DOI QR코드

DOI QR Code

The Mediating Effect of Depression on the relationship between Emotional Labor and Somatic Symptoms and Insomnia in Non-Medical Hospital Workers

비의료직 병원 종사자들의 감정노동과 신체증상 및 불면증 간의 관계에서 우울의 매개효과

  • Lee, Jung-Min (Korea Foundation of Industrial Health Care and Welfare) ;
  • Jang, Ki-Won (Korea Foundation of Industrial Health Care and Welfare)
  • 이정민 (한국산업의료복지연구원) ;
  • 장기원 (한국산업의료복지연구원)
  • Received : 2021.06.20
  • Accepted : 2021.08.20
  • Published : 2021.08.28

Abstract

The purpose of this study is to prevent risk of emotional labor and health through verifying the mediating effects of depression on the relationship between emotional labor and somatic symptoms and insomnia in non-medical hospital workers. For this study, a sample of 533 tertiary hospital's non-medical workers completed the questionnaires of the Korean Emotional Labor Scale, PHQ-15, ISI, PHQ-9. The data was analyzed using the SPSS 25.0 program. The results can be summarized as follows. 1. Among the emotional labor sub-factors, emotional dissonance had a significant effect on depression, somatic symptoms and insomnia. Other sub-factors had a relatively small effect or had no effect. 2. The results showed the partial mediating effects of depression on the relationship between emotional labor and somatic symptoms. 3. The results showed the full mediating effects of depression on the relationship between emotional labor and insomnia. On the basis of the results, we suggest the necessity of dealing with emotional dissonance and depression in non-medical hospital workers' emotional labor and health issues.

본 연구의 목적은 비의료직 병원 종사자의 감정노동과 신체증상 및 불면증 간의 관계에서 우울의 매개효과를 검증하여, 이들의 감정노동과 건강문제에서 위험을 예방하는 것이다. 이를 위하여 상급종합병원 비의료직 종사자 533명에게 한국형 감정노동 평가척도, 신체증상 질문지, 불면증 심각도 질문지, 우울 질문지를 실시하였다. 수집된 자료는 SPSS 25.0 프로그램으로 분석하였다. 주요한 결과는 다음과 같다. 1. 감정노동 하위요인 중에서 감정 부조화가 우울, 신체증상, 불면증 모두에 유의한 영향을 미쳤다. 다른 하위요인들은 영향이 없거나 그 영향력이 상대적으로 작았다. 2. 감정부조화와 신체증상 간의 관계에서 우울의 부분매개효과가 나타났다. 3. 감정부조화와 불면증 간의 관계에서 우울의 완전매개효과가 나타났다. 이러한 결과를 기초로, 비의료직 병원 종사자의 감정노동 및 건강문제에 감정부조화와 우울을 다률 필요성을 제언한다.

