J Korean Med Sci.  2018 Sep;33(39):e246. 10.3346/jkms.2018.33.e246.

The Relationship between Emotional Labor and Job Stress among Hospital Workers

Affiliations
  • 1Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 2Department of Psychiatry, SMG-SNU Boramae Medical Center, Seoul, Korea. hyjung@snu.ac.kr
  • 3Department of Clinical Medical Sciences, Seoul National University College of Medicine, Seoul, Korea.
  • 4Department of Psychology, Henan University, Kaifeng, China.
  • 5Department of Psychiatry, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
  • 6Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea.
  • 7Department of Psychiatry and Neuroscience Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Abstract

BACKGROUND
We divided hospital workers into two groups according to whether one was an interpersonal service worker (ISW) or was not (non-ISW). We then explored differences between these groups in job stress and emotional labor type and investigated the mediating factors influencing their relationships.
METHODS
Our participants included both ISW (n = 353) and non-ISW (n = 71) hospital workers. We administered the Korean Standard Occupational Stress Scale Short Form to measure job stress and the Emotional Labor Scale to indicate both emotional labor type and characteristics. We also administered the Beck Depression Inventory-II to indicate the mediating factors of depressive symptoms, the Beck Anxiety Inventory to indicate the mediating factors of anxiety, and the State Anger Subscale of the State-Trait Anger Expression inventory to indicate the mediating factors of anger.
RESULTS
The ISW group showed more severe job stress than the non-ISW group over a significantly longer duration, with greater intensity, and with higher level of surface acting. The ISW group showed a significant positive correlation between surface acting and job stress and no significant correlation between deep acting and job stress. Parallel mediation analysis showed that for ISWs surface acting was directly related to increased job stress, indirectly related to depression, and unrelated to anxiety and anger.
CONCLUSION
The ISW group displayed more surface acting and job stress in its emotional labor than the non-ISW group. In the ISW group, surface acting during emotional labor was positively correlated with job stress. Depression partially mediated their relationship.

Keyword

Emotional Labor; Surface Acting; Job Stress; Depression

MeSH Terms

Anger
Anxiety
Depression
Negotiating
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