Exploring the Occupational Balance of Young Adults during Social Distancing Measures in the COVID-19 Pandemic
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design—Participants
2.2. Procedure—Data Collection
2.3. Main Outcomes—Instruments
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
- Canet-Juric, L.; Andrés, M.L.; del Valle, M.; López-Morales, H.; Poó, F.; Galli, J.I.; Yerro, M.; Urquijo, S. A Longitudinal Study on the Emotional Impact Cause by the COVID-19 Pandemic Quarantine on General Population. Front. Psychol. 2020, 11, 565688. [Google Scholar] [CrossRef]
- Ćosić, K.; Popović, S.; Šarlija, M.; Kesedžić, I. Impact of human disasters and Covid-19 pandemic on mental health: Potential of digital psychiatry. Psychiatr. Danub. 2020, 32, 25–31. [Google Scholar] [CrossRef]
- Szczepańska, A.; Pietrzyka, K. The COVID-19 epidemic in Poland and its influence on the quality of life of university students (young adults) in the context of restricted access to public spaces. J. Public Health 2021, 1–11. [Google Scholar] [CrossRef]
- Heitzman, J. Impact of COVID-19 pandemic on mental health. Psychiatr. Pol. 2020, 54, 187–198. [Google Scholar] [CrossRef]
- Loades, M.E.; Chatburn, E.; Higson-Sweeney, N.; Reynolds, S.; Shafran, R.; Brigden, A.; Linney, C.; McManus, M.N.; Borwick, C.; Crawley, E. Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. J. Am. Acad. Child. Adolesc. Psychiatry 2020, 59, 1218–1239. [Google Scholar] [CrossRef] [PubMed]
- Gruber, J.; Prinstein, M.J.; Clark, L.A.; Rottenberg, J.; Abramowitz, J.S.; Albano, A.M.; Aldao, A.; Borelli, J.L.; Chung, T.; Davila, J.; et al. Mental Health and Clinical Psychological Science in the Time of COVID-19: Challenges, Opportunities, and a Call to Action. Am. Psychol. 2020. [Google Scholar] [CrossRef] [PubMed]
- Białkowska, J.; Mroczkowska, D.; Ziomkowska, E.; Rakowska, A. Assessment of psychological health of students based on a Patient Health Questionnaire. Hygeia Public Health 2014, 49, 365–369. [Google Scholar]
- Beam, C.R.; Kim, A.J. Psychological Sequelae of Social Isolation and Loneliness Might Be a Larger Problem in Young Adults Than Older Adults. Psychol. Trauma 2020, 12, S58–S60. [Google Scholar] [CrossRef]
- Liu, C.H.; Stevens, C.; Conrad, R.C.; Hahm, H.C. Evidence for elevated psychiatric distress, poor sleep, and quality of life concerns during the COVID-19 pandemic among U.S. young adults with suspected and reported psychiatric diagnoses. Psychiatry Res. 2020, 292, 113345. [Google Scholar] [CrossRef]
- Parola, A.; Rossi, A.; Tessitore, F.; Troisi, G.; Mannarini, S. Mental Health Through the COVID-19 Quarantine: A Growth Curve Analysis on Italian Young Adults. Front. Psychol. 2020, 11, 567484. [Google Scholar] [CrossRef]
- Shanahan, L.; Steinhoff, A.; Bechtiger, L.; Murray, A.L.; Nivette, A.; Hepp, U.; Ribeaud, D.; Eisner, M. Emotional Distress in Young Adults during the COVID-19 Pandemic: Evidence of Risk and Resilience from a Longitudinal Cohort Study. Psychol. Med. 2020, 23, 1–10. [Google Scholar] [CrossRef] [PubMed]
- Volk, A.A.; Brazil, K.J.; Franklin-Luther, P.; Dane, A.V.; Vaillancourt, T. The influence of demographics and personality on COVID-19 coping in young adults. Pers. Individ. Dif. 2021, 168, 110398. [Google Scholar] [CrossRef] [PubMed]
- Zheng, C.; Huang, W.Y.; Sheridan, S.; Sit, C.H.P.; Chen, X.K.; Wong, S.H.S. Covid-19 pandemic brings a sedentary lifestyle in young adults: A cross-sectional and longitudinal study. Int. J. Environ. Res. Public Health 2020, 17, 6035. [Google Scholar] [CrossRef] [PubMed]
