Anxiety and the severity of Tension-Type Headache mediate the relation between headache presenteeism and workers’ productivity

Abstract

The primary objective of this study was to explore the mechanisms and conditions whereby Tension-Type Headache (TTH) presenteeism relates to health-related loss of productivity as a result of both reduced physical and mental health. To this end, Structural Equation Modeling (SEM) was used to conduct a secondary data analysis of a randomized clinical trial involving 78 Tension-type Headache (TTH) patients. The results showed that TTH presenteeism did not directly relate to health-related loss of productivity, either due to physical, or mental health problems. However, through anxiety-state, TTH presenteeism decreased patients’ productivity, as consequence of reduced physical and mental health. Moreover, by increasing the severity of the Tension-Type Headache, TTH presenteeism indirectly decreased patients’ productivity as consequence of reduced physical health (but not mental health). Finally, our results show that such indirect effects only occur when the cause of TTH is non-mechanical (e.g., hormonal causes, etc.). Our work provides an integrative model that can inform organizational behaviorists and health professionals (e.g., physiotherapists). Implications for organizational health are discussed.

The burden of headache following aneurysmal subarachnoid hemorrhage: a prospective single-center cross-sectional analysis

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Workaholism, presenteeism, work–family conflicts and personal and work outcomes: Testing a moderated mediation model

“…Contrary to workaholism (Balducci et al, 2020;Gorgievski et al, 2010), presenteeism which is considered to be more transitory and situational (George et al, 2017) has been found to be constantly associated with lower levels of work performance (Gillet et al, 2020b;Miraglia & Johns, 2016), especially in the nursing profession (Li et al, 2019;Rainbow, 2019). This may be explained by higher anxiety (Monzani et al, 2018) or lower psychological health (Li et al, 2019). Moreover, the ill-being that accompanies presenteeism should drain energy and divert attention so that performance ratings declines (Miraglia & Johns, 2016).…”

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“…A comprehensive and up-todate review of empirical research including studies from Korea using new modalities will be very helpful and can be the basis for recommendations regarding psychological treatment for primary headaches as a stand-alone treatment option or additional treatment with other treatment modalities in Korea. 4,11…”