Privación ocupacional, salud mental y participación ocupacional de ancianos en distanciamiento fisico, durante la pandemia de covid-19

Autores/as

DOI:

https://doi.org/10.15448/2357-9641.2025.1.47113

Palabras clave:

Distanciamiento físico, Pandemia de Covid-19, Salud mental, Desempeño ocupacional, Anciano

Resumen

Objetivos: Describir las implicaciones del distanciamiento social en la salud mental de las personas mayores y su desempeño ocupacional y verificar situaciones de privación ocupacional y compromiso ocupacional durante el distanciamiento social, en la pandemia de Covid-19. Métodos: Estudio descriptivo, transversal, con enfoque cuantitativo, con personas mayores de 60 años y más, de ambos sexos y pertenecientes a grupos sociales. Se realizó una entrevista vía llamada telefónica, utilizando un cuestionario elaborado para esta investigación. El instrumento Cuestionario de Salud del Paciente-4 también se utilizó para detectar síntomas depresivos y de ansiedad. Resultados: La muestra estuvo compuesta por 55 participantes, el 97,27% refirió sufrir privación ocupacional, el 32,7% refirió cambios en el desempeño ocupacional y el 32,7% logró dedicarse a nuevas ocupaciones. El 10,9% presentó indicadores de síntomas depresivos, el 16,4% de síntomas de ansiedad y el 5,4% de ambas condiciones. La variable depresión se asoció con las variables distanciamiento social y cambios en el desempeño ocupacional. La ansiedad, por otro lado, mostró una
asociación significativa con la variable cambios en el desempeño ocupacional. Las personas mayores que se dedicaban a nuevas ocupaciones tenían tasas más bajas de síntomas relacionados con la salud mental (27,7%). Conclusiones: En este estudio, se observó la ocurrencia de situaciones de privación ocupacional y que pocos participantes lograron ejercer nuevas ocupaciones durante el período. Esto denota la dificultad que tienen los individuos para descubrir nuevas ocupaciones a las que dedicarse. Los nuevos compromisos ocupacionales pueden aportar beneficios para la salud y minimizar las enfermedades mentales y los terapeutas ocupacionales pueden ayudar en este proceso, durante situaciones de privación ocupacional.

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Jéssica da Rocha Pedroso, Universidad Federal de Santa María, Santa María, Rio Grande do Sul, Brasil.

Maestría en Gerontología (UFSM), en Santa Maria/RS. Especialización en Rehabilitación Física-Motora (UFSM)

Miriam Cabrera Corvelo Delboni, Universidad Federal de Santa María, Santa María, Rio Grande do Sul, Brasil.

Doctorado en Desarrollo Regional (UNISC), en Santa Cruz do Sul/RS, con doctorado sándwich en la Universidad de Minho (Braga, Portugal). Máster en Rehabilitación y Especialización en Terapia de la Mano (UNIFESP), en São José dos Campos/SP. Profesora voluntaria en el programa de postgrado en gerontología de la UFSM.

Pétrin Tuchtenhagen Hoppe, Universidad Federal de Santa María, Santa María, Rio Grande do Sul, Brasil.

Maestría en Gerontología (UFSM), en Santa Maria, RS. Postgrado en Educación por el Instituto Federal Sur-Rio-Grandense. Mestranda del Programa de Postgrado en Educación Profesional y Tecnológica (CTISM/UFSM), Santa Maria/RS.

Silvia Virginia Coutinho Areosa, Universidad de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, Brasil.

Doctorado en Servicio Social (PUCRS), en Porto Alegre/RS, con doctorado sándwich en el Departamento de Psicología Evolutiva y de la Educación de la Universidad de Barcelona, en España. Maestría en Psicología Social y de la Personalidad (PUCRS). Profesor del Curso de Psicología y del Programa de Máster y Doctorado en Desarrollo Regional. Profesora y coordinadora del Máster Profesional en Psicología de la Universidad de Santa Cruz do Sul.

