National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, United Kingdom.
Am J Geriatr Psychiatry. 2013 Dec;21(12):1287-91. doi: 10.1016/j.jagp.2013.01.038. Epub 2013 Feb 6.
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.
确定情感与跌倒相关心理问题（跌倒恐惧、跌倒相关自我效能、平衡信心和结果预期）之间的关系。
共有 205 名居住在社区的老年人（平均年龄 81 岁，标准差 7.5 岁）完成了老年抑郁量表-15、老年焦虑量表、修改后的活动和跌倒恐惧调查、跌倒效能量表-国际、活动特异性平衡信心量表和跌倒后果量表。
分层回归模型显示，焦虑与所有跌倒相关的心理问题独立相关；抑郁仅与跌倒效能相关。还讨论了跌倒相关心理问题与年龄、性别、住所、药物、自我评估的身体健康状况、跌倒史、活动能力和感官辅助器具之间的关系。
这是第一项研究调查情感与四项跌倒相关心理问题之间的关系。焦虑是与所有四个问题相关的重要因素，而抑郁仅与活动回避相关。讨论了对医疗保健提供者的影响。
