Exploring the relationship between fear of falling and neuroticism: a cross-sectional study in community-dwelling women over 70
Exploring the relationship between fear of falling and neuroticism: a cross-sectional study in community-dwelling women over 70
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DOI：
10.1093/ageing/afj013
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发表时间：
2006-03-01
期刊：
影响因子：
6.7
通讯作者：
Watt, I
中科院分区：
文献类型：
--
作者：
Mann, R;Birks, Y;Watt, I
背景：老年人对跌倒的恐惧与广泛性焦虑有关，并可能导致避免活动，对未来跌倒产生进一步的负面影响。先前尚未研究过与焦虑相关的人格个体差异与跌倒恐惧的关系。目前旨在减少老年人跌倒恐惧的评估措施和干预措施并未考虑到与个体人格差异相关的焦虑认知。目的：确定神经质的核心人格特质维度是否可以预测社区居住的 70 岁以上女性样本中对跌倒的恐惧。方法：使用多元回归分析和逻辑回归分析对来自 1,691 名英国社区居住的 70 岁以上女性参与者的横断面数据进行检查。对跌倒的恐惧是通过 6 点李克特量表来衡量的。使用艾森克人格量表测量神经质。结果：预测跌倒恐惧的显着独立优势比（OR）为：神经质（OR 1.47 每 SD 增加，P < 0.001）、跌倒史（OR 1.57，P < 0.001）、骨折经历（OR 1.78，P = 0.014）、需要使用双臂从椅子上站起来（OR 1.56，P = 0.001），主观总体健康状况较差，通过 SF12（每 SD 减少 OR 1.63，P < 0.001）和独居（OR 1.31，P = 0.031）来衡量。结论：神经质似乎是社区老年女性害怕跌倒的经历的一个重要心理因素。它可能与纳入当前的评估措施以及在设计干预措施时考虑以减少跌倒恐惧有关。
Background: fear of falling in older adults has been associated with generalised anxiety and may lead to avoidance of activities, with a further negative impact on future falls. Individual differences in personality associated with anxiety have not been previously examined in relation to fear of falling. Current assessment measures and interventions designed to reduce fear of falling in older adults do not take into account perceptions of anxiety associated with individual differences in personality.Aim: to determine whether the core personality trait dimension of neuroticism can predict fear of falling in a community-dwelling sample of women >= 70 years of age.Methods: cross-sectional data from 1,691 UK, community-dwelling female participants aged >= 70 years were examined using multiple and logistic regression analysis. Fear of falling was measured on a 6-point Likert scale. Neuroticism was measured using the Eysenck personality inventory.Results: the significant independent odds ratios (OR) of predicting fear of falling were: neuroticism (OR 1.47 per SD increase, P < 0.001), history of falling (OR 1.57, P < 0.001), experience of fracture (OR 1.78, P = 0.014), need to use both arms to push up to rise from a chair (OR 1.56, P = 0.001), poor subjective general health, as measured by the SF12 (OR 1.63 per SD decrease, P < 0.001) and living alone (OR 1.31, P = 0.031).Conclusions: neuroticism seems to be an important psychological factor in the experience of fear of falling in community-dwelling older women. It may be relevant for inclusion in current assessment measures and for consideration in the design of interventions to reduce fear of falling.