Subjective cognitive impairment and presenteeism mediate the associations of rumination with subjective well-being and ill-being in Japanese adult workers from the community

Kuniyoshi Toyoshima; Masahiko Ichiki; Takeshi Inoue; Akiyoshi Shimura; Jiro Masuya; Yota Fujimura; Shinji Higashi; Ichiro Kusumi

doi:10.1186/s13030-021-00218-x

Subjective cognitive impairment and presenteeism mediate the associations of rumination with subjective well-being and ill-being in Japanese adult workers from the community

Biopsychosoc Med. 2021 Oct 2;15(1):15. doi: 10.1186/s13030-021-00218-x.

Authors

Kuniyoshi Toyoshima¹, Masahiko Ichiki², Takeshi Inoue², Akiyoshi Shimura², Jiro Masuya², Yota Fujimura^{2

3}, Shinji Higashi^{2

4}, Ichiro Kusumi⁵

Affiliations

¹ Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan. toyoshima@med.hokudai.ac.jp.
² Department of Psychiatry, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
³ Department of Psychiatry, Tokyo Medical University Hachioji Medical Center, 1163, Tate-machi, Hachioji, Tokyo, 193-0998, Japan.
⁴ Department of Psychiatry, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuo, Ami-machi, Inashiki-gun, Ibaraki, 300-0395, Japan.
⁵ Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan.

Abstract

Background: In 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.

Methods: 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. 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.

Results: The 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.

Conclusions: The 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.

Keywords: Mediator; Presenteeism; Rumination; Subjective cognitive impairment; Subjective ill-being; Subjective well-being.

Abstract

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