Annals of Occupational and Environmental Medicine

Original Article

Occupational stress changes and new-onset depression among male Korean manufacturing workers: Jiho Kim, Hwan-Cheol Kim, Minsun Kim, Seong-Cheol Yang, Shin-Goo Park, Jong-Han Leem, Dong-Wook Lee; Ann Occup Environ Med 2023;35:e33. Published online August 17, 2023; DOI: https://doi.org/10.35371/aoem.2023.35.e33

Abstract Abstract in Korean PDF PubReader ePub: Background
Studies on the association between occupational stress and depression have been frequently reported. However, the cross-sectional designs of studies limited insight into causal associations. In this study, we investigated the longitudinal association between occupational stress and new-onset depression among employees in a single manufacturing plant.
Methods
The annual health checkup data of employees at a manufacturing plant in Korea were collected. A total of 1,837 male employees without depression who completed a health checkup during two consecutive years were included. Occupational stress was measured using a short form of the Korea Occupational Stress Scale (KOSS-SF), and depression was assessed using a Patient Health Questionnaire-2. The association between occupational stress change over the two years and newly developed depression was investigated using two logistic regression models.
Results
Across all sub-factors of KOSS-SF, employees who reported increased occupational stress had a higher risk of new-onset depression. Newly developed depression was significantly associated with job demand (odds ratio [OR]: 4.34; 95% confidence interval [CI]: 2.37–7.96), job insecurity (OR: 3.21; 95% CI: 1.89–5.48), occupational climate (OR: 3.18; 95% CI: 1.91–5.31), lack of reward (OR: 2.28; 95% CI: 1.26–4.12), interpersonal conflict (OR: 2.14; 95% CI: 1.18–3.86), insufficient job control (OR: 1.93; 95% CI: 1.05–3.56), and the organizational system (OR: 1.84; 95% CI: 1.01–3.36).
Conclusions
For every sub-factor of the KOSS-SF, occupational stress increase and persistent high stress were associated with the risk of developing new-onset depression. Among the seven sub-factors, job demand had the most significant effect. Our results show that occupational stress should be managed to promote employee mental healthcare.; 한국 남성 제조업 근로자의 직무 스트레스 변화와 우울증 발생의 관계
목적
직무 스트레스와 우울증의 연관성에 대한 연구는 지속적으로 보고되고 있다. 그러나 국내 연구는 부족한 실정이며 주로 단면적 분석 설계에 국한되고 있다. 이 연구에서 우리는 단일 제조업 공장의 근로자들에서 직무 스트레스와 새롭게 발병하는 우울증 사이의 종단적 연관성을 조사하였다.
방법
국내 한 제조업 공장 근로자들의 연간 건강검진 자료를 수집하였다. 2년 연속 건강검진을 완료한 이들 중 우울증이 없는 남성은 총 1837명이었다. 직무 스트레스는 Korea Occupational Stress Scale KOSS Short Form (KOSS-SF)으로 측정하였고, 우울증은 Patient Health Questionnaire-2(PHQ-2)로 평가하였다. 1년 간의 직무 스트레스 변화와 새로 발생한 우울증과의 연관성을 로지스틱 회귀 모델을 사용하여 분석했다.
결과
KOSS-SF의 모든 하위 영역에서 직무 스트레스가 증가했다고 보고한 근로자는 새로운 우울증 발병 위험이 더 높았다. 새로 발생한 우울증의 위험은 각각 직무 요구[교차비(OR)=4.34, 95% 신뢰 구간(CI)= 2.37–7.96], 직무 불안정(OR=3.21, 95%CI=1.89–5.48), 직장문화(OR=3.18, 95%CI=1.91–5.31), 보상 부적절(OR=2.28, 95%CI=1.26–4.12), 관계 갈등(OR=2.14, 95%CI=1.18–3.86), 직무 자율성 결여(OR=1.93, 95%CI=1.05–3.56) 및 조직체계(OR=1.84, 95%CI=1.01–3.36) 순이었다.
결론
KOSS-SF의 모든 하위 영역에서 직무 스트레스 증가와 높은 스트레스 상태의 지속은 새로운 우울증 발병 위험과 관련이 있었다. 7가지 하위 영역 중 직무 요구가 가장 큰 영향을 미쳤다. 우리의 결과는 근로자 정신 건강을 증진하기 위해 직무 스트레스를 관리해야 함을 시사한다

