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Research Article
Combined effect of emotional labor and job insecurity on sleep disturbance among customer service workers
Sunguk Choi, Kwon Ko, Jae Bum Park, Kyung-Jong Lee, Seungho Lee, Inchul Jeong
Ann Occup Environ Med 2020;32:e33.   Published online September 10, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e33
AbstractAbstract PDFPubReaderePub
Background

Job insecurity and emotional labor are poor job-related factors that are known to cause sleep disturbances in customer service workers. This study investigates the combined effect of emotional labor and job insecurity on sleep disturbance.

Methods

This study used data from the Fifth Korean Working Condition Survey and included 15,147 paid workers who serve customers below 65 years. We re-classified into 6 groups based on whether the degree of emotional labor increased (Rarely/Sometimes/Always) or whether job insecurity (No/Yes) was present. We performed propensity score matching for several covariates and calculated odds ratio (OR) and 95% confidence intervals (CIs) for sleep disturbance by logistic regression models using only matched subjects.

Results

Workers exposed to emotional labor and job insecurity had significantly higher risk for 3 dimensions of sleep disturbance (difficulty falling asleep, waking up repeatedly during the sleep, and waking up with feeling of fatigue) (OR [95% CI]: 1.44 [1.22–1.69], 1.18 [0.99–1.40], 1.52 [1.30–1.79] for emotional labor; and 2.00 [1.75–2.29], 2.20 [1.91–2.53], 1.67 [1.45–1.92] for job insecurity). Compared to those who were exposed to both emotional labor rarely and without job insecurity, when workers had both poor job factors, the OR (95% CI) for sleep disturbance for difficulty falling asleep, waking up repeatedly during the sleep, and waking up with feeling of fatigue were 3.05 (2.42–3.86), 2.89 (2.26–3.69), and 2.60 (2.06–3.29), respectively. The relative excess risk due to Interaction of job insecurity and emotional labor was significant only for difficulty falling asleep, but not the other 2 sleep disturbance dimensions.

Conclusions

Customer service workers suffered from severe sleep disturbances according to the existing degree of emotional labor and job insecurity. The combined effect of both could have an additive influence on serious sleep disturbance among customer service workers.


Citations

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  • Associations between precarious employment and smoking and regular exercise: Results from a Korean longitudinal panel study from 2005 to 2020
    Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
    Preventive Medicine.2023; 168: 107420.     CrossRef
  • Association between high emotional demand at work, burnout symptoms, and sleep disturbance among Korean workers: a cross-sectional mediation analysis
    Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
    Scientific Reports.2023;[Epub]     CrossRef
  • Association between Precarious Employment and Smoking and Regular Exercise: Results from Nationally Representative Surveys from 2005 to 2020
    Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
    SSRN Electronic Journal .2022;[Epub]     CrossRef
  • Association between Workers’ Anxiety over Technological Automation and Sleep Disturbance: Results from a Nationally Representative Survey
    Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
    International Journal of Environmental Research and Public Health.2022; 19(16): 10051.     CrossRef
  • The Importance of an Emotional Expression Guide to Prevent Work-Related Health Problems in Emotional Laborers
    Ji Sun Ha, Jin Ah Kim
    International Journal of Environmental Research and Public Health.2021; 18(13): 6710.     CrossRef
  • What Are the Experiences of Emotional Labor and Workplace Violence that Are More Harmful to Health in Korean Workforce?
    Won Ju Hwang, Hye Kyung Yang, Ji Hye Kim
    International Journal of Environmental Research and Public Health.2020; 17(21): 8019.     CrossRef
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Research Article
Emotional labor and job types of male firefighters in Daegu Metropolitan City
Sung Kyu Park, Han Cheol Heo, Joon Sakong, Man Joong Jeon
Ann Occup Environ Med 2019;31:e25.   Published online September 26, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e25
AbstractAbstract PDFPubReaderePub
Background

Research on the emotional labor of firefighters is actively being carried out, but studies that analyze emotional labor separately by job types, working departments, and other conditions of firefighters are insufficient. The purpose of this study is to investigate the difference in emotional labor level between departments and other conditions of firefighters.