- Cao, W.; Fang, Z.; Hou, G.; Han, M.; Xu, X.; Dong, J.; Zheng, J. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020, 287, 112934. [Google Scholar] [CrossRef]
- McQuaid, R.J.; Cox, S.M.L.; Ogunlana, A.; Jaworska, N. The burden of loneliness: Implications of the social determinants of health during COVID-19. Psychiatry Res. 2021, 296, 113648. [Google Scholar] [CrossRef]
- Elmer, T.; Mepham, K.; Stadtfeld, C. Students under lockdown: Comparisons of students’ social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS ONE 2020, 15, e0236337. [Google Scholar] [CrossRef]
- Li, H.Y.; Cao, H.; Leung, D.Y.P.; Mak, Y.W. The psychological impacts of a covid-19 outbreak on college students in China: A longitudinal study. Int. J. Environ. Res. Public Health 2020, 17, 3933. [Google Scholar] [CrossRef]
- Magson, N.R.; Freeman, J.Y.A.; Rapee, R.M.; Richardson, C.E.; Oar, E.L.; Fardouly, J. Risk and Protective Factors for Prospective Changes in Adolescent Mental Health during the COVID-19 Pandemic. J. Youth Adolesc. 2021, 50, 44–57. [Google Scholar] [CrossRef] [PubMed]
- Craske, M.G.; Stein, M.B. Anxiety. Lancet 2016, 388, 3048–3059. Available online: https://pubmed.ncbi.nlm.nih.gov/27349358/ (accessed on 2 March 2021). [CrossRef]
- Doble, S.E.; Santha, J.C. Occupational well-being: Rethinking occupational therapy outcomes. Can. J. Occup. Ther. 2008, 75, 184–190. [Google Scholar] [CrossRef] [PubMed]
- Wagman, P.; Håkansson, C.; Jacobsson, C.; Falkmer, T.; Björklund, A. What is considered important for life balance? Similarities and differences among some working adults. Scand. J. Occup. Ther. 2012, 19, 377–384. [Google Scholar] [CrossRef]
- Hakansson, C.; Lissner, L.; Bjorkelund, C.; Sonny, U. Engagement in patterns of daily occupations and perceived health among women of working age. Scand. J. Occup. Ther. 2009, 16, 110–117. [Google Scholar] [CrossRef]
- Wagman, P.; Håkansson, C.; Björklund, A. Occupational balance as used in occupational therapy: A concept analysis. Scand. J. Occup. Ther. 2012, 19, 322–327. [Google Scholar] [CrossRef] [PubMed]
- Romero-Tébar, A.; Rodríguez-Hernández, M.; Segura-Fragoso, A.; Cantero-Garlito, P.A. Analysis of Occupational Balance and Its Relation to Problematic Internet Use in University Occupational Therapy Students. Healthcare 2021, 9, 197. [Google Scholar] [CrossRef] [PubMed]
- Bejerholm, U. Occupational Balance in People with Schizophrenia. Occup. Ther. Ment. Health. 2010, 26, 1–17. [Google Scholar] [CrossRef]
- Wagman, P.; Håkansson, C. Exploring occupational balance in adults in Sweden. Scand. J. Occup. Ther. 2014, 21, 415–420. [Google Scholar] [CrossRef] [PubMed]
- Wilcock, A.A.; Chelin, M.; Hall, M.; Hamley, N.; Morrison, B.; Scrivener, L.; Townsend, M.; Treen, K. The relationship between occupational balance and health: A pilot study. Occup. Ther. Int. 1997, 4, 17–30. [Google Scholar] [CrossRef]
- Wagman, P.; Hjärthag, F.; Håkansson, C.; Hedin, K.; Gunnarsson, A.B. Factors associated with higher occupational balance in people with anxiety and/or depression who require occupational therapy treatment. Scand. J. Occup. Ther. 2019, 14, 1–7. [Google Scholar] [CrossRef] [Green Version]
- González-Bernal, J.J.; Santamaría-Peláez, M.; González-Santos, J.; Rodríguez-Fernández, P.; León-del Barco, B.; Soto-Cámara, R. Relationship of Forced Social Distancing and Home Confinement Derived from the COVID-19 Pandemic with the Occupational Balance of the Spanish Population. J. Clin. Med. 2020, 9, 3606. [Google Scholar] [CrossRef]
- Yu, Y.; Manku, M.; Backman, C.L. Measuring occupational balance and its relationship to perceived stress and health. Can. J. Occup. Ther. 2018, 85, 117–127. [Google Scholar] [CrossRef]
