Authors
Toshiki Kishimoto, Yoshinori Kitabatake, Miyuki Seki
Published in
Industrial health. Aug 11, 2026. Epub Aug 11, 2026.
Abstract
Presenteeism among workers with pain has been linked to various cognitive and psychological factors; however, their structural relationships remain insufficiently understood. This study examined the structural relationships among pain catastrophizing, pain self-efficacy, psychological distress, and presenteeism among workers experiencing pain that interfered with work or daily life. An internet-based survey was conducted among 700 Japanese workers aged 20-60 years, of whom 459 who reported pain interfering with work or daily life during the preceding month were included in the analysis. Pain self-efficacy, pain catastrophizing, psychological distress, and presenteeism were assessed using validated Japanese versions of standardized questionnaires. A hypothesized path model was tested using path analysis to evaluate model fit and structural associations. The results demonstrated good model fit. Pain self-efficacy was directly and indirectly associated with presenteeism, whereas pain catastrophizing was indirectly associated with presenteeism through psychological distress. Notably, pain self-efficacy was broadly associated with multiple factors, including pain catastrophizing and psychological distress, as well as presenteeism. Higher pain self-efficacy was associated with reduced presenteeism, with associations partly observed through pain catastrophizing and psychological distress. These findings suggest that pain self-efficacy may represent a promising focus for future interventions aimed at reducing presenteeism among workers experiencing pain.
PMID:
42586747
Bibliographic data and abstract were imported from PubMed on 13 Aug 2026.
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