf-understanding [master's thesis]. Gyeongbuk: Daegu University; 2019. p. 1-26.
  19. Chamberlain JM, Haaga DAF. Unconditional self-acceptance and responses to negative feedback. Journal of Rational- Emotive & Cognitive-Behavior Therapy. 2001;19(3):177-189. https://doi.org/10.1023/A:1011141500670
  20. Kim SHS. The mediating effect of a child's unconditional self-acceptance on the relationship between the mother's perfectionism and the child's depression. Korean Journal of Woman Psychology. 2005;10(4):461-481.
  21. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1997;1:385-401. https://doi.org/10.1177/014662167700100306
  22. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES - D in Korea. The Korean Journal of Health Psychology. 2001;6(1): 59-76. https://doi.org/10.4236/ojmp.2012.14009
  23. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6):1173-1182. https://doi.org/10.1037//0022-3514.51.6.1173
  24. Jung HY. The convergence influence of life stress, depression and ego resiliency on college life adaptation in nursing students. Journal of Digital Convergence. 2016;14(7):259-268. https://doi.org/10.14400/JDC.2016.14.7.259
  25. Kim YH, Yang MS, Park HR. A study on a relationship between university students life stress and suicidal ideation: mediating effect of mental health. Journal of Digital Convergence. 2015; 13(11):291-301. https://doi.org/10.14400/JDC.2015.13.11.291
  26. Shin SH. The effect of academic stress and the moderating effects of academic resilience on nursing students' depression. The Journal of Korean Academic Society of Nursing Education. 2016;22(1):14-24. https://doi.org/10.5977/jkasne.2016.22.1.14
  27. Lim JO. The mediating effects of self-acceptance and life stress on the relationship between spirituality and life satisfaction among college students. Korean Journal of Youth Studies. 2017;24(4):179-210. https://doi.org/10.21509/KJYS.2017.04.24.4.179
  28. Cha NH, Kim HS. Development and effectiveness verification of non-face-to-face mindfulness group counseling program for the control of university students' life stresses. Korean Journal of Counseling: Case Studies and Practice. 2020;5(2):41-61. https://doi.org/10.15703/kjccsp.5.2.202012.41
  29. Kwak HM, Chung NW. The influence of evaluative concerns perfectionism on depression: a moderated mediating effect of self-acceptance through internalized shame. The Korean Journal of Counseling and Psychotherapy. 2022;34(1):111-133. https://doi.org/10.23844/kjcp.2022.02.34.1.111