- Eklund, M.; Argentzell, E. Perception of occupational balance by people with mental illness: A new methodology. Scand. J. Occup. Ther. 2016, 23, 304–313. [Google Scholar] [CrossRef]
- Hunt, E.; McKay, E.A.; Dahly, D.L.; Fitzgerald, A.P.; Perry, I.J. A person-centred analysis of the time-use, daily activities and health-related quality of life of Irish school-going late adolescents. Qual. Life Res. 2015, 24, 1303–1315. [Google Scholar] [CrossRef] [Green Version]
- Erikson, E.H. El Ciclo Vital Completado; Paidós: Buenos Aires, Argentina, 1985. [Google Scholar]
- PeralGómez, P. Equilibrio ocupacional en Estudiantes de TerapiaOcupacional. Ph.D. Thesis, Universidad Miguel Hernández, Alicante, Spain, 2017. [Google Scholar]
- Wagman, P.; Håkansson, C. Introducing the Occupational Balance Questionnaire (OBQ). Scand. J. Occup. Ther. 2014, 21, 227–231. [Google Scholar] [CrossRef]
- Liu, C.H.; Zhang, E.; Wong, G.T.F.; Hyun, S.; Hahm, H. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res. 2020, 290, 113172. [Google Scholar] [CrossRef] [PubMed]
- Huber, B.C.; Steffen, J.; Schlichtiger, J.; Brunner, S. Altered nutrition behavior during COVID-19 pandemic lockdown in young adults. Eur. J. Nutr. 2020. [Google Scholar] [CrossRef] [PubMed]
- Lee, C.M.; Cadigan, J.M.; Rhew, I.C. Increases in Loneliness Among Young Adults During the COVID-19 Pandemic and Association with Increases in Mental Health Problems. J. Adolesc. Health 2020, 67, 714–717. [Google Scholar] [CrossRef] [PubMed]
- Matuska, K.; Bass, J.; Schmitt, J.S. Life balance and perceived stress: Predictors and demographic profile. OTJR 2013, 33, 146–158. [Google Scholar] [CrossRef] [PubMed]
- De Pedro, M.M.; Fernández-Valera, M.M.; García-Izquierdo, M.; Soler-Sánchez, M.I. Burnout, psychological capital and health during COVID-19 social isolation: A longitudinal analysis. Int. J. Environ. Res. Public Health 2021, 18, 1064. [Google Scholar] [CrossRef] [PubMed]
- Lei, L.; Huang, X.; Zhang, S.; Yang, J.; Yang, L.; Xu, M. Comparison of Prevalence and Associated Factors of Anxiety and Depression among People Affected by versus People Unaffected by Quarantine during the COVID-19 Epidemic in Southwestern China. Med. Sci. Monit. 2020, 26, e924609. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Ruiz-Frutos, C.; Ortega-Moreno, M.; Allande-Cussó, R.; Domínguez-Salas, S.; Dias, A.; Gómez-Salgado, J. Health-related factors of psychological distress during the COVID-19 pandemic among non-health workers in Spain. Saf. Sci. 2021, 133, 104996. [Google Scholar] [CrossRef]
- Glowacz, F.; Schmits, E. Psychological distress during the COVID-19 lockdown: The young adults most at risk. Psychiatry Res. 2020, 293, 113486. [Google Scholar] [CrossRef]
- Mertens, G.; Gerritsen, L.; Duijndam, S.; Salemink, E.; Engelhard, I.M. Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. J. Anxiety Disord. 2020, 74, 102258. [Google Scholar] [CrossRef]
- Hancock, J.; Mattick, K. Tolerance of ambiguity and psychological well-being in medical training: A systematic review. Med. Educ. 2020, 54, 125–137. [Google Scholar] [CrossRef] [Green Version]
- Freeston, M.H.; Rhéaume, J.; Letarte, H.; Dugas, M.J.; Ladouceur, R. Why do people worry? Pers. Individ. Dif. 1994, 17, 791–802. [Google Scholar] [CrossRef]
- Carleton, N.R.; Mulvogue, M.K.; Thibodeau, M.A.; McCabe, R.E.; Antony, M.M.; Asmundson, G.J.G. Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. J. Anxiety Disord. 2012, 26, 468–479. [Google Scholar] [CrossRef] [PubMed]
