Anxiety, Depression, and Fall-Related Psychological Concerns in Community-Dwelling Older People

Hull, Samantha L.; Kneebone, Ian; Farquharson, Lorna

doi:10.1097/jgp.0b013e318266b373

Cited by 57 publications

(45 citation statements)

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“…While worrying about falling and avoiding activities may be functional in the short term and promote safety, for some older adults, FOF is disproportionate to their physical capabilities so that they are restricting their activities unnecessarily [8]. Severe activity restriction can, in turn, create a series of problems, including sensorimotor deconditioning and reduced balance which increases the risk of actual falls [6,12,13].…”

Section: Introductionmentioning

confidence: 96%

“…A range of psychological concerns related to falling have been studied in recent years but the three most significant and common constructs considered are fear of falling (FOF), falls efficacy and balance confidence [5,7,8]. Recent attention has also been given to one further construct; concerns about the consequences of falling (COF).…”

Section: Introductionmentioning

confidence: 98%

“…These include actual falls, increasing age, female gender, dizziness, depression, anxiety and problems with gait and balance [7,8,14]. Understanding and identifying risk factors provides clinicians and researchers with valuable information, helping them identify high risk groups so that appropriate interventions can be offered.…”

Section: Introductionmentioning

confidence: 99%

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Is there a relationship between pain and psychological concerns related to falling in community dwelling older adults? A systematic review

Stubbs

West

Patchay

et al. 2014

Disability and Rehabilitation

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This review provides provisional evidence that pain is associated with fear of falling (FOF), avoidance of activities due to FOF and falls efficacy in community dwelling older adults. Implications for Rehabilitation Pain is a common and pervasive problem in community dwelling older adults and can affect an individual's mobility, levels of physical activity and increase their falls risk. Psychological concerns related to falls, such as fear of falling (FOF), falls efficacy and balance confidence are also common and troublesome issues in older adults, yet the association with pain has not been investigated with a systematic review. This review provides provisional evidence that pain may increase older adult's risk of developing FOF, avoiding activities due to a FOF and impact their falls efficacy. In recognition of the findings of this review, clinicians working with older adults with pain should consider assessing psychological concerns related to falls and if necessary intervene if they identify an individual at risk.

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Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

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Is there a relationship between pain and psychological concerns related to falling in community dwelling older adults? A systematic review

Stubbs

West

Patchay

et al. 2014

Disability and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Furthermore, reduced balance confidence is, in its own right, disabling and detrimental to the wellbeing of older adults [7,12]. Among the few measures of balance confidence, one measure, the Activities and Balance Confidence (ABC) scale [13], is favoured among clinicians and has excellent test-retest reliability (r=0.92, P<0.001) [13] and internal consistency (Cronbach's alpha=0.96) [14].…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal pain characteristics associated with lower balance confidence in community-dwelling older adults

et al. 2016

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“…Furthermore, reduced range-of-motion can result from the effects of pain, causing further muscle stiffness and fearavoidance behaviors. Previous research has shown this fear to exacerbate depressive symptoms and lead to social isolation and a diminished quality-of-life [38][39][40]. Particularly among chronic pain patients, it may be daunting to venture out to social gatherings or activities.…”

Section: Cognitive and Social Concernsmentioning

confidence: 99%

The Chronic Low Back Pain Epidemic in Older Adults in America

Bevers¹,

Hulla²,

Rice³

et al. 2017

J Pain Relief

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Chronic low back pain is a debilitating condition affecting millions of Americans annually. Older-adult populations suffer a high prevalence of this continually painful state, and further face a unique set of challenges to manage short-and long-term biopsychosocial functioning. As the population ages, and the proportion of older adults grow, it is essential to explore and develop the most effective interdisciplinary strategies to care for older adults who are chronic pain sufferers. In this Commentary, we highlight some of the special challenges that the older-adult population encounters, and their influence on pain management strategies.Keywords: Low back pain; Chronic pain; Biopsychosocial; America; Older adults CommentaryChronic low back pain (CLBP) is a widely prevalent condition affecting more than 25 million Americans [1]. In a recent 2014 report by the National Health Interview Survey (NHIS), it was noted that low back pain was the most prevalent reported pain site, exceeding joint conditions, headache/migraines, neck, and facial, or jaw pain [2]. Roughly one third (34%) of adults aged 65-74, and adults aged 75 and over (34.9%), reported low back pain in the last 3-months [2]. As the population ages, CLBP reports are expected to rise, further necessitating the need to develop interdisciplinary pain management strategies for this growing part of the population [3].In addition to CLBP, older adult populations often have multiple conditions that can complicate and limit traditional pain management therapies. As a result, they face distinctive challenges regarding healthcare regimens, including adherence, physical ability, psychological and social conditions, age-related mental decline, agerelated physical decline, and pharmacological intake concerns. Furthermore, general physical decline due to aging often limits the patient's ability to participate in physical interventions, such as exercise and more vigorous physical therapies. Often, simple stretching techniques or light exercise may not be a viable option [4]. Additionally, psychosocial status must be evaluated for adherence and well-being. Chronic pain patients often experience depression, anxiety, and sleep disorders [5], as well as dementia, Alzheimer's, and other ailments that can impede proper care.Medications are widely prescribed to help combat pain, particularly when these physical limitations are present. On average, older Americans consume multiple medications daily [6]. The large volume of prescription medication consumption certainly influences the available and appropriate treatment options to both avoid side-effects and maintain good quality-of-life. Considering these astonishing figures, it is vital to develop comprehensive, interdisciplinary preventive measures and pain management strategies in order to account for the unique concerns of the older-adult population. This Commentary aims to highlight some of the special challenges the older-adult population faces, and the importance of implementing interdisciplinary treatment strate...

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Anxiety, Depression, and Fall-Related Psychological Concerns in Community-Dwelling Older People

Cited by 57 publications

References 0 publications

Is there a relationship between pain and psychological concerns related to falling in community dwelling older adults? A systematic review

Is there a relationship between pain and psychological concerns related to falling in community dwelling older adults? A systematic review

Musculoskeletal pain characteristics associated with lower balance confidence in community-dwelling older adults

The Chronic Low Back Pain Epidemic in Older Adults in America

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