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Original Article

The Relationship between Occupational Stress and Burnout among Occupational Therapists: Jin Ju Kim, Jae Hoon Roh, Jong Uk Won, Sin Young Lee, Sei Jin Chang; Korean Journal of Occupational and Environmental Medicine 2010;22(3):173-182. Published online September 30, 2010; DOI: https://doi.org/10.35371/kjoem.2010.22.3.173

OBJECTIVE: A growing body of research has documented that occupational stress is associated with workers' adverse health outcomes such as mental distress, depression and burnout. This study was performed to identify the relationship between occupational stress and burnout among occupational therapists in Korea.
METHODS
A total of 226 occupational therapists registered in the Korean Association of Occupational Therapist participated in the study. A self-administered questionnaire was used to assess demographics, subjective health status, work-related factors, occupational stress and burnout. Burnout was measured by Maslach Burnout Inventory (MBI). Occupational stressors were assessed using 26-items of the Korean Occupational Stress Scale (KOSS-26(R)). This scale consists of items targeting at physical environment, job demand, insufficient job control, interpersonal conflict, job insecurity, lack of reward, organizational system and occupational climate. Simple and multiple regression analyses were performed to investigate the relationship between 8 occupational stressors and burnout, separately. SAS 9.1 version was used for the analyses, and a P<0.05 was considered significant.
RESULTS
The results show that all occupational stressors were associated with burnout after adjustment for control variables. Occupational stressors accounted for from 14.39% (p<0.001, organizational system) to 33.21% (p<0.001, occupational climate) of the variance in burnout.
CONCLUSION
These results suggest that occupational stress might play a significant role in increasing the risk of burnout among occupational therapists.

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Original Article

Level of Job Stress among Social Workers at Social Welfare Agencies in Seoul: Soo Chan Choi, Sang A Kim, Jeong Eun Lee, Woong Sub Park; Korean Journal of Occupational and Environmental Medicine 2007;19(4):259-267. Published online December 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.4.259

Abstract PDF

OBJECTIVES
To investigate the level and variation of job stress according to social welfare organizations and work conditions among social workers in Seoul.
METHODS
For this survey, a self-reported questionnaire was administrated to 1,000 social workers working in organizations for social welfare practice in Seoul. A total of 432 completed questionnaires were received (43.2% response rate).
RESULTS
Social workers working in welfare organizations for the aged had higher job stress in the areas of job demand, insufficient job control and lack of reward than those in other welfare organizations. In addition, higher job stress was found in those in charge of both service and administrational work, without regular time for rest, working over 10 hours, in the frontline and senior grade.
CONCLUSIONS
This study confirms the importance of guaranteeing regular time for breaks in the work schedule and of considering the service and administrational work ratio in job arrangement in order to alleviate stress of social workers.

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Original Article

Job Stressors in Subway Workers and Firemen: Seok Hwan Yoon, Sook Jung Choi, Dong Hoon Shin, In Sung Chung, Jung Sook Ha; Korean Journal of Occupational and Environmental Medicine 2007;19(3):179-186. Published online September 30, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.3.179

Abstract PDF

OBJECTIVES
To determine the job stress factors of subway workers and firemen and to develope appropriate stress management systems for the works places.
METHODS
The study subjects comprised 1,826 male subway workers and 538 male firemen residing in Daegu metropolitan city. The Korean Occupational Stress Scale (KOSS) questionnaire was used.
RESULTS
The median values of the study subjects were lower than the reference values. The categories of physical environment and insufficient job control were more stressful to firemen while the organization system category was stressful to both subway workers and firemen (p<0.05). There was no statistical difference in the stress factor of the interpersonal conflict category. Among the firemen, the physical environment category was more stressful to field work department workers than to desk workers (p<0.05).
CONCLUSION
The study results suggested that interpersonal conflict and organization system categories are stressful to male subway workers and firemen. Especially, effective control of firemen's physical environment stress factor is needed.

