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- Special article Occupational stress: Scale development and validation in the Korean context
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Hansoo Song1
, Hyung Ryoul Kim2
, Inha Kim3
, Jin-Ha Yoon4
, Sang-Baek Koh5
, Sung-Soo Oh5,6
, Hee-Tae Kang5
, Da-Yee Jeung7
, Dae-Sung Hyun8
, Chunhui Suh9
, Sei-Jin Chang6,10
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DOI: https://doi.org/10.35371/aoem.2025.37.e12 [Accepted]
Published online: May 7, 2025
1Department of Occupational and Environmental Medicine, Chosun University Hospital, Gwangju, Korea
2Department of Occupational and Environmental Medicine, Seoul St. Mary’s Hospital, Seoul, Korea
33Department of Occupational and Environmental Medicine, Hanyang University College of Medicine, Seoul, Korea
4The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
5Department of Occupational and Environmental Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea
6Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
7Department of Dental Hygiene, Hanyang Women’s University, Seoul, Korea
8Department of Non-benefits Management, National Health Insurance Service, Wonju, Korea
9Department of Occupational and Environmental Medicine, Institute of Environmental and Occupational Medicine, Inje University Pusan Paik Hospital, Busan, Korea
10Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
2Department of Occupational and Environmental Medicine, Seoul St. Mary’s Hospital, Seoul, Korea
33Department of Occupational and Environmental Medicine, Hanyang University College of Medicine, Seoul, Korea
4The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
5Department of Occupational and Environmental Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea
6Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
7Department of Dental Hygiene, Hanyang Women’s University, Seoul, Korea
8Department of Non-benefits Management, National Health Insurance Service, Wonju, Korea
9Department of Occupational and Environmental Medicine, Institute of Environmental and Occupational Medicine, Inje University Pusan Paik Hospital, Busan, Korea
10Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
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Corresponding author:
Sei-Jin Chang, Tel: 01085720343,
Email: chang0343@yonsei.ac.kr
Received: 11 February 2025 • Revised: 13 April 2025 • Accepted: 22 April 2025
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Abstract
Background
The Korean Occupational Stress Scale (KOSS) was developed in 2004. During this time, industrial structures have evolved, and societal awareness of occupational stress has changed. This study aims to develop and validate a revised version of the Korean Occupational Stress Scale (KOSS®19), tailored for workers, reflecting these changes.
Methods
The KOSS®19 was developed based on the 26-item KOSS–short form (SF) through a review by eight experts. A survey was conducted including 359 service industry workers, comprising the KOSS®19, Burnout, and Depression scales. The KOSS®19 subscales were restructured, and their reliability and validity were evaluated.
Results
The KOSS®19 composed of eight subscales: hazardous physical environment (2 items), high job demand (3 items), insufficient job control (2 items), low social support (2 items), job insecurity (2 items), organizational injustice (4 items), lack of reward (2 items), and work-life imbalance (2 items). The reliability and validity of the KOSSR19 were found to be satisfactory.
Conclusions
The KOSS®19 is a suitable tool for assessing occupational stress, effectively replacing the original KOSS and KOSS-SF.
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