Sleep Medicine and Psychophysiology (수면정신생리)

KOREAN ACADEMY OF SLEEP MEDICINE (대한수면의학회)
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Effects of a Mindfulness-Based Mind-Body Intervention Program using Marine Resources on the Improvement of Sleep Quality and Mood Symptoms in Korean Female Emotional Labor Workers : A Pilot Study

해양자원을 활용한 심신치유기법이 여성 감정노동자들의 수면, 우울 및 기분 증상 개선에 미치는 효과 : 예비 연구

  • Lee, Sang-Ah (Department of Psychiatry, Korea University Medical Center) ;
  • Lee, Sung-Jae (Center for Integrative Medicine, Korea University School of Medicine) ;
  • Yook, Young-Sook (Department of Exercise Rehabilitation Welfare, Sungshin Women's University) ;
  • Huh, Yu-jeong (Department of Psychiatry, Korea University Medical Center) ;
  • Lee, Min-Goo (Department of ????, Korea University School of Medicine) ;
  • Choi, Hwi-young (Department of Physical Therapy, College of Health Science, Gachon University) ;
  • Lee, Jae-Hon (Department of Psychiatry, National Rehabilitation Center)
  • 이상아 (고려대학교 의과대학 안산병원 정신건강의학과) ;
  • 이성재 (고려대학교 의과대학 통합의학과) ;
  • 육영숙 (성신여자대학교 운동재활복지학과) ;
  • 허유정 (고려대학교 의과대학 안산병원 정신건강의학과) ;
  • 이민구 (고려대학교 의과대학 생리학교실) ;
  • 조휘영 (가천대학교 보건과학대학 물리치료학과) ;
  • 이재헌 (국립재활원 정신건강의학과)
  • Received : 2018.11.12
  • Accepted : 2018.12.07
  • Published : 2018.12.31
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Abstract

Objectives: The purpose of this pilot study was to examine the effects of a mindfulness-based Body-Mind Intervention Program using marine resources on the improvement of quality of sleep, mood symptoms, and cognitive function in Korean female emotional labor workers. Methods: Twelve female workers who experienced excess emotional labor participated at the training camp program for five days in Danghangpo-ocean park, Goseung-gun, Gyeongnam Province in South Korea. Participant sleep quality, mood symptoms, and cognitive functioning before, after, and 1.5 months later were evaluated and analyzed. Results: After participating in the marine resource program, participants reported significantly decreased sleep latency. Global sleep quality, cognitive functions (attention, flexibility, and inhibition control), and mood states, including depression, tension, anger, fatigue, were also improved. These effects were generally maintained after 1. 5 months (PSQI t = 2.63, p = 0.02 ; HAM-D t = 5.92, p < 0.001). Conclusion: A Body-Mind Intervention Program using marine resources was effective in relaxing emotion-related tension and improving cognitive function. To advance this pilot study, it is necessary to carry out further research to investigate the use of marine resources in mental health interventions.

목 적 : 본 연구는 과도한 감정노동에 노출되어 있는 여성 감정노동자들을 대상으로 해양자원을 활용한 심신치유 기법이 효과가 있는지 여부를 알아보는 예비 연구이다. 방 법 : 정상 참고치 이상의 감정노동에 노출되어 있는 신체건강한 여성 감정노동자 12명을 대상으로, 경남 고성 당항포 일대에서 해양자원을 이용한 심신치유 프로그램을 4박 5일간 시행하였다. 피험자들에게 프로그램에 참여하도록 한 뒤 사전, 사후, 추후의 평가를 바탕으로 수면, 기분, 인지기능 영역의 변화를 확인하기 위해 통계분석을 실시하였다. 결 과 : 프로그램에 참가한 뒤 피험자들의 수면의 질이 호전되고 수면 잠복기가 유의하게 감소하였고 우울, 긴장, 분노, 피로 등 기분상태의 호전을 보였으며, 인지기능 또한 향상되었다. 수면의 질, 우울기분을 비롯한 상기 효과는 한 달 반 뒤 실시한 추후 평가에서도 동일하게 확인되었다(PSQI t = 2.63, p = 0.02, HAM-D t = 5.92, p < 0.001). 결 론 : 해양자원을 활용한 심신치유 기법이 긴장을 이완하고 스트레스를 낮추는데 효과적일 수 있음을 시사하며, 이와 관련해 대조군을 포함한 추후연구 및 체계적인 프로그램 개발이 필요하다.

Keywords

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Figure 1. Examples of the mind-body intervention program.

Table 1. Normality test of related variables

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Table 2. Brief contents of marine resource-based Body-Mind Intervention Program developed for Korean emotional labor workers

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Table 3. General characteristics of the subjects (N = 12)

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Table 4. Comparison of PSQI score between pre-treatment, post-treatment, and follow up after 1.5 month (N = 12)

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Table 5. Comparison of K-POMS, HAM-D score between pre-treatment, post-treatment, and follow up after 1.5 month (N = 12)

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Table 6. Comparison of WHOQOL-BREF score pre-treatment, post-treatment, and follow up after 1.5 month (N = 12)

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Table 7. Comparison of cognitive functions between pre-treatment, post-treatment, and follow up after 1.5 month (N = 12)