Methods

A total of 287 Korean firefighters were included for analysis. The demands of emotional labor and emotional damage were measured using the Korean Emotional Labor Scale. To analyze the conditions and factors affecting the emotional labor level of the firefighters, logistic regression analysis was performed using the emotional labor high risk group as a dependent variable.

Results

The average score of overall emotional labor level of the firefighters was 47.2 ± 17.3, and the prevalence of high risk firefighters with emotional labor was 27.1%. It was found that the emergency medical service and administration departments showed a higher prevalence of high risk emotional labor firefighters than did other departments. The result of multiple logistic regression analysis for the high risk emotional labor firefighters showed that the adjusted odds ratio of emergency medical service department compared to the reference group (the rescue department) was 2.89 (95% confidence interval [CI]: 1.02–8.24).

Conclusions

Among the firefighters, the emergency medical service department is a high risk factor for emotional labor. Therefore, education and prevention training on emotional labor should be more thorough before work shifts.


Citations

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  • Global prevalence and associated factors of sleep disorders and poor sleep quality among firefighters: A systematic review and meta-analysis
    Amir Hossein Khoshakhlagh, Saleh Al Sulaie, Saeid Yazdanirad, Robin Marc Orr, Hossein Dehdarirad, Alireza Milajerdi
    Heliyon.2023; 9(2): e13250.     CrossRef
  • Microblog User Emotion Analysis Method Based on Improved Hierarchical Attention Mechanism and BiLSTM
    Xiao Chen, Xiongliang Xiao, Arpit Bhardwaj
    Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef
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  • 2 Web of Science
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Research Article
Emotional labor, workplace violence, and depressive symptoms in female Bank employees: a questionnaire survey using the K-ELS and K-WVS
Guang Hwi Kim, Hee Sung Lee, Sung Won Jung, Jae Gwang Lee, June Hee Lee, Kyung Jae Lee, Joo Ja Kim
Ann Occup Environ Med 2018;30:17.   Published online March 12, 2018
DOI: https://doi.org/10.1186/s40557-018-0229-9
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

In modern society, the scale of the service industry is continuously expanding, and the number of service workers is increasing. Correspondingly, physical and mental problems related to emotional labor are becoming a major social problem. In this study, we investigated the relationship between emotional labor, workplace violence, and depressive symptoms in female bank employees, which is a typical service industry.

Methods

In this study, the Korean Emotional Labor Scale (K-ELS) and Korean Workplace Violence Scale (K-WVS) were distributed to 381 female workers in their 20s at a bank in Seoul, Korea. Data were obtained from 289 subjects (75.9%) and analyzed for 278 respondents, after excluding those with missing responses. We examined the relationship between emotional labor, workplace violence, and depressive symptoms, using multiple logistic regression analysis.

Results

Among 278 subjects, 27 workers (9.7%) had depressive symptoms. “Emotional disharmony and hurt” (OR 2.93, 95% CI = 1.17–7.36) and “Organizational surveillance and monitoring” (OR 3.18, 95% CI = 1.29–7.86) showed a significant association with depressive symptoms. For workplace violence, the “Experience of psychological and sexual violence from supervisors and coworkers” (OR 4.07, 95% CI = 1.58–10.50) showed a significant association. When the number of high-risk emotional labor-related factors was 1 or more, 13.1% showed depressive symptoms. When the number of high-risk workplace violence-related factors was 1 or more, 14.4% had statistically significant depressive symptoms.

Conclusions

A significant result was found for depressive symptoms related to Emotional disharmony, which is a sub-topic of emotional labor, and those at high risk for “Organizational surveillance and monitoring.” For workplace violence, depressive symptoms were high for the group at high risk for the “experience of psychological and sexual violence from supervisors and coworkers.” In this way, management of emotional disharmony, a sub-factor of emotional labor, is necessary, and improvements to traditional corporate culture that monitors emotional labor is necessary. Violence from colleagues and supervisors in the workplace must also be reduced.

IRB Approval No. SCHUH 2017–01-029. Registered 26 January 2017. Retrospectively registered.

Electronic supplementary material

The online version of this article (10.1186/s40557-018-0229-9) contains supplementary material, which is available to authorized users.


