The contribution of participation in meaningful activities on mental health during the COVID-19 lockdown in the Spanish population

  1. Rodríguez Bailón, Maria
  2. Fernández Solano, Ana Judit
  3. Vidaña Moya, Laura
  4. Merchán Baeza, Jose Antonio
  5. Cruyt, Ellen
  6. Letter, Miet De
  7. Vlerick, Peter
  8. Calders, Patrick
  9. Pauw, Robby De
  10. Oostra, Kristine
  11. Szmalec, Arnaud
  12. Van de Velde, Dominique
  13. Vriendt, Patricia De
Revista:
Anales de psicología

ISSN: 0212-9728 1695-2294

Año de publicación: 2023

Volumen: 39

Número: 2

Páginas: 176-187

Tipo: Artículo

Otras publicaciones en: Anales de psicología

Resumen

Introducción: Durante el confinamiento provocado por el CO-VID-19 en España, los ciudadanos tuvieron que dejar de realizar actividades de forma habitual, lo cual podría haber tenido un impacto en la salud mental. El objetivo de este estudio fue determinar la contribución de la participación en actividades significativas sobre la salud mental en la población española durante el confinamiento por COVID. Método: Se realizó una encuesta web de diseño transversal, donde se evaluó la salud mental (Cuestionario de Salud General: GHQ), la resiliencia (Escala de Resiliencia de Connor-Davidson), la participación en actividades significativas (Encuesta de Participación en Actividades Significativas), así como datos sociodemográficos. Se utilizó una regresión jerárquica-lineal para identificar las correlaciones clave. Resultados: Los participantes (N= 311) informaron de una baja salud mental (M= 16,12/36), y también de un menor nivel de resiliencia (M= 25,48). Los resultados de la regresión revelaron que el 32,6% de la varianza del GHQ se explicaba significativamente por la posibilidad de tener en la vivienda un espacio exterior, la resiliencia y la participación en actividades significativas. La pérdida de actividades significativas se relacionó significativamente con la salud mental, contribuyendo significativamente controlando las otras variables (β= -.12). Conclusiones: Aunque se necesitan estudios experimentales para determinar la causalidad, este estudio pone de manifiesto la relación entre la participación en actividades significativas y la salud mental durante el confinamiento.