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Original Article

Occupational Stress on Risk Factors for Cardiovascular Diseases and Metabolic Syndrome: Jung Jin Cho, Ji Yong Kim, Jung Soo Byun; Korean Journal of Occupational and Environmental Medicine 2006;18(3):209-220. Published online September 30, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.3.209

Abstract PDF

OBJECTIVES
The aim of the study was to examine the relationship between occupational stress and cardiovascular risk factors including metabolic syndrome in a working population.
METHODS
A cross-sectional population-based survey was conducted among Koreans working in several industries. They were questioned about: demographic factors, marital status, education, personal history, alcohol intake, smoking, and physical activity , while their occupational stress was assessed using the Korean Occupational Stress Scale (KOSS). The subjects were measured for height, weight, blood pressure, waist circumference, fasting plasma glucose, cholesterol, triglycerides, HDL-cholesterol and LDLcholesterol. Regression analyses to determine the relationships between occupational stressors using KOSS and cardiovascular risk factors were performed using multivariate models with adjustment for potential confounders.
RESULTS
A total of 2,097 workers (1,770 men and 327 women) were included. Multiple logistic regression analysis (socio-demographics and potential confounders) demonstrated a positive association between high interpersonal conflicts and hypertension, a negative association between high job insecurity and diabetes and no association between any KOSS subscale and metabolic syndrome and obesity. Multiple linear regression, adjusted for socio-demographics and potential confounders demonstrated a negative association between low HDL-cholesterol and poor physical environments, high job demand and poor job insecurity and no association between lipid profiles and other KOSS sub-scales.
CONCLUSIONS
A few KOSS sub-scales such as interpersonal conflicts showed a positive association with hypertension in Korean workers. Neverthelsss, some measures of occupational stress showed a negative association with diabetes and HDL-cholesterol in cross-sectional population-based survey. We therefore decided to conclude this association by longitudinal study.

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Original Article

Developing an Occupational Stress Scale for Korean Employees: Sei Jin Chang, Sang Baek Koh, Dongmug Kang, Seong Ah Kim, Myung Geun Kang, Chul Gab Lee, Jin Joo Chung, Jung Jin Cho, Mia Son, Chang Ho Chae, Jung Won Kim, Jung Il Kim, Hyeong Su Kim, Sang Chul Roh, Jae Beom Park, Jong Min Woo, Soo Young Kim, Jeong Youn Kim, Mina Ha, Jungsun Park, Kyung Yong Rhee, Hyoung Ryoul Kim, Jeong Ok Kong, In Ah Kim, Jeong Soo Kim, Jun Ho Park, Sook Jung Huyun, Dong Kook Son; Korean Journal of Occupational and Environmental Medicine 2005;17(4):297-317. Published online December 31, 2005; DOI: https://doi.org/10.35371/kjoem.2005.17.4.297

Abstract PDF

BACKGROUND
AND PURPOSES: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and METHODS: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002- 2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Fortythree items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories.
RESULTS
We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented.
CONCLUSION
The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

