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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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  • ENGLISH
  • P-ISSN1229-067X
  • E-ISSN2734-1127
  • KCI

정신의학적 증상과 직업수행에 대한 직장편의의 조절효과

Psychiatric Symptoms and Work Performance: the moderating effect of job accommodations

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2008, v.27 no.2, pp.443-468
김상희 (나사렛대학교 인간재활학과)

초록

정신장애인 직업재활은 정신의학적 증상이 직업수행에 부정적 영향을 미칠 것이지만 역으로 성공적인 직업수행은 증상을 완화시킬 것이라는 함축적 의미를 내포하고 있다. 상식적으로도 증상과 직업수행은 공변할 것으로 기대된다. 그럼에도 불구하고 양자 간의 관계성을 검토한 연구결과들은 서로 불일치하고 일관성있는 결론을 위해 관련 연구들을 검토한 질적개관연구들은 대체로 관계성이 미약하다는 결론을 내리고 있다. 증상과 직업수행 간 관계성이 전반적으로 높지 않고 연구마다 다르게 나타나는 양상은 관계를 증감시키거나 아예 관계의 방향을 바꾸어버리는 조절요인(moderator)이 존재할 가능성을 시사한다. 그동안 연구결과 간 불일치를 설명하기 위해 다양한 조절요인들이 제기되어왔지만 이를 경험적으로 검증한 연구는 찾아보기 어렵다. 이에 본 연구는 직업재활의 대표적 환경수정 전략인 직장편의가 증상과 직업수행 간 관계에 대한 조절요인인지 알아보았다. 이를 위해 정신보건센터나 사회복귀시설의 직업재활서비스를 통해 주당 일정시간 일하고 있는 정신장애인 218명과 전문가 60명을 대상으로 증상(양성, 음성), 직업수행, 직장편의를 질문지를 통해 조사하였다. 그 결과, 직장편의의 조절효과는 고용형태(보호고용 대 경쟁고용)에 관계없이 양성증상과 직업수행에 대해서는 나타나지 않았고 오직 경쟁고용 장면에서 음성증상과 직업수행에 대해서만 나타났다. 즉, 경쟁고용에서 직장편의가 양호할수록 음성증상이 직업수행에 미치는 부정적 영향력은 감소하였다. 또한 경쟁고용에서 음성증상이 직업수행에 미치는 부정적 영향력을 완화시키는 직장편의의 하위요인은 직무지원보다는 대인적 지원과 일정한 작업환경이었다. 연구결과는 경쟁고용의 정신장애인에 대한 사후지도에서 직장편의, 특히 대인적 지원과 일정한 작업환경 유지에 주력해야 함을 시사한다.

keywords
조절요인, 직장편의, 정신의학적 증상, 직업수행, 정신장애인, moderator, job accommodation, psychiatric symptoms, job performance, vocational rehabilitation

Abstract

Psychiatric vocational rehabilitation has assumed close relation between psychiatric symptoms and work performance that psychiatric symptoms negatively affect work performance but successful work performance reversely relieve psychiatric symptoms. According to the assumption, psychiatric symptoms and work performance are supposed to covary. Previous study results, however, are mixed and the review studies dealing with this issue conclude that if they are related, their strengths are generally meager. These findings suggest the existence of potential moderators that may change either the direction or the strength of bivariate relationship. Although many variables were suggested as potential moderators by researchers, few studies empirically addressed them to explain conflicting findings, To test if job accommodations moderate the negative effect of psychiatric symptoms on work performance, present study surveyd 218 employees with psychiatric disabilities and 60 mental health professionals who completed questionnaires of (positive or negative) psychiatric symptoms, work performance, or job accommodation. The results showed that the moderating effect was limited only to the relation between negative symptom and competitive work performance, not to the relation between positive symptoms and (both competitive and sheltered) work performance. That is, better job accommodation relieves the more negative impact of negative symptoms on competitive work performance. Among three factors of job accommodations, did interpersonal support and structured work condition, but not job support, have clearly moderating effects. These findings suggest that job accommodations, especially interpersonal support and structured work condition, are important for job maintenance of competitively employed clients

keywords
조절요인, 직장편의, 정신의학적 증상, 직업수행, 정신장애인, moderator, job accommodation, psychiatric symptoms, job performance, vocational rehabilitation

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