Citas

World Health Organization. Coronavirus disease 2019 (COVID-19): situation report 51 [internet] 2020. [cited 2024 Nov 20]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf

Borobia AM, Carcas AJ, Arnalich F, Álvarez-Sala R, Monserrat-Villatoro J, Quintana M, et al. A Cohort of patients with COVID-19 in a major teaching hospital in Europe. J Clin Med. 2020;9(6):1733. http://doi.org/10.3390/jcm9061733 DOI: https://doi.org/10.3390/jcm9061733

McMichael TM, Currie DW, Clark S, Pogosjans S, Kay M, Schwartz NG, et al. Epidemiology of Covid-19 in a long-term care facility in king county, Washington. N Engl J Med. 2020;382(21):2005-2011. http://doi.org/10.1056/NEJMoa2005412 DOI: https://doi.org/10.1056/NEJMoa2005412

Omarjee L, Perrot F, Meilhac O, Mahe G, Bousquet G, Janin A. Immunometabolism at the cornerstone of inflammaging, immunosenescence, and autoimmunity in COVID-19. Aging (Albany NY). 2020;12(24):26263- 26278. http://doi.org/10.18632/aging.202422 DOI: https://doi.org/10.18632/aging.202422

Aquino EML, Silveira IH, Pescarini JM, Aquino R, Souza-Filho JA, Rocha AS, et al. Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Cien Saude Colet. 2020; 25(Suppl 1):2423-2446. https://doi.org/10.1590/1413- 81232020256.1.10502020

Santa Maria (RS). Decreto Executivo nº 71, de 17 de abril de 2020. Dispõe sobre o funcionamento de estabelecimentos comerciais e prestadores de serviços, com atendimento ao público, nos termos do Decreto Estadual nº 55.154, de 1 de abril de 2020, no âmbito do Município de Santa Maria, e dá outras providências [Internet] 2020. Santa Maria: Prefeitura de Santa Maria; 2020 [cited 2024 Nov 19]. Available from: https://leismunicipais.com.br/a/rs/s/santa-maria/decreto/2020/8/71/decreto-n-71-2020-dispoe-sobre-o-funcionamento-de-estabelecimentos-comerciais-e-prestadores-de-servicos

Derrer-Merk E, Reyes-Rodriguez MF, Soulsby LK, Roper L, Bennett KM. Older adults’ experiences during the COVID-19 pandemic: a qualitative systematic literature review. BMC Geriatr. 2023;23(1):580. http://doi.org/10.1186/s12877-023-04282-6 DOI: https://doi.org/10.1186/s12877-023-04282-6

Bailey L, Ward M, DiCosimo A, Baunta S, Cunningham C, Romero-Ortuno R, et al. Physical and mental health of older people while cocooning during the COVID-19 pandemic. QJM. 2021;114(9):648-653. http://doi.org/10.1093/qjmed/hcab015 DOI: https://doi.org/10.1093/qjmed/hcab015

Richter L, Heidinger T. Hitting Close to Home: The Effect of COVID-19 Illness in the social environment on psychological burden in older Adults. Front Psychol. 2021;12:737787. http://doi.org/10.3389/fpsyg.2021.737787 DOI: https://doi.org/10.3389/fpsyg.2021.737787

Gomes D, Teixeira, L, Ribeiro J. Enquadramento da prática da terapia ocupacional: domínio & processo. 4. ed. Portugal: AOTA; 2020.

Townsend E, Wilcock AA. Occupational justice and client-centred practice: a dialogue in progress. Can J Occup Ther. 2004;71(2):75-87. http://doi.org/10.1177/000841740407100203 DOI: https://doi.org/10.1177/000841740407100203

De-Carlo MMR do P, Gomes-Ferraz CA, Rezende G, Buin L, Moreira DJA, Souza KL de et al. Diretrizes para a assistência da terapia ocupacional na pandemia da COVID-19 e perspectivas pós-pandemia. Medicina (Ribeirão Preto). 2020;53(3):332-69. https://doi.org/10.11606/issn.2176-7262.v53i3p332-369 DOI: https://doi.org/10.11606/issn.2176-7262.v53i3p332-369

Su Y, Rao W, Li M, Caron G, D’Arcy C, Meng X. Prevalence of loneliness and social isolation among older adults during the COVID-19 pandemic: A systematic review and meta-analysis. Int Psychogeriatr. 2023;35(5):229-241. http://doi.org/10.1017/S1041610222000199 DOI: https://doi.org/10.1017/S1041610222000199

Ooi LL, Liu L, Roberts KC, Gariépy G, Capaldi CA. Social isolation, loneliness and positive mental health among older adults in Canada during the COVID-19 pandemic. Health Promot Chronic Dis Prev Can. 2023;43(4):171-181. http://doi.org/10.24095/hpcdp.43.4.02 DOI: https://doi.org/10.24095/hpcdp.43.4.02

Fristedt S, Carlsson G, Kylén M, Jonsson O, Granbom M. Changes in daily life and wellbeing in adults, 70 years and older, in the beginning of the COVID-19 pandemic. Scand J Occup Ther. 2022;29(6):511-521. http://doi.org/10.1080/11038128.2021.1933171 DOI: https://doi.org/10.1080/11038128.2021.1933171

