DOI QR코드

DOI QR Code

Cluster Comparison of Mindfulness and Compassion among Mental Health Professionals: Differences in Burnout, Emotional Labor Strategies, Affect Intensity, Emotional Clarity

심리 전문가의 마음챙김과 자비심에 대한 군집비교: 직무소진, 정서노동 수행방식, 정서강도, 정서명료성의 차이

  • Received : 2023.04.17
  • Accepted : 2023.04.28
  • Published : 2023.04.30

Abstract

This study aims to investigate the differences in burnout, emotional labor strategies, affect intensity, and emotional clarity based on combinations of level of mindfulness and compassion. To achieve this, a total of 137 mental health professionals participated in this study, and they were classified into four groups based on their level of mindfulness and compassion using cluster analysis. Then, the differences among the groups were compared. The results of the multivariate analysis of covariance(MANCOVA) or multivariate analysis of variance(MANOVA) controlling for career experience, showed that the group with high levels of both mindfulness and compassion had the highest levels of positive affect intensity, emotional clarity for self and others, and genuine expression, while having the lowest levels of negative affect intensity, surface acting, and burnout. In comparison to the group with high levels of both mindfulness and compassion, the group with high or low level of either mindfulness or compassion had both positive and negative affect intensity at higher or lower levels. Additionally, they showed lower emotional clarity for self and others, and genuine expression. Conversely, they showed higher levels of surface acting and burnout. The group with low levels of both mindfulness and compassion experienced low levels of positive affect intensity and high levels of negative affect intensity. They also had the lowest levels of emotional clarity for self and others and genuine expression. In addition, they showed that the highest levels of surface acting, and burnout. Based on the results, the study discussed the balanced development of mindfulness and compassion to prevent burnout of professionals in the human service field, including mental health professionals. The implications and limitations of this study were further analyzed in the discussion section, including the direction for future research.

본 연구의 목적은 마음챙김과 자비심 수준 조합에 따른 직무소진, 정서노동 수행방식, 정서강도, 정서명료성에서의 차이를 밝히는 것이다. 이를 위해 137명의 심리 전문가가 참여하였고, 마음챙김과 자비심 수준에 대한 군집분석을 통해 네 집단으로 분류한 후 집단 간 차이를 비교하였다. 경력을 통제한 다변량공분산분석 또는 다변량분산분석을 실시하여 분석한 결과, 마음챙김과 자비심이 모두 높은 집단은 긍정 정서강도, 자기와 타인의 정서명료성, 진심표현이 가장 높았고, 부정 정서강도, 표면행동, 직무소진이 가장 낮았다. 마음챙김과 자비심 중 어느 하나의 요인이 상대적으로 높거나 낮은 집단은 마음챙김과 자비심이 모두 높은 집단과 비교해서 긍정 및 부정 정서강도를 모두 높은 수준으로 경험하거나 모두 낮은 수준으로 경험하고, 자기 및 타인의 정서에 대한 명료성과 진심표현은 상대적으로 더 낮았으며, 표면행동과 직무소진은 상대적으로 더 높게 나타났다. 마음챙김과 자비심이 모두 낮은 집단은 긍정 정서강도는 낮게, 부정정서강도는 높게 경험하고, 자기 및 타인 정서명료성, 진심표현이 가장 낮았으며, 표면행동과 직무소진은 가장 높게 나타났다. 이러한 결과를 바탕으로 심리 전문가를 비롯한 휴먼서비스 전문가의 직무소진을 예방하기 위해 마음챙김과 자비심의 균형 있는 계발을 논의하고, 연구의 의미와 제한점, 후속 연구의 방향성을 제시하였다.

Keywords

Acknowledgement

이 논문은 2020년 대한민국 교육부와 한국연구재단의 지원을 받아 수행된 연구임 (NRF-2020S1A5B5A17091449).

