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Cited by 28Balance, Gait, and Falls PreventionFrailty in Older AdultsPharmaceutical Practices and Patient Outcomes

Depression: a modifiable factor in fearful older fallers transitioning to frailty?

Ní Mhaoláin, Aine M., Fan, Chie Wei, Romero‐Ortuno, Roman, Cogan, Lisa, Cunningham, Clodagh, Lawlor, Brian, Kenny, Rose‐Anne·2012·International Journal of Geriatric Psychiatry
DOI 10.1002/gps.2780
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Abstract

OBJECTIVE: Fear of falling is one of the most common fears among community-dwelling older people and is as serious a health problem as falls themselves. Understanding fear of falling in fallers transitioning to frailty may help us identify effective strategies to reduce it in this already vulnerable group of older people. Our aim was to evaluate the psychological factors associated with fear of falling in a group of fallers transitioning to frailty when compared with robust or non-frail fallers. METHODS: Cross-sectional design where 301 fallers underwent assessment at the Technology Research for Independent Living Clinic in Dublin (http://www.trilcentre.org/) is seen. Fear of falling was measured using the Modified Falls Efficacy Scale, and frailty was measured using the Biological Syndrome Model. Psychological measures included assessment of anxiety, depression, loneliness, personality factors and cognition. RESULTS: Frailer fallers had increased fear of falling when compared with robust fallers (p < 0.001). Age, female gender and lower cognitive scores were associated with greater fear of falling in the robust group. For frailer fallers, higher depression score was the only factor associated with fear of falling on multivariate analysis. The odds ratio of having case level depressive disorder (CESD-8 ≥ 4) if you were a frailer faller was significantly higher than if you were robust (OR = 2.6, CI 1.3-5.2, p = 0.006). CONCLUSION: Fallers at a transitional level of frailty may represent a particularly vulnerable group psychologically who would benefit most from interventional strategies with specific intervention components addressing depressive symptoms.

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Crossref · 10.1002/gps.2780

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  • Cross-sectional studies provide evidence that older adults with functional deficits experience more depressive symptoms than robust individuals.

    “cross-sectional studies provide evidence that older adults with functional deficits experience more depressive symptoms than robust individuals. (Chang and Chueh 2011;Ni Mhaolain, Fan, Romero-Ortuno, Cogan, Cunningham, Lawlor, and Kenny 2012)”

    From Successful aging: Advancing the science of physical independence in older adults (2015) · cites this paper as Ni Mhaolain et al. 2012

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Authors
Ní Mhaoláin, A. M., Fan, C. W., Romero‐Ortuno, R., Cogan, L., Cunningham, C., Lawlor, B., & Kenny, R.
Affiliations
  • Technology Research for Independent Living (TRIL) Clinic St James's Hospital Dublin 8 Ireland
  • St. James's Hospital (IE)
  • Trinity College Dublin (IE)
ORCID
Venue
International Journal of Geriatric Psychiatry
Publisher
Wiley
Published
2011-12-23
Volume
27
Issue
7
Pages
727-733
ISSN
  • 0885-6230 (ISSN-L)
  • 1099-1166
DOI
10.1002/gps.2780
OpenAlex
W1955398363
Cited by
28
References
39
Citations by year
2025: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 2 · 2018: 3 · 2017: 4 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 2
FWCI
5.01
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
fear of falling, depression, frailty, older adults, falls, psychological factors, loneliness, anxiety, cognitive function, personality, depressive symptoms, community-dwelling older adults
MeSH terms
Accidental Falls, Age Factors, Aged, Aged, 80 and over, Cognition, Cross-Sectional Studies, Depressive Disorder, Fear, Female, Humans, Male, Northern Ireland, Sex Factors, Multivariate Analysis, Odds Ratio, Frail Elderly

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