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Occupational Balance in Refugees: The Role of Well-Being, Participation, and Perceived Discrimination
Kardelen Yıldırım1, Gülşah Zengin Yazıcı2, Beyzanur Demirci1
1Department of Occupational Therapy, Faculty of Health Sciences, Bezmialem Vakif University, 34065 Istanbul, Turkey.
Abstract:
Although the experiences of forced migration among refugees have been widely studied, the relationships between occupational balance, well-being, participation, and perceived discrimination remain poorly understood. This study aimed to examine these interrelationships and to explore the predictive role of occupational balance in each domain. Data were collected between February and March 2025 from 260 Syrian refugees aged 18-65 using validated instruments: the Occupational Balance Questionnaire, Personal Well-Being Index-Adult, Participation Scale, and Perceived Discrimination Scale. Occupational balance was significantly correlated with well-being, participation, and perceived discrimination (all p < 0.001). However, regression analyses revealed that only well-being (β = 0.114, p < 0.001) and participation (β = -0.107, p = 0.002) significantly predicted occupational balance; perceived discrimination had no direct effect. These findings highlight the critical role of occupational balance in fostering psychosocial integration. Enhancing refugees' well-being and participation may support their adaptation processes. Community-based, culturally responsive interventions that target these domains could promote social inclusion, continuity of roles, and long-term psychosocial stability among displaced populations in host societies.
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