References

  1. 강선아, 김안나, 최보영 (2020). 상담자 소진 메타 연구: 상담자 개인 요인 중심. 상담학연구, 21(6), 1-27.  https://doi.org/10.15703/KJC.21.6.202012.1
  2. 김완석 (2019). 마인드 다이어트. 학지사. 
  3. 류진아, 방은진, 신혜민 (2021). 상담자 소진에 대한 질적 메타분석. 상담학연구, 22(3), 239-273  https://doi.org/10.15703/KJC.22.3.202106.239
  4. 박성현 (2006). 마음챙김 척도 개발. 가톨릭대학교 일반대학원 박사학위논문. 
  5. 송영미 (2022). 마음챙김과 자비심 기반 직무소진 예방 명상프로그램(MCBP) 개발 및 효과. 아주대학교 일반대학원 박사학위논문. 
  6. 송영미, 김완석 (2019). 마음챙김이 직무탈진에 미치는 영향: 두 가지 감정노동 전략의 차별적 매개효과. 한국심리학회지: 산업 및 조직, 32(2), 135-162. 
  7. 송현, 이영순 (2012). 정서인식명확성과 외상후 성장의 관계: 정서표현과 정서조절양식의 매개효과. 한국심리학회지: 상담 및심리치료, 24(4), 891-910. 
  8. 신강현 (2003). 일반직 종사자를 위한 직무 소진 척도 (MBI-GS)에 대한 타당화 연구. 한국심리학회지: 산업 및 조직, 16(3), 1-17. 
  9. 신아영, 김정호 (2010). 정서 마음챙김이 여자대학생의 정서인식의 명확성, 인지적 정서 조절과 스트레스 및 웰빙에 미치는 효과. 한국심리학회지: 건강, 15(4), 635-652. 
  10. 신우승, 권석만 (2017). 마음챙김 성향이 정서반응에 미치는 영향. 한국심리학회지: 임상심리 연구와 실제, 3(2), 255-275. 
  11. 이지영 (2016). 정서강도와 정신건강의 관계에서 정서조절방략의 매개효과. 인지행동치료, 16(2), 61-84. 
  12. 이지영, 신희천 (2016). 정서강도가 정서억제에 미치는 영향: 자아해석양식의 조절효과. 한국심리학회지: 상담 및 심리치료, 28(3), 637-657. 
  13. 이지영, 김은하 (2018). 긍정 정서강도와 부정정서강도의 차이: 성격특성과 정서조절방략의 사용을 중심으로. 한국심리학회지: 일반, 37(3), 411-439.  https://doi.org/10.22257/KJP.2018.09.37.3.411
  14. 임유신 (2010). 상사와 부하의 쌍 관계에서 정서지능과 그 상호작용의 역할에 관한 연구. 서울대학교 일반대학원 박사학위논문. 
  15. Ashforth, B. E., & Humphrey, R. H. (1993). Emotional labor in service roles: The influence of identity. Academy of Management Review, 18(1), 88-115.  https://doi.org/10.2307/258824
  16. Bartlett, L., Martin, A., Neil, A. L., Memish, K., Otahal, P., Kilpatrick, M., & Sanderson, K. (2019). A systematic review and meta-analysis of workplace mindfulness training randomized controlled trials. Journal of occupational health psychology, 24(1), 108-126.  https://doi.org/10.1037/ocp0000146
  17. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230-241.  https://doi.org/10.1093/clipsy.bph077
  18. Boyatzis, R. E., Smith, M. L., & Beveridge, A. J. (2013). Coaching with compassion: Inspiring health, well-being, and development in organizations. The Journal of Applied Behavioral Science, 49(2), 153-178.  https://doi.org/10.1177/0021886312462236
  19. Brewer, E. W., & Shapard, L. (2004). Employee burnout: A meta-analysis of the relationship between age or years of experience. Human resource development review, 3(2), 102-123.  https://doi.org/10.1177/1534484304263335
  20. Brotheridge, C. M., & Lee, R. T. (2003). Development and validation of the emotional labour scale. Journal of Occupational and Organizational Psychology, 76(3), 365-379.  https://doi.org/10.1348/096317903769647229
  21. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848.  https://doi.org/10.1037/0022-3514.84.4.822
  22. Brown, K. W., & Ryan, R. M. (2004). Perils and promise in defining and measuring mindfulness: Observations from experience. Clinical Psychology: Science and Practice, 11, 242-248.  https://doi.org/10.1093/clipsy.bph078
  23. Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(3), 211-237.  https://doi.org/10.1080/10478400701598298
  24. Caldwell, J. G., & Shaver, P. R. (2015). Promoting attachment-related mindfulness and compassion: A wait-list-controlled study of women who were mistreated during childhood. Mindfulness, 6(3), 624-636.  https://doi.org/10.1007/s12671-014-0298-y
  25. Cavanagh, M. J., & Spence, G. B. (2013). Mindfulness in coaching: Philosophy, psychology or just a useful skill? In J. Passmore, D. B. Peterson, & T. Freire (Eds.), The Wiley-Blackwell handbook of the psychology of coaching and mentoring (pp. 112-134). Wiley Blackwell. 
  26. Cho, H., Noh, S., Park, S., Ryu, S., Misan, V., & Lee, J. (2018). The development and validation of the lovingkindness-compassion scale. Personality and Individual Differences, 124, 141-144.  https://doi.org/10.1016/j.paid.2017.12.019
  27. Cimmino, P. F. (2004). Basic concepts and definitions of human services. Human Services: Contemporary Issues and Trends, 5-17. 
