Determining the Relationship among Organizational Commitment, Occupational Stress, and Interpersonal Relations according to Adult Attachment Styles of Clinical Dental Hygienists

Background: This study aimed to identify the types of adult attachment and determine the relationship between adult attachment and job factors in dental hygienists. Ultimately, it was necessary to identify the need for a secure attachment to improve the quality of clinical dental hygienist's services. Methods: Data of 454 clinical dental hygienists working in dental hospitals or clinics were collected. The research tools consisted of items related to the general and work characteristics of dental hygienists (9 items), adult attachment styles (36 items), organizational commitments (12 items), occupational stress (15 items), and interpersonal relations (18 items). Cronbach's ${\alpha}$ of each tool was ${\geq}0.7$. Results: Most of the participants had fearful attachment styles, followed by dismissing-avoidance, security, and preoccupation. Security was the highest level of organizational commitment according to the adult attachment style, although the differences of the levels were insignificant. For occupational stress, preoccupation was the highest, followed by fearful, security, and dismissing-avoidance, and the differences were significant (p<0.001). For interpersonal relations, security was the highest, followed by preoccupation, dismissing-avoidance, and fearful in order, and the differences were significant (p<0.001). Conclusion: Job stress and interpersonal relation ability according to the adult attachment style of clinical dental hygienists had significant results. Thus, the development of attachment improvement programs by personal style, development of differentiated clinical education and its application, and improvements in the adult attachment styles of clinical dental hygienists would be required rather than simply presenting the needs to collectively improvement the working environment.