Occupational Balance, Fear and Agoraphobia in the Covid-19 Pandemic

Year 2022, Volume: 9 Issue: 1, 207 - 222, 30.04.2022

Özgü İnal , H.deniz Özdemir , Fatma Nesrin Turan

https://doi.org/10.21020/husbfd.988865

Abstract

Objectives: The occupational preferences and occupational balance of individuals have changed during the Covid-19 Pandemic period. This study aims to evaluate occupational balance, fear of Covid-19 and agoraphobia in adults during the Covid-19 pandemic.
Materials and Methods: Six hundred ninety-nine individuals were included in this study. Occupational Balance Questionnaire, Fear of Covid-19 Scale and DSM-5 Agoraphobia Scale were used in the study.
Results: A statistically significant moderate correlation was found between the Covid-19 Fear Scale and the DSM-5 Agoraphobia Scale (p<0.001, r=.497). There was no statistically significant relationship between the Covid-19 Fear Scale and OBQ (p<0.05). Individuals with regular physical and leisure activity habits had better occupational balance and less fear of Covid-19.
Conclusion: In the Covid-19 pandemic, the activity preferences of individuals have changed and individuals generally prefer sedentary activities. Increasing fear of Covid-19 increases the level of agoraphobia. Considering the positive effects of regular activities, it is thought that by supporting individuals with meaningful and purposeful activities in the Covid-19 pandemic, occupational balance can be improved and the fear of Covid-19 can be reduced.

Keywords

Agoraphobia, fear, mental health, occupational balance, psychosocial

Covid-19 Pandemisinde Okupasyonel Denge, Korku ve Agorafobi

Abstract

Amaç: Covid-19 pandemisi sonucunda bireylerin okupasyonel tercihleri ve okupasyonel dengeleri değişime uğramıştır. Bu çalışmanın amacı, Covid-19 Pandemisi sırasında yetişkinlerde okupasyonel denge, Covid-19 korkusu ve agorafobiyi değerlendirmektir.
Gereç ve Yöntem: Çalışmaya altı yüz doksan dokuz kişi dahil edildi. Çalışmada Okupasyonel Denge Anketi (OBQ), Covid-19 Korkusu Ölçeği ve DSM-5 Agorafobi Ölçeği kullanıldı.
Bulgular: Covid-19 Korkusu Ölçeği ile DSM-5 Agorafobi Ölçeği arasında istatistiksel olarak anlamlı orta düzeyde bir ilişki bulundu (p<0,001, r=,497). Covid-19 Korkusu Ölçeği ve OBQ arasında ise istatistiksel olarak anlamlı bir ilişki bulunmadı (p<0,05). Düzenli fiziksel ve serbest zaman aktivite alışkanlıklarına sahip bireyler daha iyi okupasyonel dengeye ve daha az Covid-19 korkusuna sahipti.
Sonuç: Covid-19 pandemisinde bireylerin aktivite tercihleri değişmiştir ve bireyler genellikle sedanter aktiviteleri tercih etmektedir. Covid-19 korkusunun artması, agorafobi düzeyini arttırmaktadır. Düzenli yapılan aktivitenin olumlu etkileri göz önüne alındığında; Covid-19 pandemisinde bireylerin anlamlı ve amaçlı aktivitelerle desteklenmesi ile okupasyonel dengenin geliştirilebileceği ve Covid-19 korkusunun azaltılabileceği düşünülmektedir.

