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Special article Emotional labor (KELS®11): scale development and validation in the Korean context
Da-Yee Jeung1orcid , Hyung Ryoul Kim2orcid , Hansoo Song3orcid , Inah Kim4orcid , Jin-Ha Yoon5orcid , Sang-Baek Koh6orcid , Sung-Soo Oh7orcid , Hee-Tae Kang8orcid , Dae-Sung Hyun9orcid , Chunhui Suh10orcid , Sei Jin Chang11orcid

DOI: https://doi.org/10.35371/aoem.2025.37.e13 [Accepted]
Published online: May 7, 2025
1Department of Dental Hygiene, Hanyang Women's University, , Seoul, Korea
2Department of Occupational & Environmental Medicine, Seoul St. Mary's Hospital, Seoul, Korea
3Department of Occupational and Environmental Medicine, Chosun University Hospital, Gwangju, Korea
4Department of Occupational and Environmental Medicine, Hanyang University College of Medicine, Seoul, Korea
5The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
6Department of Preventive Medicine, Institute of Occupational and Environmental Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea
7Department of Occupational and Environmental Medicine, Institute of Occupational and Environmental Medicine, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Korea
8Department of Occupational and Environmental Medicine, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Korea
9Department of Non-benefits Management, National Health Insurance Service, Wonju, Korea
10Department of Occupational and Environmental Medicine & Institute of Environmental and Occupational Medicine, Inje University Pusan Paik Hospital, Busan, Korea
11Department of Preventive Medicine, Institute of Occupational and Environmental Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea
Corresponding author:  Sei Jin Chang, Tel: 01085720343, 
Email: chang0343@yonsei.ac.kr
Received: 11 February 2025   • Revised: 31 March 2025   • Accepted: 31 March 2025
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Background
Emotional labor refers to the management of emotions and expressions to meet the emotional requirements of a job role. This study aimed to develop a revised version of the Korean Emotional Labor Scale (KELS®11), based on the first edition (KELS-24) introduced in 2014, and to provide practical applications and guidelines for its use in the Korean workplace through a validation process.
Methods
The revised version of KELS®11 was derived from the 24-item KELS, following a review process involving eight experts. To validate the scale’s reliability and validity, a self-administered survey was conducted among 359 service industry workers using KELS®11, burnout, and depression scales. KELS®11 was reclassified, and its reliability and validity were evaluated. Receiver operating characteristic curve analysis was conducted to establish sex-specific cutoff values (normal vs. high-risk groups).
Results
KELS®11 was designed to account for individual, organizational, and cultural contexts. It consists of four subscales and 11 items: “emotional regulation” (2 items), “emotional dissonance” (3 items), “organizational monitoring” (2 items), and “organizational protective system for emotional labor” (4 items). KELS®11 demonstrated good validity (content validity ratio: 0.84; item convergence/discriminant validity success rates: 100%; correlation with burnout: r = 0.185–0.436, p < 0.01; correlation with depression: r = 0.128–0.339, p < 0.05) and reliability (Cronbach’s alpha: 0.597–0.795). Additionally, sex-specific reference values were established to determine risk groups based on the intensity of emotional labor exposure.
Conclusions
KELS®11 is a validated and reliable measurement tool designed to assess the intensity and magnitude of emotional labor in the workplace. The revised tool reflects critical considerations in the development of emotional labor measurement scales.


Ann Occup Environ Med : Annals of Occupational and Environmental Medicine
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