Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Factors that Affect Depression and Anxiety in Service and Sales Workers Who Interact With Angry Clients

  • Park, Jungsun (Department of Occupational Health, Catholic University of Daegu) ;
  • Kim, Yangho (Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine)
  • Received : 2020.02.12
  • Accepted : 2020.11.01
  • Published : 2021.06.30
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Abstract

Introduction: We evaluated depression and anxiety in service and sales workers from Korea who interacted with angry clients to identify factors that mediated and moderated depression and anxiety in these workers. Methods: This was a secondary analysis of data from the fifth Korean Working Conditions Survey conducted in 2017. A structural equation model was used for mediation and moderation analysis. Results: Service and sales workers who had more interactions with angry clients had increased risk for depression and anxiety. Experiencing clients' adverse behaviors (acute episodes) mediated the relationship between interacting with angry clients (a chronic situation) on depression and anxiety. Job satisfaction and managers' support moderated the relationship between interacting with angry clients and mental health problems. Conclusion: We suggest that employers of service and sales workers should recruit staff based on their aptitude for such work, thus ensuring job satisfaction, and train them to deal with angry clients in such a way that they experience less emotional burden. Employers should also make bylaws requiring managers to directly take care of adverse social behavior by clients. Furthermore, a sociocultural campaign to prevent adverse social behavior by clients is also needed.

Keywords

Acknowledgement

The authors report that there was no funding source for the work that resulted in the article or the preparation of the article.