  28. Conversano, C., Ciacchini, R., Orru, G., Di Giuseppe, M., Gemignani, A., & Poli, A. (2020). Mindfulness, compassion, and self-compassion among health care professionals: what's new? A systematic review. Frontiers in psychology, 11. 1683 
  29. Creswell, J. D. (2017). Mindfulness interventions. Annual review of psychology, 68, 491-516. https://doi.org/10.1146/annurev-psych-042716-051139
  30. Creswell, J. D., Way, B. M., Eisenberger, N. I., Lieberman, M. D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine, 69(6), 560-565.  https://doi.org/10.1097/PSY.0b013e3180f6171f
  31. Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), 198-208.  https://doi.org/10.1037/a0022062
  32. Dodson, S. J., & Heng, Y. T. (2022). Self compassion in organizations: A review and future research agenda. Journal of Organizational Behavior, 43(2), 168-196.  https://doi.org/10.1002/job.2556
  33. Diefendorff, J. M., Croyle, M. H., & Gosserand, R. H. (2005). The dimensionality and antecedents of emotional labor strategies. Journal of vocational behavior, 66(2), 339-357.  https://doi.org/10.1016/j.jvb.2004.02.001
  34. Farb, N. A., Anderson, A. K., Irving, J. A., & Segal, Z. (2014). Mindfulness interventions and emotion regulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 548-567). New York: Guilford. 
  35. Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour research and therapy, 48(10), 1002-1011.  https://doi.org/10.1016/j.brat.2010.06.006
  36. Friedman, K. (2017). Counselor self-care and mindfulness. Contemporary Buddhism, 18(2), 321-330.  https://doi.org/10.1080/14639947.2017.1373437
  37. Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218-226.  https://doi.org/10.1037/0003-066X.56.3.218
  38. Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts build lives: positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of personality and social psychology, 95(5), 1045-1062.  https://doi.org/10.1037/a0013262
  39. Germer, C., & Siegel, R. (2014). 심리치료에서 지혜와 자비의 역할 [Wisdom and Compassion in Psychotheraphy]. (서광, 김나연 역). 학지사. 
  40. Geunes, M., & De Pelsmacker, P. (2002). Developing a short affect intensity scale. Psychological reports, 91(2), 657-670.  https://doi.org/10.2466/pr0.2002.91.2.657
  41. Gilbert, P., & Choden. (2020). 마음챙김과 자비 [Mindful Compassion]. (조현주, 박성현, 김병전, 노승혜 역). 학지사. 
  42. Ghanizadeh, A., & Jahedizadeh, S. (2015). Teacher burnout: A review of sources and ramifications. Journal of Education, Society and Behavioural Science, 6(1), 24-39.  https://doi.org/10.9734/BJESBS/2015/15162
  43. Glomb, T. M., Duffy, M. K., Bono, J. E., & Yang, T. (2011). Mindfulness at work. Research in Personnel and Human Resources Management, 30, 115-157.  https://doi.org/10.1108/S0742-7301(2011)0000030005
  44. Goldberg, S. B., Riordan, K. M., Sun, S., & Davidson, R. J. (2022). The empirical status of mindfulness-based interventions: A systematic review of 44 meta-analyses of randomized controlled trials. Perspectives on Psychological Science, 17(1), 108-130.  https://doi.org/10.1177/1745691620968771
  45. Good, D. J., Lyddy, C. J., Glomb, T. M., Bono, J. E., Brown, K. W., Duffy, M. K., Baer, R. A., Brewer, J. A., & Lazar, S. W. (2016). Contemplating mindfulness at work: An integrative review. Journal of Management, 42(1), 114-142.  https://doi.org/10.1177/0149206315617003
  46. Grandey, A. A. (2000). Emotional regulation in the workplace: A new way to conceptualize emotional labor. Journal of Occupational Health Psychology, 5(1), 95-110.  https://doi.org/10.1037/1076-8998.5.1.95
  47. Grandey, A. A., & Gabriel, A. S. (2015). Emotional labor at a crossroads: Where do we go from here? Annual Review of Organizational Psychology and Organizational Behavior, 2(1), 323-349.  https://doi.org/10.1146/annurev-orgpsych-032414-111400
  48. Grandey, A. A., & Melloy, R. C. (2017). The state of the heart: Emotional labor as emotion regulation reviewed and revised. Journal of Occupational Health Psychology, 22(3), 407-422.  https://doi.org/10.1037/ocp0000067
  49. Griffiths, A., Royse, D., Murphy, A., & Starks, S. (2019). Self-care practice in social work education: A systematic review of interventions. Journal of Social Work Education, 55(1), 102-114.  https://doi.org/10.1080/10437797.2018.1491358