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  • Prevalence of depressive symptoms in nurses compared to the general population based on Propensity Score Matching: A nationwide cross-sectional study in China
    Yafei Wu, Xiaoxv Yin, Shijiao Yan, Nan Jiang, Mengge Tian, Jiali Zhang, Zhenyuan Chen, Jing Wang, Chuanzhu Lv, Yanhong Gong
    Journal of Affective Disorders.2022; 310: 304.     CrossRef
  • Workplace Violence in Workers with Multi-Party Employment Arrangements: Results from the Korean National Representative Survey
    Yeogyeong Yoon, Kyunghee Jung-Choi
    Safety and Health at Work.2022; 13(1): 93.     CrossRef
  • Workplace violence influences nurses’ turnover intentions, but only when organisational support and perceived invulnerability are considered
    Rebecca Jane Seymour, Sarah Jane Charles
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  • Prevalence and Consequences of Verbal Aggression among Bank Workers: A Survey into an Italian Banking Institution
    Daniela Acquadro Maran, Antonella Varetto, Cristina Civilotti, Nicola Magnavita
    Administrative Sciences.2022; 12(3): 78.     CrossRef
  • Relationship between workplace violence and work-related depression/anxiety, separating the types of perpetrators: a cross-sectional study using data from the fourth and fifth Korean Working Conditions Surveys (KWCS)
    Na-Rae Lee, Sang-Woo Kim, Jae-Han Joo, Jae-Han Lee, June-Hee Lee, Kyung-Jae Lee
    Annals of Occupational and Environmental Medicine.2022;[Epub]     CrossRef
  • Workplace violence and turnover intentions among nurses: The moderating roles of invulnerability and organisational Support – A cross‐sectional study
    Huseyin Cakal, Saeed Keshavarzi, Ali Ruhani, Golnoosh Dakhil‐Abbasi
    Journal of Clinical Nursing.2021;[Epub]     CrossRef
  • What Are the Experiences of Emotional Labor and Workplace Violence that Are More Harmful to Health in Korean Workforce?
    Won Ju Hwang, Hye Kyung Yang, Ji Hye Kim
    International Journal of Environmental Research and Public Health.2020; 17(21): 8019.     CrossRef
  • Does Emotional Labor Increase the Risk of Suicidal Ideation among Firefighters?
    Dae-Sung Hyun, Da-Yee Jeung, Changsoo Kim, Hye-Yoon Ryu, Sei-Jin Chang
    Yonsei Medical Journal.2020; 61(2): 179.     CrossRef
  • Emotional Labor and Mental Health
    Jae-Hon Lee
    Journal of Korean Neuropsychiatric Association.2020; 59(2): 98.     CrossRef
  • Emotional labor and job types of male firefighters in Daegu Metropolitan City
    Sung Kyu Park, Han Cheol Heo, Joon Sakong, Man Joong Jeon
    Annals of Occupational and Environmental Medicine.2019;[Epub]     CrossRef
  • The impact of emotional labor on the health in the workplace: a narrative review of literature from 2013–2018
    Norah Aung, Promise Tewogbola
    AIMS Public Health.2019; 6(3): 268.     CrossRef
  • Workplace Violence in Chinese Hospitals: The Effects of Healthcare Disturbance on the Psychological Well-Being of Chinese Healthcare Workers
    Nan Tang, Louise E. Thomson
    International Journal of Environmental Research and Public Health.2019; 16(19): 3687.     CrossRef
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Research Article
Fatigue and related factors among hotel workers: the effects of emotional labor and non-standard working hours
Ju Jong Lee, Hyun Jey Moon, Kyung-Jae Lee, Joo Ja Kim
Ann Occup Environ Med 2014;26:51.   Published online December 18, 2014
DOI: https://doi.org/10.1186/s40557-014-0051-y
AbstractAbstract PDFPubReaderePub
Objectives

This study assessed fatigue and its association with emotional labor and non-standard working hours among hotel workers.

Methods

A structured self-administered questionnaire was distributed to 1,320 employees of five hotels located in Seoul. The questionnaire survey included questions concerning the participants’ sociodemographics, health-related behaviors, job-related factors, emotional labor, and fatigue. Fatigue was assessed using the Multidimensional Fatigue Scale (MFS). Multiple logistic regression modeling was used to determine the associations between fatigue and emotional labor.

