EXAMINING THE OCCUPATIONAL PARTICIPATION OF ADOLESCENTS DIAGNOSED WITH GENERALIZED ANXIETY DISORDER

Abstract

Generalized anxiety disorder (GAD) has a significant impact on occupational participation, particularly in adolescents, by limiting motivation, routines and social roles. Few studies have examined the impact of GAD on adolescents' occupational performance using occupational therapy models. The aim of this study was to use the Model of Human Occupation Screening Tool (MOHOST) to explore occupational participation limitations in adolescents with GAD and to identify factors that facilitate or hinder participation. A total of 42 adolescents, including 21 diagnosed with GAD and 21 healthy controls, participated in the study. Data were collected through synchronous online interviews using MOHOST to assess motivation, occupational patterns, process skills, motor skills and environmental factors. Statistical analysis was used to compare groups and explore relationships between key variables. Adolescents with GAD had significantly lower total MOHOST scores compared to healthy controls (p<0.001). Subscale scores, including motivation for occupation, patterns of occupation, and process skills, were also significantly lower in the GAD group (p<0.05). Environmental factors, such as limited physical and social resources, were positively correlated with reduced occupational motivation and participation. Adolescents with GAD experience substantial occupational participation limitations, driven by both personal and environmental factors. These findings highlight the importance of individualized and environment-focused interventions in occupational therapy to enhance motivation, restore routines, and support social roles. Future studies should investigate the long-term effects of such interventions on adolescents with GAD.

Keywords

• Anxiety
• Adolescents
• Occupational Therapy
• mental health
• activities of daily living

Yaygın Anksiyete Bozukluğu Tanısı Alan Ergenlerin Okupasyonel Katılımlarının İncelenmesi

Öz

Yaygın anksiyete bozukluğu (YAB), özellikle ergenlerde motivasyonu, rutinleri ve sosyal rolleri sınırlandırarak okupasyonel katılım üzerinde önemli bir etkiye sahiptir. Ergoterapi modelleri kullanılarak YAB’ ın ergenlerin okupasyonel performansı üzerindeki etkisini inceleyen az sayıda çalışma bulunmaktadır. Bu çalışmanın amacı, YAB tanılı ergenlerde okupasyonel katılım kısıtlamalarını araştırmak ve katılımı kolaylaştıran veya engelleyen faktörleri belirlemek için İnsan Aktivite-Rol Modeli Tarama Aracı’nı (MOHOST) kullanmaktır. Çalışmaya 21 YAB tanısı konmuş ve 21 sağlıklı kontrol olmak üzere toplam 42 ergen katılmıştır. Veriler, motivasyon, okupasyonel kalıplar, süreç becerileri, motor beceriler ve çevresel faktörleri değerlendirmek için MOHOST kullanılarak eşzamanlı çevrimiçi görüşmeler yoluyla toplanmıştır. Grupları karşılaştırmak ve temel değişkenler arasındaki ilişkileri keşfetmek için istatistiksel analiz kullanılmıştır. YAB tanılı ergenlerin toplam MOHOST puanları sağlıklı kontrollere kıyasla anlamlı derecede düşüktü (p<0.001). Okupasyon için motivasyon, okupasyon kalıpları ve süreç becerilerini içeren alt ölçek puanları da YAB grubunda anlamlı derecede düşüktü (p<0.05). Sınırlı fiziksel ve sosyal kaynaklar gibi çevresel faktörler, azalan okupasyonel motivasyon ve katılım ile pozitif korelasyon göstermiştir. YAB tanılı ergenler hem kişisel hem de çevresel faktörlerden kaynaklanan önemli okupasyonel katılım kısıtlamaları yaşamaktadır. Bu bulgular, motivasyonu artırmak, rutinleri eski haline getirmek ve sosyal rolleri desteklemek için ergoterapide bireyselleştirilmiş ve çevre odaklı müdahalelerin önemini vurgulamaktadır. Gelecekteki çalışmalar, bu tür müdahalelerin YAB tanılı ergenler üzerindeki uzun vadeli etkilerini araştırmalıdır.

Anahtar Kelimeler

• Anksiyete
• Adölesan
• Ergoterapi
• ruh sağlığı
• günlük yaşam aktiviteleri

Kaynakça

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