Abstract

Complaints of cognitive functions (CCFs), defined as subjective cognitive dysfunction, affect social function; additionally, for workers, this condition is an important factor in presenteeism and mediates the effect of depressive symptoms on presenteeism. This study aimed to investigate whether CCFs mediate the relationships among insomnia, state anxiety (SA), and presenteeism. Participants were 471 Japanese adult workers evaluated using the Athens Insomnia Scale, State-Trait Anxiety Inventory (Form Y), Cognitive Complaints in Bipolar Disorder Rating Assessment, and Work Limitations Questionnaire 8 to assess insomnia, SA, CCFs, and presenteeism, respectively. Path analysis was used to evaluate the correlations between variables. CCFs significantly mediated the associations among insomnia, SA, and presenteeism. To address the presenteeism associated with insomnia and SA, it may be useful to assess the mediating roles of CCFs.

Highlights

  • Recent research reported a high prevalence of depression, state anxiety (SA), which is defined as a transitory emotional state consisting of feelings of apprehension, nervousness, and physiological sequelae such as an increased heart rate or respiration [4], and insomnia, which is defined as subjective sleep complaints in the general population [5,6], for health care workers during the coronavirus disease 2019 (COVID-19)

  • Our study suggests that insomnia may be positively related to presenteeism through Directthe

  • Our model suggests that insomnia may be positively related to presenteeism via SA and, in turn, Complaints of cognitive functions (CCFs)

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Summary

Introduction

Received: 16 February 2021Accepted: 21 April 2021Published: 24 April 2021Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.Licensee MDPI, Basel, Switzerland.Attribution (CC BY) license (https://creativecommons.org/licenses/by/ 4.0/).Work-related stress affects both physical and mental health in workers and influences the health and performance of organizations [1,2], and approximately 20% of adult workers have mental health issues [3]. Recent research reported a high prevalence of depression, state anxiety (SA), which is defined as a transitory emotional state consisting of feelings of apprehension, nervousness, and physiological sequelae such as an increased heart rate or respiration [4], and insomnia, which is defined as subjective sleep complaints in the general population [5,6], for health care workers during the coronavirus disease 2019 (COVID-19)pandemic [7]. Other studies to address the mental health problems in workers are ongoing.

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