Referencias bibliográficas

  • Aerts, R., Vanlessen, N., & Honnay, O. (2021). Exposure to green spaces may strengthen resilience and support mental health in the face of the covid-19 pandemic. BMJ (Clinical Research Ed.), 373, n1601. https://doi.org/10.1136/bmj.n1601
  • Barzilay, R., Moore, T. M., Greenberg, D. M., DiDomenico, G. E., Brown, L. A., White, L. K., Gur, R. C., & Gur, R. E. (2020). Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Translational Psy-chiatry, 10(1), 1–8. https://doi.org/10.1038/s41398-020-00982-4
  • Benke, C., Autenrieth, L. K., Asselmann, E., & Pané-Farré, C. A. (2020). Lockdown, quarantine measures, and social distancing: Associations with depression, anxiety and distress at the beginning of the COVID-19 pandemic among adults from Germany. Psychiatry Research, 293, 113462. https://doi.org/10.1016/j.psychres.2020.113462
  • Bjørkedal, S. T. B., Bejerholm, U., Eplov, L. F., & Møller, T. (2020). Mean-ingful Activities and Recovery (MA&R): The effect of a novel rehabili-tation intervention among persons with psychiatric disabilities on activi-ty engagement—study protocol for a randomized controlled trial. Trials, 21(1), 789. https://doi.org/10.1186/s13063-020-04722-3
  • Bjørkedal, S. T. B., Torsting, A. M. B., & Møller, T. (2016). Rewarding yet demanding: Client perspectives on enabling occupations during early stages of recovery from schizophrenia. Scandinavian Journal of Occupation-al Therapy, 23(2), 97-106. https://doi.org/10.3109/11038128.2015.1082624
  • Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refine-ment of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271
  • Cartwright, B. D. S., White, M. P., & Clitherow, T. J. (2018). Nearby Nature ‘Buffers’ the Effect of Low Social Connectedness on Adult Subjective Wellbeing over the Last 7 Days. International Journal of Environmental Re-search and Public Health, 15(6), E1238. https://doi.org/10.3390/ijerph15061238
  • Chen, L.-K. (2020). From meaningful activities to valued activities. Archives of Gerontology and Geriatrics, 90, 104182. https://doi.org/10.1016/j.archger.2020.104182
  • Chen, S., & Bonanno, G. A. (2020). Psychological Adjustment During the Global Outbreak of COVID-19: A Resilience Perspective. Psychological Trauma-Theory Research Practice and Policy, 12, S51–S54. https://doi.org/10.1037/tra0000685
  • Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resili-ence scale: The Connor-Davidson Resilience Scale (CD-RISC). Depres-sion and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
  • Cruyt, E., De Vriendt, P., De Letter, M., Vlerick, P., Calders, P., De Pauw, R., Oostra, K., Rodriguez-Bailón, M., Szmalec, A., Merchán-Baeza, J. A., Fernández-Solano, A. J., Vidaña-Moya, L., & Van de Velde, D. (2021). Meaningful activities during COVID-19lockdown and associa-tion with mental health in Belgian adults. BMC Public Health, 21(1), 622. https://doi.org/10.1186/s12889-021-10673-4
  • Dzhambov, A. M., Lercher, P., Browning, M. H. E. M., Stoyanov, D., Pe-trova, N., Novakov, S., & Dimitrova, D. D. (2021). Does greenery ex-perienced indoors and outdoors provide an escape and support mental health during the COVID-19 quarantine? Environmental Research, 196, 110420. https://doi.org/10.1016/j.envres.2020.110420
  • Eakman, A. M. (2014). A Prospective Longitudinal Study Testing Relation-ships Between Meaningful Activities, Basic Psychological Needs Ful-fillment, and Meaning in Life. OTJR: Occupation, Participation, Health, 34(2), 93-105. https://doi.org/10.3928/15394492-20140211-01
  • Eakman, A. M. (2011). Convergent Validity of the Engagement in Meaning-ful Activities Survey in a College Sample. Otjr-Occupation Participation and Health, 31(1), 23–32. https://doi.org/10.3928/15394492-20100122-02
  • Eakman, A. M. (2012). Measurement Characteristics of the Engagement in Meaningful Activities Survey in an Age-Diverse Sample. American Jour-nal of Occupational Therapy, 66(2), e20–e29. https://doi.org/10.5014/ajot.2012.001867
  • Eakman, A. M. (2013). Relationships Between Meaningful Activity, Basic Psychological Needs, and Meaning in Life: Test of the Meaningful Ac-tivity and Life Meaning Model. OTJR: Occupation, Participation, Health, 33(2), 100–109. https://doi.org/10.3928/15394492-20130222-02
  • Eakman, A. M., Carlson, M. E., & Clark, F. A. (2010). The meaningful ac-tivity participation assessment: A measure of engagement in personally valued activities. The International Journal of Aging and Human Development, 70(4), 299–317.