Results

Among male workers, there was a significant association between fatigue and both emotional disharmony (OR=5.52, 95% CI=2.35-12.97) and emotional effort (OR=3.48, 95% CI=1.54-7.86). These same associations were seen among the female workers (emotional disharmony: OR=6.91, 95% CI=2.93-16.33; emotional effort: OR=2.28, 95% CI=1.00-5.16).

Conclusion

These results indicate that fatigue is associated with emotional labor and, especially, emotional disharmony among hotel workers. Therefore, emotional disharmony management would prove helpful for the prevention of fatigue.


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  • Too sleepy to be innovative? Ethical leadership and employee service innovation behavior: A dual-path model moderated by sleep quality
    Muhammad Imran Rasheed, Zahid Hameed, Puneet Kaur, Amandeep Dhir
    Human Relations.2024; 77(6): 739.     CrossRef
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    Veronica Moretti, Riccardo Pronzato
    Social Science & Medicine.2024; 357: 117185.     CrossRef
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    HamidReza Saberi, Mahdi Malakoutikhah, SeyedGholam Abbas Mousavi, Fatemeh Safiyeh, Sima Memarnejad, Maryam Sarafrazian
    International Archives of Health Sciences.2022; 9(1): 3.     CrossRef
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    Amy C. Reynolds, Anja Pabel, Sally A. Ferguson, Anjum Naweed
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    Iwan Muhamad Ramdan, Krishna Purnawan Candra, Ulfah Rana Mahdiyyah
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    Norah Aung, Promise Tewogbola
    AIMS Public Health.2019; 6(3): 268.     CrossRef
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    Kyungyong JUNG, Dae Hwan KIM, Ji Young RYU
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Research Article
Emotional labor and dysmenorrhea in women working in sales and call centers
In-Jung Cho, Hyunjoo Kim, Sinye Lim, Sung-Soo Oh, Sungjin Park, Hee-Tae Kang
Ann Occup Environ Med 2014;26:45.   Published online November 7, 2014
DOI: https://doi.org/10.1186/s40557-014-0045-9
AbstractAbstract PDFPubReaderePub
Objectives

This study was conducted to investigate the association between emotional labor and dysmenorrhea among women working in sales and call centers in Seoul, South Korea.

Methods

Working women in sales jobs and call centers in Seoul were interviewed face-to-face by well-trained interviewers. In total, 975 participants were analyzed in the final model. Emotional labor was measured using a constructed questionnaire with two components: an emotive effort component with three questions and an emotive dissonance component with five questions. To examine the association between emotional labor and dysmenorrhea, chi-squared tests and logistic regression were applied.

Results

The prevalence of dysmenorrhea among sales workers and call center workers were 43.0% and 61.1%, respectively. The adjusted odds ratios (OR) of emotive effort and emotive dissonance for dysmenorrhea in call center workers were 1.88 (95% confidence interval [CI], 1.07–3.28) and 1.72 (95% CI, 1.13–2.63), respectively. The adjusted OR of emotive effort and emotive dissonance for dysmenorrhea in sales workers were 1.71 (95% CI, 0.92–3.16) and 1.15 (95% CI, 0.67–1.98), respectively.

Conclusions

Emotional labor was found to be associated with dysmenorrhea in call center workers. Further studies to investigate other factors, such as management strategies and the relationship between emotional labor and dysmenorrhea, are needed to support interventions to prevent dysmenorrhea that will further promote the quality of health and life of working women.