Gonçalves AR, Barcelos JLM, Duarte AP, Lucchetti G, Gonçalves DR, Dutra FCMS, et al. Perceptions, feelings, and the routine of older adults during the isolation period caused by the COVID-19 pandemic: a qualitative study in four countries. Aging Ment Health. 2022;26(5):911-918. http://doi.org/10.1080/13607863.2021.1891198 DOI: https://doi.org/10.1080/13607863.2021.1891198

Ammar A, Chtourou H, Boukhris O, Trabelsi K, Masmoudi L, Brach M, et al. COVID-19 home confinement negatively impacts social participation and life satisfaction: a worldwide multicenter study. Int J Environ Res Public Health. 2020;17(17):6237. http://doi.org/10.3390/ijerph17176237 DOI: https://doi.org/10.3390/ijerph17176237

Derrer-Merk E, Ferson S, Mannis A, Bentall RP, Bennett KM. Belongingness challenged: exploring the impact on older adults during the COVID-19 pandemic. PLoS One. 2022;17(10):e0276561. http://doi.org/10.1371/journal.pone.0276561 DOI: https://doi.org/10.1371/journal.pone.0276561

Silva-Júnior EG, Eulálio MC. Resiliência para uma velhice bem-sucedida: mecanismos sociais e recursos pessoais de proteção. Psicol cienc prof. 2022;42:e234261. https://doi.org/10.1590/1982-3703003234261 DOI: https://doi.org/10.1590/1982-3703003234261

Hancock N, Honey A, Bundy AC. Fontes de significado derivadas do engajamento ocupacional para pessoas em recuperação de doença mental. BJOT. 2015;78(8):508- 515. http://doi.org/10.1177/0308022614562789 DOI: https://doi.org/10.1177/0308022614562789

Bhoyroo R, Chivers P, Millar L, Bulsara C, Piggott B, Lambert M, et al. Life in a time of COVID: a mixed method study of the changes in lifestyle, mental and psychosocial health during and after lockdown in Western Australians. BMC Public Health. 2021;21(1):1947. http://doi.org/10.1186/s12889-021-11971-7 DOI: https://doi.org/10.1186/s12889-021-11971-7

Huffman MK, Reed JB, Carpenter TK, Amireault S. Maintenance motives for physical activity among older adults: a systematic review and meta-analysis. Health Psychol Rev. 2021;15(4):593-612. http://doi.org/10.108 0/17437199.2020.1858926 DOI: https://doi.org/10.1080/17437199.2020.1858926

Rojer AGM, Ramsey KA, Amaral Gomes ES, D’Andrea L, Chen C, Szoeke C, et al. Objectively assessed physical activity and sedentary behavior and global cognitive function in older adults: a systematic review. Mech Ageing Dev. 2021;198:111524. http://doi.org/10.1016/j.mad.2021.111524 DOI: https://doi.org/10.1016/j.mad.2021.111524

Seman S, Dražilov SS, Ilić V, Tešić M, Stojiljković S, Arena R, et al. Physical activity and exercise as an essential medical strategy for the COVID-19 pandemic and beyond. Exp Biol Med (Maywood). 2021;246(21):2324- 2331. http://doi.org/10.1177/15353702211028543 DOI: https://doi.org/10.1177/15353702211028543

Santos IKD, Cobucci RN, Medeiros JA, Assis GG, Medeiros RCDSC, Knackfuss MI, et al. Home-based indoor physical activity programs for community-dwelling older adults: a systematic review. Sports Health. 2024;16(3):377- 382. http://doi.org/10.1177/19417381231175665 DOI: https://doi.org/10.1177/19417381231175665

Ciuffreda G, Cabanillas-Barea S, Carrasco-Uribarren A, Albarova-Corral MI, Argüello-Espinosa MI, Marcén- -Román Y. Factors associated with depression and anxiety in adults ≥60 years old during the COVID-19 pandemic: a systematic review. Int J Environ Res Public Health. 2021;18(22):11859. http://doi.org/10.3390/ijerph182211859 DOI: https://doi.org/10.3390/ijerph182211859

Philippi KFA, Zeier P, Brahmer A, Neuberger EWI, Sandner M, Hagenah M, et al. Remote exercise training intervention during the COVID-19 pandemic: randomized controlled trial. J Med Internet Res. 2024;26:e53145. http://doi.org/10.2196/53145 DOI: https://doi.org/10.2196/53145

