期刊
JOURNAL OF APPLIED GERONTOLOGY
卷 41, 期 12, 页码 2520-2531出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/07334648221119464
关键词
depression; anxiety; fall worry; falls; activity avoidance; going out frequency
类别
资金
- National Institute on Aging [P30AG066614]
This study examines the association between fall worry and changes in depression/anxiety symptoms among older adults. The results show that those with fall worry have higher rates of depression/anxiety symptoms and an increase in symptoms over time. The study suggests the need for screening for both depression/anxiety and fall worry in older adults and the implementation of effective psychosocial and behavioral interventions.
Using the 2019 and 2020 National Health and Aging Trend Study, we examined the association between fall worry and changes in depression/anxiety symptoms among community-dwelling older adults age 70+ (N = 3333). Past-month fall worry in 2020 included any fall worry (30.9%) and activity-limiting fall worry (34.0% of those with any fall worry). Changes in depression/anxiety symptoms referred to an increase or decrease in the Patient Health Questionnaire-4 symptom categories between 2019 and 2020. Those with fall worry, compared to those without, had significantly higher rates of moderate/severe depression/anxiety symptoms in 2019 and increased depression/anxiety symptoms over time. Multivariable analysis results show that increased depression anxiety symptoms were associated with higher risks of any and activity-limiting fall worry, controlling for previous year's fall worry, fall incidents, and other health- and fall-related covariates. Older adults need to be screened for both depression/anxiety and fall worry. Effective psychosocial and behavioral interventions for both conditions are needed.
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