  • Eklund, M., & Brunt, D. (2020). Development of 7-Item Perceived Meaning of Activity in Housing (PMA-H-7) to Assess Opportunities for Mean-ingful Activities in the Supported Housing Context for People With Psychiatric Disabilities. Evaluation & the Health Professions, 43(4), 230–234. https://doi.org/10.1177/0163278719845036
  • Esakandari, H., Nabi-Afjadi, M., Fakkari-Afjadi, J., Farahmandian, N., Miresmaeili, S.-M., & Bahreini, E. (2020). A comprehensive review of COVID-19 characteristics. Biological Procedures Online, 22, 19. https://doi.org/10.1186/s12575-020-00128-2
  • Evans, S., Alkan, E., Bhangoo, J. K., Tenenbaum, H., & Ng-Knight, T. (2021). Effects of the COVID-19 lockdown on mental health, wellbe-ing, sleep, and alcohol use in a UK student sample. Psychiatry Research, 298, 113819. https://doi.org/10.1016/j.psychres.2021.113819
  • Every-Palmer, S., Jenkins, M., Gendall, P., Hoek, J., Beaglehole, B., Bell, C., Williman, J., Rapsey, C., & Stanley, J. (2020). Psychological distress, anxiety, family violence, suicidality, and wellbeing in New Zealand dur-ing the COVID-19 lockdown: A cross-sectional study. PloS One, 15(11), e0241658. https://doi.org/10.1371/journal.pone.0241658
  • Fernández-Solano, A. J., Merchán-Baeza, J. A., Rodríguez-Bailón, M., & Eakman, A. (2022). Translation and Cultural Adaptation into Spanish of the Engagement in Meaningful Activities Survey. Occupational Therapy International, 2022, e4492582. https://doi.org/10.1155/2022/4492582
  • García-León, M.-Á., González-Gómez, A., Robles-Ortega, H., Padilla, J.-L., & Peralta-Ramírez, M.-I. (2019). Psychometric properties of the Con-nor-Davidson Resilience Scale (CD-RISC) in the Spanish population. Anales de Psicología, 35(1), 33-40. https://doi.org/10.6018/analesps.35.1.314111
  • Gismero-González, E., Bermejo-Toro, L., Cagigal, V., Roldán, A., Martínez-Beltrán, M. J., & Halty, L. (2020). Emotional Impact of COVID-19 Lockdown Among the Spanish Population. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.616978
  • Göl, İ., & Erkin, Ö. (2021). Mental status of nursing students assessed using the general health questionnaire during the COVID-19 pandemic in Turkey. Perspectives in Psychiatric Care, 57(4), 1712–1718. https://doi.org/10.1111/ppc.12740
  • Goldberg, B., Brintnell, E. S., & Goldberg, J. (2002). The Relationship Be-tween Engagement in Meaningful Activities and Quality of Life in Per-sons Disabled by Mental Illness. Occupational Therapy in Mental Health, 18(2), 17-44. https://doi.org/10.1300/J004v18n02_03
  • Goldberg, D. P.,Gater, R., Sartorius, N., Ustun, T. B., Piccinelli, M., Gureje, O., & Rutter, C. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psycho-logical Medicine, 27(1), 191-197. https://doi.org/10.1017/s0033291796004242
  • Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1), 139-145. https://doi.org/10.1017/s0033291700021644
  • Han, A., Radel, J., McDowd, J. M., & Sabata, D. (2016). Perspectives of People with Dementia About Meaningful Activities: A Synthesis. American Journal of Alzheimer’s Disease and Other Dementias, 31(2), 115-123. https://doi.org/10.1177/1533317515598857
  • Hernández-López, M., Cepeda-Benito, A., Díaz-Pavón, P., & Rodríguez-Valverde, M. (2021). Psychological inflexibility and mental health symp-toms during the COVID-19 lockdown in Spain: A longitudinal study. Journal of Contextual Behavioral Science, 19, 42-49. https://doi.org/10.1016/j.jcbs.2020.12.002
  • Holt-Lunstad, J., Birmingham, W., & Jones, B. Q. (2008). Is there some-thing unique about marriage? The relative impact of marital status, rela-tionship quality, and network social support on ambulatory blood pres-sure and mental health. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 35(2), 239-244. https://doi.org/10.1007/s12160-008-9018-y
  • Hooker, S. A., Masters, K. S., Vagnini, K. M., & Rush, C. L. (2020). Engag-ing in personally meaningful activities is associated with meaning sali-ence and psychological well-being. Journal of Positive Psychology, 15(6), 821–831. https://doi.org/10.1080/17439760.2019.1651895
  • Horesh, D., Kapel Lev-Ari, R., & Hasson-Ohayon, I. (2020). Risk factors for psychological distress during the COVID-19 pandemic in Israel: Loneliness, age, gender, and health status play an important role. British Journal of Health Psychology, 25(4), 925-933. https://doi.org/10.1111/bjhp.12455