Guszkowska M, Dąbrowska-Zimakowska A. Occupational balance, changes in occupations and psychological well-being of university students during the COVID-19 pandemic. Scand J Occup Ther. 2023;30(4):463-474. http://doi.org/10.1080/11038128.2022.2143892 DOI: https://doi.org/10.1080/11038128.2022.2143892

Kabul EG, Calık BB. Impact of coronavirus disease pandemic on performance and satisfaction, physical activity, and quality of life of the elderly. Rev Assoc Med Bras. 2023;69(6):e20221018. http://doi.org/10.1590/1806-9282.20221018 DOI: https://doi.org/10.1590/1806-9282.20221018

Gotheridge H, Eccles FJR, Murray C, Henderson R, Simpson J. A systematic review of the factors associated with the psychological wellbeing of people with parkinson’s in the COVID-19 pandemic. Disabil Rehabil. 2024;11:1-12. http://doi.org/10.1080/09638288.2024.2395460 DOI: https://doi.org/10.1080/09638288.2024.2395460

Gunnarsson AB, Hedberg AK, Håkansson C, Hedin K, Wagman P. Occupational performance problems in people with depression and anxiety. Scand J Occup Ther. 2023;30(2):148-158. http://doi.org/10.1080/11038128.2021.1882562 DOI: https://doi.org/10.1080/11038128.2021.1882562

Holaday LW, Oladele CR, Miller SM, Dueñas MI, Roy B, Ross JS. Loneliness, sadness, and feelings of social disconnection in older adults during the COVID-19 pandemic. J Am Geriatr Soc. 2022;70(2):329-340. http://doi.org/10.1111/jgs.17599 DOI: https://doi.org/10.1111/jgs.17599

Blank AA, Harries P, Reynolds F. ‘Without occupation you don’t exist’: occupational engagement and mental illness. J Occup Sci. 2015;22(2):197-209. http://doi.org/10.1080/14427591.2014.882250 DOI: https://doi.org/10.1080/14427591.2014.882250

Ikiugu, MN, Lucas-Molitor, W, Feldhacker, D, Gebhart C, Spier M, Kapels L, et al. Guidelines for occupational therapy interventions based on meaningful and psychologically rewarding occupations. J Happiness Stud. 2019; 20:2027–2053. https://doi.org/10.1007/s10902-018-0030-z DOI: https://doi.org/10.1007/s10902-018-0030-z

Baker FA, Rickard N, Tamplin J, Roddy C. Flow and meaningfulness as mechanisms of change in self-concept and well-being following a songwriting intervention for people in the early phase of neurorehabilitation. Front Hum Neurosci. 2015;9(299):1-10. http://doi.org/10.3389/fnhum.2015.00299 DOI: https://doi.org/10.3389/fnhum.2015.00299

Choi E, Tang F, Kim SG, Turk P. Longitudinal relationships between productive activities and functional health in later years: a multivariate latent growth curve modeling approach. Int J Aging Hum Dev. 2016;83(4):418- 40. http://doi.org/10.1177/0091415016657557 DOI: https://doi.org/10.1177/0091415016657557

Roberts AEK, Bannigan K. Dimensions of personal meaning from engagement in occupations: A metasynthesis. Can J Occup Ther. 2018;85(5):386-396. http://doi.org/10.1177/0008417418820358 DOI: https://doi.org/10.1177/0008417418820358

Park KH, Kim AR, Yang MA, Park JH. Differences in multi-faceted lifestyles in response to the COVID-19 pandemic and their association with depression and quality of life of older adults in South Korea: a cross- -sectional study. Nutrients. 2021;13(11):4124. http://doi.org/10.3390/nu13114124 DOI: https://doi.org/10.3390/nu13114124

Robinson MR, Koverman B, Becker C, Ciancio KE, Fisher G, Saake S. Lessons learned from the COVID-19 pandemic: occupational therapy on the front line. Am J Occup Ther. 2021;75(2): 7502090010. http://doi.org/10.5014/ajot.2021.047654 DOI: https://doi.org/10.5014/ajot.2021.047654

Publicado

2025-05-09

Cómo citar

da Rocha Pedroso, J., Cabrera Corvelo Delboni, M., Tuchtenhagen Hoppe, P., & Coutinho Areosa, S. V. (2025). Privación ocupacional, salud mental y participación ocupacional de ancianos en distanciamiento fisico, durante la pandemia de covid-19. PAJAR - Pan-American Journal of Aging Research, 13(1), e47113. https://doi.org/10.15448/2357-9641.2025.1.47113