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

Surrey Community Health, University of Surrey, Surrey, United Kingdom (IIK)
The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry (Impact Factor: 4.24). 08/2012; 21(12). DOI: 10.1097/JGP.0b013e318266b373
Source: PubMed


Establish the association between affect and fall-related psychological concerns (fear of falling, fall-related self-efficacy, balance confidence, and outcome expectancy).

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.

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.

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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    • "xi - ety at each assessment . Overall , the findings suggest that TJR is associated with a modest improvement in the levels of depression and anxiety over time , although it is unclear whether this was uniform across all persons . If symptoms of depression and anxiety were closely linked to pain ( Denkinger et al . , 2014 ) and physical function ( Hull et al . , 2013 ) , then a greater improvement may have been expected at long term follow - up . Therefore , it is possible that the symp - toms of depression and anxiety increased in some patients , while other patients improved or remained the same . Although it would be clinically useful to identify these subgroups , this requires data for individua"
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    Aging and Mental Health 08/2015; DOI:10.1080/13607863.2015.1072801 · 1.75 Impact Factor
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    • "ARTICLE IN PRESS PHYST-829; No. of Pages 7 2 B. Stubbs et al. / Physiotherapy xxx (2015) xxx–xxx can consequently increase sensorimotor deconditioning and subsequently increase the older person's risk of falls [8] [9] [10] [11]. Furthermore, reduced balance confidence is, in its own right, disabling and detrimental to the wellbeing of older adults [7] [12]. Among the few measures of balance confidence, one measure, the Activities and Balance Confidence (ABC) scale [13], is favoured among clinicians and has excellent test–retest reliability (r = 0.92, P < 0.001) [13] and internal consistency (Cronbach's alpha = 0.96) [14]. "
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