  • Jacques-Aviñó, C., López-Jiménez, T., Medina-Perucha, L., de Bont, J., Gonçalves, A. Q., Duarte-Salles, T., & Berenguera, A. (2020). Gender-based approach on the social impact and mental health in Spain during COVID-19 lockdown: A cross-sectional study. BMJ Open, 10(11), e044617. https://doi.org/10.1136/bmjopen-2020-044617
  • Kondo, N., Kazama, M., Suzuki, K., & Yamagata, Z. (2008). Impact of mental health on daily living activities of Japanese elderly. Preventive Med-icine, 46(5), 457–462. https://doi.org/10.1016/j.ypmed.2007.12.007
  • Lacroix, P.-A., Pelletier, A.-J., Blondin, M.-P., Dugal, A., Langlois, C., Le-vasseur, M., & Larivière, N. (2018). Traduction et validation du Ques-tionnaire sur l’engagement dans les activités signifiantes: Translation and validation of the Engagement in Meaningful Activities Survey. Ca-nadian Journal of Occupational Therapy, 85(1), 11-20. https://doi.org/10.1177/0008417417702925
  • Lechien, J. R., Chiesa-Estomba, C. M., De Siati, D. R., Horoi, M., Le Bon, S. D., Rodriguez, A., Dequanter, D., Blecic, S., El Afia, F., Distinguin, L., Chekkoury-Idrissi, Y., Hans, S., Delgado, I.L., Calvo-Henriquez, C., Lavigne, P., Falanga, C., Barillari, M. R., Cammaroto, G., Khalife, M., ... Saussez, S. (2020). Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): A multicenter European study. European Archives of Oto-Rhino-Laryngology: Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): Affiliated with the German Society for Oto-Rhino-Laryngology -Head and Neck Surgery, 277(8), 2251-2261. https://doi.org/10.1007/s00405-020-05965-1
  • Long, C., McLean, A., Boothby, A.J.Hollin, C. (2008) Factors associated with quality of life in a cohort of forensic psychiatric inpatients. The British Journal of Forensic Practice, 13(3): 205–212.
  • Liu, M., Prestigiacomo, C. J., Plawecki, M. H., & Cyders, M. A. (2020). Cor-respondence on gender disparities in the initial psychological impact of the U.S. COVID-19 pandemic. Psychiatry Research, 293, 113469. https://doi.org/10.1016/j.psychres.2020.113469
  • Ma, Z.-R., Ma, W.-H., Idris, S., Pan, Q.-W., & Baloch, Z. (2021). COVID-19 impact on high school student’s education and mental health: A co-hort survey in China. World Journal of Psychiatry, 11(6), 232–241. https://doi.org/10.5498/wjp.v11.i6.232
  • Mullol, J., Alobid, I., Mariño-Sánchez, F., Izquierdo-Domínguez, A., Marin, C., Klimek, L., Wang, D.-Y., & Liu, Z. (2020). The Loss of Smell and Taste in the COVID-19 Outbreak: A Tale of Many Countries. Current Allergy and Asthma Reports, 20(10), 61. https://doi.org/10.1007/s11882-020-00961-1
  • National Guideline Alliance (UK). (2020). Interventions to improve activities of daily living: Rehabilitation in adults with complex psychosis and related severe men-tal health conditions: Evidence review K. National Institute for Health and Care Excellence (UK). http://www.ncbi.nlm.nih.gov/books/NBK562539/
  • Notario-Pacheco, B., Solera-Martínez, M., Serrano-Parra, M. D., Bartolomé-Gutiérrez, R., García-Campayo, J., & Martínez-Vizcaíno, V. (2011). Re-liability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults. Health and Quality of Life Outcomes, 9, 63. https://doi.org/10.1186/1477-7525-9-63
  • OMS. (2001). International Classification of Functioning, Disability and Health (ICF). http://www.who.int/classifications/icf/icf_more/en/
  • Panda, P. K., Gupta, J., Chowdhury, S. R., Kumar, R., Meena, A. K., Madaan, P., Sharawat, I. K., & Gulati, S. (2021). Psychological and Be-havioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis. Journal of Tropical Pediatrics, 67(1). https://doi.org/10.1093/tropej/fmaa122
  • Pandey, D., Bansal, S., Goyal, S., Garg, A., Sethi, N., Pothiyill, D. I., Sreelakshmi, E. S., Sayyad, M. G., & Sethi, R. (2020). Psychological im-pact of mass quarantine on population during pandemics-The COVID-19 Lock-Down (COLD) study. PloS One, 15(10), e0240501. https://doi.org/10.1371/journal.pone.0240501
  • Passavanti, M., Argentieri, A., Barbieri, D. M., Lou, B., Wijayaratna, K., Foroutan Mirhosseini, A. S., Wang, F., Naseri, S., Qamhia, I., Tangerås, M., Pelliciari, M., & Ho, C.-H. (2021). The psychological impact of COVID-19 and restrictive measures in the world. Journal of Affective Di-sorders, 283, 36–51. https://doi.org/10.1016/j.jad.2021.01.020
  • Pérez, L. M., Castellano-Tejedor, C., Cesari, M., Soto-Bagaria, L., Ars, J., Zambom-Ferraresi, F., Baró, S.,Díaz-Gallego, F., Vilaró, J., Enfedaque, M. B., Espí-Valbé, P., & Inzitari, M. (2021). Depressive Symptoms, Fa-tigue and Social Relationships Influenced Physical Activity in Frail Old-er Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 18(2). https://doi.org/10.3390/ijerph18020808
