Anxiety, Depression, and Fall-Related Psychological Concerns in Community-Dwelling Older People.

From the University College London Hospitals NHS Foundation Trust, London, United Kingdom (SLH); Surrey Community Health, University of Surrey, Surrey, United Kingdom (IIK); and Royal Holloway, University of London, London, United Kingdom (LF).
The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry (Impact Factor: 3.35). 08/2012; DOI:10.1097/JGP.0b013e318266b373
Source: PubMed

ABSTRACT OBJECTIVES:: Establish the association between affect and fall-related psychological concerns (fear of falling, fall-related self-efficacy, balance confidence, and outcome expectancy). METHODS:: A total of 205 community-dwelling older people (mean age 81, SD 7.5 years) completed the Geriatric Depression Scale-15, Geriatric Anxiety Inventory, Modified Survey of Activities and Fear of Falling, Falls-Efficacy Scale-International, Activity-Specific Balance Confidence Scale, and the Consequences of Falling Scale. RESULTS:: Hierarchical regression models showed that anxiety was independently associated with all fall-related psychological concerns; depression was only associated with falls efficacy. Associations between fall-related psychological concerns and age, gender, accommodation, medications, self-rated physical health, falls history, mobility, and sensory aids are also discussed. CONCLUSION:: This is the first study that investigates the association between affect and the four fall-related psychological concerns. Anxiety was a significant factor associated with all four, whereas depression was only associated with activity avoidance. Implications for healthcare providers are discussed.

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