- Sim, K.; Chua, H.C. The psychological impact of SARS: A matter of heart and mind. CMAJ 2004, 170, 811–812. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Wang, C.; Pan, R.; Wan, X.; Tan, Y.; Xu, L.; Ho, C.S.; Ho, R.C. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health 2020, 17, 1729. [Google Scholar] [CrossRef] [Green Version]
- Hawes, M.T.; Szenczy, A.K.; Klein, D.N.; Hajcak, G.; Nelson, B.D. Increases in Depression and Anxiety Symptoms in Adolescents and Young Adults during the COVID-19 Pandemic. Psychol. Med. 2021. [Google Scholar] [CrossRef] [PubMed]
- Fiorillo, A.; Gorwood, P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur. Psychiatry 2020, 63, e32. [Google Scholar] [CrossRef] [PubMed] [Green Version]
Sociodemographic Variables | OBQ-E | ||
---|---|---|---|
n (%) | (IQR) | p-Value | |
Gender | 0.247 | ||
Female | 774 (80.21%) | 45 (34–57) | |
Male | 191 (19,79%) | 46 (33–55) | |
Residence area | 0.037 | ||
North | 769 (79.69%) | 45 (33–56) | |
South | 196 (20.31%) | 48 (37–59) | |
Environment | 0.502 | ||
Rural | 310 (32.12%) | 44 (33–58) | |
Urban | 655 (67.88%) | 46 (35–57) | |
Educational level | 0.024 | ||
Primary studies | 2 (0.21%) | 40 (32–48) | |
Secondary studies | 52 (5.39%) | 46.5 (31.75–57.75) | |
Vocational training studies | 68 (7.05%) | 43.5 (37–56) | |
University studies | 639 (66.22%) | 44 (32–56) a | |
Post-university studies | 204 (21.14%) | 49 (38–59) a | |
Employment status | <0.0001 | ||
Active | 384 (39.79%) | 49 (38–58) a | |
Unemployed—Home chores | 85 (8.81%) | 46 (37–59.25) | |
Student | 496 (51.40%) | 42 (31–56) a | |
Amount of information received | <0.0001 | ||
Enough | 312 (32.33%) | 49 (37–60) | |
Insufficient | 653 (67.67%) | 43 (32.5–56) | |
Infected by Sars-Cov-2 | 0.570 | ||
Yes | 11 (1.14%) | 40 (36–53) | |
No | 954 (98.86%) | 45 (34–57) | |
Isolation | 0.554 | ||
Yes | 55 (5.70%) | 43 (35–54) | |
No | 910 (94.30%) | 45 (34–57) | |
Direct contact with COVID-19 | 0.260 | ||
Yes | 72 (7.46%) | 42 (32.25–55) | |
No | 893 (92.54%) | 45 (34–57) |
Sociodemographic Variables | OBQ-E | ||
---|---|---|---|
(IQR) | r Spearman | p-Value | |
Age | 24 (21–27) | 0.167 | <0.0001 |
Days of home confinement | 33 (10–37) | (−0.149) | <0.0001 |
Self-perceived health | 6 (5–6) | 0.387 | <0.0001 |
Independent Predictive Factors | Standard Error | β | T | p-Value |
---|---|---|---|---|
Self-perceived health | 0.323 | 0.377 | 12.936 | <0.0001 |
Employment status | 0.521 | (−0.110) | (−3.374) | 0.001 |
Amount of information received | 0.951 | 0.095 | 3.254 | 0.001 |
Days of home confinement | 0.036 | (−0.087) | (−2.686) | 0.007 |
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Rodríguez-Fernández, P.; González-Santos, J.; Santamaría-Peláez, M.; Soto-Cámara, R.; González-Bernal, J.J. Exploring the Occupational Balance of Young Adults during Social Distancing Measures in the COVID-19 Pandemic. Int. J. Environ. Res. Public Health 2021, 18, 5809. https://doi.org/10.3390/ijerph18115809
Rodríguez-Fernández P, González-Santos J, Santamaría-Peláez M, Soto-Cámara R, González-Bernal JJ. Exploring the Occupational Balance of Young Adults during Social Distancing Measures in the COVID-19 Pandemic. International Journal of Environmental Research and Public Health. 2021; 18(11):5809. https://doi.org/10.3390/ijerph18115809
Chicago/Turabian StyleRodríguez-Fernández, Paula, Josefa González-Santos, Mirian Santamaría-Peláez, Raúl Soto-Cámara, and Jerónimo J. González-Bernal. 2021. "Exploring the Occupational Balance of Young Adults during Social Distancing Measures in the COVID-19 Pandemic" International Journal of Environmental Research and Public Health 18, no. 11: 5809. https://doi.org/10.3390/ijerph18115809