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메뉴ISSN : 1229-0696
The purpose of this study was to test a model of biopsychosocial perspective in which employees' health problems affect negative job outcomes through stress-related emotional experiences. The proposed model explored distress in diabetes as a type of specific strain in individuals with diabetes. It investigated the effect of the distress in diabetes on job burnout and work-health conflict, and also examined the mediation effect of the diabetic stress from two predictors, severity of diabetes and inauthenticity. A survey and a blood test were conducted to 172 employed diabetic workers, and tested the proposed model using equational structural modeling. Results largely supported the model. Results showed that distress in diabetes is influenced by severity of diabetes and inauthenticity, and affects the two work outcomes, showing partial and full mediation effects. From the notion that emotional experience of diabetic individuals has a critical role in work behaviors and following improvement from the illness, theoretical and practical implications were provided.
김재용 (2005). ‘2005년 한국의 당뇨병’ 대한 당뇨병학회-건강보험심사평가원 공동심포지엄, 서울.
장현갑 (2001). 관상성 심장병 환자의 심리.사회적 재활방법에 관한 고찰, 한국심리학회지: 건강, 6, 1-17.
한태영 (2006). 당뇨질환 근로자의 갈등과 당뇨관련 긴장이 직무탈진에 미치는 영향, 한국심리학회지: 건강, 11, 561-585.
한태영, 허갑범, 최영주 (2007). 당뇨관리 효능감과 탈진에 대한 스트레스와 건강-일 갈등의 영향, 제20차 대한당뇨병학회 춘계학술대회 발표논문.
주간조선 (2005). 당뇨대란, 500만 명 돌파. 5월 2일자.
Agardh, E. E., Ahlbom, A., Andersson, T., Efendic, S., Grill, V., Hallqvist, J., Norman, A., & Ostenson, C. (2003). Work stress and low sense of coherence is associated with type 2 diabetes in middle-aged Swedish women. Diabetes Care, 26, 719-724.
American Diabetes Association (2007). The dangerous toll of diabetes, http://www.diabetes.org/ diabetes-statistics/dangerous-toll.jsp, 2007. 4. 21 추출
Aust, B., & Ducki, A. (2004). Comprehensive health promotion interventions at the workplace: Experiences with health circles in Germany. Journal of Occupational Health Psychology, 9, 258-270.
Baker, E., Israel, B. A., & Schurman, S. (1996). The integrated model: Implications for worksite health promotion and occupational health and safety practice. Health Education Quarterly, 23, 175-190.
Barnett, R. C., & Gareis, K. C. (2000). Reduced-hours employment: The relationship between difficulty of trade-offs and quality of life. Work and Occupations, 27, 168-187.
Boles, J. S., Dean, D.H., Ricks, J. M., Short, J. C., & Wang, G. P. (2000). The dimensionality of the Maslach Burnout Inventory across small business owners and educators. Journal of Vocational Behavior, 56, 12-34.
Bollen, K. A. (1996). An alternative two stage least squares (2SLS) estimator for latent variable equations. Psychometrika, 61, 109-121.
Brotheridge, C. M. & Grandey, A. A. (2002). Emotional labor and burnout: Comparing two perspectives of 'people work'. Journal of Vocational Behavior, 60, 17-39.
Campbell, J. P. (1999). The definition and management of performance in the new age. In D. R. Ilgen, E. D. Pulakos (Eds.), The changing nature of performance (pp. 366-397). San Fransisco, CA: Jossey-Bass.
Carlson, D. S, Kacmar, K. M., & Williams, L. J. (2000). Construction and initial validation of a mulitimensional measure of work-family conflict, Journal of Vocational Behavior, 56, 249-276.
Celia, F (2002). Zen and insulin, Psychology Today, 2002, 11. 22.
Cordes, C. L. & Dougherty, T. W. (1993). A review and integration of research on job burnout. Academy of Management Review, 18, 621-656.
Demerouti, E., Bakker, A., Nachreiner, F., & Schufeli, W. (2001). The job-demands-resources model of burnout. Journal of Applied Psychology, 86, 499-512.
Erickson, R. J. & Ritter, C. (2001). Emotional labor, burnout, and inauthenticity: Does gender matter?. Social Psychology Quarterly, 64, 146-164.
Ferris, P. A., Sinclair, C., & Kline, T. J. (2005). It takes two to tango: Personal and organizational resilience as predictors of strain and cardiovascular disease risk in a work sample, Journal of Occupational Health Psychology, 10, 225-238.
Frone, M. R., Russell, M., & Cooper, M. L. (1992). Antecedents and outcome of work-family conflict: Testing a model of the work-family interface. Journal of Applied Psychology, 77, 65-78.
Grandey, A. A., & Cropanzano, R. (1999). The conservation of resources model applied to work-family conflict and strain. Journal of Vocational Behavior, 54, 350-370.
Gross, J. J. & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology. 85, 348-362.
Greenhaus, J. H., & Beutell, N. J. (1985). Sources of conflict between work and Family roles. Academy of Management Review, 10, 76-88.
Grzywacz, J. G., & Marks, N. F. (2000). Reconceptualizing the work-family interface: An ecological perspective on the correlates of positive and negative spillover between work and family. Journal of Occupational Health Psychology, 5, 111-126.
Heaney, C. A., & Goldenhar, L. M. (1996). Worksite health programs: working together to advance employee health. Health Education Quarterly, 23, 133-136.
Hemingway, H., & Marmot, M. (1999). Psychosocial factors in the etiology and prognosis of coronary heart disease: systematic review of prospective cohort studies. Biomedical Journal, 318, 1460-1467.
