Depression and Outcome of Fear of Falling in a Falls Prevention Program

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Andrea IaboniAlastair J Flint

Abstract

To examine whether depression predicts less improvement in fear of falling and falls efficacy in older adults attending a falls prevention program (FPP). Using a prospective observational design in an academic medical center, the authors studied 69 nondemented adults aged 55 years or older (mean age: 77.8±8.9 years) who had experienced at least one fall in the previous year and who attended the FPP. The primary outcome variable was change in severity of fear of falling during the FPP. Secondary outcome variables were change in falls efficacy and fear-related restriction of activities during the FPP. Independent variables were baseline depressive disorders and depressive symptom severity. Twenty-one of 69 study participants (30.4%) had a depressive disorder at baseline. Depressive disorder and depressive symptoms were not associated with change in severity of fear of falling or restriction of activity. On the other hand, depressive disorder was associated with improvement in falls efficacy, although this finding was not significant in multivariate analysis. Among participants with a depressive disorder, improvement in falls efficacy was significantly correlated with improvement in depressive symptoms. There was no association be...Continue Reading

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Apr 11, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Andrea Iaboni, Alastair J Flint

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Citations

Nov 1, 2017·Menopause : the Journal of the North American Menopause Society·Jelena AleksicAnita Grgurevic
Jul 19, 2019·International Psychogeriatrics·Namkee G ChoiMark E Kunik
Oct 6, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Matthew C LohmanAnwar T Merchant
Jul 14, 2021·Geriatric Nursing·Francisco M Martínez-ArnauPilar Pérez-Ros
Oct 1, 2021·Zeitschrift für Gerontologie und Geriatrie·Eric LenouvelStefan Klöppel

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