  50. Hair. J. F., & Black, W. C. (2000). Cluster analysis. In L. G. Grim & P. R. Yarmold (Eds.), Reading and understanding more multivariate statistics(pp.147-205). Washington, DC: American Psychological Association. 
  51. Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11(3), 255-262.  https://doi.org/10.1093/clipsy.bph080
  52. Halpern. J. (2011). Clinical Empathy in Medical Care. In Jean Decety (Ed). Empathy: From bench to beside (pp. 229). MIT press. 
  53. Huppert, F. A. (2018). Living life well: The role of mindfulness and compassion. In The social psychology of living well(pp. 65-82). Routledge. 
  54. Hochschild, A. (1983). The managed heart: Communication of human feeling. Berkeley: University of California Press. 
  55. Hougaard, R., & Carter, J. (2020). 성공을 부르는 리더의 3가지 법칙 [The mind of the leader: How to lead yourself, your people, and your organization for extraordinary results].(마음력 연구소 역). 한국경제신문. 
  56. Hulsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: The role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. Journal of Applied Psychology, 98(2), 310-325.  https://doi.org/10.1037/a0031313
  57. Hulsheger, U. R., Lang, J. W., Depenbrock, F., Fehrmann, C., Zijlstra, F. R., & Alberts, H. J. (2014). The power of presence: The role of mindfulness at work for daily levels and change trajectories of psychological detachment and sleep quality. Journal of Applied Psychology, 99(6), 1113-1128.  https://doi.org/10.1037/a0037702
  58. Hulsheger, U. R., & Schewe, A. F. (2011). On the costs and benefits of emotional labor: A meta-analysis of three decades of research. Journal of Occupational Health Psychology, 16(3), 361-389.  https://doi.org/10.1037/a0022876
  59. Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General hospital psychiatry, 4(1), 33-47.  https://doi.org/10.1016/0163-8343(82)90026-3
  60. Kabat-Zinn, J. (2002). 당신이 어디를 가든 거기엔 당신이 있다[Wherever you go, There you are]. (고명선 역). 물푸레. 
  61. Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017). A meta-analysis of compassion-based interventions: Current state of knowledge and future directions. Behavior Therapy, 48(6), 778-792.  https://doi.org/10.1016/j.beth.2017.06.003
  62. Klimecki, O. M., Leiberg, S., Ricard, M., & Singer, T. (2014). Differential pattern of functional brain plasticity after compassion and empathy training. Social Cognitive and Affective Neuroscience, 9(6), 873-879.  https://doi.org/10.1093/scan/nst060
  63. Klimecki, O. M., & Singer, T. (2017). The compassionate brain. In E. M. Seppala, E. Simon-Thomas, S. L. Brown, M. C. Worline, C. D. Cameron & J. R. Doty (Eds.), The Oxford Handbook of Compassion Science (pp. 109-120). Oxford University Press. 
  64. Kruml, S. M., & Geddes, D. (2000). Exploring the dimensions of emotional labor the heart of Hochschild's work. Management Communication Quarterly, 14(1), 8-49. 
  65. Lim, D., Condon, P., & DeSteno, D. (2015). Mindfulness and compassion: An examination of mechanism and scalability. PloS one, 10(2), e0118221. 
  66. Larsen, R. J., & Diener, E. (1987). Affect intensity as an individual difference characteristic: A review. Journal of Research in personality, 21(1), 1-39.  https://doi.org/10.1016/0092-6566(87)90023-7
  67. Geuens, M., & De Pelsmacker, P. (2002). Developing a short affect intensity scale. Psychological reports, 91(2), 657-670.  https://doi.org/10.2466/pr0.2002.91.2.657
  68. Lee, Y. H., & Chelladurai, P. (2018). Emotional intelligence, emotional labor, coach burnout, job satisfaction, and turnover intention in sport leadership. European Sport Management Quarterly, 18(4), 393-412.  https://doi.org/10.1080/16184742.2017.1406971
  69. Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J. (2019). Mindfulness-based interventions in the workplace: An inclusive systematic review and meta-analysis of their impact upon wellbeing. The Journal of Positive Psychology, 14(5), 625-640.  https://doi.org/10.1080/17439760.2018.1519588