Hobfoll, S. E. (1989). Conservation of resources: a new attempt at conceptualizing stress. American Psychologist, 44, 513-524.
Hurrell, J., Nelson, D. L., & Simmons, B. L. (1998). Measuring job stressor and strains: Where we have been where we are, and where we need to go. Journal of Occupational Health Psychology, 3, 368-389.
Ilgen, D. R. & Pulakos, E. D. (1999). Employee performance in today's organizations. In D. R. Ilgen & E. D. Pulakos (Eds.), The changing nature of performance (pp. 1-18). San Francisco: Jossey-Bass.
Jacobs, J. A., & Gerson, K. (2001). Overworked individuals or overworked families? Explaining trends in work, leisure, and family time. Work and Occupations, 28, 40-63.
Kahn, R. L., & Byosiere, P. B. (1992). Stress in Organizations In M. D. Dunnette & L. M. Hough (Eds.), Handbook of Industrial/ Organizational Psychology (pp. 592), Palo Alto CA: Consulting Psychologists Press.
Kiecolt-Glaser, J. K., McGuire, L., Robles, T. F., & Glaser, R. (2002). Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology. Annual Review of Psychology, 53, 83-107.
KPMG (2005). International survey of corporate responsibility reporting.
Landsbergis, P. A. (1988). Occupational stress among health care workers: A test of the job demands-control model. Journal of Organizational Behavior, 9, 217-239.
Lee, R., & Ashforth, B. E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology, 81, 123-133.
Leiter, M. P., & Schaufeli, W. B. (1996). consistency of the burnout construct across occupations. Anxiety, Stress, and Coping, 9, 229-243.
Lutgendorf, S. K. & Costanzo, E. S. (2003). Psychoneuroimmunology and health psychology: An integrative model, Brain, Behavior, and Immunity, 17, 225-232.
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397-422.
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002) A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83-104.
McKenna M. C. , Zevon, M. A., Corn, B., Rounds, J. (1999) Psychosocial factors and the development of breast cancer: a meta-analysis. Health Psychology, 18, 520–531.
Murphy, L. R. (1996). Stress management in work settings: A critical review of the health effects. American Journal of Health Promotion, 11, 112-135.
NIH Medline Plus (2007). http://www.nlm.nih.gov/ medlineplus/ency/article/003640.htm, 2007. 6. 1 추출
Polonsky., W. H., Fisher, L.,Earles, J., Dudl, R. J., Lees, J., Mullan, J., & Jackson, R. A. (2005). Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care, 28, 626-632.
Rose, M., Fliege, H., Hilderbrandt, M., Schirop, T., & Klapp, B. F. (2002). The network of psychological variables in patients with diabetes and their importance for quality of life and metabolic control. Diabetes Care, 25, 35-42.
Schaubroek, J. & Jones, J. R. (2000). Antecedents of workplace emotional labor dimensions and moderator of their effects of physical symptoms. Journal of Organizational Behavior, 21, 163-183.
Schaufeli, W. B. & Enzmann, D. (1998). The burnout companion to study and practice: A critical analysis. Washington, DC: Taylor & Francis.
Schaufeli, W. B., Leiter, M. P., Maslach, C., & Jackson, S. E. (1996). The Maslach Burnout Inventory-Test Manual (3rd ed). Consulting Psychologists Press, Palo Alto, CA.
Schneiderman, N., Antoni, M. H., Saab, P. G., & Ironson, G. (2001). Health psychology: Psychosocial and biobehavioral aspects of chronic disease management. Annual Review of Psychology, 52, 555–580.
Seeman, T. E., & McEwen B. S. (1996). Impact of social environment characteristics on neuroendocrine regulation. Psychosomatic Medicine, 58, 459-471.
Sheldon, K. M., Ryan, R. M., Rawsthorne, L. J. & Ilaardi, B. (1997). Trait Self and True Self: Cross-Role Variation in the Big-Five Personality traits and Its relations with psychological authenticity and subjective well-being. Journal of Personality and Social Psychology, 73, 1380-1393.
Shiloah, E., Shula E. W., Abramovitch, Y., Cohen, O., Buchs, N., Ramot, Y., Weiss, M., Unger, A., & Rapoport, M. J. (2003). Effect of acute psychotic stress in nondiabetic subjects on B-cell function and insulin sensitivity, Diabetes Care, 26, 1462-1467.
Simpson, P. A. & Stroh, L. K. (2004). Gender Differences: Emotional Expression and Feelings of Personal Inauthenticity. Journal of Applied Psychology, 89, 715-721.
Surwit, R. S., & Schneider, M. S. (1993). Role of stress in the etiology and treatment of diabetes mellitus. Psychosomatic Medicine, 55, 380-393.
Surwit, R. S., van Tilburg, M. A. L., Zucker, N., McCaskill, C. C., Parkekh, P., Feinglos, M. N., Edwards, C. L., Williams, P., & Lane, J. D. (2002). Stress management improves long-term glycemic control in type 2 diabetes, Diabetes Care, 25, 30-34.
Trief, P. M., Paradies, K., Aquilino, C., & Weinstock, R. S. (1999). Impact of the work environment on glycemic control and adaptation to diabetes. Diabetes Care, 22, 569-574.
Wilkinson R. & Marmot, M. (2003). Social determinants of health: the solid facts. 2nd edition, WHO Library Cataloguing in Publication Data.
Wing, R. R., Goldstein, M. G., Acton, K. J., Birch, L. L., Jakicic, J. M., Sallis, J. E., Simth-West, D., Jeffery, R. W., & Surwit, R. S., (2001). Behavioral science research in diabetes, Diabetes Care, 24, 117-123.