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

Hull, SL; Kneebone, II; Farquharson, L

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

Hull, SL Kneebone, II

Farquharson, L

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Publication Type:: Journal Article
Citation:: American Journal of Geriatric Psychiatry, 2013, 21 (12), pp. 1287 - 1291
Issue Date:: 2013-01-01

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Field	Value	Language
dc.contributor.author	Hull, SL	en_US
dc.contributor.author	Kneebone, II https://orcid.org/0000-0003-3324-7264	en_US
dc.contributor.author	Farquharson, L	en_US
dc.date.available	2012-04-30	en_US
dc.date.issued	2013-01-01	en_US
dc.identifier.citation	American Journal of Geriatric Psychiatry, 2013, 21 (12), pp. 1287 - 1291	en_US
dc.identifier.issn	1064-7481	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115027
dc.description.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 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.	en_US
dc.relation.ispartof	American Journal of Geriatric Psychiatry	en_US
dc.relation.isbasedon	10.1016/j.jagp.2013.01.038	en_US
dc.subject.classification	Geriatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Activities of Daily Living	en_US
dc.subject.mesh	Geriatric Assessment	en_US
dc.subject.mesh	Regression Analysis	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Fear	en_US
dc.subject.mesh	Self Efficacy	en_US
dc.subject.mesh	Accidental Falls	en_US
dc.subject.mesh	Residence Characteristics	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Postural Balance	en_US
dc.title	Anxiety, depression, and fall-related psychological concerns in community-dwelling older people	en_US
dc.type	Journal Article
utslib.citation.volume	12	en_US
utslib.citation.volume	21	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1702 Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	12	en_US
pubs.publication-status	Published	en_US
pubs.volume	21	en_US

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 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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/115027