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    Chen X. Chen, Sarah K. Rogers, Rui Li, Rachel J. Hinrichs, J. Dennis Fortenberry, Janet S. Carpenter
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    Sung Kyu Park, Han Cheol Heo, Joon Sakong, Man Joong Jeon
    Annals of Occupational and Environmental Medicine.2019;[Epub]     CrossRef
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    Norah Aung, Promise Tewogbola
    AIMS Public Health.2019; 6(3): 268.     CrossRef
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Original Article
Relationship between Occupational Stress-Emotional Labor and Musculoskeletal Symptoms and Experience of Absence or Early Leave in Some Civil Affairs Officials
Sang Kon Yoo, Chang Ki Choi, Han Soo Song, Chul Gab Lee
Korean Journal of Occupational and Environmental Medicine 2011;23(2):192-202.   Published online June 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.2.192
AbstractAbstract PDF
OBJECTIVES
The objectives of this study are to identify the relationship between the Korean occupational stress scale (KOSS) and emotional labor, and to study the association between emotional labor and musculoskeletal symptoms, absence or early leave due to physical problems among civil affairs officials.
METHODS
391 public workers who provide social insurance service were analyzed. A structured self-reported questionnaire was used to assess sociodemographics, job stress, emotional labor, musculoskeletal symptoms and the experience of absence or early leave due to physical problems. For a comprehensive understanding of the relationship among these factors, multiple logistic regression analysis was used.
RESULTS
The Pearson coefficient was 0.409 between the job demand of KOSS and the emotional labor score. The odds ratio of musculoskeletal symptoms is 2.32(95% CI: 1.17~4.61), 2.48(95% CI: 1.15~5.33) in the groups of moderate and, high emotional labor score, respectively, compared to the low score group. On the other hand, the odds ratio of the experience of absence or early leave due to physical problems is 2.43(95% CI: 1.24~4.76) and, 3.08(95% CI: 1.44~6.57) in the same groups.
CONCLUSIONS
Emotional labor acts as a factor of job demand of KOSS, and has an effect on musculoskeletal symptoms and absence or early leave among civil affairs officials.

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  • The association between occupational stress level and health-related productivity loss among Korean employees
    Jonghee Chung, Jin-Hyo Kim, Jae Yoon Lee, Hee Seok Kang, Dong-wook Lee, Yun-Chul Hong, Mo-Yeol Kang
    Epidemiology and Health.2022; 45: e2023009.     CrossRef
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    Kyungyong JUNG, Dae Hwan KIM, Ji Young RYU
    Industrial Health.2018; 56(5): 367.     CrossRef
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    Kiook Baek, Seonhee Yang, Miyoung Lee, Insung Chung
    Safety and Health at Work.2018; 9(2): 216.     CrossRef
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    Jun Ick Jung, Jun Seok Son, Young Ouk Kim, Chang Ho Chae, Chan Woo Kim, Hyoung Ouk Park, Jun Ho Lee, Young Hoo Shin, Jea Chul Ha
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
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    Yosub Joo, Jeongbae Rhie
    Annals of Occupational and Environmental Medicine.2017;[Epub]     CrossRef
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    Hye-Jin Kim, Jina Choo
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    Hyunkyung Choi, Yeongmi Ha, Seungkyoung Yang
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    Sun Hee Lee, Ji-Ah Song, Myung Haeng Hur
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    Bokim Lee
    Korean Journal of Occupational Health Nursing.2014; 23(4): 269.     CrossRef
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    Ju Jong Lee, Hyun Jey Moon, Kyung-Jae Lee, Joo Ja Kim
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
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    Mark Wilding, Kyungjin Chae, Jiho Jang
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Original Article
Association between Emotional Labor and Symptoms of Depression among Bankers
Sanghyo Chu, Hyunchul Ryou, Kyujeong Bae, Jaechul Song, Soojin Lee, Inah Kim
Korean Journal of Occupational and Environmental Medicine 2010;22(4):316-323.   Published online December 31, 2010
DOI: https://doi.org/10.35371/kjoem.2010.22.4.316
AbstractAbstract PDF
OBJECTIVES
We focused on the relationship between symptoms of depression and emotional labor to investigate the mental health status of workers.
METHODS
In this cross-sectional study, a total of 2,346 workers among bankers were our study subjects. A self-administered questionnaire was used to assess the socio-demographics, job characteristics, emotional labor and, the Center for Epidemiologic Studies-Depression scale (CES-D). We used multiple logistic regression analysis to estimate the relationship between emotional labor and the symptoms of depression.
RESULTS
The prevalence of symptoms of depression among the survey subjects was 20.6%. After adjusting for confounding factors, emotional effort (OR: 1.7, 95% CI=1.28~2.31) and, emotional disharmony (OR: 4.5, 95% CI=3.13~6.44) in men and emotional effort (OR: 1.9, 95% CI=1.33~2.75), emotional disharmony (OR: 6.1, 95% CI=4.12~9.09) in women showed a statistically significant association with symptoms of depression.
CONCLUSIONS
These results suggest that emotional disharmony and emotional effort are related to symptoms of depression. Managing emotional disharmony is important in managing symptoms of depression.