Keywords

References

  1. L. S. Goldberg & A. A. Grandey. (2007). Display Rules Versus Display Autonomy: Emotion Regulation, Emotional Exhaustion, and Task Performance in a Call Center Simulation. Journal of Occupational Health Psychology, 12(3), 301-318. DOI : 10.1037/1076-8998.12.3.301
  2. A. R. Hoschchild. (2003). The Managed Heart: Commercialization of human feeling. Berkeley: University of California Press, 1-327.
  3. J. M. Lee, K. W. Jang. (2020). Medical Workers' Emotional Labor on Somatic Symptoms - Focusing on Mediating Effects of Depression and Anxiety-. Journal of the Korea Academia-Industrial, 21(11), 586-594. DOI : 10.5762/KAIS.2020.21.11.586
  4. E. J. Lee. (2015). A Study on the Effects of Health Professionals' Emotional Labor on the Psychological Responses and Behavior Intentions -Mediating Effect of Social Supports and Humorous Environment-. Master's thesis, Kyung Hee University, Seoul.
  5. Health and Medical Workers Survey. (2019. 6. 20). Current status and actual condition of emotional labor of health and medical workers. National Health and Medical Industry Labor Union. p. 1-12.
  6. M. R. Kim & K. C. Rhee. (2003). Development of Consumer Satisfaction Scale for Outpatients' Medical Services. Korean Society of Consumers Studies, 14(2), 197-214.
  7. J. E. Lee, E. M. Han, H. G. Hong & I. J. Lee. (2016). Validation of the Korean Version of the Emotional Labor Scale (ELS). The Korean Journal of Health Psychology, 21(1), 243-256. DOI : 10.17315/kjhp.2016.21.1.012
  8. A. J. Morris & D. C. Feldman. (1996). The dimensions, antecedents, and consequences of emotional labor. Academy of Management Review, 21(4), 986-1010. DOI : 10.5465/amr.1996.9704071861
  9. A. B. De Castro. (2003). The effect of emotional labor on depression and job dissatisfaction among young workers. Ph D. dissertation. Johns Hopkins University, Maryland.
  10. R. J. Erickson & C. Ritter. (2001). Emotional labor, burnout, and inauthenticity: Does gender matter?. Social Psychology Quarterly, 64(2), 146-163. DOI : 10.2307/3090130
  11. S. R. Lee, J. O. Park & J. C Park, IRC. (2015). A study on emotional labor conditions, risk factors, and health effects of emotional labor workers. Ulsan : Korea Occupational Safety and Health Agency.
  12. M. Murcia, J. F. Chastang & I. Niedhammer. (2013). Psychosocial work factors, major depressive and generalised anxiety disorders: Results from the French national SIP study. Journal of Affective Disorders, 146(3), 319-327. DOI : 10.1016/j.jad.2012.09.014
  13. E. J. Park, Y. H. Kim & S. J. Lee. (2015). Emotional Labor and Sleep Quality of Dental Hygienists: Mediating effect of Depression. Journal of Korean Society of Occupational and Environmental Hygiene, 28(1), 124-133. DOI : 10.15269/JKSOEH.2018.28.1.124
  14. B. Gierk, S. Kohlmann & K. Kroenke. (2014). The Somatic Symptom Scale-8 (SSS-8): A Brief Measure of Somatic Symptom Burden. JAMA Internal Medicine. 174(3), 399-407. DOI : 10.1001/jamainternmed.2013.12179
  15. H. J. Kim & J. H. Kim, (2011). Emotional Labor, Social Support, and Depressive Symptoms of Clinical Nurses in a Province. Journal of Occupational Health Nursing, 20(3). 308-318. DOI : 10.5807/kjohn.2011.20.3.308
  16. Y. J. Heo, S. M. Lee, D. I. Jeong, J. W. Won, J. H. Roh & S. J. Jang. (2019). Effects of Emotional Labor on Depressive Symptom in Physical and Occupational Therapist. Journal of Social Science, 30(2), 3-14. DOI : 10.16881/jss.2019.04.30.2.3
  17. Y. Okuda, S. Iwasaki, Y. Deguchi, T. Nitta, T. Mitake, A. Sakaguchi, A. Niki & K. Inoue. (2020). Burnout and occupational stressors among non-medical occupational health staff. Occupational Medicine 70, 45-51. DOI : 10.1093/occmed/kqz160
  18. S. J. Jang, H. T. Kang, S. B. Ko, I. A. Kim, H. R. Kim, S. S. Oh, J. H. Yoon & D. I. Jeong. (2018). A study on improvement of stress assessment tools for emotional workers and preparation of utilization plans. Ulsan : Korea Occupational Safety and Health Agency.
  19. K. Kroenke, R. L. Spitzer & J. B. W. Williams. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine. 16(9), 606-613. DOI : 10.1046/j.1525-1497.2001.016009606.x
  20. National Center for Mental Health. (2020). Standard Guidelines for Mental Health Screening Tools and Use. Seoul : National Center for Mental Health.
  21. K. Kroenke, R. L. Spitzer & J. B. W. Williams. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64(2), 258-266. https://doi.org/10.1097/00006842-200203000-00008
  22. C. H. Bastien, A. VallieAres & C. M. Morin. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine 2, 297-307. DOI : 10.1016/S1389-9457(00)00065-4
  23. R. M. Baron & D. A. Kenny. (1986) The moderator-mediator variable distinction in social psychological research: Conceptual, Strategic, and Statistical Considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  24. E. Lapointe, A. J. S. Morin, F. Courcy, A. Boilard, D. Payette. (2011). Workplace Affective Commitment, Emotional Labor and Burnout: A Multiple Mediator Model. International Journal of Business and Management, 7(1), 3-21. DOI : 10.5539/ijbm.v7n1p3
  25. Ministry of Health and Welfare & Korea Disease Control and Prevention Agency. (2020). 2019 Korea National Health and Nutrition Examination Survey 8th. Cheongju Korea : Korea Disease Control and Prevention Agency.
  26. K. G. Lee. (2011). Realationship between health behavior practice and health status among non-health professional workers in a general hospital. Master's thesis, Korea University, Seoul.
  27. A. A. Grandey. (2003). When the show must go on: Surface acting and deep acting as determinants of emotional exhaustion and peer-rated service delivery. Academy of Management Journal, 46(1), 86-96. DOI : 10.5465/30040678
  28. M. A. Mancini, H. A. Lawson. (2009). Facilitating Positive Emotional Labor in Peer-Providers of Mental Health Services. Administration in Social Work, 33(1), 3-22. DOI : 10.1080/03643100802508619
  29. T. S. Park. (2005). A Study on the Improvement of Job Satisfaction for Temporary Employees Working in Korean Hospitals. Master's thesis, Soonchunhyang University, Cheonan.