Ivey Business School at Western University, London, Canada.
University Research Institute of Human Resources Psychology, Organizational Development and Quality of Work Life (IDOCAL), University of Valencia, Valencia, Spain.
PLoS One. 2018 Jul 19;13(7):e0201189. doi: 10.1371/journal.pone.0201189. eCollection 2018.
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.
本研究的主要目的是探讨紧张型头痛（TTH）的工作缺勤与因身心健康不佳而导致的与健康相关的生产力损失之间的机制和条件。为此，采用结构方程模型（SEM）对涉及 78 例紧张型头痛（TTH）患者的随机临床试验进行了二次数据分析。结果表明，TTH 工作缺勤与因身心健康不佳而导致的与健康相关的生产力损失没有直接关系。然而，通过焦虑状态，TTH 工作缺勤会因身心健康不佳而降低患者的生产力。此外，随着紧张型头痛严重程度的增加，TTH 工作缺勤会间接降低患者的生产力，因为身体健康状况下降（但心理健康状况不受影响）。最后，我们的研究结果表明，这种间接效应仅在 TTH 的病因是非机械性的（例如，荷尔蒙原因等）时才会发生。我们的工作提供了一个综合模型，可以为组织行为学家和健康专业人员（例如物理治疗师）提供信息。讨论了对组织健康的影响。