Keywords

Agorafobi, korku, mental sağlık, okupasyonel denge, psikososyal

References

• Afifi, T. O., Cox, B. J., Enns, M. W. J. S. p., & epidemiology, p. (2006). Mental health profiles among married, never-married, and separated/divorced mothers in a nationally representative sample. 41(2), 122-129.
• Ahorsu, D. K., Lin, C.-Y., Imani, V., Saffari, M., Griffiths, M. D., Pakpour, A. H. J. I. j. o. m. h., & addiction. (2020). The fear of COVID-19 scale: development and initial validation. 1-9.
• American Psychiatric Association, & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. United States.
• Arrindell, W. A., Heesink, J., Feij, J. A. J. P., & differences, i. (1999). The satisfaction with life scale (SWLS): Appraisal with 1700 healthy young adults in The Netherlands. 26(5), 815-826.
• Aydin, O., Coldur, E. O., & Aydemir, O. J. A. P. D. (2017). Reliability and validity of Turkish Form of Agoraphobia Scale/DSM-5 Agorafobi Olcegi Turkce Formunun gecerliligi ve guvenilirligi. 18(S2), 24-31.
• Bakioğlu, F., Korkmaz, O., Ercan, H. J. I. j. o. m. h., & addiction. (2020). Fear of COVID-19 and positivity: mediating role of intolerance of uncertainty, depression, anxiety, and stress. 1-14.
• Cramm, J. M., Møller, V., & Nieboer, A. P. J. S. i. r. (2012). Individual-and neighbourhood-level indicators of subjective well-being in a small and poor Eastern Cape township: The effect of health, social capital, marital status, and income. 105(3), 581-593.
• Duncan, M., Prowse, C. J. O. t. i. p., mental health. 5th ed. Chichester, W. S. J. W., & Sons, I. (2014). Occupational therapy with mood disorders. 389-407.
• Erlandsson, L. K., & Eklund, M. J. J. o. O. S. (2006). Levels of complexity in patterns of daily occupations: Relationship to women's well‐being. 13(1), 27-36.
• Günal, A., Pekçetin, S., Demirtürk, F., Şenol, H., Håkansson, C., & Wagman, P. J. S. j. o. o. t. (2020). Validity and reliability of the Turkish Occupational Balance Questionnaire (OBQ11-T). 27(7), 493-499.
• Håkansson, C., Dahlin‐Ivanoff, S., & Sonn, U. J. J. o. o. S. (2006). Achieving balance in everyday life. 13(1), 74-82.
• Håkansson, C., Lissner, L., Björkelund, C., & Sonn, U. J. S. J. o. O. T. (2009). Engagement in patterns of daily occupations and perceived health among women of working age. 16(2), 110-117.
• Harvey, J. A., Chastin, S. F., Skelton, D. A. J. I. j. o. e. r., & health, p. (2013). Prevalence of sedentary behavior in older adults: a systematic review. 10(12), 6645-6661.
• Hart, T. A., Turk, C. L., Heimberg, R. G., Liebowitz, M. R. J. D., & Anxiety. (1999). Relation of marital status to social phobia severity. 10(1), 28-32.
• Katzmarzyk, P. T., Church, T. S., Craig, C. L., Bouchard, C. J. M., sports, s. i., & exercise. (2009). Sitting time and mortality from all causes, cardiovascular disease, and cancer. 41(5), 998-1005.
• Kessler, R. C., Chiu, W. T., Jin, R., Ruscio, A. M., Shear, K., & Walters, E. E. J. A. o. g. p. (2006). The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication. 63(4), 415-424.
• Leufstadius, C., Eklund, M., & Erlandsson, L.-K. J. W. (2009). Meaningfulness in work–Experiences among employed individuals with persistent mental illness. 34(1), 21-32.
• Lewis, G. J. P. M. (1996). DSM-IV. Diagnostic and Statistical Manual of Mental Disorders, 4th edn. By the American Psychiatric Association.(Pp. 886;£ 34.95.) APA: Washington, DC. 1994. 26(3), 651-652.
• Lindenberger, B. L., Plag, J., Schumacher, S., Gaudlitz, K., Bischoff, S., Bobbert, T., Dimeo, F., Petzold, M. B., Kirschbaum, C., Dudás, Z. J. D., & anxiety. (2017). Clinical and neurobiological effects of aerobic exercise in dental phobia: A randomized controlled trial. 34(11), 1040-1048.
• Mamun, M. A., Ullah, I. J. B., behavior,, & immunity. (2020). COVID-19 suicides in Pakistan, dying off not COVID-19 fear but poverty?–The forthcoming economic challenges for a developing country. 87, 163.
• Matuska, K., Bass, J., Schmitt, J. S. J. O. o., participation, & health. (2013). Life balance and perceived stress: Predictors and demographic profile. 33(3), 146-158.
• McCabe, L., Cairney, J., Veldhuizen, S., Herrmann, N., & Streiner, D. L. J. T. A. j. o. g. p. (2006). Prevalence and correlates of agoraphobia in older adults. 14(6), 515-522.
• Mehta, P., McAuley, D. F., Brown, M., Sanchez, E., Tattersall, R. S., & Manson, J. J. J. T. l. (2020). COVID-19: consider cytokine storm syndromes and immunosuppression. 395(10229), 1033-1034.
• Ornell, F., Schuch, J. B., Sordi, A. O., & Kessler, F. H. P. J. B. J. o. P. (2020). “Pandemic fear” and COVID-19: mental health burden and strategies. 42(3), 232-235.
• Rubin, G. J., & Wessely, S. J. B. (2020). The psychological effects of quarantining a city. 368.
• Satici, B., Gocet-Tekin, E., Deniz, M. E., Satici, S. A. J. I. j. o. m. h., & addiction. (2020). Adaptation of the Fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. 1-9.
• Ströhle, A., Graetz, B., Scheel, M., Wittmann, A., Feller, C., Heinz, A., & Dimeo, F. J. J. o. p. r. (2009). The acute antipanic and anxiolytic activity of aerobic exercise in patients with panic disorder and healthy control subjects. 43(12), 1013-1017.
• Turcosa Analytics (2017). Turcosa Analytics [Cloud-based statistical software]. Retrieved from https://release.turcosa.com.tr
• Wagman, P., & Håkansson, C. J. S. j. o. o. t. (2014). Introducing the occupational balance questionnaire (OBQ). 21(3), 227-231.
• Wagman, P., Håkansson, C., & Björklund, A. J. S. j. o. o. t. (2012). Occupational balance as used in occupational therapy: A concept analysis. 19(4), 322-327.
• Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., Ho, R. C. J. I. j. o. e. r., & health, p. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. 17(5), 1729.
• Wilcock, A. A. (2006). An occupational perspective of health. Slack Incorporated.
• Wilcock, A., Chelin, M., Hall, M., Hamley, N., Morrison, B., Scrivener, L., Townsend, M., & Treen, K. J. O. T. I. (1997). The relationship between occupational balance and health: A pilot study. 4(1), 17-30.
• Wittchen, H. U., Gloster, A. T., Beesdo‐Baum, K., Fava, G. A., Craske, M. G. J. D., & Anxiety. (2010). Agoraphobia: a review of the diagnostic classificatory position and criteria. 27(2), 113-133.