社区居住老年人跌倒、害怕跌倒与抑郁症状之间的关联。

Association between Falls, Fear of Falling and Depressive Symptoms in Community-Dwelling Older Adults.

作者信息

Pereira Maria Eduarda Armando, Santos Gerson de Souza, Almeida Clara Rabite de, Nunes Kethlyn Cristina Santos, Silva Monalisa Claudia Maria da, José Helena, Sousa Luís, Vitorino Luciano Magalhães

机构信息

Faculty of Medicine of Itajubá, Itajubá 37502-138, MG, Brazil.

Department of Medicine, Centro Universitário Ages, Paripiranga 48430-000, BA, Brazil.

出版信息

Healthcare (Basel). 2024 Aug 16;12(16):1638. doi: 10.3390/healthcare12161638.

DOI:10.3390/healthcare12161638

PMID:39201196

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11353576/

Abstract

BACKGROUND

Longevity increases pose public health challenges, especially in managing falls and their psychological impacts on older adults. Limited evidence exists on the relationship between a fear of falling (FOF), previous falls, and depressive symptoms among community-dwelling older adults.

OBJECTIVE

To evaluate the association between falls, FOF, and depressive symptoms in community-dwelling older adults.

METHODS

This cross-sectional study, conducted in 2018, included 400 older adults from a Basic Health Unit in São Paulo, Brazil. The Geriatric Depression Scale (GDS-15) and the International Falls Efficacy Scale (FES-I) were used, along with self-report questionnaires on fall history. Linear and logistic regression were used to analyze the relationships between variables.

RESULTS

The mean age was 75.2 (SD = 8.53) years, with 63.2% being female. Depressive symptoms were observed in 18.3% of the participants, while 90.5% reported a fear of falling (FOF). More than half (63.0%) experienced falls, with 49.5% occurring in the last year. Factors such as the female gender, negative health perceptions, and functional dependence were associated with depressive symptoms. Adjusted analyses indicated that both a fear of falling (FOF) (B = 0.043; = 0.012) and a history of falls (B = 0.725; = 0.015) were associated with depressive symptoms.

CONCLUSIONS

Falls, FOF, and depressive symptoms are interlinked among older adults, underscoring the need for targeted interventions to improve their mental and physical health.

摘要

背景

寿命延长给公共卫生带来了挑战，尤其是在管理跌倒及其对老年人的心理影响方面。关于社区居住的老年人中跌倒恐惧（FOF）、既往跌倒史与抑郁症状之间的关系，现有证据有限。

目的

评估社区居住的老年人中跌倒、跌倒恐惧与抑郁症状之间的关联。

方法

这项横断面研究于2018年进行，纳入了巴西圣保罗一个基本卫生单位的400名老年人。使用了老年抑郁量表（GDS - 15）和国际跌倒效能量表（FES - I），以及关于跌倒史的自我报告问卷。采用线性和逻辑回归分析变量之间的关系。

结果

平均年龄为75.2（标准差 = 8.53）岁，63.2%为女性。18.3%的参与者存在抑郁症状，而90.5%报告有跌倒恐惧（FOF）。超过一半（63.0%）的人经历过跌倒，其中49.5%发生在过去一年。女性性别、负面的健康认知和功能依赖等因素与抑郁症状相关。调整分析表明，跌倒恐惧（FOF）（B = 0.043；P = 0.012）和跌倒史（B = 0.725；P = 0.015）均与抑郁症状相关。