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The fact that you can decrease sick days of people by letting them write about their life goals is not very meaningful unless you have managed to decrease sick days by decreasing the severity of their illness rather than their perception of the severity of their illness. You could argue that if someone feels better they are definition better, but this doesn't apply to all aspects of an illness such as chance of infecting others, quality of work produced when feeling sick, chance of lengthening the illness by not resting, etc.

You can explain the effect of writing about life goals that way, but writing about emotional trauma's has the same effect, so it doesn't seem like this effect is caused by optimistic people not taking sick days.

But in general I agree that it would be useful to develop a better metric than sick days.
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