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Effects of changes in occupational stress on the depressive symptoms of Korean workers in a large company: a longitudinal survey
Jaehyuk Jung, Inchul Jeong, Kyung-Jong Lee, Guyeon Won, Jae Bum Park
Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
Factor Influencing New Graduate Nurses' Turnover Intention according to Length of Service
Eun A Ji, Ji Soo Kim
Journal of Korean Academy of Nursing Administration.2018; 24(1): 51. CrossRef
The Emotional Intelligence Effects on Foreign LCs’ Self-Efficacy and Job Stress
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Safety and Health at Work.2018; 9(4): 427. CrossRef
Effects of an Online Mind–Body Training Program on the Default Mode Network: An EEG Functional Connectivity Study
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Scientific Reports.2018;[Epub] CrossRef
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Journal of Korean Academy of Nursing Administration.2018; 24(5): 435. CrossRef
Effects of Group Rational Emotive Behavior Therapy on the Nurses' Job Stress, Burnout, Job Satisfaction, Organizational Commitment and Turnover Intention
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Journal of Korean Academy of Nursing.2018; 48(4): 432. CrossRef
The mediation effect of PTSD, perceived job stress and resilience on the relationship between trauma exposure and the development of depression and alcohol use problems in Korean firefighters: A cross-sectional study
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Journal of Affective Disorders.2018; 229: 450. CrossRef
Stress, Satisfaction, and Competency of Hospital Pharmacy Preceptors under the New Pharmacy Program in South Korea
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American Journal of Pharmaceutical Education.2018; 82(8): 6351. CrossRef
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International Journal of Occupational and Environmental Health.2017; 23(4): 261. CrossRef
Safety Climate and Occupational Stress According to Occupational Accidents Experience and Employment Type in Shipbuilding Industry of Korea
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Safety and Health at Work.2017; 8(3): 290. CrossRef
The relationship between serum vitamin D levels and sleep quality in fixed day indoor field workers in the electronics manufacturing industry in Korea
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Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef
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Korean Journal of Stress Research.2017; 25(1): 30. CrossRef
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Journal of Advanced Nursing.2017; 73(4): 905. CrossRef
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International Journal of Occupational Safety and Ergonomics.2017; 23(4): 447. CrossRef
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Korean Journal of Stress Research.2017; 25(4): 255. CrossRef
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The Korean Journal of Physical Education.2017; 56(2): 553. CrossRef
Clinical Nurses' Job Stress, Emotional labor, Nursing Performance, and Burnout in Comprehensive Nursing Care Service Wards and General Wards
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International Journal of Environmental Research and Public Health.2017; 14(8): 878. CrossRef
Long and short sleep duration are both associated with suicidal ideation in Korean employees
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Sleep and Biological Rhythms.2017; 15(1): 81. CrossRef
Investigation of Subcategories according to the Level of Job Stress in Medical Technologist
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The Korean Journal of Clinical Laboratory Science.2017; 49(1): 48. CrossRef
Influence of Experiencing Verbal Abuse, Job Stress and Burnout on Nurses' Turnover Intention in Hemodialysis Units
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Journal of Korean Academy of Nursing Administration.2016; 22(2): 189. CrossRef
The Impacts of Job Stress and Job Embeddedness on Presenteeism among Container Terminal Workers
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International Journal of Nursing Practice.2016; 22(6): 625. CrossRef
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Journal of Physical Therapy Science.2016; 28(11): 3047. CrossRef
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Journal of the Korea Academia-Industrial cooperation Society.2016; 17(4): 433. CrossRef
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Job Stress and Mental Health of Female Household Head Workers
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Journal of Korean Public Health Nursing.2016; 30(1): 122. CrossRef
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The Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation on Occupational Stress among Health Care Workers: A Pilot Study
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A Study on Relationship between Interpersonal Relation, Communication Skills and Work-related Stress in Physical Therapists
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Psychological factors influence the overlap syndrome in functional gastrointestinal disorders and their effect on quality of life among firefighters in South Korea
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Journal of Digestive Diseases.2016; 17(4): 236. CrossRef
Factors related to heart rate variability among firefighters
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Risk factors associated with musculoskeletal symptoms in Korean dental practitioners
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Temperament and Character Traits, Heart Rate Variability and Occupational Stress in New Nursing Employees
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Journal of Korean Neuropsychiatric Association.2016; 55(3): 271. CrossRef
Factors associated with the occurrence of functional dyspepsia and insomnia in shift-working nurses
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Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 629. CrossRef
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Association between job stress and occupational injuries among Korean firefighters: a nationwide cross-sectional study
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The Influence of Job Stress of Care Workers on Customer Orientation
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The Influence of Job Stress and Calling on the Organizational Commitment of Nurses: Focused on Clinical Nurses at University Hospitals in Busan
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The Korean Journal of Health Service Management.2016; 10(3): 27. CrossRef
The Effect of Safety-Aisle on the Perception of Safety-Related Variables in the Small Sawmilling Industry
