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Journal Article

Citation

Hull SL, Kneebone II, Farquharson L. Am. J. Geriatr. Psychiatry 2013; 21(12): 1287-1291.

Affiliation

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).

Copyright

(Copyright © 2013, American Association for Geriatric Psychiatry, Publisher Elsevier Publishing)

DOI

10.1097/JGP.0b013e318266b373

PMID

22918291

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.


Language: en

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