References

  1. Hochschild AR. The managed heart: commercialization of human feeling; 1991.
  2. De Castro AB, Agnew J, Fitzgerald ST. Emotional labor: relevant theory for occupational health practice in post-industrial America. AAOHN J 2004;52(3): 109-15. https://doi.org/10.1177/216507990405200307
  3. Eurofound. Sixth European working conditions surveyeoverview report (2017 update). Luxembourg: Publications Office of the European Union; 2017.
  4. The World Bank. Electronic tables for service, etc., value added (% of GDP); 2014.
  5. Lee G. Korean emotional laborers' job stressors and relievers: focus on work conditions and emotional labor properties. Saf Health Work 2015;6(4):338-44. https://doi.org/10.1016/j.shaw.2015.08.003
  6. Yoo T, Ye B, Kim JI, Park S. Relationship of workplace violence and perpetrators on sleep disturbance-data from the 4th Korean working conditions survey. Ann Occup Environ Med 2016;28:59. https://doi.org/10.1186/s40557-016-0142-z
  7. Cho YS, Park JB, Lee KJ, Min KB, Baek CI. The association between Korean workers' presenteeism and psychosocial factors within workplaces. Ann Occup Environ Med 2016;28(1):41. https://doi.org/10.1186/s40557-016-0124-1
  8. Lee B. Relationship between hiding emotions and health outcomes among South Korean interactive service workers. Workplace Health Saf 2016;64(5): 187-94. https://doi.org/10.1177/2165079915611432
  9. Kim G, Min B, Jung J, Paek D, Cho SI. The association of relational and organizational job stress factors with sleep disorder: analysis of the 3rd Korean working conditions survey (2011). Ann Occup Environ Med 2016;28(1):46. https://doi.org/10.1186/s40557-016-0131-2
  10. Lim SS, Lee W, Hong K, Jeung D, Chang SJ, Yoon JH. Facing complaining customer and suppressed emotion at worksite related to sleep disturbance in Korea. J Korean Med Sci 2016;31(11):1696-702. https://doi.org/10.3346/jkms.2016.31.11.1696
  11. Baek K, Yang S, Lee M, Chung I. The association of workplace psychosocial factors and musculoskeletal pain among Korean emotional laborers. Saf Health Work 2018;9(2):216-23. https://doi.org/10.1016/j.shaw.2017.09.004
  12. Jung K, Kim DH, Ryu JY. Relationship between concealment of emotions at work and musculoskeletal symptoms: results from the third Korean working conditions survey. Ind Health 2018;56(5):367-72. https://doi.org/10.2486/indhealth.2017-0224
  13. Yoon JH, Kang MY, Jeung D, Chang SJ. Suppressing emotion and engaging with complaining customers at work related to experience of depression and anxiety symptoms: a nationwide cross-sectional study. Ind Health 2017;55(3):265-74. https://doi.org/10.2486/indhealth.2016-0069
  14. Yun JA, Lee Y, Mastracci S. The moderating effect of female managers on job stress and emotional labor for public employees in gendered organizations: evidence from Korea. Public Personnel Manage 2019:0091026019829163.
  15. Yun S, Lim SS, Kim J, Kim YK, Won JU, Yoon JH. The role of customer service manual on workplace emotional burden in nationwide cross sectional study. Ann Occup Environ Med 2019;31:5. https://doi.org/10.1186/s40557-019-0285-9
  16. Lee HE, Kim HR, Park JS. Work-related risk factors for workplace violence among Korean employees. J Occup Health 2014;56(1):12-20. https://doi.org/10.1539/joh.13-0082-OA
  17. Wang H, Hall NC, Taxer JL. Antecedents and consequences of teachers' emotional labor: a systematic review and meta-analytic investigation. Educ Psychol Rev 2019;31(3):663-98. https://doi.org/10.1007/s10648-019-09475-3
  18. Hulsheger UR, Schewe AF. On the costs and benefits of emotional labor: a meta-analysis of three decades of research. J Occup Health Psychol 2011;16(3):361. https://doi.org/10.1037/a0022876
  19. Mesmer-Magnus JR, DeChurch LA, Wax A, Anderson KT. Dissonance matters: meta-analytic examination of the antecedents and consequences of emotional labor. In: Academy of management proceedings: 2011, vol. 10510. NY: Academy of Management Briarcliff Manor; 2011. p. 1-6.
  20. Diefendorff JM, Richard EM. Antecedents and consequences of emotional display rule perceptions. J Appl Psychol 2003;88(2):284-94. https://doi.org/10.1037/0021-9010.88.2.284
  21. Kim WG, Han SJ, Kang S. Individual and group level antecedents and consequence of emotional labor of restaurant employees. J Hum Resour Hospitality Tourism 2019;18(2):145-71. https://doi.org/10.1080/15332845.2019.1558479
  22. Bono JE, Vey MA. Toward understanding emotional management at work: a quantitative review of emotional labor research. Emotions Organ Behav 2005: 213-33.
  23. Briner R, Poppleton S, Owens S, Kiefer T. The nature, causes and consequences of harm in emotionally-demanding occupations. Health and Safety Executive; 2008.
  24. Holman D, Chissick C, Totterdell P. The effects of performance monitoring on emotional labor and well-being in call centers. Motivation Emot 2002;26(1): 57-81. https://doi.org/10.1023/A:1015194108376
  25. Korea Occupational Safety and Health Agency. The fifth Korean working conditions survey; 2019.
  26. Kim YS, Rhee KY, Oh MJ, Park J. The validity and reliability of the second Korean working conditions survey. Saf Health Work 2013;4(2):111-6. https://doi.org/10.1016/j.shaw.2013.05.001
  27. Statistics Korea. Korean standard classification of occupations (KSCO). Daejeon: Statistics Korea; 2016.
  28. International Labour Office. International standard classification of occupations: ISCO-88. Geneva: ILO; 2012.
  29. Arbuckle J. Amos users' guide. SPSS Incorporated. 1997. version 3.6. .
  30. R M H, Jacob J. Bayesian structural equation modelling tutorial for novice management researchers. Manage Res Rev 2018;41(11):1254-70. https://doi.org/10.1108/MRR-11-2017-0377
  31. Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instruments, Comput 2004;36(4):717-31. https://doi.org/10.3758/BF03206553
  32. Cheung GW, Lau RS. Testing mediation and suppression effects of latent variables: bootstrapping with structural equation models. Organizational Res Methods 2007;11(2):296-325. https://doi.org/10.1177/1094428107300343
  33. Gunzler D, Chen T, Wu P, Zhang H. Introduction to mediation analysis with structural equation modeling. Shanghai Arch Psychiatr 2013;25(6): 390-4. https://doi.org/10.3969/j.issn.1002-0829.2013.06.009
  34. Zelnick JR, Slayter E, Flanzbaum B, Butler NG, Domingo B, Perlstein J, Trust C. Part of the job? Workplace violence in Massachusetts social service agencies. Health Soc Work 2013;38(2):75-85. https://doi.org/10.1093/hsw/hlt007
  35. Choi ES, Jung H-S, Kim S-H, Park H. The influence of workplace violence on work-related anxiety and depression experience among Korean employees. J Korean Acad Nurs 2010;40(5).
  36. Faragher EB, Cass M, Cooper CL. The relationship between job satisfaction and health: a meta-analysis. Occup Environ Med 2005;62(2):105-12. https://doi.org/10.1136/oem.2002.006734
  37. Park J, Han B, Kim Y. Association of job satisfaction and security with subjective health and well-being in Korean employees. J Occup Environ Med 2018;60(10):e525-32. https://doi.org/10.1097/JOM.0000000000001418
  38. Oginska-Bulik N. Emotional intelligence in the workplace: exploring its effects on occupational stress and health outcomes in human service workers. Int J Occup Med Environ Health 2005;18(2):167-75.
  39. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, Chung JJ, Cho JJ, Son M, Chae CH. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 2005;17(4):297-317. https://doi.org/10.35371/kjoem.2005.17.4.297
  40. Yoon Y, Ryu J, Kim H, won Kang C, Jung-Choi K. Working hours and depressive symptoms: the role of job stress factors. Ann Occup Environ Med 2018;30(1): 46. https://doi.org/10.1186/s40557-018-0257-5
  41. Virtanen M, Stansfeld SA, Fuhrer R, Ferrie JE, Kivimaki M. Overtime work as a predictor of major depressive episode: a 5-year follow-up of the Whitehall II study. PLoS One 2012;7(1):e30719. https://doi.org/10.1371/journal.pone.0030719
  42. Virtanen M, Ferrie JE, Singh-Manoux A, Shipley MJ, Stansfeld SA, Marmot MG, Ahola K, Vahtera J, Kivimaki M. Long working hours and symptoms of anxiety and depression: a 5-year follow-up of the Whitehall II study. Psychol Med 2011;41(12):2485-94. https://doi.org/10.1017/S0033291711000171
  43. Park J, Kim Y, Han B. Long working hours in Korea: based on the 2014 Korean working conditions survey. Saf Health Work 2017;8(4):343-6. https://doi.org/10.1016/j.shaw.2017.05.002

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