Can J Occup Ther. 2023 Jun;90(2):173-184. doi: 10.1177/00084174231165832.
The coronavirus disease 2019 (COVID-19) pandemic disrupted daily life with corresponding implications on levels of distress. . To describe factors associated with high distress among community-dwelling older adults during the first lockdown and explore how occupational participation was managed. . A mixed methods design whereby multivariate regression analysis of a survey (= 263) identified factors associated with high distress, as per the Impact of Events of Scale-Revised (IES-R). Follow-up interviews with a sub-sample of those surveyed who reflected a range of IES-R scores were conducted (= 32). . Those with lower resilience and anxiety/depression had 6.84 and 4.09 greater odds respectively of high distress. From the interviews, the main theme, "Lost and Found," and subthemes (Interruption and Disruption; Surving, not Thriving; Moving Forward, Finding Meaning) highlighted the process and corresponding stages, including adaptive strategies, by which participants navigated changes in their occupational participation. While the results suggest that many older adults, including those with high distress, were able to manage daily life under lockdown, some experienced ongoing challenges in doing so. Future studies should focus on those who experienced or who are at-higher risk for such challenges to identify supports that mitigate adverse consequences if another event of this magnitude occurs again.
2019 年冠状病毒病（COVID-19）大流行扰乱了日常生活，相应地对困扰程度也产生了影响。。描述在第一次封锁期间，社区居住的老年人中与高度困扰相关的因素，并探讨职业参与是如何管理的。。采用混合方法设计，通过问卷调查的多元回归分析（= 263）确定了与高困扰相关的因素，如事件影响量表修订版（IES-R）。对调查中反映出一系列 IES-R 得分的子样本进行了后续访谈（= 32）。。那些韧性较低和焦虑/抑郁程度较高的人，高困扰的可能性分别增加了 6.84 和 4.09 倍。从访谈中，主题为“失去与找到”以及子主题（中断和破坏；生存，而不是繁荣；向前迈进，寻找意义）突出了参与者在职业参与变化中所经历的过程和相应阶段，包括适应策略。虽然结果表明，许多老年人，包括那些有高度困扰的老年人，能够在封锁期间管理日常生活，但有些人在这样做时仍面临持续的挑战。未来的研究应关注那些经历过或处于更高风险的人，以确定如果再次发生这种规模的事件，可以减轻不利后果的支持。
