School of Occupational Therapy, College of Health and Human Services, Touro University Nevada, Henderson, NV.
Department of Physical Therapy, School of Integrated Health Sciences, University of Nevada, Las Vegas, NV.
J Geriatr Psychiatry Neurol. 2023 May;36(3):215-224. doi: 10.1177/08919887221119974. Epub 2022 Aug 17.
The purpose of this study was to examine the relationship between psychological factors (depression, anxiety, and catastrophizing) and fear of falling avoidance behavior (FFAB) among individuals with Parkinson's disease (PD).
A secondary analysis of cross-sectional data from 59 individuals with PD using hierarchical multiple regression.
Disease severity (Movement Disorder Society - Unified PD Rating Scale) and catastrophizing (Consequences of Falling Questionnaire (CoF)) explained approximately 48.2% of the variance in the FFAB Questionnaire scores ( < .001). Catastrophizing was the only significant psychological variable ( < .001). The subscale of the CoF was significant in the final model ( < .001).
Catastrophizing about the consequences of falls explained the largest portion of variability in FFAB after controlling for disease severity. Catastrophizing about the immediate consequences of falling may play a prominent role in FFAB and may be a potential treatment target for mitigating FFAB.
本研究旨在探讨帕金森病（PD）患者的心理因素（抑郁、焦虑和灾难化思维）与跌倒恐惧回避行为（FFAB）之间的关系。
使用层次多重回归分析对来自 59 名 PD 患者的横断面数据进行二次分析。
疾病严重程度（运动障碍协会-统一 PD 评定量表）和灾难化思维（跌倒后果问卷（CoF））解释了 FFAB 问卷评分的约 48.2%（ <.001）。灾难化思维是唯一具有显著意义的心理变量（ <.001）。CoF 的子量表在最终模型中具有显著意义（ <.001）。
在控制疾病严重程度后，对跌倒后果的灾难化思维解释了 FFAB 变异性的最大部分。对跌倒即时后果的灾难化思维可能在 FFAB 中起重要作用，可能是减轻 FFAB 的潜在治疗靶点。