  70. Luken, M., & Sammons, A. (2016). Systematic review of mindfulness practice for reducing job burnout. The American Journal of Occupational Therapy, 70(2), 1-10.  https://doi.org/10.5014/ajot.2016.016956
  71. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397-422.  https://doi.org/10.1146/annurev.psych.52.1.397
  72. McNeill, K., Durand-Bush, N., & Lemyre, P. N. (2017). Understanding coach burnout and underlying emotions: A narrative approach. Sports Coaching Review, 6(2), 179-196.  https://doi.org/10.1080/21640629.2016.1163008
  73. Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and identity, 2(3), 223-250.  https://doi.org/10.1080/15298860309027
  74. Neff, K. D., Knox, M. C., Long, P., & Gregory, K. (2020). Caring for others without losing yourself: An adaptation of the mindful self compassion program for healthcare communities. Journal of Clinical Psychology, 76(9), 1543-1562.  https://doi.org/10.1002/jclp.23007
  75. Olusoga, P., Bentzen, M., & Kentta, G. (2019). Coach burnout: A scoping review. International Sport Coaching Journal, 6(1), 42-62.  https://doi.org/10.1123/iscj.2017-0094
  76. Roemer, L., Williston, S. K., & Rollins, L. G. (2015). Mindfulness and emotion regulation. Current Opinion in Psychology, 3, 52-57.  https://doi.org/10.1016/j.copsyc.2015.02.006
  77. Rudaz, M., Twohig, M. P., Ong, C. W., & Levin, M. E. (2017). Mindfulness and acceptance-based trainings for fostering self-care and reducing stress in mental health professionals: A systematic review. Journal of Contextual Behavioral Science, 6(4), 380-390.  https://doi.org/10.1016/j.jcbs.2017.10.001
  78. Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: Exploring emotional intelligence using the Trait Meta-Mood Scale. In J. W. Pennebaker (Ed.), Emotion, disclosure, & health (pp. 125-154). American Psychological Association. 
  79. Scarlet, J., Altmeyer, N., Knier, S., & Harpin, R. E. (2017). The effects of Compassion Cultivation Training (CCT) on health care workers. Clinical Psychologist, 21(2), 116-124.  https://doi.org/10.1111/cp.12130
  80. Schaufeli, W. B., & Bakker, A. B. (2004). Job demands, job resources, and their relationship with burnout and engagement: A multi sample study. Journal of Organizational Behavior, 25(3), 293-315.  https://doi.org/10.1002/job.248
  81. Schaufeli, W. B., Leiter, MP, Maslach, C., & Jackson, SE (1996). The Maslach Burnout Inventory-Test manual(3rd ed). Consulting Psychologists Press. 
  82. Trautwein, F. M., Naranjo, J. R., & Schmidt, S. (2014). Meditation effects in the social domain: self-other connectedness as a general mechanism?. Meditation-neuroscientific approaches and philosophical implications, 175-198. Springer International Publishing. 
  83. Van Den Assem, B., & Passmore, J. (2022). How experienced coaches use mindfulness in practice and how they know it is useful or beneficial. Consulting Psychology Journal, 74(1), 116-141.  https://doi.org/10.1037/cpb0000219
  84. Wallace, B. A. (2016). 마음을 여는 명상, 사무량심 [The Four Immeasurables: Practices to Open the Heart] (김완석 역). 학지사. 
  85. Walkey, F. H., & Green, D. E. (1992). An exhaustive examination of the replicable factor structure of the maslach burnout inventory. Educational and Psychological Measurement, 52(2), 309-323.  https://doi.org/10.1177/0013164492052002006
  86. Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017). Examining the relationship between burnout and empathy in healthcare professionals: A systematic review. Burnout Research, 6, 18-29.  https://doi.org/10.1016/j.burn.2017.06.003
  87. Wong, C. S., & Law, K. S. (2002). The effects of leader and follower emotional intelligence on performance and attitude: An exploratory study. The leadership quarterly, 13(3), 243-274.  https://doi.org/10.1016/S1048-9843(02)00099-1
  88. Yang, Y., & Hayes, J. A. (2020). Causes and consequences of burnout among mental health professionals: A practice-oriented review of recent empirical literature. Psychotherapy, 57(3), 426-436.  https://doi.org/10.1037/pst0000317