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References

  1. 김경희. 서비스 사회의 감정노동에 대한 이해. 국제노동브리프 2011;9:27-37.
  2. 노수용, 이지훈, 박경은, 박환진, 권순찬, 이수진. 콜센터 상담자에서의 감정노동수준과 수면의 질. 대한직업환경의학회 학술대회 논문집;2013. p.597-598.
  3. 민성길, 김광일, 박일호. 한국판 세계보건기구 삶의 질 척도 지침서. 서울: 하나의학사, 2002.
  4. 장세진, 강희태, 김숙영, 김인아, 김정일, 김형렬 등. 한국형 감정노동 및 폭력(2013년도 연구) 조사도구 적용연구, 서울, 한국산업안전보건공단 산업안전보건연구원;2014.
  5. Bae JH, Chang HK. The effect of MBSR-K program on emotional response of college students. The Korean Journal of Health Psychology 2006;11:673-688.
  6. Buysse DJ, Reynolds III, CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research 1989;28:193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  7. Cho OK, Youn HJ. Mindfulness, is it a single or complex concept? Journal of Buddhist Professors in Korea 2013;19:148.
  8. Cho OK, Wang IS. Therapeutic application of yoga as a mind-body intervention. The Korean Journal of Health Psychology 2016;21:1-18. https://doi.org/10.17315/kjhp.2016.21.1.001
  9. Cho SK, Jung, HS. A Study on Response of Job Stress and Emotional Labor of the Sales Workers of Department Store. Korean Journal of Occupational Health Nursing 2006;15:83-93.
  10. Cohen-Katz J, Wiley SD, Capuano T, Baker DM, Shapiro S. The effects of mindfulness-based stress reduction on nurse stress and burnout, Part II: a quantitative and qualitative study. Holistic Nursing Practice 2005;19:26-35. https://doi.org/10.1097/00004650-200501000-00008
  11. Erickson RJ, Ritter C. Emotional labor, burnout, and inauthenticity: Does gender matter?. Social Psychology Quarterly 2001;64:146-163. https://doi.org/10.2307/3090130
  12. Goodman MJ, Schorling JB. A mindfulness course decreases burnout and improves well-being among healthcare providers. Int J Psychiatry Med 2012;43:119-128. https://doi.org/10.2190/PM.43.2.b
  13. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56. https://doi.org/10.1136/jnnp.23.1.56
  14. Hochschild A, Irwin N, Ptashne M. Repressor structure and the mechanism of positive control. Cell 1983;32:319-325. https://doi.org/10.1016/0092-8674(83)90451-8
  15. Kim A. Theoretical Literature Review on Self-Regulation and Healing Effects of Somatic Awareness-Based Yoga Postures and Movements. The Journal of SDDH 2016;40:109-139.
  16. Kim EJ, Lee SI, Jeong DU, Shin MS, Yoon IY. Standardization and reliability and validity of the Korean edition of Profile of Mood States (K-POMS). Sleep Med Psychophysiol 2003; 10:39-51.
  17. Kim H. Emotional labor and health among working women. Ewha J Gend Law 2015;7:33-50.
  18. Kim KN, Son HG, Park HJ. Effects of Mindfulness Meditation Program on Sleep, Depression and Quality of Life in the Institutionalized Elderly Women. The Korean Journal of Health Service Management 2014;8:157-168. https://doi.org/10.12811/kshsm.2014.8.3.157
  19. Kim SH, Son CN. The effects of K-MBSR-Based cognitive therapy on depression, suicidal ideation, and impulsivity in college students. The Journal of Clinical Psychology 2010;29:1-204.
  20. Kruger C, Smythe JW, Spencer JD, Hasse S, Panske A, Chiuchiarelli G, et al. Significant immediate and long-term improvement in quality of life and disease coping in patients with vitiligo after group climatotherapy at the Dead Sea. Acta Dermatovenereologica 2011;91:152-159.
  21. Lee B. Development of a Model for Emotional Labor Worker's Health. Korean Journal of Occupational Health Nursing 2006;16:78-88.
  22. Lee HA, Yoon MS. The Effect of Emotional Labor on Depression, Labor Stress of Mental Health Social Workers-Focusing on the Moderating Effects of Social Support. Mental Health & Social Work 2016;44:48-75.
  23. McNair DM, Lorr M, Droppleman LF. EdITS manual for the Profile of Mood States. Rev. ed. San Diego, Calif.: Educational and Industrial Testing Service;1992.
  24. Park JY, Cho OK. Effects of Yoga Therapy for Mind and Body on Relieving Anxiety. Journal of Yoga Studies 2014;12:9-38.
  25. Park YJ. The Effects of Yoga Program on Stress and Anxiety for Worker. The Korean Association of Meditatin Healing 2013;4:13-24.
  26. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath 2012;16:803-812. https://doi.org/10.1007/s11325-011-0579-9
  27. Song HJ, Cho YJ. Effects of Emotional Labor on Burnout and Satisfaction: Focusing on Social Workers. Korean Public Administration Review 2016;50:201-234.
  28. Yi JS, Bae SO, Ahn YM, Park DB, Noh KS, Shin HK, et al. Validity and reliability of the Korean version of the Hamilton Depression Rating Scale (K-HDRS). J Korean Neuropsychiatr Assoc 2005;44:456-465.
  29. Yoo SG. A study on the development method for forest therapeutic function-centered medical tourism products in gangwon area. IJTHR 2011;25:19-40.