# The relationship between 3S (Seiri, Seiton, and Seiso) behaviors, and psychological distress and work engagement

**Authors:** Tomoko Sawajima, Tomohisa Nagata, Kiminori Odagami, Takahiro Mori, Nuri Purwito Adi, Koji Mori

PMC · DOI: 10.3389/fpubh.2025.1646180 · Frontiers in Public Health · 2025-10-03

## TL;DR

This study found that practicing 3S workplace behaviors is linked to lower psychological distress among workers in Japan.

## Contribution

The study shows that 3S behaviors may improve mental health, beyond their traditional role in quality management.

## Key findings

- Workers practicing 3S had significantly lower psychological distress.
- No significant difference in work engagement was found between 3S practitioners and non-practitioners.
- 3S behaviors may serve as a strategy for improving mental health in the workplace.

## Abstract

This study aimed to examine the relationship between 3S [Seiri (Sort), Seiton (Set), and Seiso (Shine)] behaviors in the workplace and workers’ psychological distress and work engagement.

A prospective cohort study was conducted using an online survey among workers in Japan (n = 9,451 at baseline; n = 6,156 at follow-up). At baseline, participants were asked whether they routinely practiced 3S behaviors in the workplace every day. Psychological distress was measured using the Japanese version of Kessler 6-Item Psychological Distress Scale (K6), and work engagement was assessed using the Japanese version of the Utrecht Work Engagement Scale (UWES-9) at baseline and follow-up. Covariates included industry type and K6/UWES-9 at baseline. Multiple regression analyses were conducted to evaluate the relationship between 3S behaviors at baseline and K6/UWES-9 at follow-up.

There were 3,862 (62.7%) workers who practiced 3S behaviors. Workers who did not practice 3S behaviors had significantly higher psychological distress than those who did (standardized coefficient = 0.03, p = 0.006). There was no statistical difference in work engagement between workers who practiced 3S behaviors and those who did not (standardized coefficient = −0.01, p = 0.339).

Daily practice of 3S behaviors was related to lower psychological distress among workers, suggesting that 3S may serve not only as a tool for quality management but also as a potential strategy for improving mental health in the workplace.

## Full-text entities

- **Diseases:** injuries (MESH:D014947), anxiety (MESH:D001007), insomnia (MESH:D007319), accidents (MESH:D000081084), fatigue (MESH:D005221), 3S (MESH:D017253), psychological (MESH:D000067073), R (MESH:C580424), TS (MESH:D005879), depressed (MESH:D003866)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC12532780/full.md

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Source: https://tomesphere.com/paper/PMC12532780