  • Petruseviciene, D., Surmaitiene, D., Baltaduoniene, D., & Lendraitiene, E. (2018). Effect of Community-Based Occupational Therapy on Health-Related Quality of Life and Engagement in Meaningful Activities of Women with Breast Cancer. Occupational Therapy International, 2018, 6798697. https://doi.org/10.1155/2018/6798697
  • Planchuelo-Gómez, Á., Odriozola-González, P., Irurtia, M. J., & de Luis-García, R. (2020). Longitudinal evaluation of the psychological impact of the COVID-19 crisis in Spain. Journal of Affective Disorders, 277, 842–849. https://doi.org/10.1016/j.jad.2020.09.018
  • Plow, M. A., Finlayson, M., Gunzler, D., & Heinemann, A. W. (2015). Cor-relates of participation in meaningful activities among people with mul-tiple sclerosis. Journal of Rehabilitation Medicine, 47(6), 538–545. https://doi.org/10.2340/16501977-1948
  • Posel, D., Oyenubi, A., & Kollamparambil, U. (2021). Job loss and mental health during the COVID-19 lockdown: Evidence from South Africa. PloS One, 16(3), e0249352. https://doi.org/10.1371/journal.pone.0249352
  • Pouso, S., Borja, Á., Fleming, L. E., Gómez-Baggethun, E., White, M. P., & Uyarra, M. C. (2021). Contact with blue-green spaces during the COVID-19 pandemic lockdown beneficial for mental health. The Science of the Total Environment, 756, 143984. https://doi.org/10.1016/j.scitotenv.2020.143984
  • Prat, G., Ribot, A., Recoder, S., & Muñoz, F. (2019). Psychometric proper-ties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness. British Journal of Occupational Therapy, 82(12), 743–749. https://doi.org/10.1177/0308022619856557
  • Reed, K. D., Hocking, C. S., & Smythe, L. A. (2011). Exploring the meaning of occupation: The case for phenomenology. Canadian Journal of Occupa-tional Therapy. Revue Canadienne D’ergotherapie, 78(5), 303–310. https://doi.org/10.2182/cjot.2011.78.5.5
  • Ren, H., He, X., Bian, X., Shang, X., & Liu, J. (2021). The Protective Roles of Exercise and Maintenance of Daily Living Routines for Chinese Ad-olescents During the COVID-19 Quarantine Period. The Journal of Ado-lescent Health: Official Publication of the Society for Adolescent Medicine, 68(1), 35–42. https://doi.org/10.1016/j.jadohealth.2020.09.026
  • Sánchez-López, M. del P., & Dresch, V. (2008). The 12-Item General Health Questionnaire (GHQ-12): Reliability, external validity and factor structure in the Spanish population. Psicothema, 20(4), 839–843.
  • Scarpelli, S., Alfonsi, V., Mangiaruga, A., Musetti, A., Quattropani, M. C., Lenzo, V., Freda, M. F., Lemmo, D., Vegni, E., Borghi, L., Saita, E.,Cattivelli, R., Castelnuovo, G., Plazzi, G., De Gennaro, L., & Franceschini, C. (2021). Pandemic nightmares: Effects on dream activity of the COVID-19 lockdown in Italy. Journal of Sleep Research, e13300. https://doi.org/10.1111/jsr.13300
  • Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehu-da, R. (2014). Resilience definitions, theory, and challenges: Interdisci-plinary perspectives. European Journal of Psychotraumatology, 5. https://doi.org/10.3402/ejpt.v5.25338
  • Steger, M. F., Kashdan,T. B., & Oishi, S. (2008). Being good by doing good: Daily eudaimonic activity and well-being. Journal of Research in Per-sonality, 42(1), 22–42. https://doi.org/10.1016/j.jrp.2007.03.004
  • von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Van-denbroucke, J. P., & STROBE Initiative. (2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) state-ment: Guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344–349. https://doi.org/10.1016/j.jclinepi.2007.11.008
  • White, M. P., Elliott, L. R., Gascon, M., Roberts, B., & Fleming, L. E. (2020). Blue space, health and well-being: A narrative overview and synthesis of potential benefits. Environmental Research, 191, 110169. https://doi.org/10.1016/j.envres.2020.110169
  • Whiteford, G. (2000). Occupational Deprivation: Global Challenge in the New Millennium. British Journal of Occupational Therapy, 63(5). https://journals.sagepub.com/doi/10.1177/030802260006300503
  • Yaya, S., Idriss-Wheeler,D., Sanogo, N. A., Vezina, M., & Bishwajit, G. (2020). Self-reported activities of daily living, health and quality of life among older adults in South Africa and Uganda: A cross sectional study. BMC Geriatrics, 20(1), 402. https://doi.org/10.1186/s12877-020-01809-z