Liu Siqi, Xiao Han, Qi Peiyao, Song Mi, Gao Yuan, Pi Hongying, Su Qingqing
Medical School of Chinese PLA, Beijing, China.
Department of Endocrinology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
BMC Geriatr. 2025 Jan 22;25(1):51. doi: 10.1186/s12877-025-05682-6.
Fear of falling is a psychological issue that adversely impacts the health of elderly individuals. The purpose of this study was to investigate the correlation among positive coping styles, psychological resilience, and fear of falling in older adults. The mediating role of psychological resilience was also investigated.
A cross-sectional study was carried out from July 2023 to December 2023. There are 202 older adults from a tertiary hospital in Beijing, China, participated in this study. The general information questionnaire, the Simplified Coping Style Questionnaire, the Chinese version of the Connor-Davidson Resilience Scale, and the Falls Efficacy Scale-International were utilized. Descriptive statistics, Pearson correlation, and structural equation modeling were used for data analysis.
The prevalence of fear of falling in the elderly was 53.00%. Older individuals with a history of falls or fractures had a significantly higher fear of falling (P < 0.05). Fear of falling was inversely connected with psychological resilience and positive coping styles (P < 0.05). Positive coping styles were positively connected with psychological resilience (r = 0.638, P < 0.01). Structural equation modeling showed that psychological resilience fully mediated the effect of positive coping styles on fear of falling (indirect effect estimate = -0.126, 95% CI -0.036 to-0.225; total effect estimate = -0.121, 95% CI -0.028to -0.005).
Fear of falling was widespread among older adults and psychological resilience fully mediated the relationship between positive coping styles and fear of falling. Future interventions targeting the fear of falling should consider the enhancement of psychological resilience.
害怕跌倒（惧跌）是一个对老年人健康产生不利影响的心理问题。本研究的目的是调查积极应对方式、心理韧性与老年人惧跌之间的相关性。同时也研究了心理韧性的中介作用。
于2023年7月至2023年12月进行了一项横断面研究。来自中国北京一家三级医院的202名老年人参与了本研究。使用了一般信息问卷、简易应对方式问卷、中文版的康纳-戴维森韧性量表和国际跌倒效能量表。采用描述性统计、Pearson相关性分析和结构方程模型进行数据分析。
老年人惧跌的患病率为53.00%。有跌倒或骨折史的老年人惧跌程度显著更高（P < 0.05）。惧跌与心理韧性和积极应对方式呈负相关（P < 0.05）。积极应对方式与心理韧性呈正相关（r = 0.638，P < 0.01）。结构方程模型显示，心理韧性完全中介了积极应对方式对惧跌的影响（间接效应估计值 = -0.126，95%可信区间 -0.036至-0.225；总效应估计值 = -0.121，95%可信区间 -0.028至-0.005）。
惧跌在老年人中普遍存在，心理韧性完全中介了积极应对方式与惧跌之间的关系。未来针对惧跌的干预措施应考虑增强心理韧性。
