Anxiety, depression, and fall-related psychological concerns in community-dwelling older people

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Journal Article
American Journal of Geriatric Psychiatry, 2013, 21 (12), pp. 1287 - 1291
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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 Scalee15, Geriatric Anxiety Inventory, Modified Survey of Activities and Fear of Falling, FallseEfficacy Scalee International, Activity-Specific Balance Confidence Scale, and the Consequences of Falling Scale. Results: Hierarchical regression models showed that anxiety was independently associated with all fallrelated 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. © 2013 American Association for Geriatric Psychiatry.
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