Yaygın Anksiyete Bozukluğu Tanısı Alan Ergenlerin Okupasyonel Katılımlarının İncelenmesi

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.