Abstract

Introduction: Being present at work when sick is not just prevalent in employees. Since university is also a demanding context, there is a growing interest in this phenomenon in university students. Especially students with mental health issues show a higher degree of productivity loss. However, little research has examined the causes of these productivity losses—especially in university students. Therefore, we examined health-related (burnout) and non-health-related (time pressure) aspects that lead to productivity losses in the long run.Methods: We decided to examine the effect from time pressure on health-related loss of productivity, mediated by exhaustion. This assumption is in line with the health impairment process proposed by the Study Demands-Resources (SD-R) framework. To examine this assumption properly, we conducted a longitudinal study with three occasions. We surveyed 392 students in three waves over 1 year and performed structural equation modeling (SEM) to confirm the assumptions longitudinally.Results: In line with our assumptions, time pressure predicted burnout which, in turn, predicted health-related loss of productivity in the long run. Hence—as assumed by the SD-R framework—burnout serves as a mediator between study demands and negative outcomes such as loss of productivity.Discussion: Our study is the first that uncovers health-related and non-health-related causes of health-related productivity loss in university students. Thus, we were able to confirm SD-R's health impairment process longitudinally. Since we know that time pressure serves as a major antecedent for burnout and health-related loss of productivity, we are well-advised to establish appropriate interventions to reduce students' time pressure.

Highlights

  • Being present at work when sick is not just prevalent in employees

  • We examined the temporal relationships between time pressure, exhaustion, and healthrelated loss of productivity using cross-lagged panel models (CLPM)

  • The correlation matrix of the manifest variables used for the analyses can be found in the Supplementary Material

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Summary

Introduction

Being present at work when sick is not just prevalent in employees. Since university is a demanding context, there is a growing interest in this phenomenon in university students. Many people know the feeling of having to go to work even when too sick or stressed to be productive [1] In these moments, they may experience decreased productivity and belownormal work quality [2]. Time Pressure and Health-related Loss of Productivity workforce work despite being ill [3] and 70% of German employees report having been sick at work on at least 1 day within the previous year [4]. This phenomenon cannot only be found in workers: there is growing interest in the healthrelated loss of productivity in university students [5]. Students with mental health issues show a higher degree of productivity loss than those with other issues [e.g., physical issues; [5]]

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