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Randomized Controlled Trial
. 2018 Jul 19;13(7):e0201189.
doi: 10.1371/journal.pone.0201189. eCollection 2018.

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

Lucas Monzani  1   2 , Rosario Zurriaga  2 , Gemma Victoria Espí López  3
Affiliations
Randomized Controlled Trial

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

Lucas Monzani et al. PLoS One. .

Erratum in

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.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Hypothesized structural equation model relating headache presenteeism to health-related loss of productivity.
Fig 2
Fig 2. Confirmatory factor analysis for health-related loss of productivity.
Fig 3
Fig 3. Revised structural equation model relating headache presenteeism to health-related loss of productivity.
See this image and copyright information in PMC

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