Citations

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  • Emotional Labor and Mental Health
    Jae-Hon Lee
    Journal of Korean Neuropsychiatric Association.2020; 59(2): 98.     CrossRef
  • Emotional labor and job types of male firefighters in Daegu Metropolitan City
    Sung Kyu Park, Han Cheol Heo, Joon Sakong, Man Joong Jeon
    Annals of Occupational and Environmental Medicine.2019;[Epub]     CrossRef
  • Relationship between concealment of emotions at work and musculoskeletal symptoms: results from the third Korean working conditions survey
    Kyungyong JUNG, Dae Hwan KIM, Ji Young RYU
    Industrial Health.2018; 56(5): 367.     CrossRef
  • Emotional labor, workplace violence, and depressive symptoms in female Bank employees: a questionnaire survey using the K-ELS and K-WVS
    Guang Hwi Kim, Hee Sung Lee, Sung Won Jung, Jae Gwang Lee, June Hee Lee, Kyung Jae Lee, Joo Ja Kim
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
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    Seo-Yeon Oh, Jung-Wan Koo
    Journal of Korean Society of Occupational Therapy.2018; 26(4): 1.     CrossRef
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    Yosub Joo, Jeongbae Rhie
    Annals of Occupational and Environmental Medicine.2017;[Epub]     CrossRef
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    Yuh-Jin Chung, Woo-Chul Jung, Hyunjoo Kim, Seong-Sik Cho
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    Hyun Jey Moon, Sang Hyun Lee, Hee Sung Lee, Kyung-Jae Lee, Joo Ja Kim
    Annals of Occupational and Environmental Medicine.2015;[Epub]     CrossRef
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    Bokim Lee
    Korean Journal of Occupational Health Nursing.2014; 23(4): 269.     CrossRef
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    In-Jung Cho, Hyunjoo Kim, Sinye Lim, Sung-Soo Oh, Sungjin Park, Hee-Tae Kang
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
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    Ju Jong Lee, Hyun Jey Moon, Kyung-Jae Lee, Joo Ja Kim
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
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    Hee Sook Cho, Lily Kang
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Original Article
A Study on the Relationship between Emotional Labor and Depressive Symptoms among Korean Industrial Service Employees
Soo Youn Kim, Sei Jin Chang, Hyoung Ryoul Kim, Jae Hoon Roh
Korean Journal of Occupational and Environmental Medicine 2002;14(3):227-235.   Published online September 30, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.3.227
AbstractAbstract PDF
OBJECTIVES
This study was designed to identify the relationship between emotional labor and depressive symptoms among Korean industrial service employees.
METHODS
The case group consisted of 331 employees who were performing emotional labor at department stores, hotels, and family restaurants in Seoul. The control group in this study consisted of 150 employees (90 officers in Seoul and 60 manufacturing workers in Incheon) who were not expected to perform emotional labor. A structured questionnaire was used to estimate each participants level of emotional labor, general characteristics, job content, job satisfaction, and any depressive symptoms. The measurements for emotional labor were performed only on the case group and not the control group.
RESULTS
While the mean values of job satisfaction, job insecurity, and the level of depressive symptoms of the employees who were working in the area of emotional labor were higher than the others, the mean values of job demand, and job control in the same group were lower than those who were not performing emotional labor. Overall, it was found that performing emotional labor and having high levels of job insecurity were related to increased depressive symptoms, and conversely, job satisfaction played a role in reducing depressive symptoms. Similarly, in the sub-sample of the emotional labor group, high levels of job insecurity, and performing high degrees of emotional labor, and low job satisfaction were associated with depressive symptoms.
CONCLUSIONS
These results suggest that performing emotional labor is related to an increase in depressive symptoms. In other words, involuntary emotional expression and low job satisfaction in the workplace may influence the level of depressive symptoms in workers. It is, therefore, imperative that further research be undertaken, which considers the importance of emotional labor, and its adverse effect on the mental health of service workers.

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