Feelings of anxiety and symptoms of depression in community-living older persons who avoid activity for fear of falling
Feelings of anxiety and symptoms of depression in community-living older persons who avoid activity for fear of falling
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DOI：
10.1097/jgp.0b013e3181591c1e
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发表时间：
2008-03-01
影响因子：
7.2
通讯作者：
Kempen, Gertrudis I. J. M.
中科院分区：
文献类型：
--
作者：
van Haastregt, Jolanda C. M.;Zijlstra, G. A. Rixt;Kempen, Gertrudis I. J. M.
目的：这项横断面研究的目的是评估因害怕跌倒而避免活动的老年人中焦虑感和抑郁症状的存在，并评估焦虑感和抑郁症状是否与跌倒恐惧和恐惧相关活动回避的严重程度独立相关。设计：这是一项横断面研究。地点：在荷兰南部的两个城市地区收集数据。参与者：参与者包括540名70岁或70岁以上的社区居民，他们报告说害怕跌倒并避免相关活动。测量：采用自填式问卷方式收集数据。结果：有严重跌倒恐惧感的人群中有焦虑情绪的占28.2%，有抑郁症状的占26.1%。在有严重恐惧相关活动回避的参与者中，这些比率分别为28.5%和22.6%。多变量分析显示，严重害怕跌倒的参与者比那些轻微害怕跌倒的参与者更有可能有焦虑感和抑郁症状。此外，报告严重恐惧相关活动回避的人比轻度回避者更有可能有焦虑感。结论：焦虑感和抑郁症状在严重害怕跌倒和恐惧相关活动回避的人中很常见。专业护理提供者应对这类老年人潜在的焦虑症和抑郁症保持警惕，以便提供最佳治疗。
Objectives: The objectives of this cross-sectional study were to assess the presence of feelings of anxiety and symptoms of depression among older persons who avoid activity for fear of falling and to assess whether feelings of anxiety and symptoms of depression are independently associated with the severity of fear of falling and fear-related activity avoidance. Design: This is a cross-sectional study. Setting: Data were collected at two urban areas south of The Netherlands. Participants: Participants included 540 community-living people aged 70 years or older who reported fear of falling and associated activity avoidance. Measurements: Data were collected by means of self-administered questionnaires. Results: This study shows that 28.2% and 26.1% of the persons with severe fear of falling had feelings of anxiety and symptoms of depression, respectively. These rates were 28.5% and 22.6% for participants with severe fear-related activity avoidance. Multivariate analyses revealed that participants with severe fear of falling were more likely to have feelings of anxiety and symptoms of depression than those with mild fear of falling. Furthermore, persons who reported severe fear-related activity avoidance were more likely to have feelings of anxiety than mild avoiders. Conclusions: Feelings of anxiety and symptoms of depression are common in persons with severe fear of falling and fear-related activity avoidance. Professional care providers should be alert to underlying anxiety disorders and depression in this category of older persons in the interests of providing optimum treatment.