Abstract
BackgroundIn recent years, the roles of rumination, subjective cognitive impairment (SCI), and presenteeism have been emphasized in occupational mental health. However, associations between rumination, SCI, presenteeism, and psychological well-being are not fully understood. We hypothesized that SCI and presenteeism mediate the associations between rumination and subjective well-being (SWB) and subjective ill-being (SIB). Hence, we investigated the mediating roles of SCI and presenteeism in this study.MethodsA total of 458 adult workers (mean age, 40.8±11.9 years; 44.1% male), who were recruited in Tokyo using convenience sampling, were analyzed in this study. The Ruminative Responses Scale, Cognitive Complaints in Bipolar Disorder Rating Assessment, Work Limitations Questionnaire 8, and Subjective Well-being Inventory were used to evaluate rumination, SCI, presenteeism, and psychological well-being (SWB and SIB), respectively. Path analyses were performed to evaluate the relations between these parameters.ResultsThe path analysis indicated that rumination, SCI, and presenteeism were directly and negatively associated with SWB and SIB. Regarding indirect effects, rumination was negatively associated with SWB and SIB via SCI, presenteeism, and both SCI and presenteeism. Furthermore, SCI was negatively associated with SWB and SIB via presenteeism.ConclusionsThe results suggest that SCI and presenteeism mediate the associations of rumination with SWB and SIB in Japanese adult workers. To address the psychological well-being associated with rumination, evaluating SCI and presenteeism simultaneously may be useful in occupational mental health. This study provides key insights into the development of comprehensive intervention strategy based on the biopsychosocial perspective for worker’s psychological well-being.
Highlights
In recent years, the roles of rumination, subjective cognitive impairment (SCI), and presenteeism have been emphasized in occupational mental health
Rumination was positively correlated with SCI and presenteeism and negatively correlated with subjective well-being (SWB) and subjective ill-being (SIB)
SCI was positively correlated with presenteeism and negatively correlated with SWB and SIB
Summary
A total of 458 adult workers (mean age, 40.8±11.9 years; 44.1% male), who were recruited in Tokyo using convenience sampling, were analyzed in this study. Path analyses were performed to evaluate the relations between these parameters Participants This cross-sectional study was conducted between April 2017 and April 2018 in Tokyo, Japan, in accordance with the Declaration of Helsinki. At the beginning of this research, the present study design was approved by the Local Ethics Review Board of Tokyo Medical University (Ethics Approval Number: SH3502). During this period, a total of 597 subjects were recruited. The exclusion criteria of this study were as follows: being unemployed or not working during the assessment and not completing the questionnaires; a total of 139 subjects were excluded and 458 subjects were analyzed in the present study
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