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Journal of the Korean Society of Safety.2016; 31(3): 109. CrossRef
Convergence Relationship between Occupational Stress and Fatigue Symptoms among Blue Collar Workers in Manufacturing Plants
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Journal of the Korea Convergence Society.2016; 7(1): 57. CrossRef
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International Journal of Occupational and Environmental Health.2016; 22(4): 315. CrossRef
Job stress and mental health among nonregular workers in Korea: What dimensions of job stress are associated with mental health?
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Archives of Environmental & Occupational Health.2016; 71(2): 111. CrossRef
Factors associated with suicide ideation among subway drivers in Korea
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The Impact of Job Stress on Smoking and Cessation of Hospital Male Employee
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The association of relational and organizational job stress factors with sleep disorder: analysis of the 3rd Korean working conditions survey (2011)
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Annals of Occupational and Environmental Medicine.2016;[Epub] CrossRef
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Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale
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Influencing factors of self-reported dry mouth in the employees in social welfare facilities
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Factors associated with Problem Drinking in Korean Male Employees for Drinking Motivation, Job Stress, and Drinking Refusal Self-efficacy
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Moderating Effect of Stress Coping Strategies on the Relationship between a National Statistics Office Workers' Occupational Stress and Mental Health
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Journal of Korean Neuropsychiatric Association.2015; 54(4): 587. CrossRef
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Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef
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The Effects of Job Stress, Depression, and Psychological Happiness on Job Satisfaction of Office Workers
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The Journal of Korean Academic Society of Nursing Education.2015; 21(4): 490. CrossRef
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Korean Journal of Health Education and Promotion.2015; 32(3): 73. CrossRef
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High Occupational Stress and Low Career Satisfaction of Korean Surgeons
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Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef
Musculoskeletal Disorder Symptoms and Its Related Factors among Male Workers in Manufacturing Industries
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Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 6627. CrossRef
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Journal of dental hygiene science.2015; 15(5): 679. CrossRef
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Patient Education and Counseling.2015; 98(1): 111. CrossRef
Structural Equation Modeling on Health Status in Hospital Nurses: Based on the Theory of Salutogenesis With Bio Behavioral Approach
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Journal of Korean Biological Nursing Science.2015; 17(1): 50. CrossRef
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Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef
Occupational Stress and Emotional Intelligence in Hospice Volunteers
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Occupational stress and related factors among surgical residents in Korea
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Characteristics and Factors Associated with Problem Drinking in Male Workers
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Asian Nursing Research.2015; 9(2): 132. CrossRef
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Journal of Korean Academy of Nursing Administration.2015; 21(3): 287. CrossRef
An examination of work exhaustion in the mobile enterprise environment
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Technological Forecasting and Social Change.2015; 100: 255. CrossRef
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Korean Journal of Occupational Health Nursing.2015; 24(4): 323. CrossRef
Resilience buffers the impact of traumatic events on the development of PTSD symptoms in firefighters
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Journal of Affective Disorders.2014; 162: 128. CrossRef
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Journal of the Korean Society of Safety.2014; 29(5): 88. CrossRef
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Correlation between Fatigue and Quality of Life Caused by Stress of Researchers' Work
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Korean Journal of Occupational Health Nursing.2014; 23(3): 171. CrossRef
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International Journal of Mental Health and Addiction.2014; 12(5): 618. CrossRef
Occupational Stress of Women Workers in Service Industries depending on Their Working Conditions
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Korean Journal of Occupational Health Nursing.2014; 23(2): 89. CrossRef
The relationship between job stress and service quality, and the moderating effect of organizational justice
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Comparative Analysis of Work Stress Assessment Tools for Estimating Human Work Performance
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Journal of the Korean Society of Safety.2014; 29(6): 144. CrossRef
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Job Stress and Musculoskeletal Disorder in Seoul City's School Foodservice Employees
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Relationships of Job Stress, Fatigue & Depression among one Ship-building Supply Workers
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Factors Affecting Tuberculosis (TB) Control Nurses' Job Satisfaction
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Systematic analysis of tobacco treatment interventions implemented in worksite settings
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Korean Journal of Adult Nursing.2014; 26(2): 149. CrossRef
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Job Stress and Job Satisfaction of Estimators in Korean Construction Company
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Measuring stress with questionnaires
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